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F0730
E

Failure to Complete Annual Performance Evaluations for Nurse Aides

Pittsburgh, Pennsylvania Survey Completed on 01-22-2026

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 required annual performance evaluations for two nurse aides in accordance with its own Employee Handbook, which states that all employees will receive a written annual rating and evaluation by their department supervisor based on their anniversary date. Review of the personnel record for one nurse aide, hired on 10/25/21, showed no performance evaluation was conducted between 10/1/24 and 10/1/25. Review of the personnel record for a second nurse aide, hired on 11/23/21, showed no performance evaluation was conducted between 11/23/24 and 11/23/25. During an interview, the Human Resources Director confirmed that the facility did not complete annual performance evaluations at least every 12 months for these two nurse aides, in violation of 28 Pa Code: 201.14(b) and 201.18(b)(1)(3). No residents or specific patient conditions were mentioned in the report, and the deficiency pertains solely to staff performance evaluation practices and documentation.

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