Failure to Conduct Annual Performance Evaluation for Nurse Aide
Penalty
Summary
The facility failed to complete an annual performance evaluation for one of its nurse aides, identified as Employee E26. According to the facility's policy, compliance is a factor in evaluating job performance, and evaluations are to be conducted using a specific scale. Employee E26 was hired on an unspecified date, and her position description and employee handbook were signed on November 30, 2023. However, a review of her personnel record on December 20, 2024, revealed that no annual performance evaluation was conducted for the period from November 30, 2023, to January 30, 2024. This deficiency was confirmed during an interview with the Director of Human Resources, Employee E22, who acknowledged the oversight.
Plan Of Correction
Performance evaluation completed retroactively on employee E26. A review of current nurses aides were completed to ensure no other annual evals were missed. Education on evaluations will be provided to HR by the NHA or designee on or before 2/11/2025. Audits will be conducted on evaluations to ensure they are completed timely by DON or designee weekly x 4 weeks and monthly x 1 month. Audit results will be reviewed through the monthly QAPI process/meeting.