Issue#6-2014June 2014
Office of Inspector General 
Division of Health Care
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Office of Inspector General Home Page


June 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 and 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 


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.  



Are You a New Long Term Care Administrator?
We need your information!

Please ensure that the Division of Health Care has up to date information for your LTC facility's administrator.

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

Thank you for your assistance.


Division of Health Care Leadership Team


Connie Payne

Deputy Inspector General


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 June 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.
New Inspector General Appointed
Maryellen Buxton Mynear has been named the Inspector General for the Cabinet for Health and Family Services. 

Mynear, a graduate of the UK College of Law, previously was on staff at the Office of the Attorney General where, beginning in 2004, she directed all litigation for the Office of Consumer Protection. 

Connie Payne, who has served as acting Inspector General, has been named deputy Inspector General. A 24-year veteran of Kentucky state government, Payne has been employed since 1995 by OIG, where she began working as a surveyor.

To read more, please visit our website.

Ensuring the Well-Being of Residents

The Division of Healthcare, Office of the Inspector General, ensures that long- term care facilities comply with the regulations to protect the rights and well-being of residents who live in those facilities.

The Centers for Medicare and Medicaid (CMS) and the State Survey Agency (SSA) follow the procedures outlined in the State Operations Manual (SOM), which includes Chapter 7- EnforcementEnforcement is the means by which compliance with the regulations is achieved.  When making enforcement decisions, the remedies used to ensure compliance depends upon the severity of the deficiency, the scope, the duration, and the number of incidences of noncompliance.

The Consumer Product Safety Commission has issued a recall notice for the adult portable bed handles manufactured by Bed Handles of Blue Springs, Mo. that were distributed from January 1994 through December 2007.  

The devices can crush or strangle a patient when attached to a bed without the use of the safety retention straps.  Approximately 113,000 devices are being recalled after being linked to the deaths of three women.  
The FDA has issued a recall notice for the Alaris Pump Module (Model 8100), Software Version 9.1.18 manufactured by CareFusion that was distributed from February 2014 through April 2014.
The device is being recalled due to a software failure that causes the pump to malfunction which could result in serious injury or death.
Sign up to receive e-mail updates from the FDA for Medical Device Safety and Recalls.

Making it Stick:  
Involving Everyone for Continuous Improvement
Presenters: Cathie Brady & Barbara Frank, B & F Consulting

The Office of Inspector General, Division of Health Care, Training Branch will offer a free educational opportunity for Long Term Care Providers to attend this one-day training tentatively scheduled for August 27, 2014.  


Learn how to make Quality Assurance & Performance Improvement (QAPI) work for you. Make it a tool to drive and accelerate improvement by integrating it into daily practice. This session will share practical strategies to engage CNAs and nurses - staff closest to the resident - in thinking critically to prevent resident declines and promote residents' well-being.   


This program will take place at the Ramada Plaza Hotel and Conference Center at 9700 Bluegrass Parkway, Louisville, Kentucky 40299.  Reservations for overnight accommodations can be made by calling 502-491-4830.  You can receive a discounted room rate of $77 plus applicable taxes and fees when you indicate that you are with the Office of Inspector General's QAPI training.  Read more

Minimum Data Set (MDS) 3.0 Training
Two day Training - Scheduled for August 7-8, 2014 

The training will be held at the Fern Valley Hotel & Conference Center located at 2715 Fern Valley Rd., Louisville, KY 40213. 


For reservations for overnight accommodations contact the Fern Valley Hotel @ 502-964-3311. In order to get our discounted room rate you will need to inform them that you are with the "Office of Inspector General" Room Block.  They have been kind enough to offer room rates of $73 plus applicable taxes & fees.  If you have any hotel specific questions please call 502-964-3311.  


If you have any questions about the training you may contact Jessica Lowe at 502-564-7963 at extension 3310 or at More information to follow in upcoming Newsletters.
MDS/RAI Updates

MDS 3.0 Error Spotlight 


1018 Warning

Inconsistent Record Sequence



The submitted record does not satisfy CMS sequencing guidelines when compared to the record that was submitted to the QIES ASAP System prior to this one for this resident.

  • The reasons for assessment in this record indicate that it was submitted out of order. The record that should have preceded this record may not have been submitted successfully.
  • The resident's identifying information in this record may differ from the resident-identifying information submitted for this resident in a prior record. The current and prior MDS records may have matched to different resident records causing what appears to be a failure in the sequencing order. 


There are a limited number of exceptions to the sequencing guidelines. If you are certain this record is correct due to an exception, no action is necessary.  


If this message occurred because a record was completed and not submitted, submit the missing record now.  


Review activity reports and/or roster reports to assure that all records are submitted timely.  If after reviewing activity reports and/or roster reports you believe a new resident may have been created in error, contact your State MDS Coordinator.


Refer to the MDS 3.0 RAI Manual, Chapter 2, for additional information. 



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. 

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.