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F0730
D

Failure to Conduct and Document Annual GNA Performance Reviews

Baltimore, Maryland Survey Completed on 05-14-2025

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

Facility staff failed to ensure that annual performance reviews were conducted for all geriatric nursing assistants (GNAs). During the annual survey, the surveyor requested complete employee files for several GNAs, specifically requesting the inclusion of annual performance reviews. Upon review, it was found that the annual performance reviews were missing from all the requested files. The HR Director and the Director of Nursing (DON) both acknowledged the process for conducting and tracking annual reviews, but were unable to provide the required documentation during the survey period. Despite multiple requests over several days, the facility was unable to produce the annual performance reviews for any of the GNAs whose files were reviewed. Both the Administrator and DON were informed of the missing documentation, and the surveyor ceased further requests after the files were not provided. The deficiency was evident in all seven GNA files reviewed, indicating a systemic failure to maintain required annual performance evaluations.

See complete original report
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