F0730

E

Failure to Complete Timely Annual Performance Evaluations for Nurse Aides

Hanover, Pennsylvania Survey Completed on 01-14-2026

Penalty

No penalty information released

Summary

The facility failed to ensure that nurse aide performance evaluations were completed at least once every 12 months for three of five nurse aides reviewed. Facility job description documentation for nurse aides stated that annual evaluations are to be completed by their supervisor. A facility-generated list identified nurse aides who had worked at the facility for more than one year, and three employees from this list were selected for review. Employee 7’s last annual performance evaluation was dated October 11, 2022, and Employee 8’s last annual performance evaluation was dated July 18, 2023, showing that neither had an evaluation within the past 12 months. Facility documentation showed Employee 9 had a hire date of August 19, 2024, but there was no annual evaluation for 2025 available for review. During an interview, the Nursing Home Administrator confirmed she was unable to locate annual evaluations within the past 12 months for Employees 7, 8, and 9 and stated she would have expected them to be available in their employee files.

This deficiency was cited under 28 Pa. Code 201.14(a) Responsibility of licensee and 28 Pa. Code 201.18(b)(1) Management.