Deficiency Index

Every finding on record at Angel Love Hospice Services Inc

Visalia, California · CCN B51722

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 May 18, 2023

1 finding
L0795

It is required that the hospice obtains a criminal background check on all hospice employees who have direct patient contact or access to patient records. Criminal background checks are obtained in accordance with state requirements. In the absence of state requirements, criminal background checks are obtained within three (3) months of the date of employment for all states in which the individual has lived or worked during the past three (3) years. This standard was not met as evidenced by document review, interview and personnel record review. 1 of 10 (10%) records reviewed revealed the hospice did not ensure a criminal background check was obtained upon hire. Agency policy, “Selection/Hiring of Personnel,” stated in part, “a criminal background check will be obtained for all positions, as required by law and regulations.” Record 4 (Registered Nurse): hire date 12/1/2022. There was no documented evidence that a criminal background check was obtained upon hire. The Alternate Administrator was interviewed on 5/18/2023 and agreed, there was no documented evidence the required criminal background check was completed as required. Agency policy, “Selection/Hiring of Personnel,” stated in part, “a criminal background check will be obtained for all positions, as required by law and regulations.” Record 4 (Registered Nurse): hire date 12/1/2022. There was no documented evidence that a criminal background check was obtained upon hire. The Alternate Administrator was interviewed on 5/18/2023 and agreed, there was no documented evidence the required criminal background check was completed as required.

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Federal survey findings only. State licensure findings for hospices are not shown.

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