Office of Inspector General, Division of Health Care

Office of Inspector General, Division of Health Care Newsletter


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CMS Appendix Q - Guidelines for Determining Immediate Jeopardy


 CMS Appendix P - Survey Protocol for Long Term Care Facilities  


CMS Interpretive Guidelines for Nursing Homes

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Want to Know Kentucky's Top 10   Citations for Nursing Homes?

Basic Chart

Health Care


Life Safety Code




CMS 5-STAR Results




July 2012 Results

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


CMS Announces Updated, Enhanced Tools for Patients to Compare Nursing Homes.  click link for details ==> Nursing Home Compare Updates 





Life Safety Code


 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: # 08-2012       

                 August 2012

Welcome to the Office of Inspector General, Division of Health Care's 
August 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.


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.
There were NO S&C Memos this month specific to LTC.  To view previous S&C Memos click the link ==>  Survey & Certification Memos
MDS 3.0 Reminders


Stay Updated!


When submitting MDS assessments, be sure to check for any updated information provided by CMS or your State RAI coordinator.  When you are on the CMS MDS Welcome screen, scroll down the screen past the MDS 3.0 Submissions link to see updated information from CMS.  Scroll to the very bottom of this website, and click on the link for Bulletins to view information that is provided by your State RAI coordinator.  Updated information may include common errors, system downtimes, etc. 

Danger, Danger!
Steering Clear of IJ!

dangerWhat are the Trends?


The Centers for Medicare & Medicaid Services (CMS) defines Immediate Jeopardy (IJ) as "a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident." (See 42 CFR Part 489.3.)  In an effort to increase awareness regarding this most serious type of deficiency, the OIG has reviewed IJ trends over the last fiscal year and has identified the ten, most commonly cited tags. 


==> Click Here to find out and avoid IJs at your facility! 

MDS 3.0 Section Q
Department for Aging & Independent Living Provides Information

Please see the attached power points from the Department of Aging and Independent Living (DAIL) along with the contact information for area Agencies on Aging and Independent Living. This is information regarding  referrals to DAIL as a result of completing Section Q of the MDS 3.0. 



Unbridled Spirit 

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