Failure to Complete Annual Performance Evaluations for Nursing Assistants
Penalty
No penalty information released
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 annual performance evaluations for all reviewed nursing assistants (NAs) at least once every 12 months. Review of personnel records for four NAs showed no evidence of an annual performance evaluation for Staff H, hired on 3/19/2015; Staff I, hired on 10/11/2022; Staff J, hired on 5/4/2021; and Staff K, hired on 11/7/2024. During an interview on 2/11/2025 at approximately 2:00 PM, the Director of Nursing Services (Staff M) was unable to provide documentation that performance evaluations had been completed for these NAs within the previous 12 months. This lack of documented annual performance reviews for all four NAs reviewed constituted the identified deficiency.
