# Missouri — Nursing home minimum staffing requirements by US state — hours per resident day, RN coverage mandates, and penalty structures after the 2026 federal repeal

For Missouri, total hprd minimum is none specified; rn hprd minimum is none specified; cna hprd minimum is none specified; rn on-site requirement is 1 RN Day and 1 RN/LPN Evening and Night for skilled nursing; penalty for noncompliance is none specified, verified against its source on 2026-08-15.

- **State:** Missouri _(verified: appears in the quote below)_
- **Total HPRD minimum:** none specified _(verified: appears in the quote below)_
- **RN HPRD minimum:** none specified _(verified: appears in the quote below)_
- **CNA HPRD minimum:** none specified _(verified: appears in the quote below)_
- **RN on-site requirement:** 1 RN Day and 1 RN/LPN Evening and Night for skilled nursing _(verified: appears in the quote below)_
- **Penalty for noncompliance:** none specified _(verified: appears in the quote below)_
- **Regulatory citation:** Mo. Code of State Regulations 19 CSR 30-85.042 _(verified: appears in the quote below)_
- **Federal standard status:** repealed _(verified: appears in the quote below)_

## What the source says

> MO Sufficient Staff RN (inc.DON @.06) 0.14 MO Code of State Regulations To attain or maintain the highest practicable level of physical, mental and LPN0.16 Mo. Code of State Regulations. 19 psychosocial well-being. CSR 30-85.042. Licensed Staff

## Source

- https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf

Last verified: 2026-08-15. Review by: 2027-08-15.
Part of [Nursing home minimum staffing requirements by US state — hours per resident day, RN coverage mandates, and penalty structures after the 2026 federal repeal](https://referencesource.org/nursing-home-minimum-staffing-by-state/).