Harmar Village: Undated Feeding Tube Supplies - PA
Federal inspectors found Resident 118's feeding formula bottle and 1,000-milliliter water flush bag bore no dates during their March 30 visit. The resident had been admitted two weeks earlier with diagnoses including malnutrition, failure to thrive, and requiring attention to a gastrostomy tube.
The resident's physician had ordered a precise feeding regimen: Isosource 1.5 formula at 60 milliliters per hour for 22 hours daily, hung at 11 a.m. and removed at 9 a.m. or after 1,320 milliliters had been infused. Water flushes of 150 milliliters were ordered every four hours, six times daily.
When inspectors observed the undated supplies at 10:30 a.m. on March 30, the Director of Nursing confirmed four minutes later that neither the tube feed nor water flush carried dates. The violation persisted.
The next day, inspectors returned to find the water flush bag still undated at 11:35 a.m. Licensed Practical Nurse Employee E14 acknowledged the bag remained unmarked when questioned four minutes later.
Dating enteral feeding supplies prevents bacterial contamination that can cause serious infections in vulnerable residents. Undated products make it impossible to determine how long they have been in use or whether they exceed safe storage times.
Resident 118's condition made proper feeding protocols especially critical. The resident had been admitted specifically for gastrostomy tube attention and carried diagnoses of adult failure to thrive and malnutrition. These conditions require careful monitoring and sterile feeding practices to prevent complications.
The facility's care plan from March 13 instructed staff to "provide tube feed and flush per order." Yet staff repeatedly failed to follow basic safety protocols for the resident's nutritional support.
Federal inspectors documented the violations across multiple days, showing the problem was not an isolated incident but a pattern of inadequate care. The Director of Nursing's immediate acknowledgment on March 30 that supplies lacked dates indicated staff awareness of the problem.
Despite this recognition, the facility failed to implement immediate corrections. The water flush bag remained undated the following day, demonstrating a systemic failure to address identified safety risks.
On April 3, both the Director of Nursing and Administrator Employee E5 confirmed the facility had failed to ensure appropriate care for the resident receiving enteral feeding. Their admission came during the final inspection interview at 12:30 p.m.
The violation affected one of two residents reviewed for enteral feeding care, indicating inspectors found similar problems may exist for other tube-fed residents at the facility.
Proper dating of enteral feeding supplies is a fundamental safety requirement that prevents contaminated products from being administered to residents who depend entirely on tube feeding for nutrition. For residents like 118, who already struggle with malnutrition and failure to thrive, contaminated feeding supplies could cause life-threatening infections or further nutritional setbacks.
The facility's repeated failure to date supplies, combined with nursing staff acknowledgment of the problem without corrective action, suggests broader deficiencies in nursing supervision and quality assurance processes.
Federal inspectors classified the violation as causing minimal harm or potential for actual harm, but noted it affected the facility's obligation to provide appropriate nursing services under Pennsylvania regulations.
The inspection findings reveal how basic safety protocols can break down even for residents with the most fundamental care needs, leaving vulnerable patients at risk while staff remain aware but fail to act.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Harmar Village Health & Rehab Center from 2026-04-03 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: August 5, 2026 · Our methodology
HARMAR VILLAGE HEALTH & REHAB CENTER in CHESWICK, PA was cited for violations during a health inspection on April 3, 2026.
Federal inspectors found Resident 118's feeding formula bottle and 1,000-milliliter water flush bag bore no dates during their March 30 visit.
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.