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CMS 5-STAR Results


January 2013 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  



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 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  

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Unbridled Spirit

Issue: #01-2013  

    January 2013

Welcome to the Office of Inspector General, Division of Health Care's 
January 2013 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:


To view previous S&C Memos click the link ==>  Survey & Certification Memos

Medication Errors,  Getting it Right!

Dudley Ellis, RPH Pharmacy Consultant, Provides Clarification to Medication Errors and Pharmacy Services Guideance


In our November 2012 newsletter, new surveyor guidance was provided entitled "Administration of Medications via a Feeding Tube". The guidance noted that professional standards of practice must be followed when administering medications via feeding tube; specifically that all medications should be administered separately (not mixed together) and that the tube must be flushed between each medication. Thus, failure to "pre-flush" prior to medication administration, failing to flush between each medication, and/or failure to "post-flush" the tube at the conclusion, or failure to administer all medications separately would result in the assessment of a single (1) medication error which would be included in the calculation of the facility's medication error rate. A number of providers have expressed a concern over the prospect of being assessed formedication 2 multiple errors if a staff person is observed failing to flush between several medications for a single resident. However, even though the staff person might neglect to flush between one or more of the resident's medications, only one error will be cited as the result of failure to flush.

Click Here to Read More.....  

MDS 3.0 Case Mix Report Schedule


Providers occasionally ask when the next case mix report will be posted to their state Calendar reports folder.  You can click the link below to obtain the schedule from the Myers and Stauffer website.  Keep in mind that the dates may vary slightly, but this will give you a general idea of when you may receive the reports.



Electronic Posting Schedule by MDS Calendar Quarter and CMI Report Type

Would You Like to Participate?

hands - Collaboration, Teamwork 



Health Care Excel Recruits Nursing Homes


There's little time left for Health Care Excel to recruit nursing homes to work with them on an 18-month collaborative.  It will include education, communication, and resources for antipsychotic use and falls, with umbrella coverage of person-centered care at all meetings. 


Click Here to read more about how you can get involved!


Participant Signature Page  

@ttention Providers!
E-mailE-mail Addresses Needed

So that we may deliver the best customer service, please ensure that the Division of Health Care has up to date contact information for your facility, including e-mail addresses.  Please contact 502-564-7963 to provide this important information!




The Kentucky Department of Public Health would like to establish an email notification distribution group for Infection Preventionists practicing in long-term care.  This email group would receive notifications concerning outbreaks, educational opportunities and pertinent State communications regarding infection prevention and control in the long-term care setting.  Names and e-mail addresses need to be sent to in Public Health.  Thank you.



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
Unbridled Spirit