Every finding on record at St. Grace Hospice, Inc.

It is required that 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 review and interview. In 2 of 5 (40%) contracts reviewed, the hospice did not ensure the contracts contained language requiring the hospice to obtain criminal background checks on all contracted employees having direct contact or access to patient records. Contract 3: The Medical Director contract executed 7/22/2020 did not contain evidence of language that required that all contracted employees who have direct patient contact or access to patient records obtain criminal background checks. Contract 5: The PT/OT/ST contract executed 1/2/2018 did not contain evidence of language that required that all contracted employees who have direct patient contact or access to patient records obtain criminal background checks. The Administrator/Owner was interviewed on 9/12/2023 and stated she would get the necessary language added. In 2 of 5 (40%) contracts reviewed, the hospice did not ensure the contract contained language requiring the hospice obtain criminal background checks on all contracted employees having direct contact or access to patient records.