{"ref":"MO-HSP-FAC-03","title":"Hospice-Operated Inpatient Facility","category":"Hospice care","summary":"Applies only while the Agency operates its own inpatient hospice facility that is not otherwise licensed. Sets out the Missouri facility rule (19 CSR 30-35.020): 24-hour staffing of at least one qualified staff member for every ten patients per shift per patient unit and never fewer than two staff, disaster plan rehearsal and quarterly fire drills, meals, patient areas and visitors, infection control and infectious waste, pharmacy and medication rules, and construction, including the emergency amendment in effect from August 20, 2026 to February 15, 2027 that replaces plan approval with notice to the Department. Adds the federal standards that apply if the Agency is Medicare-certified.","inShort":["This applies only if the Agency runs its own inpatient facility.","Every shift needs at least one staff member for every ten patients on each unit, and never fewer than two staff in the building.","Visitors, including small children, may come at any hour.","Know your role in the disaster plan and in the fire drills held every quarter.","Keep all medications locked and report any controlled substance count that does not match to the nurse coordinator and the pharmacist at once."],"primaryCitation":"19 CSR 30-35.020","citations":["19 CSR 30-35.020","19 CSR 30-35.010(1)(E)1","19 CSR 30-35.030(4)","RSMo §197.254.6"],"federalCitations":["42 CFR §418.110","42 CFR §418.113(b)(6)","42 CFR §418.113(d)(3)"],"surveyorAsks":["Show me the staffing schedule for the last two weeks. Did each shift have at least one staff member for every ten patients and at least two staff in the building?","Show me your disaster plan rehearsal and the last four quarterly fire drills by shift."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (19 CSR 30-35.020(1)-(2))","5. Does This Policy Apply?","6. Staffing","7. Disaster Preparedness and Fire Safety","8. Meals","9. Patient Areas, Visitors, Pets and Smoking","10. Infection Control, Infectious Waste, Laundry and Dietary Ware","11. Pharmacy Services and Medications","12. Restraint and Seclusion (If Medicare-Certified)","13. Construction, Renovation and the Physical Plant","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"mo-hospice","state":"Missouri","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}