Failure to Complete Annual CNA Performance Reviews
Penalty
Summary
Facility staff failed to complete annual performance reviews for four out of five certified nursing assistants (CNAs) as required. Specifically, the performance reviews for these CNAs were not conducted on an annual basis according to their hire dates. The director of nursing, who was newly appointed and had no prior experience in the role, was unaware of who was responsible for ensuring the completion of CNA performance reviews. The facility's policy requires that employee attendance and completion records for mandatory in-service trainings be reviewed at least annually, typically at the time of the performance review. No additional information or documentation was provided to address this concern prior to the survey exit. Staff interviews and facility document reviews confirmed the deficiency, with administrative staff unable to clarify responsibility for the process, resulting in missed or delayed annual reviews for multiple CNAs.