Issue#3-2014March 2014
Office of Inspector General 
Division of Health Care
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Office of Inspector General Home Page


 CMS 5-STAR Results




March 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








@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. 
Long Term Care Provider Newsletter
Welcome to the Office of Inspector General, Division of Health Care's March 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.
CMS Emergency Preparedness Initiative


The U.S. Department of Health and Human Services (DHHS) Office of Inspector General (OIG) Nursing Home Emergency Preparedness and Readiness During Recent Hurricanes, August 2006 Report delivered two recommendations to CMS:

  1. CMS should consider strengthening Federal certification standards for nursing home emergency plans by including requirements for specific elements of emergency planning.
  2. CMS should encourage communication and collaboration between State and local emergency entities and nursing homes.

Over the past several years, the United States has been challenged by several natural and man-made disasters. As a result of the September 11, 2001 terrorist attacks, the subsequent anthrax attacks, the catastrophic hurricanes in the Gulf Coast states in 2005, flooding in the Midwestern states in 2008, tornadoes and floods in the spring of 2011, the 2009 H1N1 influenza pandemic, and Hurricane Sandy in 2012, readiness for public health emergencies has been put on the national agenda.


Continue reading


SRNA Infection Prevention and
Control Training

The Office of Inspector General, in collaboration with the Department for Medicaid Services and the Department for Public Health, is offering a free day long educational training for SRNAs on Communication and Interpersonal Skills, Concepts of Infection Prevention and Control in LTC settings, and Abuse Prevention and Reporting.


Infections are a significant cause of illness, disease, and death for residents that live in long-term care (LTC) facilities. The LTC resident is more at risk of developing infections because of multiple underlying diseases, increased complexity of medical and care needs, changes in the immune systems and use of medications that reduce resistance to microorganisms, and increasing exposure to devices and antibiotics used to treat symptoms.  Nurse aides are an integral part of reducing the risk of Infections and should understand how to implement appropriate infection prevention and control policies and procedures within the LTC setting. This session will teach Nurse Aides what infection control means, the chain of prevention and how it applies to LTC, hand hygiene, standard and transmission based precautions, as well as use of personal protective equipment (PPE).


Please join us at one of our four training sessions across the State during the months of April and May.  We are recommending at least two (2) SRNAs per facility attend the training.  Please see the Training Brochure for more details regarding the training dates, locations, registration and overnight accommodations.


If you require registration assistance please contact Jessica Lowe via email or at 502-564-7963 ext. 3310. 

 Hand in Hand for Nursing Homes


The CMS Hand in Hand Toolkit is a high quality training series for nursing homes that emphasizes person-centered care for persons with dementia, as well as the prevention of abuse. 


Section 6121 of the Affordable Care Act requires CMS to ensure that nurse aides receive regular training on caring for residents with dementia and on preventing abuse. CMS, supported by a team of instructional designers and subject matter experts, created Hand in Hand to address the annual requirement for nurse aide training on these important topics.


CMS's mission is to provide nursing homes with one option for a high-quality program that emphasizes person-centered care for persons with dementia and also addresses prevention of abuse. Person-centered care is about seeing the person first, not as a task to be accomplished or a condition to be managed. It is the fulfillment of the Nursing Home Reform Law to consider each resident's individual preferences, needs, strengths, and lifestyle in order to provide the optimum quality of care and quality of life for each person.


Click here for information on how to obtain training materials.
MDS/RAI Updates

MDS 3.0 Error Spotlight 


3806  Warning


Inconsistent A0100C: The value submitted for A0100C (State Provider Number) does not match the State Provider Number in the QIES ASAP System for the provider identified by the FAC ID in the file.



The state provider number submitted in item A0100C does not match the state provider number (Medicaid #) known to the QIES ASAP system for the provider identified by the FAC ID in the file.  (This could be because the state provider number was entered incorrectly into the encoding software that created the submission file or the Medicaid # has changed for the facility and the QIES ASAP System has not yet been updated with the same number.)



Verify that the state provider number (Medicaid #) in the encoding software is correct and contact your software vendor, if needed.

Contact your MDS Automation Coordinator to confirm the number that exists in the QIES ASAP System, if needed.



MDS/RAI Coordinator Contact Information


For MDS assessment or coding issues, ple

ase 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.


Division of Health Care Leadership Team


Connie Payne, Acting Executive Director

Jackie Aitkin, Assistant Director 

Melanie Poynter, Assistant Director

Andrea Willhite, Assistant Director

Dudley Ellis, Pharmacy Consultant  

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.