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F0693
D

Unsanitary Administration of Tube Feeding

Cincinnati, Ohio Survey Completed on 05-15-2025

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

Staff failed to administer tube feedings in a sanitary manner for a resident with a gastrostomy tube. The resident, who was cognitively intact and had a history of dysphagia following cerebral infarction, was observed lying in bed with a tube feeding pump that was not running. A partially used container of Jevity 1.5, dated the previous day, was hanging on the pump and connected to the g-tube tubing, which had a piece of paper towel stuck in the end to prevent the formula from spilling out. Interviews with nursing staff confirmed that the tube feeding had been disconnected earlier in the day and that the partially used bag of Jevity 1.5 should have been discarded after the feeding was stopped. Facility policy required that reconstituted formulas be refrigerated and discarded within 24 hours. The presence of the used formula and unsanitary paper towel in the tubing indicated a failure to follow proper procedures for tube feeding administration and formula handling.

See complete original report
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