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F0730
D

Failure to Complete Annual Performance Review for Nurse Aide

Pembroke, North Carolina Survey Completed on 11-21-2025

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 a required annual performance review for a nursing assistant, as evidenced by the absence of documentation in the personnel file for the nurse aide hired on 7/30/24. Record review confirmed that no performance evaluation had been conducted within the past year. Interviews with the Administrator and the Director of Nursing (DON) revealed that the DON, who was responsible for conducting these reviews, had not performed any annual performance reviews for nurse aides since being hired in March 2025. The nurse aide also confirmed that she had not received her expected annual evaluation.

See complete original report
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