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F0730
D

Failure to Conduct and Document Annual Nursing Aide Performance Reviews

Chestertown, Maryland Survey Completed on 08-13-2025

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

Facility staff failed to conduct annual performance reviews for nursing aides, as evidenced by the absence of such documentation in the employee files of five geriatric nursing assistants (GNAs) reviewed during the annual survey. The Assistant Director of Nursing (ADON) was unable to provide evidence of completed performance reviews for these GNAs within the past 12 months, despite being given the opportunity to search for the missing documentation. The ADON confirmed that the annual performance reviews could not be located. Further inquiry with the Human Resources (HR) representative revealed that the process for performance reviews involved notifying supervisors of upcoming due dates and expecting completed forms to be returned. However, the HR representative relied primarily on verbal reminders and did not have a system to ensure completion or follow-up if reviews were not received. Both the Director of Nursing and ADON were informed of the missing annual performance reviews for the five GNAs.

See complete original report
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