Based on record review and interview, the facility failed to ensure certified nurse aide performance reviews were completed at least once every 12 months. Specifically, two of six certified nurse aides (Certified Nurse Aide #4 and #10) reviewed for staffing did not have an annual performance review documented. Subsequently, there was no documented evidence of tailored outcomes based on performance review. The findings include:The policy titled Performance Review, dated 07/01/2025, documented that employees were evaluated on their job performance annually on or about their anniversary date of employment. …
F730 citations in New York
Nurse aide performance review · Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New York cites F730 more often than its own record predicts
1.81 times the share F730 takes of citations nationally.
Of every deficiency written in New York in 2025, this is the portion that was F730.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New York surveyors wrote
F730 findings written in New York, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview and record review conducted during the Standard survey completed on 08/22/2025, the facility did not ensure Certified Nurse Aide performance reviews were completed at least once every 12 months for three (3) (Certified Nurse Aides #3, #4, and #5) of five (5) Certified Nurse Aide files reviewed. Specifically, there was no evidence Certified Nurse Aides #3, #4, and #5 who had worked at the facility more than 12 months had performance reviews completed at least once every 12 months. …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 0.21% | 0.59× |
| 2024 | 0.91% | 2.58× |
| 2025 | 0.62% | 1.81× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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