Community Nursing Home of Anaconda: Aide Training Gap - MT
Staff member C has been under contract with the facility since January 22, 2022, according to staffing records reviewed by inspectors. One administrator told inspectors she believed the worker had been there "since COVID."
Nobody had conducted the required annual evaluations.
When inspectors asked about performance reviews for agency staff on September 22, facility administrators gave conflicting responses about their responsibilities. Staff member A, interviewed at 1:15 p.m., said she "did not have performance reviews for agency staff."
Less than an hour later, staff member B told inspectors "the facility did not conduct performance reviews for agency staff." The facility's own contract showed staff member C had been working there for over 12 months, triggering federal requirements for annual job performance evaluations.
The agency worker confirmed the oversight during her own interview at 2:08 p.m. "My agency does not do performance reviews," staff member E explained. "They just tell me when a facility compliments my work."
She also told inspectors she "does not receive annual education based on her performance reviews" — education that federal regulations require nursing homes to provide based on identified performance gaps.
The gap represents more than administrative paperwork. Performance reviews serve as the primary mechanism for identifying training needs, ensuring competency, and addressing care quality issues before they affect residents. Without them, facilities cannot document whether long-term staff members maintain required skills or identify areas needing improvement.
Federal regulations require nursing homes to observe each nurse aide's job performance and provide regular training based on those observations. The rule applies regardless of whether workers are facility employees or agency contractors, as long as they work in the facility regularly.
Community Nursing Home's contract with staff member C began during the height of the COVID-19 pandemic, when many facilities increased reliance on agency workers to address severe staffing shortages. What started as temporary help became a permanent arrangement, but the facility's oversight responsibilities remained unchanged.
The inspection narrative does not indicate whether other agency workers at the facility received performance reviews, or how many residents were potentially affected by the lack of evaluation and training protocols.
When inspectors requested documentation of performance reviews for staff member C on September 22 at 1:30 p.m., administrators could not provide any evaluations by the time the survey ended.
The violation falls under federal tag F730, which governs nurse aide supervision and training requirements. Inspectors classified the harm level as "minimal harm or potential for actual harm," affecting "few" residents.
The finding highlights a common oversight issue in facilities that rely heavily on agency staffing. While agencies typically handle basic credentialing and initial training, the receiving facility retains responsibility for ongoing performance evaluation and facility-specific education requirements.
Staff member A's uncertainty about the worker's tenure — estimating "since COVID" rather than knowing the precise January 2022 start date — suggests broader gaps in tracking long-term agency relationships. The three-year gap between the contract start and the inspection represents multiple missed annual review cycles.
Federal inspectors did not document whether the facility had policies addressing agency worker evaluations, or whether administrators understood their regulatory obligations for long-term contract staff. The investigation focused specifically on the performance review failure rather than broader staffing oversight practices.
The complaint-driven inspection suggests someone raised concerns about staff supervision or training at the facility, though the narrative does not specify what prompted the federal review.
Community Nursing Home of Anaconda must now develop and implement procedures ensuring all workers, regardless of employment status, receive required annual performance evaluations and training based on identified needs.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Community Nursing Home of Anaconda from 2025-11-17 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
COMMUNITY NURSING HOME OF ANACONDA in ANACONDA, MT was cited for violations during a health inspection on November 17, 2025.
Staff member C has been under contract with the facility since January 22, 2022, according to staffing records reviewed by inspectors.
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.