Incomplete Labeling of Continuous Tube Feeding Bag
Penalty
Summary
The deficiency involved the facility’s failure to ensure that enteral feeding services met professional standards of quality for one resident. The resident had diagnoses including cerebral palsy, unspecified dysphagia, unspecified severe protein-calorie malnutrition, and cachexia, and had a physician’s order dated 1/25/26 for continuous NG tube feeding with Jevity 1.2 at 30 mL per hour over 24 hours. On 1/26/26 at 12:10 PM, observation of the resident’s tube feeding revealed that the feeding bag was labeled only with the date “1/26” and two-letter staff initials, without the time the feeding was started. In an interview on 1/28/26 at 9:51 AM, RN 1 stated that night shift nurses were responsible for changing the tube feed bags and that bags should be labeled with the date, the time the tube feed was started, and the nurse’s initials, and acknowledged that without complete labeling, the start time of the feeding could not be known. On 1/29/26 at 8:13 AM, the DON confirmed that tube feeding bags were expected to be labeled with the complete date and time started and signed by the initiating nurse, indicating that the observed labeling did not meet the facility’s expectations.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.