It is required that the hospice obtains a criminal background check on all hospice employees who have direct patient contact or access to patient records. Hospice contracts require that all contracted employees who have direct patient contact or access to patient records obtain criminal background checks. This standard was not met as evidenced by document reviews and interview. In 2 of 12 (17%) contracts reviewed, the Agency failed to ensure the supplier contract included the clause, “in writing, between the contractor/contracted, for the provision that requires criminal background checks.” The Administrator stated in an interview, on 9/20/22 during a joint review of the contracts, that two contracts did not have the clause, “in writing, between the contractor/contracted, for the provision that requires criminal background checks.”
Every finding on record at Southern Belle Hospice LLC
San Antonio, Texas · CCN A91597
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 September 22, 2022
1 finding← Back to the Southern Belle Hospice LLC record
Federal survey findings only. State licensure findings for hospices are not shown.
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