Royal Park Health: Staff Performance Review Failures - WA
Staff F was hired at Royal Park Health and Rehabilitation Center on November 3, 2022. Federal inspectors found no documentation of any performance evaluation in the employee's personnel file during their January 17 visit.
The missing reviews occurred despite the nursing assistant receiving disciplinary actions that should have triggered closer oversight. On January 10, 2023, Staff F received a verbal warning for not completing required training. Six months later, on July 29, 2024, administrators issued a written warning for a verbal altercation with a coworker that included profanity and threatening language at the nurse's station.
The facility's own managers told inspectors that annual evaluations were required policy. When questioned about the missing reviews, multiple staff members acknowledged the requirement but admitted the facility had fallen behind.
Staff G, a nursing assistant, stated that staff evaluations were done yearly. Staff E, a registered nurse, gave inspectors the same response when interviewed at 12:52 PM.
But the Resident Care Manager, Staff D, acknowledged the reality during a 12:59 PM interview. While stating that staff evaluations were supposed to be completed yearly, Staff D admitted that resident care was a priority and acknowledged staff evaluations were not completed yearly as required.
The Director of Nursing, Staff B, confirmed the systemic failure during a 1:46 PM interview. Staff B stated that staff evaluations were to be completed yearly but acknowledged the facility was behind on completing staff evaluations yearly as required.
Federal regulations require nursing homes to observe each nurse aide's job performance and provide regular training based on those observations. The missing performance reviews meant that Staff F's documented training deficiencies and workplace conduct issues went unaddressed through formal evaluation processes for over two years.
The inspection found that Royal Park failed to complete annual staff performance reviews for one of five sampled employees reviewed for performance evaluations. Inspectors noted this failure placed residents at risk of receiving care from inadequately trained or underqualified care staff and diminished quality of life.
Performance evaluations serve multiple purposes in nursing home operations. They identify training needs, document competency, address performance issues, and ensure staff meet ongoing requirements for resident care. When facilities skip these reviews, problems can compound without intervention.
Staff F's case illustrates this pattern. The January 2023 verbal warning for incomplete training should have prompted additional oversight and follow-up evaluation. Instead, six months later, the employee faced a more serious written warning for threatening behavior that disrupted operations at the nurse's station.
The threatening language incident occurred in a central location where nurses coordinate resident care and communicate with families and physicians. Such disruptions can interfere with critical care coordination and create an unprofessional environment for residents and visitors.
Washington state regulations referenced in the citation require facilities to maintain competent staff through regular evaluation and training. The regulations specify that nurse aides must receive ongoing supervision and performance assessment to ensure quality resident care.
Royal Park's admission that resident care took priority over staff evaluations reveals a fundamental misunderstanding of how the two connect. Regular performance reviews help ensure that the staff providing daily resident care maintain competency and address problems before they escalate.
The facility's acknowledgment that it was "behind" on evaluations suggests the problem extended beyond Staff F's case. When administrators told inspectors that yearly evaluations were policy while simultaneously admitting they weren't happening, it highlighted a gap between stated requirements and actual practice.
Staff F continued working direct care shifts throughout the period without performance reviews, interacting daily with vulnerable residents who depend on competent, professional caregivers. The missing evaluations meant no formal assessment of whether the employee had addressed the training deficiencies that prompted the initial warning or modified the behavior that led to the threatening language incident.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Royal Park Health and Rehabilitation from 2025-01-17 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
Royal Park Health and Rehabilitation in SPOKANE, WA was cited for violations during a health inspection on January 17, 2025.
Staff F was hired at Royal Park Health and Rehabilitation Center on November 3, 2022.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.