Failure to Complete and Document Annual Staff 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 staff performance reviews as required and did not provide education based on the outcomes of these reviews for one of five sampled staff members. Specifically, a nursing assistant certified (NAC) hired in December 2022 had an annual performance evaluation that was not dated or signed by either the evaluator or the staff member, and only one page of a two-page evaluation was available. No additional documentation was provided for this staff member's performance evaluation. During an interview, the administrator confirmed that evaluations had only recently been updated and were now being conducted on staff anniversary dates, but no further information was provided.