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F0693
D

Failure to Label Tube Feeding Nutrition as Required

Prophetstown, Illinois Survey Completed on 07-23-2025

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

The facility failed to properly label a bag of liquid nutrition being administered via feeding tube for a resident with multiple diagnoses, including intracranial injury, dysphagia, contractures, aphasia, and epilepsy. Observation revealed that the bag of liquid nutrition hanging next to the resident's bed did not have the resident's name, date, or time it was initiated, and this unlabeled bag remained in use for several hours. Interview with the DON confirmed that the bag should have been labeled with the date, time, type of nutrition, and resident's name, as required by the facility's tube feeding policy. Record review showed that the policy mandates labeling the feeding with specific identification information to ensure safe administration.

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