Failure to Complete Annual Performance Evaluations for CNAs
Penalty
Summary
The facility failed to complete required annual performance evaluations for two CNAs out of five reviewed, resulting in potential for unidentified CNA performance concerns, lack of training related to performance review outcomes, and potential unmet care needs. Documentation provided by the NHA showed that one CNA hired on 8/24/24 had no performance evaluation completed, and another CNA hired on 3/9/15 had their last documented performance evaluation on 3/19/24, with no current annual review. During interviews, the NHA acknowledged that these two CNAs did not have completed performance reviews and stated that the DON was responsible for completing evaluations while HR was responsible for tracking due dates. The DON reported she was unaware that she was responsible for CNA performance evaluations and had not completed any since starting in her role about five months earlier. The Regional Clinical Support confirmed that performance evaluations were expected annually on each employee’s hire-date anniversary, and no evaluations for the two CNAs were available by the end of the survey. A cited reference from a healthcare performance review resource noted that performance reviews lead to improved performance, greater productivity, and a better overall experience for patients. No specific residents or their medical conditions were mentioned in relation to this deficiency, and the report focused solely on staff performance evaluation practices and related documentation and interviews.
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