Failure to Complete Annual Nurse Aide Performance Evaluations
Penalty
Summary
The facility failed to complete annual performance evaluations for its nurse aides as required by its own policy. Review of personnel files for three nurse aides revealed that annual performance evaluations had not been conducted. The Director of Nursing Services (DNS), who has been employed for seven years, confirmed in an interview that she had not completed any nurse aide performance evaluations during her tenure, including the years 2021 through 2025. The facility employs a total of 25 nurse aides across all shifts, and the Administrator was unaware that these evaluations had not been performed. The facility's employee handbook states that performance improvement reviews are to be conducted annually or as needed, but documentation and interviews confirmed this process was not followed.