Issue#5-2014May 2014
Office of Inspector General 
Division of Health Care
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Office of Inspector General Home Page


May Results


3 Year Report

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


Overview of CMS 5-STAR System  


 Nursing Home Compare Updates  


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


Basic Chart

Health Care


Life Safety Code


CMS Survey & Certification Group

Surveyor Training Website

Enter Here


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. 





Survey and Certification Letters

 Life Safety Code


Life Safety Code



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 





Long Term Care Provider Newsletter
Welcome to the Office of Inspector General, Division of Health Care's May 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.
Kentucky Makes Significant Progress

Reducing Antipsychotic Drug Use in Nursing Homes

The risks of antipsychotic (AP) drug use in the general population have been recognized for decades.  While APs are highly effective in treating the behavioral and psychotic symptoms of Schizophrenia, Bi-Polar Disorder and several other psychiatric disorders, they have been less effective in treating the behavioral and psychological symptoms of Alzheimer 's disease and other forms of dementia.  The risks posed by APs to frail, elderly individuals living in nursing homes are much more pronounced than similar risks posed to the general population.  Indeed, APs have never been approved for treating the symptoms of dementia.  Despite this, APs continue to be frequently used to treat nursing home residents.


In early 2012, the Centers for Medicare and Medicaid Services (CMS) announced its intention to reduce the use of AP medications in nursing homes by 15%by the end of that calendar year.  The targeted population for reduction consisted of nursing home residents receiving APs for the management of behavioral and psychological symptoms of dementia.  Just prior to beginning the CMS Initiative, nation-wide use of APs in nursing homes 
was 23.9%; by comparison, Kentucky was 25.98%!  
To view an individual facility's antipsychotic quality measure visit the Nursing Home Compare website.
MDS/RAI Updates

MDS 3.0 Error Spotlight 


1027 Warning


New Resident




The values submitted in A0310F and A1700 indicate that this is not an Entry record for this resident, but the resident's identifying information in this MDS record did not match a resident already known to the QIES ASAP System. A new resident record was added to the system with the identifying information submitted in this MDS record.




Verify that the submitted resident information is correct.  An MDS record of this type should not be the first MDS record submitted for a resident.  If this message occurred because an earlier record was completed but not submitted, submit the missing record now.

Review activity reports and/or roster reports to assure that all records are submitted sequentially and timely.  If after reviewing activity reports and/or roster reports you believe a new resident was created in error due to incorrect name, SS#, etc., contact your State MDS/RAI Education or Automation Coordinator for assistance with correcting the issue.  



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. 

* Medical Device Recall *

A recall has been issued for the Baxter Healthcare Corporation Sigma Spectrum Infusion Pumps with Master Drug Library Model No. 35700BAX and 35700ABB.  Baxter has received over 3500 reports of System Error 322 "Link Switch Error (low)" incidents in which the device has malfunctioned, including nine severe adverse events and no deaths.  
The System Error 322 occurs when the pump improperly detects that the door is open when it is physically closed.  A System Error 322 may lead to an interruption or delay in therapy.  Click here
for additional information.   
Sign up to receive e-mail updates from the FDA for Medical Device Safety and Recalls
New LTC Administrator?



So that we may deliver the best customer service, please ensure that the Division of Health Care has up to date information for your Long Term Care facility's Administrator.  


Please contact (502) 564-7963 to provide the following important information:
  • Administrator's Name
  • Administrator's Effective Date 
  • Administrator's License Number
  • Administrator's E-mail Address

 Thank you in advance for your assistance.


Do you have a proposal that would support, protect and benefit nursing home residents in Kentucky?  If so, consider applying for the use of Federally Imposed Civil Money Penalty (CMP) funds. Take a moment to review S&C 12-13-NH and visit our website to obtain additional information on who is a potential applicant, what are the permitted uses and how to apply for CMP funds.  


Infection Prevention Training

North Carolina presents Gowns and Gloves, a free, on-line infection prevention training for all nursing home staff.  The four engaging modules are available online and are designed to make an impact on infection control in your facility.


Click here or visit the website for more information. 

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.