Failure to Complete Required Annual CNA Skills Competency Evaluations
Penalty
Summary
The facility failed to ensure that nursing staff received required skills, competencies, and performance evaluations for five of five CNAs reviewed for education and training. Surveyors requested CNA skills competency documentation for five CNAs and found that the most recent evaluations were not consistently completed on an annual basis. Specifically, CNA Y’s most recent skills competency evaluation was dated 7/18/24, CNA Z’s was dated 8/8/24, CNA AA’s was dated 1/23/24, CNA BB’s was dated 11/2/22, and CNA CC’s was dated 6/27/24. These dates showed that at least one CNA had not had a skills competency evaluation for more than a year. During an interview, the Infection Preventionist/Staff Development nurse stated they had been in the staff development role since mid-October 2025 and described the process as reconciling that skills competencies were done upon hire. When asked about annual skills competency evaluations to determine areas needing improvement, the nurse reported they were not aware that annual evaluations were required. When asked about corporate oversight or support, the nurse stated that such oversight existed but could not provide further explanation. The facility’s own policy titled “Skills Evaluations,” dated 2/9/2024, states that skills evaluation checklists are to be completed during job-specific orientation, re-validated annually, and completed as needed, which was not followed for the CNAs reviewed.
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