Deficiency Index

Every finding on record at Arm Healthcare LLC

El Paso, Texas · CCN 971561

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 September 1, 2023

1 finding
L0795

Based on record review and interview the agency failed to comply with requirements to conduct a criminal history check on 1 of 4 unlicensed employees (Volunteer-2) with duties involving face-to-face contact with a client. Failure to conduct a criminal history check upon hire of unlicensed personnel has the potential to place the agency clients at risk for abuse, neglect or exploitation. --- Review of the personnel record for the Volunteer-2 revealed a hire date of 08/08/2022. The record did not contain documentation that a criminal history check was obtained prior to employment. An Interview was conducted on 08/31/2023 with the HR Supervisor at 4:10 p.m. Documentation that a criminal history check was conducted for Volunteer-2 prior to employment was requested for review. The HR Supervisor acknowledged the required criminal history checks were not completed as required and a CHC was conducted last night (08/30/2023). Surveyor asked when the first face to face contact with a patient/client occurred. HR Supervisor stated 08/07/2023. Review of the agencys policy and procedure manual revealed a policy titled, ";CRIMINAL BACKGROUND CHECKS, Rvd. 06/2023," read ";(Agency) will obtain a criminal background check on all hospice employees who have direct patient contact or access to patient records."

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

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