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F0730
E

Failure to Complete Annual Nurse Aide Performance Reviews

Edwardsville, Kansas Survey Completed on 05-07-2025

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 complete the required annual performance reviews for nurse aides and a certified medication aide, as evidenced by the lack of documentation for performance evaluations within the past 12 months for multiple staff members who had been employed for over a year. A review of the staffing list showed that several CNAs and a CMA did not have records of a performance review being conducted in the last 12 calendar months. Additionally, the facility did not have a policy in place for conducting nurse aide performance evaluations. This deficiency was confirmed through record review and staff interview, with administrative staff unable to locate evidence of completed performance reviews as required.

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