Missouri

Grounds stated in the sources

19 CSR 30-82.050(2): "The facility shall permit each resident to remain in the" "facility unless—" one of six lettered circumstances applies: that the move "is appropriate because the" "resident’s welfare and the resident’s needs cannot be met by" "the facility;"; that it is appropriate because the "resident’s health has improved sufficiently so the resident no" "longer needs the services provided by the facility;"; "The safety of individuals in the facility is endangered;"; "The health of individuals in the facility would otherwise" "be endangered;"; that "The resident has failed, after reasonable and appropriate" "notice, to pay for (or have paid under Medicare or Medicaid)" "a stay at the facility."; or "The facility ceases to operate."

Notice stated in the sources

The notice "shall be made by the facility no less than thirty (30) days before" "the resident is to be transferred or discharged." "In the case of" "an emergency discharge, the notice shall be made as soon as" "practicable before the discharge when it is specifically alleged" that one of five stated circumstances applies. The rule lists what the written notice must contain, among them "The resident’s right to appeal the transfer or discharge" "notice to the director of the Department of Health and Senior" "Services or his/her designated hearing official within thirty (30)" "days of the receipt of the notice;"; "That filing an appeal will allow a resident to remain in" "the facility until the hearing is held unless a hearing official" "finds otherwise;"; and "The name, address, and telephone number of the" "designated regional long-term care ombudsman office;".

Hearing office in these sources

The Department of Health and Senior Services Appeals Unit. The rule states: "Any resident of a facility who receives notice of discharge" "from the facility in which he/she resides may file an appeal of" "the notice with the Department of Health and Senior Services" "Appeals Unit, PO Box 570, 912 Wildwood Drive 3rd floor," "Jefferson City, Missouri 65102-0570, by fax to (573) 751-0247, or" "by email to DHSS.Appeals@health.mo.gov within thirty (30)" "days of the date the resident received the discharge notice" "from the facility." It gives the unit's number as "(573)" "522-1699" and states that a form exists but is optional: "However, the use" "of a form is not required in order to file a request for a hearing." On pendency: "The discharge of the resident shall be stayed at the time" "the request for a hearing was filed unless the facility can" "show good cause why the resident should not remain in the" "facility until a written hearing decision has been issued by the" "designated hearing official."

Ombudsman in these sources

The Office of the State Long-Term Care Ombudsman, in the Division of Senior and Disability Services. The department publishes the office's contact as "912 Wildwood Dr." "PO Box 570" "Jefferson City, MO 65102-0570", "LTCOmbudsman@health.mo.gov" and "800-309-3282". The program itself is regional: coordinators "work in local programs run by the Area Agencies on Aging (AAAs) or their service partners."

Sources last checked

2026-08-30

Reproduced from the agencies' own pages and documents quoted below — potentially relevant official sources, not a determination that any notice, ground, or deadline applies to any situation.

Lede

This page assembles what Missouri's own publishers state about involuntary transfer and discharge from a licensed long-term care facility. It is a baseline page: the docket rows and the source map are built; the grounds section and the published-process section are not yet written, as the change log records. The fullest single source is 19 CSR 30-82.050, "Transfer and Discharge Procedures", which states the grounds, the notice period and contents, the appeal deadline and route, the stay, and what happens after a decision. Missouri defines its terms: "Transfer means moving a resident from one institutional" "setting to another institutional setting for care and under" circumstances where the releasing facility has decided not to readmit, and "Discharge means releasing from a facility or refusing" "to readmit a resident from a community setting" without the resident's agreement. The appeal is a hearing before a designated hearing official of the Department of Health and Senior Services.

Two publishers hold it, and both sit inside the same department: the rule is the department's, and so is the ombudsman program. The federal floor for Medicare/Medicaid-certified facilities is assembled separately on [the federal page](../federal.html); nothing here fills a gap from federal law or another state. Confirm applicability with the agencies named in the sources: whether any provision applies to a particular facility, resident, or notice is for the hearing office to determine. Deadlines and periods on this page are quoted from the sources, not calculated for any case.