Annual Staff Competency Evaluation Not Performed as Required
Penalty
Summary
The facility failed to ensure that staff competency evaluations were performed annually for one of six sampled staff members, specifically a Certified Nursing Assistant (CNA). Review of the CNA's employee file showed that the last skills competency evaluation was completed in January 2024, despite the CNA being employed since November 2022. The Director of Staff Development (DSD) indicated that the next competency evaluation was scheduled for November 2025, aligning with the month of hire rather than the annual requirement. The Director of Nursing (DON) confirmed that skills competency evaluations are supposed to be conducted annually and acknowledged that the evaluation for this CNA was overdue as of January 2025. Facility policy on performance evaluations requires that each employee's job performance be reviewed and evaluated at least annually, with skills competency being a component of this process. The DON stated that the DSD was responsible for conducting these evaluations and that the failure to perform the annual skills competency check was an oversight. The facility's policy on staffing also emphasizes the need for sufficient and competent nursing staff to provide care in accordance with resident care plans and facility assessments.