Failure to Complete Annual CNA Performance Reviews
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 reviews for three certified nurse aides (CNAs) as required. Personnel records reviewed on 5/22/25 showed that one CNA hired in February 2019 and another hired in January 2019 did not have any completed performance reviews. A third CNA, hired in April 2020, had a performance review started in April 2025, but it was not completed. This was confirmed by the Director of Nursing Services (DNS) during an interview on 5/23/25. The lack of completed annual performance evaluations was identified through both record review and staff interview.