A 5-page job performance review for people who do non-medical home care work.

For a USA home care agency keeping a personnel file. You get one editable Word file.

What’s included

1. Employee and review details, a 5-to-1 rating scale, an attendance snapshot, and a check that required training is current
2. Competency ratings for reliability, client care, documentation, professionalism, and safety
3. Strengths, concerns, coaching and prior corrective actions, goals, recommended training, and the employee’s own comments
4. Overall rating, recommendations, and signature lines for the employee and the supervisor, plus space for additional office notes

Add your logo and name

1. Open the Word file and put your logo in the Agency Logo box on the review.
2. Replace Agency Name with your agency name.
3. Replace the address, phone, and email.
4. Save before the supervisor and the employee sign.

Editable template for your agency to adapt. Not legal advice, not employment advice, not a license to operate, and not HIPAA software. Match the form to your state rules before it goes in a personnel file.