Failure to Complete Annual Performance Evaluation for Nurse Aide
Penalty
Summary
The facility failed to complete an annual performance evaluation for one of three nurse aide personnel records reviewed. Specifically, the personnel record for NA Employee E18, who was hired on a specified date, did not contain documentation of an annual performance evaluation as required by federal regulations. This deficiency was confirmed during an interview with the Human Resources employee, who acknowledged that the annual performance evaluation based on the date of hire was not completed for this nurse aide. The review referenced the requirement under CFR S483.35(d)(7), which mandates that every nurse aide must have a performance review at least once every 12 months, with regular in-service education provided based on the outcomes of these reviews. The absence of the required evaluation was identified through personnel record review and staff interview.