Failure to Complete Timely Background Check for Agency CNA
Penalty
Summary
The facility failed to implement its own policies and procedures regarding the prevention of abuse, neglect, and theft by not ensuring a timely and thorough background check for one Certified Nursing Assistant (CNA-H) out of eight sampled staff. According to the facility's Pre-Employment Investigations policy, background checks, including a Background Information Disclosure (BID) form, Department of Justice (DOJ) report, and Integrated Background Information System (IBIS) letter, are required every four years for all staff, including agency staff. Surveyor review revealed that CNA-H, an agency CNA who began working at the facility on 7/1/23, only had background check documentation dated 8/14/19, which was last completed and reviewed by the agency. The Nursing Home Administrator confirmed that CNA-H had worked in the facility within the last three months and that no updated background check had been obtained since 2019, despite the facility's policy requiring such checks every four years.