Failure to Complete Annual Performance Reviews for Nurse Aides
Penalty
Summary
The facility failed to complete annual performance evaluations for five nurse aides, as required by federal regulations. Personnel records for these nurse aides, with hire dates ranging from 2011 to 2023, did not contain documentation of annual performance reviews based on their respective dates of hire. This deficiency was confirmed during an interview with a Human Resources employee, who acknowledged that the required annual evaluations had not been conducted for these staff members. No information regarding residents, their medical history, or their condition at the time of the deficiency was provided in the report.
Plan Of Correction
For Nurse Aide (NA) Employee's 4, 5, 6, 7, and 8, the annual evaluations were completed. Nurse Aides' employment files will be reviewed to make sure annual evaluations have been completed. Evaluations will be completed annually based on hired date. Human Resource Director will educate the Director of Nursing on protocol for annual evaluations. Human Resource Director or designee will audit employee evaluations and set a schedule for the upcoming year. Results will be turned into the monthly Quality Assurance meeting.