cms_WV: 9205
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
9205 | EASTBROOK CENTER LLC | 515089 | 3819 CHESTERFIELD AVENUE | CHARLESTON | WV | 25304 | 2011-06-08 | 281 | D | 0 | 1 | MZQB11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, and record review, the facility failed to assure staff adequately assessed the patency of a gastrostomy tube prior to administering the medications and tube feeding. The nurse did not verify the placement of the tube by aspirating for residual per physician order. The physician's orders [REDACTED]. This did not occur for one (1) of one (1) resident observed during medication administration by gastrostomy tube. Resident identifier: #76. Facility census: 144. Findings include: a) Resident #76 During medication administration on 05/31/11 at 1:30 p.m., a licensed practical nurse (LPN - Employee #100) prepared to administer a medication to Resident #76 via gastrostomy tube. Employee #100 stated it was also time to turn on the resident's tube feeding, so she would do that too as soon as she gave his medication. Employee #100 administered the resident's medication in his enteral gastrostomy tube and then turned on his feeding of [MEDICATION NAME] 1.5 at a rate of 66 ml/hour as ordered. She stated this was ordered to run until 1320 cc of the tube feeding had infused. After administering this medication and turning on the feeding, the nurse then checked the Medication Administration Record [REDACTED]. If 400 ml of residual, hold the feeding and call the MD. The nurse, when questioned about verifying placement of the tube, stated, I know I forgot to aspirate to verify placement and check the residual. She verified that this should have been checked prior to administering the medication and starting the feeding. . | 2016-01-01 |