Every finding on record at Bridginglife, Inc.

Based on review of policies/procedures, contracts, medical records (MR), personnel files (PF) and job descriptions, the agency governing board and administrator failed to ensure personnel had criminal backgrounds checks for ten (10) out of ten (10) files. (PF # 1- # 10) --- Findings: Review of Bridginglife policy: Governing Board on February 27, 2023 at 11:30 AM revealed: Policy: ";The Board has the ultimate responsibility and legal authority for the agency. "; Purpose: ";To enable the Board to assume oversight responsibility for the agency." Procedure: 2. ";Appoints a qualified administrator to assure that all Associates who supervise or provide care are competent...In addition, assures the administrator is competent in a leadership role to facilitate the management of Bridginglife." 4. Annually evaluates the agencys performance in relation to its written mission, values, purpose, and objectives." Review of Bridginglife policy: Agency Administrator on February 27, 2023 at 11:30 AM revealed: Policy: ";An Executive Director shall be appointed through a procedure established by the Board of Directors. Complies with established criteria and qualification for the Executive Director." Purpose: ";To assume overall responsibility for organizing and directing the agencys activities and be responsible for its day-to-day operations..." Procedures/Process/Guidelines: A. ";The Executive Director shall be the identified Administrator and shall be granted the authority commensurate with the responsibilities for overall operations of Bridginglife. The responsibilities of the Administrator shall include but are not limited to: 1. Organizing/directing Bridginglifes ongoing operations to assure the availability and provision of care. 5. Employment of qualified associates.... 6. Assurance that the organization complies with applicable laws and regulations, and that action is taken on reports and recommendations of any authorized planning, regulatory and inspecting agencies..." Review of Lifebridge Health Care Bravely Employment policy on February 10, 2023 at approximately 11:00 AM revealed: Purpose: To outline Lifebridge Healths employment practices. Definitions: ";Lifebridge: All affiliates and subsidiaries of Lifebridge Health." Policy: ";Hiring decisions are made on the basis of job specifications,.... Criminal background check..." Screening/Interviewing: Preliminary screening and selection for referral to ....is the responsibility of the Human Resources department to assure that all employment requirements are met. Eligibility in terms of.....criminal history.." Selection and Hiring of Talent: ";A background investigation (which may include criminal...) is required for all positions.: Review of Personnel files on 2/8/23 between 11:00 am-12:00 PM and 2/9/23 between 1:00 PM- 2:00 PM revealed: 1. PF # 1: Date of hire (DOH): 6/27/16: Registered Nurse (RN) who is responsible for Pennsylvania office and the only staff member who resides in Pennsylvania, contained no documentation of a PATCH or FBI background check.2. PF # 2: DOH: 10/17/22: New Medical director. Contained no documentation of a PATCH or FBI background check.3. PF # 3: DOH: 9/16/16: Contained no documentation of a PATCH or FBI background check.4. PF # 4: DOH: 9/13/21: Contained no documentation of a PATCH or FBI background check.5. PF # 5: DOH: 3/13/17: Contained no documentation of a PATCH or FBI background check.6. PF # 6: DOH: 9/11/17: Contained no documentation of a PATCH or FBI background check.7. PF # 7: DOH: 11/28/22: Contained no documentation of a PATCH or FBI background check.8. PF # 8: DOH: 5/13/19: Contained no documentation of a PATCH or FBI background check.9. PF # 9: DOH: 8/13/18: Contained no documentation of a PATCH or FBI background check.10. PF # 10: DOH: 5/9/22: Contained no documentation of a PATCH or FBI background check. An interview conducted on February 10, 2023 at approximately 3:00 PM with the agency Director of Quality and Compliance and agency Assistant Vice President (AVP) confirmed the above findings.

Based on review of policies/procedures, personnel files, and an interview with the agency Director of Quality and Compliance and agency Assistant Vice President (AVP), the agency failed to ensure personnel had criminal backgrounds checks for ten (10) out of ten (10) files. (PF # 1- # 10) --- Findings: Review of Lifebridge Health Care Bravely Employment policy on February 10, 2023 at approximately 11:00 AM revealed: Purpose: To outline Lifebridge Healths employment practices. Definitions: ";Lifebridge: All affiliates and subsidiaries of Lifebridge Health." Policy: ";Hiring decisions are made on the basis of job specifications,.... Criminal background check..." Screening/Interviewing: Preliminary screening and selection for referral to ....is the responsibility of the Human Resources department to assure that all employment requirements are met. Eligibility in terms of.....criminal history.." Selection and Hiring of Talent: ";A background investigation (which may include criminal...) is required for all positions.: Review of Personnel files on 2/8/23 between 11:00 am-12:00 PM and 2/9/23 between 1:00 PM- 2:00 PM revealed: PF # 1: Date of hire (DOH): 6/27/16: Registered Nurse (RN) who is responsible for Pennsylvania office and the only staff member who resides in Pennsylvania, contained no documentation of a PATCH or FBI background check.2. PF # 2: DOH: 10/17/22: New Medical director. Contained no documentation of a PATCH or FBI background check.3. PF # 3: DOH: 9/16/16: Contained no documentation of a PATCH or FBI background check.4. PF # 4: DOH: 9/13/21: Contained no documentation of a PATCH or FBI background check.5. PF # 5: DOH: 3/13/17: Contained no documentation of a PATCH or FBI background check.6. PF # 6: DOH: 9/11/17: Contained no documentation of a PATCH or FBI background check.7. PF # 7: DOH: 11/28/22: Contained no documentation of a PATCH or FBI background check.8. PF # 8: DOH: 5/13/19: Contained no documentation of a PATCH or FBI background check.9. PF # 9: DOH: 8/13/18: Contained no documentation of a PATCH or FBI background check.10. PF # 10: DOH: 5/9/22: Contained no documentation of a PATCH or FBI background check. An interview conducted on February 10, 2023 at approximately 3:00 PM with the agency Director of Quality and Compliance and agency Assistant Vice President (AVP) confirmed the above findings.