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F0730
D

Failure to Complete Annual Performance Evaluations for Nurse Aides

Johnstown, Pennsylvania Survey Completed on 12-12-2024

Penalty

No penalty information released
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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.

Summary

The facility failed to ensure that annual performance evaluations were completed for three nurse aides, as required by their hire dates. Specifically, the evaluations for Nurse Aide 3, Nurse Aide 4, and Nurse Aide 5 were due on July 1, 2024, but as of December 12, 2024, there was no documented evidence that these evaluations had been conducted. This deficiency was confirmed during an interview with the Nursing Home Administrator, who acknowledged the lack of evidence for the completion of the required evaluations.

Plan Of Correction

1. Performance evaluation completed on Nurse Aide 3, Nurse Aide 4 and Nurse Aide 5. 2. An audit was done to monitor the completion of Nurse Aide evaluations. Hire dates will be reviewed monthly by the Director of Nursing. 3. The Nursing Home Administrator will educate RN Supervisors and the Director of Nursing on the evaluation process for Nurse Aides. 4. To maintain and monitor compliance, a weekly audit will be conducted by the Nursing Home Administrator or designee for four weeks then monthly for two months on the completion of Nurse Aide performance evaluation. Results of this audit will be reviewed by the Quality Assurance and Improvement Committee for additional recommendations if necessary.

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