Failure to Complete Annual CNA Performance Evaluation
Penalty
Summary
The facility failed to complete an annual appraisal for one of the four sampled Certified Nursing Assistants (CNA3). CNA3 was hired on March 26, 2024, and their annual evaluation was due on or before March 26, 2025. However, a review of CNA3's employee file showed no documented evidence of a completed CNA Clinical Performance Evaluation form. The Human Services Director and the Director of Nursing (DON) both confirmed that the annual evaluation was not completed due to an oversight. The facility's Performance Evaluations policy, revised in July 2010, requires a performance evaluation at the end of the 90-day probationary period and at least annually thereafter, to be completed by the employee's department director. This evaluation is intended to identify areas for improvement to enhance the quality of care provided to residents.