Laurels of West Columbus: Wrong Feeding Formula - OH
Resident 14 was supposed to receive Jevity 1.5 formula nightly from 8 p.m. to 6 a.m. through his feeding tube, according to physician orders dated July 29. Instead, staff at Laurels of West Columbus gave him Jevity 1.2 starting July 31, federal inspectors found during a September complaint investigation.
The 79-year-old patient had been admitted in April with malignant lung cancer, malnutrition, depression and a history of falls. His care plan noted he was "unable to nutritionally consume adequate food or fluids by mouth" and required tube feeding because of malnutrition and weight loss.
Despite being cognitively intact, the resident needed substantial assistance with mobility and transfers. He was occasionally incontinent of bladder and frequently incontinent of bowel, inspection records show.
Licensed Practical Nurse 250 told inspectors on August 28 that the facility had run out of the prescribed Jevity 1.5 formula. She asked if the resident could receive Jevity 1.2 "until the Jevity 1.5 came in."
The nurse confirmed the patient went without any Jevity 1.5 for two nights before staff started the substitute formula on July 31.
Federal regulations require facilities to ensure feeding tubes are used only when medically necessary and with proper resident consent. The rules also mandate appropriate care for residents with feeding tubes, including following physician orders for specific formulations.
The inspection found the facility failed to provide tube feeding as the physician ordered, affecting one of two residents reviewed for tube feeding compliance.
Jevity formulas contain different nutritional concentrations. Jevity 1.5 provides more calories and protein per milliliter than Jevity 1.2, making the distinction potentially significant for malnourished patients requiring specific nutritional support.
The resident's admission orders specified 70 milliliters per hour of Jevity 1.5 delivered through his PEG tube via pump during nighttime hours. The substitution meant he received a less concentrated nutritional formula during a critical period when his body was fighting cancer and malnutrition.
Medical records showed the resident required partial to moderate assistance with eating and was coded as having a feeding tube on his quarterly assessment. His functional status indicated he needed substantial help with bed mobility and was dependent for toileting.
The violation occurred despite the facility having 79 residents and presumably maintaining adequate inventory management systems for essential medical supplies like tube feeding formulas.
Inspectors classified the violation as causing minimal harm or potential for actual harm, affecting few residents. The deficiency was investigated under complaint number 2599291, suggesting someone reported concerns about tube feeding practices at the facility.
The case highlights how supply chain issues at nursing homes can directly impact medical care for vulnerable residents. When facilities run short of prescribed medications or nutritional products, residents may receive substandard care even when staff attempt to find alternatives.
For Resident 14, fighting lung cancer while dealing with malnutrition, those two nights without proper nutrition represented a break in his prescribed medical treatment during a period when consistent nutritional support was essential for his care.
Federal inspectors found the facility failed to ensure tube feeding was provided as physician ordered, a violation of regulations designed to protect residents who depend entirely on artificial nutrition for survival.
The inspection report does not indicate whether the facility has since improved its inventory management or established protocols to prevent similar nutritional formula shortages that could affect other tube-fed residents' care.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Laurels of West Columbus, The from 2025-09-08 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
LAURELS OF WEST COLUMBUS, THE in COLUMBUS, OH was cited for violations during a health inspection on September 8, 2025.
Resident 14 was supposed to receive Jevity 1.5 formula nightly from 8 p.m.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.