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Ex. MO-027 Order Primary source read

DHSS waiver orders of April 14-15, 2020 and implementation notice of April 17, 2020

State waiver implementation for intermediate and skilled nursing care facilities

DHSS Section for Long-Term Care Regulation (implementing the Director's waiver orders of Apr. 14 and 15, 2020) · Missouri (State)

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The record

Jurisdiction
Missouri
Level
State
Authority
EO 20-02 and 20-04 waiver authority; 19 CSR 30-85
Issued
2020-04-17 Apr. 17, 2020
Effective
2020-04-14
End
Until May 15, 2020 'unless otherwise modified'; DHSS waivers were carried through the emergency (EO 20-19, EO 21-07, Ex. MO-019; EO 21-09) (read as 2020-05-15)
In force
Apr. 14, 2020 to May 15, 2020
Quarters
2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3
Limitation types
Health care ordersWorkplace rules
Addressees
  • intermediate care and skilled nursing facilities
Functions reached
  • RS residential care admissions and capacity
  • VS visitation
  • HR nurse-aide training and licensing
  • IC infection control
Collection
Missouri MO

Operative words

19 CSR 30-85.042(9) shall be waived to the extent that the provisions require new and existing intermediate care and skilled nursing facilities to only care for the number of residents for which the facilities are licensed.... 19 CSR 30-85.042(11) shall be waived to the extent that the provisions require... regular daily visiting hours and allow relatives or guardians and clergy the ability to see critically ill residents at any time, if requested. Note: Facilities should continue to adhere to the March 13, 2020 guidelines issued by DHSS and CMS related to COVID-19 visitor restrictions.... 19 CSR 30-85.042(20) shall be waived to the extent that the provisions require... nursing assistants... [to complete] the sixteen (16)-hour orientation module

Enforcement

Waiver of licensing rules; facilities bound by the March 13, 2020 DHSS/CMS visitor restrictions

Notes

Confirms the visitation restriction regime for licensed long-term care from March 13, 2020.