Modifies provisions relating to inspections of facilities licensed by the department of health and senior services

HB 2838 updates the rules for licensing and inspecting long-term care facilities in Missouri, such as assisted living and skilled nursing homes. The bill requires the Department of Health and Senior Services to conduct at least two unannounced inspections per year to ensure facilities comply with safety and operational standards. It also strengthens oversight by mandating that inspectors disclose any past employment or family ties to facilities they might inspect to prevent conflicts of interest. Additionally, the law clarifies the process for obtaining court orders to enter facilities that refuse access during an inspection and requires operators to provide a five-year compliance history if they are applying for a license while operating outside the state.