Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 86 - Residential Care Facilities and Assisted Living Facilities › Section 19 CSR 30-86.032 - Physical Plant Requirements for Residential Care Facilities and Assisted Living Facilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes standards for the
				  physical plant of new or existing residential care facilities I and
				  II.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Definitions. For the purpose of this
				rule, the following definitions shall apply:
(A) Adult day health care program shall mean
				a program operated by a provider certified to provide Medicaid-reimbursed adult
				day health care services to Medicaid-eligible participants in accordance with
				19 CSR 70-92.010;
(B) Associated
				adult day health care program shall mean an adult day health care program,
				which is connected physically with a licensed long-term care facility but has
				separate designated space for an adult day health care program which is above
				the licensed space requirement for the long-term care residents. An associated
				adult day health care program may share, in part, staff, equipment, utilities,
				dietary and security with the connected long-term care facility. Recipients of
				adult day health care program may participate with the residents of the
				long-term care facility for some activities and programs;
(C) Home-like-means a self-contained
				long-term care setting that integrates the psychosocial, organizational and
				environmental qualities that are associated with being at home. Home-like may
				include, but is not limited to the following:
1. A living room and common use areas for
				social interactions and activities;
2. Kitchen and family style eating area for
				use by the residents;
3. Laundry
				area for use by residents;
4. A
				toilet room that contains a toilet, lavatory and bathing unit in each
				resident's room;
5. Resident room
				preferences for residents who wish to share a room, and for residents who wish
				to have private bedrooms;
6.
				Outdoor area for outdoor activities and recreation; and
7. A place where residents can give and
				receive affection, explore their interests, exercise control over their
				environment, engage in interactions with others and have privacy, security,
				familiarity and a sense of belonging; and
(D) Non-licensed adult day care program shall
				mean a group program designated to provide care and supervision to meet the
				needs of four (4) or fewer impaired adults for periods of less than twenty-four
				(24) hours but more than two (2) hours per day in a long-term care
				facility.