Failure to Complete Annual Employee 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 yearly employee performance reviews for five employees, as required by facility policy and state regulations. On June 25, 2025, the Nursing Home Administrator was unable to provide documentation of performance reviews conducted within the past year for these employees when requested. During a staff interview, the Administrator confirmed that no such reviews had been completed for the identified employees within the required timeframe. This deficiency was identified through facility document review and staff interviews.