Failure to Maintain Proper Positioning During Tube Feeding
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
A deficiency was identified when a resident receiving enteral nutrition via a PEG tube was observed lying flat in bed with the tube feeding pump running, contrary to physician orders and the resident's care plan, which required the head of bed to be elevated during feeding and medication administration. The resident's physician order specified that the head of bed should be elevated while feeding to prevent complications, and the care plan included the same intervention. During interviews, nursing staff confirmed that the head of bed should be at least at a 30-degree angle during tube feeding. Additionally, when asked, the Director of Nursing stated that the facility did not have a formal policy on tube feeding, only a standard practice.