Every finding on record at Hospice of Montezuma Inc

Based on record review and interview, the agency failed to ensure a criminal history record check had been completed prior to hire for all personnel who had direct patient contact or access to patient records in 3 of 3 newly hired personnel (Employee #3, #4 and #5). Findings include: --- 1. On 8/7/23, a review of the personnel record for Employee #3 revealed a hire date of 4/18/23. a. The agency failed to ensure a criminal history record check was completed prior to hire for Employee #3. Record review failed to reveal a criminal history record check had ever been completed for Employee #3; who had been hired three months and nineteen days prior to the survey. 2. On 8/7/23, a review of the personnel record for Employee #4 revealed a hire date of 4/21/23. a. The agency failed to ensure a criminal history record check was completed prior to hire for Employee #4. Record review failed to reveal a criminal history record check had ever been completed for Employee #4; who had been hired three months and sixteen days prior to the survey. 3.. On 8/7/23, a review of the personnel record for Employee #5 revealed a hire date of 6/27/23. a. The agency failed to ensure a criminal history record check was completed prior to hire for Employee #5. Record review failed to reveal a criminal history record check had ever been completed for Employee #5; who had been hired one month and ten days prior to the survey. 4. During an interview on 8/7/23 at 2:56 p.m., the administrator stated the agency had significant turnover in hiring and retaining a human resources personnel and had not been able to complete a quality assurance review of personnel records maintained by the most recently hired human resources personnel. The administrator acknowledged the agency's failure and requested criminal history record checks to be completed as well as noted she would complete a personnel records audit and review the process for hiring to maintain correction of the deficiency moving forward.