Failure to Complete Annual Evaluations for GNAs
Penalty
Fine: $25,475
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 ensure that annual performance evaluations were completed for geriatric nursing assistants (GNAs). A review of employee records showed that one GNA hired in March 2023 had not received an annual evaluation, while two other GNAs had not had evaluations completed within the past year, with their most recent appraisals dated prior to 2024. The Human Resource Director confirmed that although she generates a list of staff due for evaluation and sends it to nursing, it is nursing's responsibility to complete the evaluations, which had not occurred for the GNAs reviewed. These findings were confirmed through documentation review and interviews with facility staff.