Failure to Label Tube Feeding Nutrition as Required
Penalty
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.