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	GENERALLY
198.003	Citation of law. (8/28/1979)
198.005	Assisted living facilities, statutory references to residential care facilities to be changed by revisor of statutes. (8/28/2006)
198.006	Definitions. (8/28/2022)
198.009	Department to administer — promulgation of rules, procedure — cooperation of other agencies. (8/28/1995)
198.012	Provisions of sections 198.003 to 198.136 not to apply, when — exempt entities may be licensed. (8/28/2011)
198.015	License, when required — duration — content — effect of change of ownership — temporary permits — penalty for violation. (1/1/2017)
198.016	Information on home- and community-based services to be provided prior to admission. (8/28/2010)
198.018	Applications for license, how made — fees — affidavit — documents required to be filed — nursing facility quality of care fund created — facilities may not be licensed by political subdivisions, but they may inspect. (8/28/2014)
198.022	Licensure applications, department duties — department may copy records at its expense — removal of records prohibited — inspection, when — court order to inspect — out-of-state applicants, compliance history may be requested. (8/28/2022)
198.026	Noncompliance, how determined — procedure to correct — notice — reinspection — probationary license. (8/28/2022)
198.027	On-site revisit not required, when. (8/28/2003)
198.029	Noncompliance — notice to operator and public, when — notice of noncompliance posted. (8/28/2014)
198.030	Posting of inspection reports at the facility. (8/28/2003)
198.032	Records, what confidential, what subject to disclosure — procedure — central registry to receive complaints of abuse and neglect, procedure — hotline caller log to be maintained. (8/28/2003)
198.036	Revocation of license — grounds — notice required. (8/28/2022)
198.039	License refused or revoked — review by administrative hearing commission — judicial review. (8/28/1979)
198.042	Medical supervision for residents relying on spiritual healing not required. (8/28/1979)
198.045	Participation in Medicare or Medicaid optional — survey for certification at same time as license inspection. (8/28/1979)
198.048	Different classifications of facility may exist on same premises, when. (8/28/1984)
198.052	Records of facilities — when examined or audited — retention, how long — to accompany resident on transfer, when. (8/28/1979)
198.053	Assisted living facilities, notification of posting of latest Vaccine Informational Sheet. (8/28/2017)
198.054	Influenza vaccination for employees, facilities to assist in obtaining. (10/14/2016)
198.055	Inspection by department valid for certain mental health patients, when. (8/28/1984)
198.058	Certain facilities exempt from construction standards, when. (8/28/2010)
198.061	Penalty for providing services without license — penalty for interfering with enforcement of law. (8/28/1979)
198.064	Duplicate payments — how determined — procedures for repayment. (8/28/1979)
198.066	Sanctions for violations authorized. (8/28/2003)
198.067	Noncompliance with law — injunction, when — civil penalties, how calculated, where deposited. (8/28/2003)
198.069	Resident returned to facility from a medical facility, physician orders, duty of facility. (8/28/2007)
198.070	Abuse or neglect of residents — reports, when, by whom — contents of report — failure to report, penalty — investigation, referral of complaint, removal of resident — confidentiality of report — immunity, exception — prohibition against retaliation — penalty — employee list — self-reporting of incidents, investigations, when. (8/28/2018)
198.071	Death of a resident, persons to contact prior to transfer of deceased. (8/28/2003)
198.073	Persons eligible for care in residential care facility or assisted living facility — assisted living facility licenses granted, requirements — facility admission, requirements, disclosures — rulemaking authority. (8/28/2007)
198.074	Sprinkler system requirements — fire alarm system requirements. (8/28/2009)
198.075	Fire safety standards loan fund created, use of moneys. (8/28/2009)
198.076	Department of social services to establish standards and regulations for residential care facilities and assisted living facilities. (8/28/2007)
198.077	Department to maintain facility compliance records. (8/28/2014)
198.079	Department to establish standards and regulations for intermediate care and skilled nursing facilities. (8/28/2007)
198.080	Assessment procedures developed — rulemaking authority. (8/28/2014)
198.082	Nursing assistant training programs, requirements — training incomplete, special requirements and supervision for assistant beginning duties — competency evaluation — additional training. (8/28/2019)
198.085	Categories of standards for each type of licensed facility. (8/28/1995)
198.087	Uniformity of application of regulation standards, department's duties. (8/28/2014)
198.088	Facilities to establish policies and procedures, scope, content — rights of residents — complaint — procedure. (8/28/1994)
198.090	Personal possessions may be held in trust, requirements, disposal of — written statements required when, penalty — prohibitions, penalties — misappropriation, report, investigation — employee disqualification list. (8/28/2014)
198.093	Violations of resident's rights — complaints — legal action — damages. (8/28/1979)
198.096	Bond required for facility holding resident's property in trust — exception, cash deposit held in insured escrow. (8/28/2009)
198.097	Misappropriation of funds of elderly or disabled nursing home residents, penalty. (1/1/2017)
198.099	Petition for appointment of receiver — when. (7/1/1979)
198.103	Department may appoint monitor. (7/1/1979)
198.105	Petition for appointment of receiver, contents — hearing — appointment of receiver. (8/28/2003)
198.108	Ex parte appointment of receiver in emergency, when — notice — hearing. (7/1/1979)
198.112	Powers of receiver. (7/1/1979)
198.115	Executory contracts, receiver not required to honor — when — hearing. (7/1/1979)
198.118	Compensation of receiver. (7/1/1979)
198.121	Bond of receiver. (7/1/1979)
198.124	License may be issued to facility operated by receiver — duration. (7/1/1979)
198.128	Termination of receivership, when. (7/1/1979)
198.132	Accounting by receiver, when — contents — liability for deficiency — priority of deficiency judgment. (7/1/1979)
198.136	Operator or affiliate not liable for acts of receiver — liability of operator or affiliate otherwise not relieved. (7/1/1979)
198.139	Medicaid moneys not to be used for other purposes. (7/1/1979)
198.142	Health care provider and vendor not to misrepresent or conceal facts or convert benefits for payments. (7/1/1979)
198.145	Kickbacks, bribes and rebates prohibited, when. (7/1/1979)
198.148	Offering or making kickbacks, bribes or rebates prohibited, when. (7/1/1979)
198.151	Usual trade discounts and employment benefits not kickbacks, bribes or rebates. (7/1/1979)
198.155	False statements by health care provider prohibited, when. (7/1/1979)
198.158	Penalties for violation of sections 198.139 to 198.155. (1/1/2017)
198.161	Fraud investigation division created — director — compensation — assistance by local prosecutors. (7/1/1979)
198.165	Medicaid payments stopped by division, when — hearing. (7/1/1979)
198.168	Fraud investigation director may petition for appointment of receiver, when — court hearing. (7/1/1979)
198.171	Civil restitution of Medicaid funds, when. (7/1/1979)
198.174	Fraud investigation director may hold hearings, take oaths — procedure on failure to testify — confidentiality of recorders — penalties. (7/1/1979)
198.177	Compelling of testimony — grant of immunity, when. (7/1/1979)
198.180	Audit and inspection of records, when — warrant. (7/1/1979)
198.183	State agencies and law enforcement officers to cooperate with fraud investigation division. (7/1/1979)
198.186	Local crime investigation powers not diminished. (7/1/1979)
198.187	Criminal background checks for residents permitted. (8/28/2009)
198.189	Medicaid payment system for assisted living facilities to be implemented — options. (8/28/2014)
	NURSING HOME DISTRICTS
198.200	District created, how — territory included — name — nursing home defined. (8/28/1984)
198.210	Petition of voters for district, where filed, contents. (8/28/1978)
198.220	Notice of hearing on petition — costs of notice. (8/28/1963)
198.230	Procedure where several petitions filed — amendment. (8/28/1963)
198.240	If petition sufficient county commission to order election. (8/28/1978)
198.250	Notice of election, contents. (8/28/1985)
198.260	Form of ballot. (8/28/1985)
198.263	Increase in tax levy, procedure — ballot of submission, form. (8/28/1985)
198.270	Results of election to be filed. (8/28/1978)
198.280	Election districts — election of directors — terms — qualifications — declaration of candidacy — appointed if no candidate — no election required when. (8/28/2001)
198.290	Powers of board of directors — first meeting — officers — bylaws — time for meetings. (8/28/1963)
198.300	Powers of nursing home district. (8/28/1991)
198.301	Whistleblower protection for employees — availability of information on rights of persons retaliated against. (8/28/2003)
198.305	Unsuitable site, may be changed, when. (8/28/1991)
198.310	Indebtedness for nursing home — election — ballot — limits — tax to pay. (8/28/2013)
198.312	Revenue bonds authorized, when. (8/28/1978)
198.314	Revenue bonds not an indebtedness of the issuing authority. (8/28/1978)
198.316	Revenue bonds, form of, interest rate — to be negotiable instruments. (8/28/1978)
198.318	Board of directors to prescribe form, make necessary covenants, restrictions — bondholders, remedies of — revenue bonds, not to be exclusive method of financing. (8/28/1978)
198.320	Annexation of territory to district — election. (8/28/1978)
198.330	Records of district — officers and employees to give bond. (8/28/1963)
198.340	Board as trustee may accept and hold property donated — duties. (8/28/1963)
198.345	Apartments for seniors, districts may establish (counties of third and fourth classification). (8/28/2013)
198.350	Citation of law. (8/28/1963)
198.360	Dissolution of district. (8/28/1978)
	NURSING FACILITY REIMBURSEMENT ALLOWANCE
198.401	Nursing facility reimbursement allowance, definitions. (8/28/1994)
198.403	Formula set forth in rules. (8/28/1994)
198.406	Records required, transmittal to department — elements of report, determinations. (8/28/1994)
198.409	Determination of amount due — notification, payments — offset allowed. (8/28/1994)
198.412	Finality of determination, protest — hearing, reconsideration, appeal. (8/28/1994)
198.416	Forms and content set forth in rule. (8/28/1994)
198.418	Remittance of amount — nursing facility reimbursement allowance fund, purpose, restrictions — nursing facility quality of care fund, purpose, restrictions. (8/28/1994)
198.421	Allowance period, notification by department, delinquent allowance — lien, enforcement, sanctions — effect upon license. (8/28/2014)
198.424	No effect upon tax-exempt status. (8/28/1994)
198.427	Medicaid provider agreements, payments, rate, computation. (8/28/1994)
198.428	Medicaid eligibility presumed pending approval or denial of application, when. (8/28/2014)
198.431	Contingent application of requirements — disbursement of fund, when. (8/28/1994)
198.433	Imposition of allowance, when. (8/28/1994)
198.436	Rules, regulations, promulgation, procedure. (8/28/1995)
198.439	Expiration date. (9/28/2021)
	ALZHEIMER'S SPECIAL CARE DISCLOSURE ACT
198.500	Citation of law. (8/28/1996)
198.505	Definitions. (8/28/1996)
198.510	Disclosure required, by whom — licensing department, duties — department of health and senior services, duties. (8/28/2014)
198.515	Alzheimer's facilities, informational documents required — department, duties — licensing department, verification. (8/28/2014)
	INSPECTION REQUIREMENTS
198.525	Inspection of certain long-term care facilities, when — restrictions on surveyors, required disclosures — immediate family member defined — conflict of interest, when. (8/28/2022)
198.526	Annual inspections — reevaluation of inspection process — disclosure of inspection schedule limited, penalty for violation. (8/28/2022)
198.527	Inspectors and surveyors of long-term care facilities — uniformity of application of regulation standards. (8/28/2012)
198.528	Long-term care facility information to be provided on department internet website. (8/28/2003)
	MANAGED CARE SERVICES PROVIDED IN FACILITIES
198.530	Managed care services provided in long-term care facilities, when, conditions — reimbursement rate — services included. (8/28/1999)
	INVESTIGATION OF COMPLAINTS
198.532	Investigation of complaints — results provided, when. (8/28/2003)
198.533	Conflict of interest, state investigators. (8/28/1999)
198.534	Rulemaking authority. (8/28/1999)
	INFORMAL DISPUTE RESOLUTION
198.545	Definitions — contracting with third parties — department to establish IDR process, procedures — rulemaking authority. (8/28/2022)
	AUTHORIZED ELECTRONIC MONITORING IN LONG-TERM CARE FACILITIES ACT
198.610	Citation of law — definitions. (8/28/2020)
198.612	Placement of electronic monitoring device — immunity from liability, when — release of recordings, when — rulemaking authority. (8/28/2020)
198.614	Unauthorized placement of electronic monitoring device — immunity from liability, when. (8/28/2020)
198.616	Acknowledgment form, contents. (8/28/2020)
198.618	Resident sole authority to request monitoring — exception for lack of capacity, requirements. (8/28/2020)
198.620	Request procedure — form, contents — consent requirements — recordkeeping requirements — access to footage, when. (8/28/2020)
198.622	Facility to permit monitoring, requirements. (8/28/2020)
198.624	Abuse or neglect of resident, use of footage, reporting requirements. (8/28/2020)
198.626	Admissibility of footage in court or administrative proceeding, when. (8/28/2020)
198.628	Notice of electronic monitoring to be posted. (8/28/2020)
198.630	Sanctions, when — administrative penalty, when. (8/28/2020)
198.632	Unauthorized acts, electronic monitoring devices and data — penalties — affirmative defense, when. (8/28/2020)
	SUPPLEMENTAL HEALTH CARE SERVICES AGENCY
198.640	Definitions. (8/28/2022)
198.642	Supplemental health care services agency, registration required — procedure. (8/28/2022)
198.644	Agency criteria — revocation and nonrenewal of registration, when — appeal procedure. (8/28/2022)
198.646	Complaints, reporting system. (8/28/2022)
198.648	Rulemaking authority. (8/28/2022)

- Cross References
	Advance health care directives registry, 459.250
	Advocacy and assistance office — established in lieutenant governor's office, 660.620 to 660.625
	AIDS patients, nursing homes limited to AIDS treatment, certificate of need not required, 197.316
	All license, permit and certificate applications shall contain the Social Security number of the applicant, 324.024
	Certificate of need not required for certain facilities controlled by religious organization, 197.312
	Certificate of need, St. Louis residential care facilities and assisted living facilities, no certificate of need required, 197.312
	Comprehensive emergency medical services systems act, 190.001 to 190.245
	Family care safety registry and access line, 210.900 to 210.936
	Financial exploitation of the elderly, crime of, 570.145
	Health care assistance payments fraud and abuse, 191.900 to 191.914
	Identification badges, health care facilities personnel required to wear, when, 197.705
	License for administrator of assisted living facilities required, limitations, 344.020
	Long-term care facility residents, office of state ombudsman, protection and care of residents, powers and duties, 192.2300 to 192.2315
	Long-term care insurance premium tax credit, 135.096
	Nursing home employees, criminal history background checks required, persons with criminal history not to be hired, when, 192.2495
	Nursing home Medicaid per diem rate, recalculation, amount, 208.225
	Sexual contact or intercourse with a skilled nursing or Alzheimer's resident, crime of, penalties, consent not a defense, 566.116
	Skilled nursing care facilities, a license for assisted living facilities insufficient, 344.020
	Tuberculosis testing rules for nursing homes, 199.350