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F0730
D

Failure to Complete Annual Performance Review for GNA

Baltimore, Maryland Survey Completed on 06-27-2025

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) as required. During a recertification survey, a review of two randomly selected GNA employee files revealed that one GNA, hired in April 2022, did not have a documented performance evaluation for the 2023 calendar year. The absence of this required evaluation was confirmed through examination of employee files and interviews with the Human Resources Director (HRD) and the Director of Nursing (DON). Both the HRD and DON were unable to locate the 2023 performance review for the GNA in question, despite searching through office files and binders. The HRD acknowledged that some performance reviews had not been filed and were possibly misplaced, but after a thorough search, neither the 2022, 2023, nor 2024 performance reviews for the GNA could be found. The DON also confirmed that she did not have copies of the missing performance reviews and only had access to a binder from the previous DON containing 2022 reviews. The lack of a documented performance review for the specified period was acknowledged by both the HRD and DON during the survey process.

See complete original report
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