Failure to Complete Annual CNA Performance Evaluations
Penalty
No penalty information released
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 complete annual performance evaluations for two Certified Nurse Assistants (CNAs), as evidenced by a review of their personnel files which showed no evaluations were conducted in the previous year. Interviews with the Director of Staff Development and the Director of Nursing confirmed that evaluations are required upon hire, after 90 days, and annually thereafter, but these were not performed as expected. The facility's own assessment tool also indicated that staff skills and competencies should be validated upon hire and regularly thereafter, in accordance with regulations, but this process was not followed for the two CNAs.