NY State Tag

Failure to Timely Process Criminal History Checks

Comprehensive Rehabilitation And Nursing Center AtWilliamsville, New York Survey Completed on 12-06-2024

Summary

The facility failed to ensure that criminal history information was requested, received, reviewed, and acted upon in a timely manner for Employee #3, a Housekeeping Aide. According to New York State Part 402: Criminal History Record Check, each provider must ensure timely processing of criminal history information. However, Employee #3's personnel file lacked documentation of fingerprinting and submission of fingerprint information to the Criminal History Record Check Legal Review Unit. The employee worked for 83 days without this compliance, from August 14, 2024, to December 4, 2024. The deficiency arose due to issues with the facility's credit card on file with the contractor responsible for digital fingerprinting. The Human Resources Director and Staffing acknowledged the problem, stating that the credit card sometimes worked and sometimes did not, affecting the fingerprinting process. The Administrator was aware of the issue and had been in contact with the contractor since August 5, 2024, to resolve the credit card and contact information issues. Despite multiple emails and attempts to update the information, the process was lengthy, and Employee #3 was not fingerprinted as required.

Plan Of Correction

Plan of Correction: Approved December 30, 2024 1. All employees hired in the past 6 months were audited by HR Directed to ensure all CHRC fingerprinting was completed per policy and procedure for CHRC. Any deficient practices were corrected immediately. Administrator was added for CHRC processing. 2. All residents are at risk for CHRC not being completed per policy. 3. Administrator reviewed policy on CHRC and no changes were made. 4. Administrator educated HR Director of CHRC. 5. Administrator to conduct weekly audits of all new hires and CHRC checks to ensure policy and procedure for CHRC is being followed. Any deficient practices will be corrected and brought to QAPI for further review. Person Responsible: Administrator

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
See other StateA327F6AA40C1AF8B citations

No citations found matching the criteria.

Know what gets cited — and walk into your next survey with full visibility

We process and analyze inspection reports and Plans of Correction using AI to surface insights and trends — so you can improve care quality and stay ahead of compliance risk before your next survey.

Get ready for your next survey

See what surveyors are citing in your state and spot your risk areas before they do.

Monthly Citation Reports

Have you been cited for this tag?

Save hours drafting a compliant Plan of Correction — AI built on real approved POCs.

Plan of Correction Writer

Trusted data from CMS and state health departments

Every citation, penalty and Plan of Correction is sourced from public CMS records (latest release June 24, 2026) and official state health department websites — never guesswork.

Trusted by long-term care providers and associations.

Allegria Senior Living logo
FHCA logo
WeCare Centers logo
Care Rehab logo
An unhandled error has occurred. Reload 🗙