F0693

D

Unlabeled Enteral Feeding Bag for Resident on G-Tube

Indianapolis, Indiana Survey Completed on 02-16-2026

Penalty

No penalty information released

Summary

Surveyors found that a resident receiving continuous enteral nutrition via a gastrostomy tube had an unlabeled feeding bag in use. Observation showed the resident lying in bed with a tube connected to a feeding pump set to deliver 60 ml of formula per hour with a 40 ml water flush every hour, but the feeding bag did not display the type of formula, the feeding rate, the date and time it was hung, or the nurse’s initials. The LPN present acknowledged that the bag should have been labeled when it was hung. Record review showed the resident had diagnoses including traumatic brain injury, aphasia, dysphagia, and gastrostomy, with a physician’s order for Glucerna 1.5 at 60 ml per hour with 40 ml free water flush every hour. The facility’s enteral tube feeding policy required staff to document their initials, the date and time the formula was hung/administered, and to initial that the label was checked against the physician’s order, which was not done in this case.

This failure to label the tube feeding bag according to facility policy for one resident receiving gastrostomy tube feeding constituted the cited deficiency.