Failure to Complete Annual CNA Performance Reviews
Penalty
No penalty information released
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 three eligible Certified Nurse Aides (CNAs) whose records were reviewed. During the survey, the surveyor was unable to locate documentation of annual performance reviews in the employee records for these CNAs. The Human Resource Director confirmed that the reviews had not been completed and stated that she does not manage this process, as it was previously handled by the former Director of Nursing. The current Director of Nursing acknowledged that annual reviews are required and documented in employee records, but admitted that no performance reviews had been conducted since she began her role in April 2025.