MO HB818

Transfers nursing facility inspection authority from the Missouri Department of Health and Senior Services to local health departments where facilities are located, requiring at least two inspections per year with at least one unannounced

Redirects funds from the Nursing Facility Quality of Care Fund to local health departments for conducting inspections and surveys, while the state department retains responsibility for training and technical assistance

Grants local health departments access to confidential facility records for inspection purposes and authority to seek court orders for entry when facilities refuse access

Requires local health department inspectors conducting fire safety inspections to complete a fire inspector course developed by the Division of Fire Safety by December 31, 2012

Prohibits local health departments from assigning inspectors who were employees of a facility within the preceding two years, and requires disclosure of any inspector's employment history or family connections to licensed long-term care facilities