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F0693
D

Untrained Staff Paused and Restarted Enteral Feeding

Wyoming, Michigan Survey Completed on 05-29-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A deficiency occurred when a Certified Nursing Assistant (CNA) paused and restarted enteral tube feeding for a resident diagnosed with esophageal cancer and esophageal obstruction, who was receiving enteral nutrition per physician's orders. The CNA reported pausing the tube feeding prior to providing care and then restarting it afterward, despite not being trained or authorized to perform this task. Interviews with the Director of Nursing (DON) and a Licensed Practical Nurse (LPN) confirmed that only trained staff, such as licensed nurses and med techs, were permitted to pause and restart tube feedings. Additional staff interviews revealed that CNAs regularly performed this action, indicating a lack of adherence to facility policy regarding tube feeding management.

See complete original report
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