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F0730
E

Failure to Complete Annual Performance Reviews for CNAs

Leesburg, Virginia Survey Completed on 05-21-2025

Penalty

Fine: $5,712
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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

Facility staff failed to complete annual performance reviews for three certified nursing assistants (CNAs) who were hired in the previous year. Specifically, no annual performance reviews were available for CNAs hired on 11/1/23, 10/10/23, and 10/23/23. The human resources assistant reported that she generates monthly reports to identify staff due for annual reviews and provides blank review forms to unit managers, who are responsible for completing them. However, the required reviews for these three CNAs were not completed, and the facility could not provide documentation of the reviews. Additionally, the facility's policy on training requirements did not include information regarding performance reviews.

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