Mo. Rev. Stat. § 198.079 (2026)

  198.079.  Department to establish standards and regulations for intermediate care and skilled nursing facilities. — The department shall promulgate reasonable standards and regulations for all intermediate care facilities and all skilled nursing facilities.  The standards and regulations shall take into account the level of care provided and the type of residents served by the facility.  These standards and regulations shall relate to:

  (1)  The number and qualifications of employed and contract personnel having responsibility for any of the services provided for residents;

  (2)  The equipment, facilities, services and supplies essential to the health and welfare of the residents;

  (3)  Fire safety, including resident smoking in designated areas only, unannounced fire drills, fire safety training, and notification to the department of fires and fire watches;

  (4)  Sanitation in the facility;

  (5)  Diet, which shall be related to the needs of each resident and based on good nutritional practice and on recommendations which may be made by the physician attending the resident;

  (6)  Personal funds and property of residents;

  (7)  Resident rights and resident grievance procedures;

  (8)  Record keeping, including clinical and personnel records;

  (9)  The construction of the facility, including plumbing, heating, ventilation and other housing conditions which shall insure the health, safety and comfort of residents and protection from fire hazards;

  (10)  Care of residents;

  (11)  Social and rehabilitative service;

  (12)  Staff training and continuing education.