Nursing homes failing to meet background check rules with mixed state oversight

A federal watchdog has issued its third 2025 report analyzing state oversight of background checks for nursing home employees, finding mixed results so far on compliance and enforcement.

The latest audit from the US Department of Health and Human Services Office of Inspector General on Alabama’s practices found lax enforcement, resulting in nearly one-third of sampled employees having been improperly hired. Findings in Florida and Louisiana — the other two states investigated so far — ranged from appropriate oversight to requiring improvements.

Alabama’s Department of Public Health did not have a process for verifying that nursing homes completed background checks or registry queries before hiring staff, stated a report on that state’s practices posted Thursday…

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