Healthcare Background Check · Sample Report
FACIS® Level 3 Healthcare Background Check: Sample Report
FACIS® Level 3 is the gold standard of healthcare exclusion screening, license verification, and sanction monitoring.
Below, you can review a complete FACIS® Level 3 sample report, section by section.
Consequently, you will know exactly what your compliance team receives before you order.
- 24 hoursTypical turnaround
- 5,000+Sanction & exclusion sources
- 50 statesLicensing boards & Medicaid lists
- Optional MAFMultiple Authentication Factor on every account
What Is a FACIS® Level 3 Background Check?
FACIS® stands for Fraud and Abuse Control Information System.
It is the most comprehensive healthcare sanction and exclusion database available to employers.
A FACIS® Level 3 search screens a candidate against more than 5,000 federal and state sources.
These sources include the OIG List of Excluded Individuals and Entities (LEIE), SAM.gov, OFAC, FDA, and DEA.
Additionally, Level 3 covers state Medicaid exclusion lists and licensing boards in all 50 states.
Therefore, hospitals, home health agencies, and staffing firms rely on it to avoid hiring excluded providers.
FACIS® Levels Compared
| Level | What it searches | Best for |
|---|---|---|
| Level 1 | Federal sources only: OIG LEIE, SAM.gov, OFAC, FDA, DEA, and TRICARE. | Minimum federal exclusion compliance. |
| Level 1M | Level 1 plus all state Medicaid exclusion lists. | Medicaid-billing providers. |
| Level 2 | Level 1M plus licensing boards in the states you select. | Single-state facilities. |
| Level 3 | Level 1M plus every licensing board and disciplinary source in all 50 states, plus historical records. | Health systems, staffing agencies, and multi-state employers. |
In short, Level 3 finds board actions that a Level 1 or 1M search will miss.
Inside the FACIS® Level 3 Sample Report
The sample below reproduces a real report layout with fictitious data.
Specifically, it combines four searches into one healthcare background check report.
First, click any section heading to expand or collapse it.
All names, addresses, license numbers, and case numbers are fictitious and appear for demonstration only.
Report at a glance
- SSN Trace & Address History: Verified, 8 addresses in OH, PA, and FL
- Nationwide Criminal Records: 1 record, Berks County, PA (2019 guilty plea)
- FACIS® Level 3 Search: 15 matches, Ohio and Florida Boards of Nursing
- License Verification: OH lapsed; FL conditional/active
1SSN Trace & Address HistoryVerified
| Address | County | Dates Reported | Phone |
|---|---|---|---|
| 255 Oak Tree Way Apt 411, St Pete Beach, FL 33706 | Pinellas | 09/16/2019 – 03/20/2020 | 727-555-1023 |
| 105 Stadium Cir, Carlisle, PA 17013 | Cumberland | 06/01/2018 – 09/15/2019 | 610-555-9795 |
| 1211 Bright Sun Terr, Saint Petersburg, FL 33712 | Pinellas | 02/01/2017 – 05/20/2018 | 727-555-1124 |
| 305 Sunshine Ln, Saint Petersburg, FL 33705 | Pinellas | 07/01/2014 – 01/31/2017 | 727-555-1124 |
| 4295 South Pine Drv, Palmetto, FL 34221 | Manatee | 03/01/2014 – 06/30/2014 | 727-555-0092 |
| 92 Apple Tree St Apt 225, Worthington, OH 43085 | Franklin | 12/11/2004 – 02/26/2014 | 513-555-2025 |
| 9201 Old Dixie Hwy, Columbus, OH 43235 | Franklin | 02/01/2003 – 12/10/2004 | 513-555-1003 |
| 5040 NW 20 St Apt 10, Columbus, OH 43220 | Franklin | 12/01/1982 – 01/24/2003 | 513-555-8892 |
Why it matters: The address history tells us which counties and states to search for records.
2Nationwide Criminal Records Search1 Record
| Charge | Statute |
|---|---|
| Int. Poss. Contr. Subst. by Person Not Reg. | 35.780-113.A16 |
| Use/Poss. of Drug Paraphernalia | 35.780-113.A32 |
Sentence: 10 days jail (credit for time served), driver’s license suspended 6 months, 1 year probation, $987.00 court costs.
Why it matters: Controlled-substance convictions directly affect drug-handling roles in clinical settings.
3FACIS® Level 3 Search15 Matches
The search matched 15 published board actions for R.N. license 3A2589417 (Ohio) and RN112859642 (Florida).
Furthermore, the records span 2010 through 2018 and come from three publication types.
| Published | Source / Publication | Action Summary | Case |
|---|---|---|---|
| 07/30/2010 | Ohio Board of Nursing – Meeting Minutes | Consent Agreement approved (Ch. 4723 ORC) | 12-885248912 |
| 11/24/2010 | Ohio Board of Nursing – Board Actions | Stayed Suspension w/ temporary practice restriction | — |
| 03/01/2011 | Ohio Board of Nursing – Board Actions | Automatic Suspension / Action Pending | — |
| 03/18/2011 | Ohio Board of Nursing – Meeting Minutes | Notice of Automatic Suspension and Opportunity for Hearing | 11-0231578 |
| 06/01/2011 | Ohio Board of Nursing – Momentum Magazine | Automatic Suspension / Action Pending | — |
| 07/01/2011 | Ohio Board of Nursing – Board Actions | Indefinite Suspension w/ permanent practice restriction | — |
| 07/01/2011 | Ohio Board of Nursing – Momentum Magazine | Indefinite Suspension w/ permanent practice restrictions | — |
| 07/29/2011 | Ohio Board of Nursing – Meeting Minutes | Consent Agreement approved (Ch. 4723 ORC) | 11-0231578 |
| 09/19/2014 | Ohio Board of Nursing – Meeting Minutes | Notice of Opportunity for Hearing issued | 14-520894 |
| 01/08/2015 | Ohio Board of Nursing – Board Actions | Notice of Opportunity for Hearing / Action Pending | — |
| 02/10/2015 | Ohio Board of Nursing – Momentum Magazine | Notice of Opportunity for Hearing / Action Pending | — |
| 07/31/2015 | Ohio Board of Nursing – Meeting Minutes | Reinstatement granted with stayed revocation, 5-year probation, permanent restrictions | 14-520894 |
| 08/13/2015 | Ohio Board of Nursing – Board Actions | Board action published | — |
| 11/10/2015 | Ohio Board of Nursing – Momentum Magazine | Disciplinary action listing (verification notice) | — |
| 12/06/2018 | Florida Board of Nursing – Meeting Minutes | Endorsement approved, single-state license with prior discipline | 1701/636674 |
Read the full 2015 Ohio Board order (Case #14-520894)
Decision (July 31, 2015): The Board granted reinstatement subject to a stayed revocation and five years of probation.
General terms:
- Obey all laws governing nursing in Ohio.
- Appear for Board interviews on request.
- Submit a BCII and FBI criminal records check within six months.
Monitoring:
- Obtain a chemical dependency evaluation on request.
- Abstain completely from alcohol.
- Submit random drug and alcohol screens with a daily call-in.
- Attend two support-group meetings per week.
Treating practitioners:
- Provide the Order to all treating practitioners.
- Have each practitioner submit medication prescription reports.
- Report any medications within 24 hours of hospital release.
Employment conditions:
- Notify the Board of any nursing employer within 30 days.
- Give every employer a copy of the Order.
- Arrange quarterly employer performance reports.
- Complete a Board-approved refresher course before practicing.
Reporting requirements:
- Sign releases and submit any requested information.
- Never submit false or misleading statements.
- Send all documentation to the Board’s Compliance Unit.
- Report address or employment changes within five business days.
Permanent practice restrictions:
- No home care or hospice care in a patient’s residence.
- No staffing agencies or pools.
- No independent, state-reimbursed practice or private-duty nursing.
- No role that manages or supervises nursing practice, such as Director of Nursing or Nurse Manager.
Failure to comply: The Board lifts the stay and automatically suspends the license upon any breach.
Read the 2018 Florida Board minutes
“December Draft Minutes – Credentials A Committee – Applicants for Licensure LPN, RN, and APRN – Prior Discipline Endorsement.”
“11. Johnson, Mary L; 1701/636674 – Present with attorney. A motion was made to approve for a Single State License with a V6B. Motion passed unanimously. December 6, 2018.”
Why it matters: None of these board actions appear on the OIG LEIE. However, they create real patient-safety and liability exposure.
4Professional License VerificationConditional
Ohio Board of Nursing
Florida Board of Nursing
Why it matters: Primary-source license verification confirms current standing, conditions, and expiration before the first shift.
Users should consult state and federal laws before using this information in hiring or firing decisions.
All searches are subject to legal restrictions, terms of use, and applicable law.
Why Healthcare Employers Choose FACIS® Level 3
Avoid OIG Exclusion Penalties
The OIG can fine you for every claim tied to an excluded employee.
Moreover, penalties currently exceed $20,000 per item and adjust yearly for inflation.
Same-Day Results
Most FACIS® Level 3 reports finish within 24 hours.
As a result, you can clear travel nurses and per-diem staff before their first shift.
Monthly Monitoring
The OIG recommends monthly exclusion checks, not annual ones.
Therefore, we offer ongoing FACIS® monitoring that alerts you when a new sanction appears.
Legal Requirements for Healthcare Background Checks
Fair Credit Reporting Act (FCRA)
A FACIS® report is a consumer report under the FCRA.
Therefore, you must give the candidate a standalone disclosure and obtain written authorization first.
Additionally, you must certify a permissible purpose, such as employment, before you order.
If a report leads to a negative decision, you must follow the two-step adverse action process.
Specifically, send a pre-adverse action notice, a copy of the report, and the FCRA Summary of Rights.
Then, after a reasonable waiting period, send the final adverse action notice.
OIG and CMS Exclusion Rules
Federal law prohibits payment for items or services furnished by an excluded individual.
Consequently, the OIG advises providers to screen new hires and re-screen all staff monthly.
Many state Medicaid agencies also require monthly screening against their own exclusion lists.
State Laws and Ban-the-Box
Several states limit how far back you may report certain records.
Likewise, many states and cities restrict when you may ask about criminal history.
However, healthcare positions often receive exemptions because of patient-safety statutes.
Because rules vary, we filter each report to comply with the laws of the candidate’s state.
For details, review our employment screening laws by state.
How to Order a FACIS® Level 3 Report
- Open your account. Sign up online in minutes with no setup fee or monthly minimum.
- Secure your login. Enable optional Multiple Authentication Factor (MAF) for every user on your account.
- Collect authorization. Send the candidate our electronic FCRA disclosure and consent form.
- Order the package. Choose the FACIS® Level 3 Healthcare Package or add it to any employment screening.
- Review results. Most reports return within 24 hours, and ongoing monitoring runs automatically each month.
Additionally, our support team answers compliance questions at (800) 661-0278.
FACIS® Level 3 Frequently Asked Questions
What does a FACIS® Level 3 background check include?
A FACIS® Level 3 check searches more than 5,000 federal and state sanction sources.
These include the OIG LEIE, SAM.gov, OFAC, FDA, DEA, and TRICARE.
Additionally, it covers state Medicaid exclusion lists and licensing boards in all 50 states.
Additionally, our healthcare package adds an SSN trace, a nationwide criminal search, and license verification.
How long does a FACIS® Level 3 report take?
Most FACIS® Level 3 reports finish within 24 hours.
However, county court verification of a criminal record may add one to three business days.
What is the difference between FACIS® Level 1 and Level 3?
Level 1 searches federal sources only, such as the OIG LEIE and SAM.gov.
In contrast, Level 3 adds state Medicaid exclusions and every state licensing board, plus historical records.
Therefore, Level 3 finds board discipline that a Level 1 search will miss.
Who needs a FACIS® background check?
Any organization that bills Medicare or Medicaid should screen employees, contractors, and vendors.
This includes hospitals, nursing homes, home health agencies, pharmacies, staffing firms, and physician practices.
How often should healthcare employers run exclusion checks?
The OIG recommends screening at hire and then monthly.
Consequently, we offer automatic monthly FACIS® monitoring with alerts for new sanctions.
Is a FACIS® report covered by the FCRA?
Yes, a FACIS® report used for employment is a consumer report under the FCRA.
Therefore, you must obtain written authorization and follow adverse action rules.
How do I open an account and secure it?
You can open an account online in minutes.
Additionally, every user account includes optional Multiple Authentication Factor (MAF) for added security.
Ready to Run Your First FACIS® Level 3 Report?
Open an account today, and receive your first healthcare background check report within 24 hours.
Moreover, optional Multiple Authentication Factor (MAF) protects every user on your account.