Failure to Complete Annual Performance Evaluations for C.N.A.s
Penalty
No penalty information released
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
Facility staff failed to complete annual performance evaluations for two out of five reviewed certified nursing assistants (C.N.A.s). Specifically, there was no evidence of annual performance reviews for C.N.A.s hired on 7/22/1986 and 11/29/2022. During staff interviews, the Director of Nursing acknowledged responsibility for ensuring annual evaluations and confirmed that evaluations for these two C.N.A.s had not been completed, although evaluations for the other three reviewed C.N.A.s were provided. Additionally, when requested, the facility was unable to present a policy on staff training and performance evaluations. No further information or documentation was provided by facility leadership regarding this concern.