The nurse, identified as S6LPN in inspection records, falsely recorded that she had restarted Resident 3's nutritional tube feeding at 11:08 AM on December 17. But when inspectors arrived at 1:00 PM that same day, they found the feeding pump turned off and the tubing disconnected from the resident's stomach tube.
The resident required around-the-clock liquid nutrition delivered through a percutaneous endoscopic gastrostomy tube, a feeding device surgically inserted through the skin into the stomach. Physician orders called for Isosource 1.5 nutritional supplement to be administered at 58 milliliters per hour for 21 hours daily, starting at noon and stopping at 9 AM.
S6LPN had legitimately stopped the feeding earlier that morning after discovering 315 milliliters of residual fluid in the resident's stomach during a routine check at 12:17 PM. High residual volumes can indicate digestion problems and require feeding to be temporarily halted. She documented this properly in nursing notes.
But her medication audit report claimed she had restarted the feeding at 11:08 AM — more than an hour before she had even performed the residual check that led to stopping it.
"She documented that the enteral feedings were restarted at 11:08 AM and should not have been," S6LPN told inspectors when confronted about the discrepancy during a 2:38 PM interview.
The feeding pump remained off throughout the inspection. At 2:45 PM, inspectors again observed the pump turned off with tubing disconnected. Only at 2:51 PM did S6LPN perform another residual check, finding 50 milliliters of fluid. She finally restarted the actual feeding at 3:08 PM.
None of this was documented.
The facility's own policies required staff to record the date, time, and amount for all gastric residual checks in the resident's medical record. The licensed practical nurse job description specifically outlined duties including "maintaining accurate documentation of nursing care, including nurse's notes and electronic records."
S6LPN failed to document the 2:51 PM residual check that showed 50 milliliters of fluid. She also failed to record the actual time she restarted the feeding at 3:08 PM. The medical record contained no nursing notes after 12:17 PM that day, despite multiple critical feeding interventions occurring throughout the afternoon.
Director of Nursing S3DON confirmed during a December 22 interview that the nurse should have accurately documented all feeding times and residual checks, including dates, times, and amounts.
The documentation failures left gaps in the resident's medical record spanning nearly three hours of feeding management. During this period, the resident received no nutrition while staff made multiple undocumented decisions about when it was safe to resume feeding.
Federal regulations require nursing homes to maintain accurate medical records following accepted professional standards. The false documentation and missing entries violated these requirements, inspectors determined.
Lafon Nursing Facility of the Holy Family operates on Chef Menteur Highway in New Orleans. The facility must submit a plan of correction addressing how it will ensure accurate documentation of tube feeding management and residual checks going forward.
The inspection was conducted in response to a complaint. Inspectors classified the violation as causing minimal harm or potential for actual harm, affecting few residents.
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.