Failure to Complete Annual Staff Performance 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 annual performance evaluations for three nursing assistants, as required by regulation. Personnel files for these staff members, who were hired on various dates in 2023, did not contain documentation of any performance evaluations. During an interview, the Administrator confirmed that these evaluations had not been completed or filed, despite the expectation that they occur yearly. This deficiency was identified through interview and record review, and was found to affect three out of five sampled staff members reviewed for performance evaluations.