Failure to Complete Required Annual Performance Evaluation for CNA
Penalty
Summary
The facility failed to ensure an annual performance evaluation was up to date for one of five sampled CNAs, as required by facility policy. During an interview and concurrent record review with the Director of Staff Development (DSD), the CNA’s personnel file, initiated on 8/10/20, showed that the last documented annual performance review was completed on 12/28/24, and the DSD confirmed that no annual performance evaluation had been conducted for 2025. Review of the facility’s undated Performance Evaluations policy indicated that each employee’s job performance shall be reviewed and evaluated at least annually, and that completed evaluations are to be sent by the director or supervisor to the HR Director for placement in the employee’s personnel record. The surveyor determined that this lapse had the potential to result in the CNA providing care that does not meet residents’ needs. No additional resident-specific clinical information or medical history was provided in the report related to this deficiency.
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