Every finding on record at Mercy Medical Center Home Health & Hospice LLC

Based on review of the agency's Emergency Preparedness exercises and interview, the agency failed to analyze the agency's response to drills and exercises for two out of three years reviewed. The agency's active census was 43. Findings include: --- The agency's Emergency Preparedness binder was reviewed on 10/26/22. Drills and exercises for 2019 and 2020 did not contain after action reviews. The findings were shared in an interview with Staff A on 10/26/22 at 9:31 A.M. and confirmed. Staff A reported the after action reviews were not completed for 2019 and 2020.

Based on personnel file review, policy review and interview, the agency failed to obtain a criminal background check for one of one contracted staff's personnel file reviewed (Staff B). The agency's active census was 43. Findings include: --- Review of the agency's policy titled, Backgrounds and Reference Checks, reviewed 09/07/22, revealed one of the ways to assure employee, client, and family safety is to hire and maintain a workforce of employees who value our beliefs. We do this by conducting reference and criminal background checks on new hires and tenured employees as required. The personnel file of Staff B was reviewed on 10/26/22. The agency was unable to show evidence that Staff B had a completed criminal background check. The findings were shared in an interview with Staff A on 10/27/22 at 8:10 A.M. and confirmed.