Issue#1-2014January 2014
Office of Inspector General 
Division of Health Care
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Office of Inspector General Home Page

CMS 5-STAR Results




January Results


3 Year Report

Learn more about the 5-STAR program by clicking the link below. 


Overview of CMS 5-STAR System  


CMS Announces Updated, Enhanced Tools for Patients to Compare Nursing Homes.  Click link below for details.


 Nursing Home Compare Updates  


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


Basic Chart

Health Care


Life Safety Code


CMS Survey and Certification Group

Surveyor Training Website


Click to Enter

The survey and certification process is a collaborative effort between CMS and providers.  This website will allow providers the opportunity to take the same courses as surveyors. 


Life Safety Code


Life Safety Code






Long Term Care Newsletter
HAPPY NEW YEAR!!  Welcome to the Office of Inspector General, Division of Health Care's January 2014 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.  They may continue receiving this newsletter by joining our mailing list using the link at the bottom. We look forward to serving you through this communication vehicle.
Hydration and Health
Managing Correct Fluid Balance 


Based on the regulation, 42 CFR 483.25, F327 Hydration, the facility must provide each resident with sufficient fluid intake to maintain proper hydration and health. The intent of the regulation is to assure that the resident receives sufficient amount of fluids based on individual needs to prevent dehydration.


During the survey process, surveyors will make observations and conduct interviews and record reviews to determine if the facility assessed the resident to identify current hydration status, potential risk factors, and developed a plan of care to address identified risk factors with specific interventions.


Risk Factors that may lead to dehydration include but are not limited to:

  • Prevalence of fecal impaction
  • Urinary tract infection
  • Weight loss; Prevalence of tube feeding
  • Activities of Daily Living (ADL) decline; Dependence on staff for fluid intake; Dysphagia and/or refusing fluids; Limited fluid intake or decreased thirst sensation
  • Pressure ulcers
  • Elevated temperature and/or infectious processes; Vomiting/diarrhea
  • Medications such as diuretics, laxatives

Read More on Hydration related Care Plan Interventions and Deficient Practices 



MDS/RAI Updates

Case Mix Index (CMI) Reports 


As a reminder, the CMI reports will be electronically posted for facilities in the state reports folder according to the general timelines on the Myers and Stauffer Calendar. 


Review Electronic Posting Schedule


When you view the reports, please save an electronic copy of the report to retain for your facility.  As CMS periodically archives the data, the older reports will be removed from your view. 



MDS/RAI Coordinator Contact Information


For MDS assessment or coding issues, please contact Jan Keeling at 502-564-7963, x3301 or

via e-mail.  Continue to contact Rhonda Littleton-Roe at 502-564-7963, x3300 or via e-mail for any transmission or technical issues. 

  Survey and Certification Letters

 cms logo

This section is dedicated to providing the most recent 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 S&C letters may impact your facility.


S&C: 14-09-Emergency Preparedness 

Publication of NPRM for Emergency Preparedness - Informational Only


Let Us Know!
Your feedback is requested. 
The LTC Newsletter was designed to provide you with current information that directly impacts you and your role in the LTC field.  This is your chance to let your voice be heard.  Please click on the link below and let us know how we are doing, what we can improve upon and provide suggestions for future articles.  Thank you in advance for sharing your thoughts with us.
@ttention Providers
E-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. 

Connie Payne, Acting Executive Director


Unbridled Spirit  
The Office of Inspector General is Kentucky's regulatory agency for licensing all health care, day care, long-term care, and child adoption/placing facilities and agencies in the Commonwealth. 
If you would like more information, please visit our website
If you have an idea for a future article, please contact Jami Biggs.