Deficiency Index

Every finding on record at Jewish Healthcare Center, Inc.

Worcester, Massachusetts · CCN 221569

2 findings 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 July 18, 2022

2 findings
L0795

Based on review of three out of five personnel files and interview, the Hospice Agency failed to conduct a Criminal Offender Record Information (CORI) check by the end of the employee's first working day. Findings include: Review of the Agency Criminal Offender Record Information (CORI) Policy, revised 4/29/21, included but was not limited to: -CORI requests must be sent to the Board and a favorable report must be received back from the Board before the individual begins work. 1. Employee #2 was hired on 9/22/21. Review of the employee's personnel file indicated the CORI check was done on 9/23/21. 2. Employee #3 was hired on 2/15/22. Review of the employee's personnel file indicated the CORI check was done on 2/16/22. 3. Employee #4 was hired on 5/17/22. Review of the employee's personnel file indicated the CORI check was done on 5/18/22. During an interview on 7/14/22 at 2:00 P.M., the Executive Director said the CORI checks for Employee #2, #3 and #4 were completed late and not upon hire, as required.

L0798

Based on personnel file review, policy review, and interview, the Agency failed to ensure: 1) a Certified Nurse Aide Registry check was completed prior to hire for one out of five employees and 2) that a verification of a nursing licensure was completed for one employee prior to hire. Findings include: 1. Review of the Agency Certified Nurse Aide (CNA) Registry Policy, revised 11/7/21, indicated but was not limited to: - Prior to hire, all individuals that have accepted a job offer will be checked on the Massachusetts CNA Registry by the Human Resources Department.... - Written confirmation of the CNA Registry response will be placed in the individual's personnel file. Employee #4 was hired on 5/17/22. Review of the employee personnel file indicated the CNA Registry check was completed on 5/18/22. During an interview on 7/14/22 at 2:00 P.M., the Executive Director said the CNA Registry check for Employee #4 was completed late and not upon hire, as required. 2. Review of the Agency Reference Checking Policy, revised 5/15/21, indicated but was not limited to: - It is the policy of the Agency to verify and validate background factors of applicant for employment......Verification of licensure and/or registration. Employee #4 was hired on 5/17/22. Review of the employee personnel file indicated a nursing license verification check was completed on 5/18/22. During an interview on 7/14/22 at 2:00 P.M., the Executive Director said the nursing license verification for Employee #4 was completed late and not upon hire, as required.

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

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