Failure to Complete Annual Staff Evaluations and Required Education
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 evaluations for three out of five sampled staff members, as required. Additionally, two staff members did not complete the mandated 12 hours of annual education, with one missing 2 hours and another missing 5 hours. These deficiencies were identified through document reviews and interviews, which confirmed the absence of annual evaluations in employee files and incomplete education hours for the affected staff. The findings were based on a review of facility records and direct statements from the facility administrator.