MO HB1847

Adds "Medical assessment" as a new defined term in section 198.006, requiring documented medical information using an assessment tool similar to the nursing home minimum data set.

Modifies assisted living facility admission requirements in section 198.073 to specify that residents must be "physically capable of negotiating a normal path to safety with minimal assistance" and cannot require hospitalization or skilled nursing placement.

Requires assisted living facilities to complete both community-based assessments and medical assessments upon admission, at least semiannually, and whenever a significant change occurs in a resident's condition.

Prohibits assisted living facilities from accepting or retaining residents who require physical restraints, chemical restraints, or more than one person to simultaneously assist with activities of daily living (except bathing and transferring).

Requires facilities accepting residents unable to safely evacuate with minimal assistance to maintain 24-hour staffing for evacuation assistance, include individualized evacuation plans, and may use personal electronic monitoring devices if recommended by a physician.