South Carolina Home Health Survey Prep Checklist
Your survey could come any day. This is exactly what South Carolina Department of Health and Environmental Control (DHEC) surveyors pull from your files — and how to walk in already audit-ready. Free, no signup required.
40 hrs
Initial Training
12 hrs
Annual Training
Every 60 days
Supervision
Required
Fingerprints
What Surveyors Pull From Every Employee File
Have these ready, current, and signed for every staff member before your survey:
- Signed job description matching the role and assigned duties
- Completed application and verified employment history / references
- I-9 employment eligibility verification with supporting documents
- W-4 and signed payroll / direct-deposit authorization
- Government-issued photo ID and Social Security / ITIN record
- Current professional license or certification copy (RN, LPN, CNA, HHA, etc.)
- Signed HIPAA, employee handbook, and policy acknowledgments
- Documented orientation and annual in-service / competency evaluation
See the full breakdown in our guide: What Surveyors Check in Personnel Files.
South Carolina Background & Exclusion Screening
Required checks for every staff member (S.C. Code Ann. § 44-7-2910):
- SLED (State Law Enforcement Division) Criminal CheckRequired
- FBI National Criminal CheckRequired
- DSS Central Registry of Child AbuseRequired
- South Carolina Nurse Aide RegistryRequired
- OIG Exclusion ListRequired
Don't forget monthly OIG/SAM screening. Medicare/Medicaid agencies must re-check all staff against the federal exclusion lists every month — surveyors ask for the dated screening logs.
Fingerprinting required: SLED Fingerprint.
Abuse registry: Check the SC DSS Central Registry for all staff.
Training, Competency & Supervision Records
- 40 hours of documented initial training per staff member (S.C. Code Regs. 61-77).
- 12 hours of annual continuing education, with dated completion records.
- Supervisory visit notes documented every 60 days (S.C. Code Regs. 61-77).
- Signed competency evaluations for each aide/attendant role.
South Carolina Survey Prep FAQ
What do surveyors check in South Carolina home health personnel files?
Surveyors review each employee file for identifying information, a signed job description, verified employment history, license and certification copies, background-check and exclusion-screening results, training and competency documentation, and signed policy acknowledgments. Missing or expired items are among the most common citations.
How often do I need to re-screen staff against the OIG exclusion list in South Carolina?
Medicare/Medicaid-participating agencies should screen all staff against the OIG LEIE and SAM.gov exclusion lists monthly, per OIG Special Advisory Bulletin guidance. South Carolina also requires SLED (State Law Enforcement Division) Criminal Check, FBI National Criminal Check, DSS Central Registry of Child Abuse, South Carolina Nurse Aide Registry, OIG Exclusion List.
How many training hours does South Carolina require?
South Carolina requires 40 initial training hours and 12 annual continuing-education hours (S.C. Code Regs. 61-77). Supervisory visits are required every 60 days.
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