Failure to Complete Annual Performance Evaluations for Direct Care Staff
Penalty
Summary
The facility failed to conduct annual performance reviews for two of five direct care staff whose records were reviewed. The facility had a census of 33 residents at the time of survey. Review of employment records showed that one CNA, hired on 11/01/22, did not have an up-to-date annual performance evaluation, with the last evaluation dated 10/03/24. Another CNA, hired on 08/06/03, also lacked a current annual performance evaluation, with the last evaluation dated 10/08/24. During an interview on 02/18/2026 at 12:48 PM, an administrative staff member confirmed these findings and stated that performance evaluations were expected to be completed annually. The facility did not provide a policy related to the completion of annual performance evaluations. No resident-specific medical histories or conditions were described in the report, and the deficiency centered on incomplete and outdated performance evaluations for direct care staff as identified through record review and staff interview.
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