F0730

E

Failure to Complete Required Annual Performance Evaluations for CNAs

Sun City, California Survey Completed on 03-13-2026

Penalty

No penalty information released

Summary

The facility failed to maintain current personnel records by not completing required annual performance evaluations for three CNAs, resulting in an inability to assess staff performance, identify areas needing improvement, and ensure competency in providing resident care. Review of personnel files on March 13, 2026, showed no documented annual performance evaluations for CNA 1, hired August 16, 2022, CNA 2, hired August 30, 2023, and CNA 3, hired February 28, 2024. During a concurrent interview and record review, the Director of Staff Development (DSD) acknowledged responsibility for completing CNA performance evaluations and confirmed there was no documentation of annual evaluations for these three CNAs, stating that such evaluations are important to ensure staff competency in resident care. In a separate interview, the Director of Nursing (DON) confirmed that the DSD is responsible for CNA evaluations, acknowledged that annual evaluations for these CNAs had not been completed and should have been, and stated that annual evaluations are necessary to ensure staff are competent in providing appropriate care and meeting residents’ needs.

A review of the facility’s policy titled “Evaluation Process,” dated December 19, 2022, indicated that the facility is to review employee work performance with a formal written evaluation annually, considering factors such as job performance, achievement of preset goals, attendance records, and adherence to workplace policies. The absence of annual performance evaluations for the three CNAs was therefore not in accordance with the facility’s own written policy and represented a failure to follow established procedures for monitoring and documenting staff performance and competency.