Buena Park Nursing Center

Review of Resident 1's Nurses Notes showed the following:dated 10/8/25 at 1935 hours, showed the routine admission and body check was done. Resident 1 was started on feeding via J tube and G tube with medication and attached to drainage bag for any residual, and- dated 10/9/25 at 1000 hours, Resident 1 was seen and evaluated by the nurse practitioner with new order d/c G tube draining. On 10/24/25 at 1123 hours, a telephone interview was conducted with RN 2. RN 2 stated Resident 1 was admitted to the facility with a drainage bag connected to his G tube port, and he was receiving feeding from his J tube port.Further review of Resident 1's medical record did not show the physician's orders for the G tube drainage bag and how the G tube drainage bag would be managed. In addition, there was no physician's order to discontinue Resident 1's G tube drainage bag. On 10/29/25 at 1012 hours, an interview and concurrent medical record review was conducted with RN 3. RN 3 verified this findings. RN 3 stated Resident 1 was admitted with the G tube drainage bag attached; however, she was not able to find if the physician's order was obtained for the maintenance of the G tube drainage bag. RN 3 stated the G tube drainage bag required a physician's order and staff should have obtained the physician's order for the G tube drainage bag maintenance and discontinuation.On 10/30/25 at 1551 hours, an interview was conducted with the DON and Administrator.

The DON and Administrator were informed and acknowledged the above findings.

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