Annual Performance Evaluation Not Completed for CNA
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 one of two reviewed certified nurse aides (CNA 1), as required by its policy. The facility's policy, revised in September 2020, mandates that each employee's job performance be reviewed and evaluated at least annually by department directors and supervisors, with further review by the director of human resources. During an interview and document review, the Director of Staff Development (DSD) confirmed that CNA 1's last performance evaluation was conducted on 11/16/22, and acknowledged that employee files should be reviewed regularly based on the date of hire. The Director of Nursing (DON) also acknowledged that the policy on performance evaluations was not followed.