Office of Inspector General, Division of Health Care

Office of Inspector General, Division of Health Care Newsletter








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To learn more about the 5-STAR program click the link ==>  Overview of CMS 5-STAR System  









Life Safety Code
New Phone Extenstions for MDS Contacts

Nancy L. Spiller, State MDS Coordinator

P: (502) 564-7963 x 3301



Rhonda Littleton-Roe, State MDS Automation Coordinator

P: (502) 564-7963 x 3300




 Cabinet for Health and Family Services, Office of Inspector General, Division of Health Care Leadership Team 

* Mary Reinle Begley, Inspector General



Dudley Ellis, Pharmacy Consultant 



Issue: # 02-2012       

                 February 2012

Welcome to the Office of Inspector General, Division of Health Care's 
February 2012 edition of the Long Term Care Provider Newsletter.  This newsletter is a valuable vehicle to update you on current events affecting Long Term Care.  

Please feel free to share this newsletter with anyone you think would benefit.  To continue receiving this newsletter, be sure to join our mailing list by clicking the link to the left of this article.  We look forward to serving you through this communication vehicle.
You Asked, We Listened!
Mary Begley, Inspector General
OIG Newsletter Survey Results Are In
Thank You!  Thank You!  We are pleased with the feedback you provided through our most recent survey.  We know your time is important, and we appreciate your taking time to provide us with valuable feedback. 
The response rate was fantastic.  One of the things you told us is that the majority of you want to see the newsletter on a monthly basis.  So, you got it!  Beginning with the February newsletter, you will be receiving the newsletter monthly.
You also told us what types of articles you'd like to see in the future.  Based on your feedback, some of the future topics include information on elopement, infection control, Immediate Jeopardy trends, restraints, and many more.  Stay tuned to learn more about these topics.


CMS Medicare News 


Recent Survey and Certification Letters


Below you'll find links to survey and certification letters issued by the Centers for Medicare and Medicaid Services (CMS) pertaining to Long Term Care facilities.  Please take a look and determine how these may impact your facility.
Tick - Tock - What Time is It?
Time - Almost 12 
CMS Delays Quality Indicator Survey (QIS)
Tick-Tock - What time is it?  Well, it's not time to implement the  Quality Indicator Survey (QIS).  QIS is a revised long-term care survey process that was developed under the Centers for Medicare & Medicaid Service (CMS) oversight.  The intent of QIS is to standardize how the survey process measures nursing home compliance with federal standards and the interpretive guidelines that define those standards.  CMS has been working on a tiered roll out plan to all states, with Kentucky scheduled to begin its rollout during 2012/2013 time period. However, recently CMS decided to temporarily postpone implementation to any new states, including Kentucky.  This temporary adjustment in the QIS implementation schedule is designed to allow more time for CMS to spend assisting states who have already implemented QIS, as well as refine the process before rolling out to other states (including Kentucky).  


The Office of Inspector General will notify Long Term Care providers once Kentucky has an implementation date.
Ever Feel Like You Are Forgetting Something?
MDS Reminder:  All AT&T user accounts must be transitioned to Verizon


If you have not yet converted to Verizon, please access Forget the detailed Installation Guide, FAQ document and Submission Access link.  The install is fairly quick and easy.  CMS is sure you will find the new Verizon method faster and easier to use.  If you are having problems installing the Verizon client after reading the detailed Installation Guide, you may contact the Verizon Help Desk at 888-238-2122.


CMS has gathered a list of facilities that still have users who have not migrated to Verizon.  These facilities can be found by clicking the link below.


Facilities with users not yet migrated to Verizon 

If you have questions regarding the specific user accounts at your facility which still need to be transitioned, please e-mail the State MDS Automation Coordinator, Rhonda Littleton-Roe at

IDR x 2

Independent Informal Dispute Resolution (IIDR)

On December 2, 2011 CMS published Survey and Certification Memo 12-08-NH with the Federal Requirements for the Independent Informal Dispute Resolution Process for Nursing Homes. Click the link for the S&C and Interim Advance Guidance for IIDR.


The memorandum provides Interim Advance Guidance for the IIDR Process for Nursing Homes. New regulations have been added at 42 CFR, Sections 488.331 and 488.431 as required under section 6111 of the Patient Protections and Affordable Care Act of 2010 enacted on March 23, 2010.  The Division of Health Care, Office of Inspector General has developed a process to ensure request for IIDR are processed efficiently and timely.


Click the link to read more to discover a time line for compliance with completion of the IIDR process ==>  Read More.  

Free Carbon Monoxide Detectors Available
Free Carbon Monoxide Detectors Available to Nursing Facilities

and Personal Care Homes


In August of 2011, the OIG newsletter reported that the Kentucky InjuryCarbon Monoxide Detector Prevention and Research Center (KIPRC) received a grant to implement an exciting project in which carbon monoxide (CO) detectors will be available to nursing homes and personal care homes throughout the state at no charge to the facility!  Click the link below for:

Hazardous Area Sign

Danger! Danger! 

Change in Room Use May Create Hazards

A hazardous area is defined as an area of a structure or building that poses a degree of hazard greater than that normal to the general occupancy of the building or structure.  An example would include areas used for the storage or use of combustibles or flammables; toxic, noxious or corrosive materials; or heat-producing appliances.  Click the link to read more.... 

Training Opportunity - Save the Date!
August Training Announcement 

The Office of Inspector General is Kentucky's regulatory agency for licensing all health care, day care and long-term care facilities and child adoption/child-placing agencies in the commonwealth. 

If you would like more information, visit our website at
If you have an idea for a future article, e-mail Terri Cook at