Missouri Skilled Nursing Agency Policy Manual

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The Missouri Skilled Nursing Agency Policy Manual provides a comprehensive operational framework for agencies delivering skilled nursing services to individuals with acute or chronic medical needs in Missouri. This manual aligns with the regulations established by the Missouri Department of Health and Senior Services (DHSS) and the Missouri Department of Social Services (DSS), including applicable sections of the Missouri Medicaid Provider Manual and state licensing standards. It also ensures compliance with Medicaid and Medicare Conditions of Participation (42 CFR Part 484) for agencies providing federally reimbursed services. The manual includes policies and procedures governing agency licensing and certification, patient eligibility and assessment, individualized care planning, skilled nursing interventions, wound care management, medication management, infection control, staff qualifications and training, patient rights and protections, health and safety protocols, emergency preparedness, incident management, documentation and billing, and quality assurance. It emphasizes evidence-based, patient-centered care delivered by licensed nursing professionals in a variety of settings, including private homes, residential care facilities, and community-based environments. This manual serves as a foundational resource for skilled nursing agencies in Missouri, ensuring the delivery of high-quality, compliant services that promote patient recovery, manage chronic conditions, and improve overall well-being.