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F0730
E

Failure to Complete Annual Performance Reviews for CNAs

La Verne, California Survey Completed on 02-10-2026

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 reviews for four sampled CNAs, contrary to its policy and the Director of Staff Development’s (DSD) stated expectations. Review of CNA 1’s employment record showed hire on 4/25/2024 and a last performance review on 11/4/2024, with no review documented for 2025. CNA 2’s record showed a last performance review on 12/30/2024, with no review documented for 2025. CNA 4, hired on 7/19/2007, had a last performance review dated 12/28/2023, with no reviews documented for 2024 or 2025. CNA 5, hired on 10/16/2023, had a last performance review on 2/12/2024, with no review documented for 2025. In an interview on 2/10/2026, the DSD stated that performance reviews should be done annually and acknowledged that she had not completed any performance reviews for CNAs since starting in April 2025. Review of the facility’s September 2020 policy titled “Job Descriptions and Performance Evaluations” confirmed that annual performance reviews are required to be completed by the employee’s direct supervisor. This failure had the potential to result in CNAs providing improper care, making clinical errors, and causing resident injury, as identified by the surveyors based on the interview and record review.

See complete original report
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