Failure to Complete Annual Staff Performance Evaluations
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 nursing assistants, as required by policy. Personnel files for these staff members did not contain documentation of yearly performance reviews, despite their employment or re-hiring dates indicating that such evaluations were due. Interviews with the Administrator, Director of Nursing, and Resident Care Manager confirmed that annual evaluations were expected but not completed for these staff. Documentation for one staff member's evaluation was only produced after the survey had concluded, indicating it was not completed within the required timeframe.