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F0730
F

Failure to Complete Annual Staff Performance Reviews

Saugus, Massachusetts Survey Completed on 06-16-2025

Penalty

Fine: $93,020
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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 complete annual performance reviews for all 10 sampled staff members, which included 5 Certified Nursing Assistants (CNAs) and 5 nursing employees. Record review showed that none of these staff had annual reviews documented. During an interview, the Administrator confirmed that annual reviews for 2024 were not completed, attributing this to previous management's inaction and his own recent arrival at the facility, which he felt did not allow him sufficient familiarity with the staff to conduct the reviews.

See complete original report
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