Missing Initial and Annual Competency Evaluations for CNAs
Penalty
Summary
The facility failed to ensure that two CNAs had the required initial and annual competency evaluations and documented skills demonstrations as required by facility policy. Review of personnel records showed that one CNA hired on 1/15/24 had no dated competency skills documented in the file from the date of hire onward, and another CNA hired on 2/24/23 likewise had no dated competency skills documented since hire. During an interview, the Business Office Manager confirmed that two CNAs did not have competency trainings in their personnel files, despite the expectation that staff receive annual competency training. The facility’s written Competency Evaluation policy, last reviewed/revised on 1/1/25, states that each employee is to be evaluated to assure appropriate competencies and skills for their job, with initial competency evaluated during orientation and subsequent or annual competency evaluated thereafter, but these evaluations were not documented for the two CNAs. No resident-specific information, medical history, or condition at the time of the deficiency was provided in the report.
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