It is required that all hospice professionals who provide services directly, under an individualized contract, or under arrangements with a hospice: Are legally authorized (licensed, certified or registered) in accordance with local, state, and federal law and regulation. This standard was not met as evidenced by document review, interview, and personnel record review. Review of 1 of 5 (20%) personnel records of hospice employees required to be licensed by the state revealed the agency did not ensure all applicable personnel records contained evidence of current state licensure. The state's administrative code, 558.833 stated in part: "1: (a) Medical social services must be provided to a client by a qualified social worker. A qualified hospice social worker must meet one of the following requirements: (1) active licensure in the state of (name) a master social worker (MSW) and one year of social work experience in a health care setting; or (2) active licensure in the state of (name) as a baccalaureate social worker, one year of social work experience in a health care setting, and if employed by a hospice after December 2, 2008, must be supervised by a qualified MSW." Personnel Record 5: Review of the personnel file for the Social Worker, with the date of hire of 12/14/2022, did not have proof of active licensure as an MSW, as described in the state's administrative code. The agency obtained and presented documented evidence to confirm the employee was currently licensed by the state to practice as a MSW and added the document to the personnel file. Interview with the Alternate Administrator on 6/1/2023 confirmed that the Social Worker's file did not initially contain documented proof of active licensure in the state.
Every finding on record at Aaa Hospice Care Inc
Ft Worth, Texas · CCN A91645
1 finding across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of June 1, 2023
1 finding← Back to the Aaa Hospice Care Inc record
Federal survey findings only. State licensure findings for hospices are not shown.
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