Failure to Complete Annual Employee 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 employee performance reviews for at least one certified nurse aide, as required by facility policy. Review of one nurse aide's personnel file showed that her last performance review was conducted five years prior, despite her continued employment. The facility's policy mandates that all employees, regardless of employment status, receive annual evaluations based on their hire date or a facility-defined cycle. During an interview, the Administrator stated that the responsibility for ensuring completion of these evaluations rested with the Director of Nursing Services (DNS) and Assistant Director of Nursing Services (ADNS), and attributed the lapse to frequent staff turnover.