Failure to Complete Annual CNA Performance Evaluations
Penalty
Fine: $24,700
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 yearly performance evaluations for five Certified Nurse Aides (CNAs) who had been employed for more than 12 months. Record review showed that none of the five CNAs reviewed had a documented annual performance evaluation available upon request. Interviews with administrative staff confirmed that department directors were responsible for conducting these evaluations, and the facility's policy required annual formal written evaluations for all employees. This deficiency was identified through a review of personnel records and staff interviews, with no evidence provided that the required evaluations had been completed for the CNAs in question.