Failure to Complete Required Annual Performance Evaluations for GNAs
Penalty
Summary
The facility failed to ensure that annual performance evaluations for Geriatric Nursing Assistants (GNAs) were completed at least every twelve months, as required. During a review of four GNA personnel files conducted between 10:00 AM and 12:00 noon on 02/04/2026, surveyors found that GNA #15, hired on 01/28/2014, had no annual performance evaluations documented for the years 2016 through 2026. In addition, GNA #9, hired on 07/26/2023, did not have annual performance evaluations present for 2024 or 2025. The annual performance evaluation is used to identify which clinical competency skills each GNA should improve or maintain based on the required annual 12-hour competency skills training. At 12:00 noon on 02/04/2026, the surveyor reviewed these findings with the Director of Nursing and the Human Resources Manager, and the Human Resources Manager confirmed that the facility could not provide evidence that the required annual performance evaluations had been completed for the identified time periods. This deficient practice was discussed with facility leadership during the exit conference on 02/04/2026.
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