Undated Enteral Feeding and Water Flush Supplies for Tube-Fed Resident
Penalty
Summary
A deficiency occurred when a resident receiving enteral nutrition via gastrostomy tube did not receive appropriate care and services related to the management of tube feeding and water flush supplies. The resident, admitted with diagnoses including encounter for attention to gastrostomy, adult failure to thrive, and malnutrition, had care plan and physician orders directing provision of tube feeding with Isosource 1.5 at 60 ml/hr for 22 hours daily and free water flushes of 150 ml every four hours, six times a day. During observations on two separate days, surveyors noted that the resident’s Isosource 1.5 bottle and 1000 ml water flush bag were not dated, and on a subsequent observation the water flush bag remained undated. The DON and an LPN confirmed that the tube feed and water flush bag lacked required dating, and facility leadership acknowledged that the facility failed to ensure appropriate care and services for this resident receiving enteral feeding.
