Every finding on record at Spectrum Home Health Care LLC

Substantial Allegation Survey Substantial Allegation 109776 At the time of the substantial allegation survey completed on 10/24/24, Spectrum Home Health Care is in compliance with the provisions of 42 CFR Part 484, Subpart B, C, Home health Agency, in regard to allegations contained in substantial allegation number 109776.

Ensure that HHA employs qualified personnel CFR(s): 484.105(b)(1)(iv) (iv) Ensure that the HHA employs qualified personnel, including assuring the development of personnel qualifications and policies. This ELEMENT is not met as evidenced by: Based on record review and staff interview, the agency failed to ensure criminal background checks were done on all employees. This could potentially affect all patients and staff. The census was 71. 1.Review of the personnel file for Staff B revealed a hire date of 03/15/24. There was no Bureau of Criminal Investigation (BCI) fingerprint background check for criminal history in the file. Review of the BCI electronic documentation revealed Staff B's BCI background check was submitted 10/08/24. Review of the agency policy titled “Personnel Records,” revised 2009, revealed the personnel record for employees will include Criminal History check. Review of the Personnel Checklist revealed under Background Checks a spot to check titled "Criminal Background Checks (fingerprinting)." Interview on 10/24/24 at 1:19 PM the Administrator stated the BCI background check for Staff B did not come back yet. Interview on 10/24/24 at 1:33 PM the Administrator stated the agency fingerprinting machine was down and Staff B had to go to another location to get the BCI check done. It was not until 10/08/24 they noticed the BCI report was not back. The Administrator stated "It slipped through the cracks." 2. Review of the personnel file for Staff D revealed a hire date of 12/22/22. No BCI background check was in the file. Interview on 10/24/24 at 5:00 PM the Administrator confirmed the BCI report was not available for Staff D.