Failure to Complete CNA Performance Evaluations and Required In-Service Training
Penalty
Summary
The facility failed to complete annual performance evaluations for certified nursing assistants (CNAs) and did not ensure that CNAs received the required 12 hours of in-service training annually. During the survey, documentation for annual performance evaluations and in-service hours for two CNAs was requested but not provided. The only documents available were competency checklists, which did not indicate the duration or content of training. The staff responsible for education and in-servicing was unsure of the required number of in-service hours and confirmed that there was no documentation of the hours completed. The assistant administrator stated that performance evaluations were not conducted due to union contract stipulations and that there was no facility policy for annual performance reviews for CNAs. The facility's own assessment referenced the requirement for at least 12 hours of in-service training per year for nurse aides, including addressing areas of weakness identified in performance reviews. However, the facility did not have records to show that this requirement was met for the CNAs reviewed, nor did it have a process in place to track or document the hours of in-service training provided. This deficiency affected all 127 residents residing in the facility.