cms_GA: 10630
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
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10630 | HERITAGE HEALTHCARE OF LAFAYETTE | 115304 | 205 ROADRUNNER BOULEVARD | LAFAYETTE | GA | 30728 | 2009-05-13 | 322 | D | L1C411 | Based on observations, staff interviews, and review of facility policy, the facility failed to provide appropriate positioning, during incontinence care, for two residents (2) residents (#4, #9) receiving gastrostomy tube feeding from a sample of seventeen (17) residents. Findings include: 1. Observation on 5/13/09 at 8:15 am of CNA "BB" providing incontinence care to resident # 9 revealed that tube feeding was being administered via a pump at 55 cc per hour. During the care the head of the resident's bed was flat and the tube feeding continued to infuse. Interview on 5/13/09 at 8:35 am with CNA "BB" revealed that the she was suppose to keep the head of the bed up during incontinent care or get the nurse to turn the tube feeding off. "BB" acknowledge that the feeding continued to infuse while the resident was flat in bed. 2. Observation on 5/11/09 at 1:30pm. of CNA "BB" providing incontinence care to resident #4, revealed that tube feeding was infusing via pump and she lowered the head of the bed to lower tha thirty (30) degrees. The CNA did not pause or stop the feeding while providing care. Interview on 5/11/09 at 1:35pm with CNA "BB" revealed that she was never instructed to stop or pause the feeding pump when providing care. She further revealed that she never notified the nurse prior to care or lowering the head of the bed. Interview with Director of Nursing (DON) "CC" on 5/11/09 at 3:10pm revealed that she was not aware of a policy to stop or pause the feeding pump when head of the bed is lowered. Review of the facility policy for Tube Feeding indicated that a resident's head will be elevated at least 30-45 degrees at all times with continuous feedings unless temporarily stopped when the head is lowered to render care. | 2014-01-01 |