Failure to Complete Required Annual Performance Evaluations for CNAs
Penalty
Summary
The deficiency involves the facility’s failure to complete required annual performance evaluations for certified nursing assistants (CNAs) in accordance with its own Performance Evaluations policy dated 9/2020, which states that each employee’s job performance shall be reviewed and evaluated at least annually following a 90‑day probationary evaluation. Record review showed that CNA U, hired on 1/28/15, did not have an annual performance evaluation completed for 2025, and CNA H, hired on 8/21/19, also did not have an annual performance evaluation completed for 2025. During interview, CNA H reported not recalling having a performance evaluation and stated they only received paperwork related to whether there was a raise, without information about job performance. The Human Resources Manager stated that the 2025 evaluations for CNA U and CNA H had been started by the prior DON but were not completed, and acknowledged that an annual evaluation is required. The Nursing Home Administrator stated she would expect staff to have an annual performance evaluation. No resident-specific medical histories or conditions are mentioned in the report, and the deficiency centers on the facility’s noncompliance with its policy and regulatory expectations for annual CNA performance reviews.
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