Failure to Complete Annual Staff Performance Reviews
Penalty
Fine: $12,73529 days payment denial
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 conduct annual performance reviews for one certified nursing assistant (CNA) and one licensed vocational nurse (LVN), as required by facility policy. Review of personnel files showed that the CNA, hired on 9/26/22, did not have a performance review completed in 2023, and the LVN, hired on 8/18/22, had not received any performance review since being hired. During an interview, the director of staff development confirmed the absence of these required evaluations and acknowledged that annual performance reviews should have been conducted. The facility's policy, dated 9/2020, specifies that each employee's job performance must be reviewed and evaluated at least annually.