Failure to Revise Care Plan for Tube Feeding Management
Penalty
Summary
The facility failed to revise the care plan for a resident, identified as R63, regarding tube feeding management. The resident was admitted on February 12, 2024, with diagnoses of Protein Calorie Malnutrition and Oropharyngeal Phase Dysphagia. A physician's order dated April 1, 2024, required daily cleansing of the area around the feeding tube, and another order dated July 22, 2024, specified a Controlled Carb/Renal Diet with Mechanical Soft Texture and Thin consistency. However, on December 2, 2024, it was observed that the care plan had not been updated to include these orders. This was confirmed by a Registered Nurse, Employee E6, during an interview.
Plan Of Correction
This plan of correction is submitted to comply with Federal Regulations. This plan is not an admission of guilt, or wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies. - Resident's R63 care plan was revised to reflect the current goal and interventions with ordered diet. - An audit of all residents with enteral feeds was completed to ensure that goals and interventions with ordered diets were reflected on their current care plans. - Nursing staff and Dietician will be educated to ensure that care plans are revised timely with any diet changes. - DON/Designee will audit for any residents that have had their enteral feeds discontinued to ensure that care plans have been updated. Audits will be done weekly x4 weeks and monthly x2 months. Results of these audits will be reviewed at the Quality Assurance Meeting to determine if further action is needed.