Every finding on record at Western Health Resources

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 interview and personnel record review. In 1 of 10 (10%) personnel records reviewed revealed the hospice did not ensure a criminal background check was completed on a hospice contracted employee. Personnel Record 1: The personnel record of the Medical Director, hire date 07/26/2023, did not contain evidence that a background check was obtained upon hire. The Administrator was interviewed on 02/23/2024 and confirmed that a criminal background check was not included in the Medical Director's personnel record. In 1 of 10 (10%) personnel records reviewed revealed the hospice did not ensure a criminal background check was completed on hospice and contracted employees.