{"ref":"NC-HSP-HR-03","title":"Criminal Background Checks, Health Care Personnel Registry and Exclusion Screening","category":"Human resources","summary":"Requires a Health Care Personnel Registry check before hiring any unlicensed staff with direct access, with each access noted; Nurse Aide Registry listing for nurse aides; a criminal background check on everyone with direct patient contact or access to patient records (North Carolina has no hospice-specific statute, so the federal standard and the Agency's own standard apply); and federal exclusion screening before hire and monthly.","inShort":["Before anyone is hired, we check the North Carolina Health Care Personnel Registry and note that we checked.","Nurse aides must be listed on the Nurse Aide Registry.","Everyone with patient contact or access to patient records has a criminal background check before working alone with patients.","We check federal exclusion lists before hire and every month.","Tell your supervisor within one business day of any arrest, charge, conviction, registry finding or exclusion."],"primaryCitation":"G.S. 131E-256(d2)","citations":["G.S. 131E-256(a)-(f)","10A NCAC 13K .0102(19)","10A NCAC 13K .0210(b)","10A NCAC 13K .0605","G.S. 131E-265"],"federalCitations":["42 CFR §418.114(d)","42 U.S.C. §1320a-7","42 CFR §1001.1901","15 U.S.C. §1681b(b)"],"surveyorAsks":["Show me that you accessed the Health Care Personnel Registry before hiring this aide, and where you noted it.","What criminal background check did you obtain for this employee, and when?"],"forms":[{"ref":"NC-HSP-HR-03-A","title":"Pre-Employment Screening Log"},{"ref":"NC-HSP-HR-03-B","title":"Applicant Disclosure and Consent for Background Check"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (G.S. 131E-256(d2))","5. What the Rules Require","6. The Agency's Screening Standard","6.1 Starting work while a check is pending","7. Assessing Results","8. After Hire","9. Contracted Staff","10. Confidentiality","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"nc-hospice","state":"North Carolina","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}