Failure to Administer Enteral Feeding at Ordered Rate
Penalty
Fine: $66,123
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 ensure that a resident receiving enteral nutrition via feeding tube was provided with the appropriate treatment and services to prevent complications. Specifically, a review of the resident's medical record showed a physician's order for Glucerna 1.5 cal to be administered at 70 mL per hour for 20 hours daily. During an observation, it was found that the feeding pump was set to deliver only 60 mL per hour, which was not in accordance with the physician's order. This discrepancy was confirmed by both the Corporate Resource Nurse and an LPN, who reviewed the electronic medical record and acknowledged the correct rate should have been 70 mL per hour. The feeding rate was then corrected to match the order.