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F0730
D

Missed Annual Competency and Performance Reviews for CNAs

North Hollywood, California Survey Completed on 07-03-2025

Penalty

No penalty information released
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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

The facility failed to complete annual performance reviews and competency skills checks for two Certified Nursing Assistants (CNAs) within the required 12-month period. Specifically, one CNA had not received a competency skills check for the year following her last evaluation, and another CNA also missed her annual competency review. The Director of Staff Development (DSD) confirmed during interviews and record reviews that these evaluations were overdue and not present in the employee files. The DSD stated that competency checks are intended to ensure that CNAs and licensed nurses possess the necessary skills to perform patient care, medication administration, and other job duties, and that these should be completed annually based on hire date and filed immediately. The Director of Nursing (DON) also confirmed that annual performance reviews and competency checks are standard practice for all CNAs and licensed nurses, and that these evaluations are necessary to ensure staff are capable of providing appropriate care and treatment. Review of the facility's policy and procedure indicated that job descriptions and performance evaluations are used to clarify responsibilities, prevent misunderstandings, and provide a basis for job evaluation. The absence of timely performance reviews and competency checks was verified through employee file audits and staff interviews.

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