Failure to Provide PEG Tube Care per Standards
Penalty
Summary
The facility failed to provide percutaneous endoscopic gastrostomy (PEG) tube care in accordance with professional standards for one resident. The resident was receiving enteral feeding through a PEG tube, but a review of the electronic health records and Treatment Administration Records (TARs) for two months showed no orders for PEG tube treatment. According to established standards, PEG tube sites should be cleaned one to three times daily. When the resident was transferred to the hospital, hospital records indicated that the PEG tube dressing was adhered to the skin by drainage, and a photograph showed a beige-colored dressing on the site. The Center Nurse Executive confirmed there was no order for PEG tube care, and no documentation was provided to show that the PEG tube site had been cleaned.