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F0730
D

Failure to Complete Annual Performance Evaluations for CNAs

San Rafael, California Survey Completed on 08-21-2025

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

The facility failed to complete annual performance evaluations for two certified nursing assistants (CNAs), as required by its policy. During interviews and record reviews with the Director of Staff Development, it was found that neither CNA had a documented annual performance evaluation for the 2024/2025 period. The Director of Staff Development confirmed that these evaluations should have been completed. Additionally, the Director of Nursing was unaware that multiple staff members were missing evaluations and acknowledged that annual evaluations were necessary. The facility's policy, dated January 2018, specifies that performance evaluations must be conducted at the end of the 90-day probationary period and at least annually thereafter, with completed evaluations to be filed in the employee's personnel record.

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