F0607

D

Failure to Complete and Document Pre-Employment Background Check for CNA

Manitowoc, Wisconsin Survey Completed on 01-28-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to implement its Abuse, Neglect and Exploitation policy regarding required pre-employment background screening for one CNA. The written policy, revised 7/15/22, states that potential employees will be screened for a history of abuse, neglect, exploitation, or misappropriation of resident property, and that background, reference, and credential checks will be conducted and documented for potential employees and other specified personnel. During surveyor review on 1/28/26, the facility was asked to provide background check information, including Department of Justice (DOJ) and Governmental Findings reports, for eight staff members.

For CNA-C, who was hired on 7/9/25, the DOJ and Governmental Findings reports provided to the surveyor were dated 1/28/26, the same day the surveyor requested them, rather than prior to the hire date. The Business Office Manager reported being unable to locate prior DOJ and Governmental Findings reports for CNA-C and stated that new reports were requested that day. The Business Office Manager believed a thorough background check had been completed by a previous human resources staff member but could not locate the required documentation or any receipt showing that the checks were requested before CNA-C’s hire. The Nursing Home Administrator confirmed that the facility did not have a receipt for DOJ and Governmental Findings reports requested for CNA-C prior to hire and acknowledged awareness that the reports could not be found.