Failure to Conduct Annual Performance Evaluations for Nurse Aides
Penalty
Summary
The facility failed to complete annual performance evaluations for four nurse aides, identified as Employees E16, E17, E18, and E19. According to the facility's policy titled 'In-Service Training, Nurse Aide' dated August 2024, a performance review of nurse aides should be conducted at least every 12 months. However, a review of the personnel records revealed that these evaluations were not performed based on the hire dates of the employees. The hire dates for the nurse aides were as follows: E16 on February 6, 2023, E17 on July 25, 2022, E18 on July 30, 2012, and E19 on February 7, 2022. This deficiency was confirmed during an interview with the Nursing Home Administrator on January 23, 2025.
Plan Of Correction
The DON or designee will ensure whole house nurse aide performance evaluations are completed by their respective nursing supervisors. The NHA will educate the DON and Human Resources Director on the annual requirement at F730- nurse aide performance reviews. The Human Resource Director or designee will audit all new employees to ensure planning of completion of annual performance reviews are completed through the facility QAPI program.