Deficiency Index

Every finding on record at Caresouth HHA Holdings of Washington, LLC

Omak, Washington · CCN 501536

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 December 17, 2021

1 finding
L0798

Based on record review and interview, the agency failed to comply with the revised Washington State In-Home Services licensing regulations through its failure to complete a two-year renewal of criminal disclosure statements for 4 of 4 employees (Staff #502, Staff #503, Staff #504, Staff #505) and one volunteer (Volunteer # 501). Failure to comply with Washington Administrative Codes (WAC) 246-335 places patients at risk of harm from receiving care from un-vetted employees and volunteers. Reference: WAC 246-335-625(6)(b)(c) The applicant or licensee must develop and operationalize personnel, contractor, and volunteer policies and procedures that describe: (6) Criminal history background checks and disclosure statements for personnel, contractors, volunteers, students, and any other individual associated with the licensee having direct contact with children under sixteen years of age, people with developmental disabilities, or vulnerable persons according to RCW 43.43.830 through 43.43.842 and the following:(b) Disclosure statements must be approved by the department; and (c) All criminal history background checks and disclosure statements required under this chapter must be renewed within two years from the date of the previous check." WAC 246-335-630 Personnel, contractor, and volunteer records. The licensee must maintain records on all personnel and volunteers and have access to records on all contractors to include: (6) Evidence of initial and subsequent criminal history background checks and disclosure statements according to RCW 43.43.830 through 43.43.842 and this chapter; Findings included: The surveyor reviewed the following personnel records and noted: a. The hire date for Staff #502 was 12/18/00. The record showed no evidence of a signed criminal history disclosure statement. b. The hire date for Staff #503 was 03/29/21. The record showed no evidence of a signed criminal history disclosure statement. c. The hire date for Staff #504 was 09/05/95. The record showed no evidence of a signed criminal history disclosure statement. d. The hire date for Staff #505 was 11/30/21. The record showed no evidence of a signed criminal history disclosure statement. e. Volunteer #501 was oriented in 2019. The record showed no evidence of a signed criminal history disclosure statement. The surveyor interviewed the Human Resources Manager (Staff #506) on 12/15/21 at 3:15 PM . Staff # 506 verified the state approved criminal history disclosure statements had not been completed.

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

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