Failure to Provide Physician-Ordered Feeding Tube Site Care
Penalty
No penalty information released
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
Resident #26, who had a history of surgical interventions of the digestive system and required a feeding tube, did not receive proper care of the feeding tube site as ordered by the physician. The care plan required checking the placement of the feeding tube and monitoring tube feedings, with a specific physician order to cleanse the feeding tube site with normal saline and apply drain gauze at bedtime. During observation, the resident's tube feeding site was found to have a soiled, undated gauze dressing. Interviews with both the resident and an LPN revealed that the dressing had last been changed several days prior, on the last day the LPN had worked with the resident, indicating that the dressing had not been changed as ordered.