General Licensure, Certification and Definitions
About 6 of every 50 questions on a Missouri NHA State Exam practice exam come from this topic.
Sources checked
What to know
These rules cover how Missouri long-term care facilities are licensed and certified and what key terms mean. A facility seeking Medicare or Medicaid certification must meet 42 CFR Part 483, subpart B, apply at least 14 working days before its initial survey, and have at least two residents before the survey; partially certified beds must sit together in a distinct part. Under the general licensure rule, a new facility applies at least 30 days before opening, relicensure applications go in 30 to 90 days before expiration, licenses are not transferable, and a new operator inherits existing deficiencies and plans of correction. The department may grant time-limited exceptions to its own rules, never to statutes or federal rules. Rules carry Roman-numeral class notations, and uncorrected class III violations earn points, with 20 points meaning substantial noncompliance. The transfer and discharge rule lists the only permitted grounds, the notice's contents and recipients, a 30-day appeal window and a stay while an appeal is pending. The definitions rule explains terms such as chemical and physical restraint, designee, involuntary seclusion and major remodeling.
Where it comes from
- 19 CSR 30-81.010, 30-81.030
- 19 CSR 30-82.010, 30-82.020
- 19 CSR 30-82.050, 30-82.060, 30-82.080
- 19 CSR 30-83.010
Try a practice question
A licensed skilled nursing facility elects to be certified for Medicare or Medicaid. Under 19 CSR 30-81.010, which federal standards must it meet?
- A42 CFR Part 418, the hospice conditions of participation
- B42 CFR Part 482, the hospital conditions of participation
- C42 CFR Part 483, subpart B, for nursing homes
- D45 CFR Part 164, the HIPAA privacy rule, and nothing else
Show the answer
42 CFR Part 483, subpart B, for nursing homes. The state certification rule requires a facility certified for Medicare or Medicaid skilled nursing services to comply with 42 CFR chapter IV, part 483, subpart B for nursing homes.
19 CSR 30-81.010(2) (adopting 42 CFR Part 483, subpart B)
Ready for a full run? The Missouri Nursing Home Administrator State Exam Practice Test is 50 questions in 120 minutes, scored at 75%. For the official exam's details, see Missouri Nursing Home Administrator License Exam Requirements.