Failure to Complete Annual CNA Performance Evaluations
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 three out of four Certified Nursing Assistants (CNAs) as required by its own policy and procedure on performance evaluations. During an interview, the Director of Staff Development (DSD) confirmed that CNA skills evaluations had not been conducted consistently or annually, and acknowledged not having reviewed all staff evaluations since starting in the role. Personnel file reviews revealed that one CNA had no evaluation for 2024, another had no evaluations for 2022, 2023, or 2024, and a third had no evaluations for 2023 and 2024. The facility's policy, revised in August 2010, specifies that each employee's job performance must be reviewed and evaluated at least annually.