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F0730
D

Missing Annual Performance Evaluations for Nurse Aides

Wyndmoor, Pennsylvania 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

Three nurse aides, identified as Employees E9, E10, and E11, did not have documented yearly performance evaluations as required. A review of staff training files was conducted, and it was found that these employees, who were hired on various dates in 2021 and 2023, should have had annual evaluations on file. The Human Resources Director was unable to locate the yearly reviews for these employees, and after additional time was given, the Director of Nursing confirmed that the annual reviews could not be found. This lack of documentation was observed during the survey and was in violation of facility policy and state regulations regarding management and nursing services. No information about residents or their medical conditions was included in the report, and the deficiency pertains solely to staff evaluation documentation.

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