Failure to Complete Annual CNA Performance Reviews and In-Service Education
Penalty
Summary
The facility failed to complete annual performance reviews and provide regular in-service education based on those reviews for two of three certified nursing assistants (CNAs) reviewed. Personnel records showed that one CNA, hired in November 2023, did not have an annual performance review completed within the past 12 months, with the last documented review dated prior to their hire date. Another CNA, hired in May 2024, also had no evidence of an annual performance review in the past 12 months. During interviews, the administrator acknowledged that annual performance reviews had been requested but not provided, and the HR representative confirmed that the personnel records lacked evidence of completed annual performance evaluations for the affected CNAs. No information about the medical history or condition of any residents was included in the report, and the deficiency was limited to the facility's failure to observe and document CNA job performance and provide related training as required.