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F0730
E

Failure to Complete Annual CNA Performance Reviews

Santa Clara, California Survey Completed on 05-09-2025

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 conduct and document annual performance reviews for 40 out of 69 Certified Nursing Assistants (CNAs) who had been employed for over one year, as required by federal regulation. During a review of employee files, it was found that no annual performance reviews were documented for multiple CNAs, including those hired as far back as 2017 and 2021. Interviews with the interim Director of Staff Development (DSD) and the Director of Nursing (DON) confirmed that there was no evidence of completed annual performance reviews for these staff members, and the current DSD was unaware of the previous process for conducting such reviews. A list compiled by the DON further verified that 40 CNAs had not received their required annual performance evaluations.

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