Missouri survey readiness

What Missouri Dept. of Health & Senior Services — Section for Long-Term Care Regulation can ask you for, each line cited — and the ones you can't yet produce.

What Missouri requires

Assisted Living Facility / Residential Care Facility — Assisted living / residential care
  • Your fire and evacuation drill records for the period. Drills at the required frequency: A minimum of twelve fire drills a year, at least one every three months on each shift. At least four of them must be UNANNOUNCED to residents and staff — excluding the staff assigned to evaluate the response — and the drills must include an actual resident evacuation at least once a year. 19 CSR 30-86.022 (fire safety and emergency preparedness, RCF and ALF); 19 CSR 30-85.022 for intermediate care and skilled nursing
  • Record the clock and the problems. The drill record must show the time, the date, the personnel taking part, the LENGTH OF TIME taken to complete the drill, and a narrative note of any special problems. Missouri, like Wisconsin, wants the number, not just the fact that a drill happened. 19 CSR 30-86.022
Missouri Dept. of Health & Senior Services — Section for Long-Term Care Regulation · checked July 2026

The evidence, and where it comes from

Every item above needs something you can hand over. The Missouri fire drill log produces the drill record at the frequency this state sets, the emergency plan builder writes the plan itself from the same research, and the compliance calendar puts the life-safety tests on dates. Anything you record against the building shows up on the checklist already ticked.

A self-assessment against published rules, not a compliance determination. CompliMaint issues nothing — Missouri Dept. of Health & Senior Services — Section for Long-Term Care Regulation and your authority having jurisdiction do. Requirements we could not verify are absent rather than guessed at.

Questions people ask

What does a Missouri surveyor ask for on emergency preparedness?
Your fire and evacuation drill records for the period (19 CSR 30-86.022 (fire safety and emergency preparedness, RCF and ALF); 19 CSR 30-85.022 for intermediate care and skilled nursing). Record the clock and the problems (19 CSR 30-86.022). Source: Missouri Dept. of Health & Senior Services — Section for Long-Term Care Regulation. Last checked July 2026.