Failure to Complete Annual Performance Reviews for CNAs
Penalty
Summary
The facility failed to complete required annual performance reviews for multiple CNAs, resulting in a deficiency related to staff evaluation and training. Record review of training transcripts showed that CNA #6, hired on 10/01/18, had no annual performance review on file; CNA #7, also hired on 10/01/18, had no annual performance review on file; and CNA #8, hired on 09/15/22, likewise had no annual performance review documented. During an interview on 01/09/26 at 11:24 a.m., the DON stated she only had training logs for the requested staff and confirmed that CNAs #6, #7, and #8 did not have annual performance reviews completed. In a subsequent interview on 01/14/26 at 2:30 p.m., the DON reiterated that she did not have performance reviews available for these CNAs and acknowledged that CNA annual performance reviews should have been completed as required, but were not. The report notes that if the facility is not completing a performance review of every CNA at least once every 12 months, then residents are likely to not receive the appropriate care and services, and the CNAs may not meet the needs of all residents.
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