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F0730
E

Failure to Provide Timely CNA Performance Reviews and In-Service Education

Windsor, Virginia Survey Completed on 05-01-2025

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

Certified Nurse Aides (CNAs) at the facility did not receive required performance evaluations at least once every 12 months, nor did they receive regular in-service education based on the outcomes of such reviews. Personnel files for four CNAs showed no documented evidence of performance evaluations or related in-service education, despite their employment ranging from several months to over a year. Interviews with additional CNAs revealed that some had not received performance reviews or competency training since starting at the facility, with one CNA stating she had only received one performance review in three years and never received competency training. The Administrator confirmed that due to multiple changes in nurse management, the facility had not completed competencies and performance evaluations for CNAs. This lack of regular performance assessment and training was identified through interviews and record reviews, and it was noted that this had the potential to negatively impact resident care.

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