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F0730
D

Failure to Complete Annual Performance Reviews for CNAs

Westlake, Ohio Survey Completed on 12-11-2025

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 ensure that two out of five reviewed Certified Nursing Assistants (CNAs) received their required annual performance reviews. Personnel file audits revealed that one CNA, hired in September 2020, and another CNA, hired in June 2011, did not have current annual performance reviews on file. Interviews with both CNAs confirmed that their annual reviews had not been completed. The Director of Nursing (DON) also confirmed that these CNAs were actively working scheduled shifts throughout the facility without current annual performance reviews in place. This deficiency was identified during a complaint investigation and had the potential to affect all residents in the facility, which had a census of 99 at the time of the survey.

See complete original report
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