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September 23, 2020

The Baptist Homes are pleased to allow authorized electronic monitoring that conforms to
Missouri law. Electronic Monitoring refers to any device used to monitor what is happening
inside a resident room. These devices may record audio, visuals, or both. Allowing electronic
monitoring inside resident rooms allows for those living outside the facility to check on their
loved ones and ensure that they are being cared for adequately. As of September 3, 2020,
residents may install electronic monitoring devices in their rooms that comply with Missouri

The Law: In summary, the Authorized Electronic Monitoring in Long-Term Care Facilities Act
permits Skilled Nursing, Assisted Living, and Residential Care residents to install cameras in their
rooms. This allows someone outside the facility – a family member, friend, guardian, or other
designated person – to have a better understanding of the care their loved one is receiving in a
facility. The “camera bill” was signed into law in Missouri on August 28, 2020.

The Rules: There are many rules involving the use of personal electronic monitoring devices
inside long-term care facilities. These rules are in place to protect the other people living in the
facility, staff, visitors, and the resident themselves. The following summary of the electronic
monitoring rules gives details on where to place cameras, who pays for the devices, and how
roommate privacy is protected.

Regarding consent:
If the resident is legally deemed capable of making their own decisions, they have the right
to install or not install a device. This means the family or friends of a resident cannot
overrule the wishes of a competent resident, even though their intentions may be to
protect their loved one. Exceptions only apply to those with legal guardians, in which case
the guardian has the final say.
An Electronic Monitoring Device Acknowledgement and Request Form MUST be
completed and returned to the facility before installation on any devices begin.
Further, any roommates MUST designate consent on this same form! While the facility
should make every reasonable attempt to find new rooming situations if one party does
not consent, monitoring cannot begin until roommates give signed consent on this form.
Additionally, the roommate(s) may withdraw consent at any time using the same Request
Form, at which time all monitoring activities must be stopped until the situation is
resolved. (That means families of residents who wish to withdraw consent to monitoring
should download the form and submit to the facility).

On placement of devices: There are few official requirements for the placement of cameras
within a resident’s space. Residents should consult with the facility administration to choose a
location that:
• Is “open and obvious” to visitors, residents, and staff;
• Mounted in a location that is “fixed” and “stationary” (not on a rolling cart, chair, or
another movable piece of furniture);
• Placed in a direction that only captures the space of the resident requesting installation,
not at any common areas or interferes with the personal space or privacy of any
roommates; and
• Is safe for visitors, residents, and staff moving through the room (avoid causing tripping or
bumping of heads!)

The facility is responsible for providing electricity and a space to mount the device, plus must
post signage alerting visitors to monitoring within the facility and within specific rooms.
Otherwise, the resident (or their family) must provide the device, facilitate installation/removal
(this is not the responsibility of The Baptist Home), gather consent, and the cost of providing
WiFi or a hotspot.

Download and Print Electronic Monitoring Request Form

Guidance from the MO Department of Health and Senior Services (DHSS)

Electronic Monitoring Act