Issue#2-2014February 2014
Office of Inspector General 
Division of Health Care
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Office of Inspector General Home Page

CMS 5-STAR Results





February 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 Provider Newsletter
Welcome to the Office of Inspector General, Division of Health Care's February 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.
Electronic Health Record (EHR)


An important part of the traditional survey process for Skilled Nursing Facilities (SNFs) is review of medical records by surveyors.  SNFs are not required to implement EHR systems, however, many facilities implement EHR systems to provide immediate access to records, improve legibility of orders or notes, enable communication across provider types, and provide clinical decision support and safety mechanisms. 


As a part of the survey process, surveyors perform record reviews. If a facility has an EHR system, the facility must grant access to any medical records when requested by the surveyor. The facility will provide the surveyor with a tutorial on how to use its particular electronic system, designate an individual who will, when requested by the surveyor, access the system, respond to any questions or assist the surveyor as needed in accessing electronic information in a timely fashion. During entrance conference, the surveyor will request that the facility provide a terminal where the surveyors may access the records. Moreover, surveyors will establish with the facility the process they will follow in order to have unrestricted access to the medical record. Electronic access to records will not eliminate the need for a surveyor to print a paper copy or to request a paper copy of certain parts of certain records.


Read More on EHR Compliance 

Second Annual KY Emergency Preparedness Conference
Registration is open and YOU ARE INVITED!! 


The conference will be held 
March 3- 5, 2014 in Louisville at the Crowne Plaza.  Many of you attended last year and the feedback was great!  This year a LTC track has been added for each day and FREE CEs will be provided. 
Registration is FREE!  And if you register by February 21, 2014 you will also be included in the FREE lunch and breaks!
Special room rates of $103/night have been arranged.  Room reservations and conference registration need to be made by February 21, 2014 so you will be assured a room at that rate.
Please see Session Descriptions and Registration Form for more details.
MDS/RAI Updates


MDS 3.0 Error Messages 


Two general types of error messages can be found on your validation report.


  • Fatal - "record rejected"
    • Record is not accepted into ASAP system
    • Must correct record and submit 'new' record
  •  Warnings - "issue" to "information alert"
    • Record is accepted into ASAP system
    • Determine if need to address/fix something




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.


@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.