Failure to Complete Annual CNA Performance Reviews
Penalty
Summary
The facility failed to ensure that Certified Nurse Aide (CNA) performance reviews were completed at least once every 12 months, as required by policy and regulation. A review of five CNA personnel files revealed that none had a documented annual performance appraisal within the past year. One CNA had an undated and unsigned performance review, while the others had no documentation of a performance review at all. Additionally, one CNA with multiple corrective discipline notices and eventual termination also lacked an annual performance appraisal in their file. Interviews with the Director of Human Resources, Unit Managers, and the Director of Nursing confirmed that the responsibility for completing annual performance reviews was understood but not carried out. The Unit Managers maintained lists of staff and hire dates and acknowledged that annual reviews should have been completed. The Director of Nursing was unaware that the reviews were not being performed. The facility's policy required consistent and fair evaluation of staff performance to ensure high-quality care and regulatory compliance, but this process was not followed for the CNAs reviewed.