Failure to Complete Nurse Aide Performance Reviews and Skills 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 required performance reviews and skills evaluations for nurse aides, as evidenced by a review of personnel records and staff interviews. Specifically, the personnel file for one nurse aide hired in March 2024 did not contain documentation of a skills evaluation or post-orientation performance evaluation. An interview with the DON confirmed that the facility does not conduct competencies or performance reviews for staff and lacks a policy or procedure for staff competencies or performance reviews. It was further confirmed that none of the nurse aides have annual performance reviews completed.