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F0730
F

Failure to Conduct Annual Performance Reviews and Provide Individualized In-Service Education for GNAs

Baltimore, Maryland Survey Completed on 07-24-2025

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 conduct annual performance reviews for Geriatric Nursing Assistants (GNAs) and did not provide regular, in-service education based on the outcomes of those reviews. This deficiency was identified during a recertification survey, where a review of five randomly selected GNA employee records revealed that none contained documentation of a performance review, despite all being employed for varying lengths of time. The Director of Nursing (DON) confirmed that performance reviews had not been completed for some time and that the process was not current at the time of the survey. Further, the DON acknowledged that in-service education for GNAs could not be tailored to individual needs without the completion of performance reviews. The absence of these reviews and the lack of individualized in-service training was evident for all five GNAs whose records were examined, indicating a systemic issue in the facility's process for monitoring and supporting staff performance.

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