The nurse, identified as S6LPN in inspection records, documented on December 17 that she restarted Resident #3's nutritional supplement feeding at 11:08 AM at a rate of 58 milliliters per hour. But when inspectors observed the resident at 1:00 PM, nearly two hours later, the feeding pump was still off and the feeding tube was not connected to the resident's stomach port.
The resident receives liquid nutrition through a percutaneous endoscopic gastrostomy tube — a tube inserted through the skin directly into the stomach. The physician had ordered Isosource 1.5, a nutritional supplement, to be delivered at 58 mL per hour for 21 hours daily, starting at noon and stopping at 9 AM.
Earlier that morning, the nurse had checked the resident's stomach contents and found 315 mL of residual fluid — indicating the stomach had not emptied properly from previous feedings. She correctly documented holding the feeding due to the high residual and wrote in nursing notes at 12:17 PM that the "feeding held."
But her medication administration record showed she had restarted the feeding at 11:08 AM, before she had even checked the residual.
When inspectors interviewed the nurse at 2:38 PM, she admitted the resident's feeding was still on hold due to the high residual. She acknowledged she had documented restarting the feeding at 11:08 AM but "should not have been."
At 2:45 PM, inspectors observed the feeding pump was still turned off and the tubing remained disconnected.
The nurse finally performed another residual check at 2:51 PM, removing 50 mL of fluid from the resident's stomach. She then restarted the actual feeding at 3:08 PM — nearly four hours after she had documented doing so.
The facility's policy requires staff to record the date and time of residual checks and the amount of fluid found. But the nurse failed to document the 2:51 PM residual check that showed 50 mL, and she never recorded the actual time she restarted the feeding.
The facility's job description for licensed practical nurses specifically requires "maintaining accurate documentation of nursing care, including nurse's notes and electronic records."
Director of Nursing S3 confirmed to inspectors on December 22 that the nurse should have accurately documented both the feeding times and residual checks, including the date, time, and amount in the resident's medical record.
The false documentation meant other staff members could have believed the resident was receiving ordered nutrition when the feeding had actually been on hold for hours. Tube feeding provides essential nutrition for residents who cannot eat normally, and accurate records help ensure proper care continuity across nursing shifts.
Federal inspectors cited the facility for failing to maintain accurate medical records, finding the documentation failures affected at least one of three residents reviewed. The violation was classified as causing minimal harm or potential for actual harm to few residents.
The inspection was conducted in response to a complaint about the facility, located on Chef Menteur Highway in New Orleans. Lafon Nursing Facility of the Holy Family must submit a plan of correction to continue participating in Medicare and Medicaid programs.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Lafon Nursing Facility of the Holy Family from 2025-12-22 including all violations, facility responses, and corrective action plans.