Failure to Complete Required Performance Evaluations for CNAs
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
Surveyors identified a deficiency related to the facility’s failure to complete required performance reviews for certified nurse aides (CNAs). Record review of employee files showed that CNA #16, hired on 11/18/24, had no performance evaluations documented in the file. Similarly, CNA #17, hired on 09/20/24, also had no performance evaluations documented. During an interview on 01/13/26 at 9:27 AM, the administrator confirmed that there were no performance evaluations for CNA #16 and CNA #17 and acknowledged that performance evaluations were expected to be completed at least annually for CNAs. The report states that this deficient practice could likely result in staff being undertrained and providing inadequate care.
