Failure to Complete Timely Annual Performance Evaluations for CNAs
Penalty
Summary
The facility failed to complete annual performance evaluations for all Certified Nursing Assistants (CNAs) within the required 12-month period, as mandated by facility policy. Specifically, five CNAs did not have their annual performance evaluations completed on time. For each CNA reviewed, the most recent annual evaluation was not conducted until after the 12-month period had elapsed. The evaluations for all five CNAs were completed on the same day, which coincided with the surveyor's visit. During the survey, the Director of Nursing (DON) confirmed that the evaluations were completed after the surveyors arrived at the facility. The DON also acknowledged that annual performance evaluations are required every 12 months, as per facility policy. The surveyor's review of records and interviews with the DON confirmed that the evaluations had not been performed in a timely manner prior to the survey.