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F0730
E

Failure to Complete Annual Performance Evaluations for CNAs

Cartersville, Georgia Survey Completed on 04-10-2025

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 five Certified Nurse Aides (CNAs) received their required annual performance evaluations. Review of personnel files for these CNAs revealed that none had an annual performance evaluation completed since their date of hire. The facility's policy requires ongoing performance management and annual evaluations for all associates, with managers held accountable for ensuring these are completed. Despite this, there was no documentation of completed evaluations for the CNAs reviewed. Interviews with facility staff revealed a lack of awareness and follow-through regarding the requirement for annual performance reviews. The Assistant Director of Nursing (ADON) was not aware that staff needed annual performance reviews. The Human Resources Director stated that she provides department managers with a monthly list of employees due for evaluation but rarely receives completed reviews in return, confirming the absence of evaluations for the CNAs in question. Both the Director of Nursing (DON) and the Administrator acknowledged that the regulation requires annual performance evaluations for CNAs.

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