Buena Park Nursing Center
Inspection Findings
F-Tag F0693
F 0693 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
identify the correct ports of the GJ tube, they could always reach out to the doctor, clinical coordinator and herself. The DON stated the staff should not assume and should have confirmed Resident 1's enteral feeding was being provided via J tube as ordered by the physician. When asked what could happen if Resident 1 received the feeding form the G tube, the DON stated Resident 1 had gastroparesis, the feeding would stay in his stomach, and could cause discomfort, vomiting, hypoglycemia, and death. The DON was asked if she provided the in-service training to the staff before assigning the residents with a GJ tube, the DON stated she did not provide the in-service training. The DON acknowledged she should have provided
the in-service training and made sure the staff were competent to take care of the residents with a GJ tube.On 10/30/25 at1332 hours, an interview was conducted with the Nurse Practitioner. The Nurse Practitioner stated Resident 1 was transferred to the acute care hospital due to his J tube being clogged.
The Nurse Practitioner was informed of the above findings, the Nurse Practitioner stated Resident 1 should have received his enteral feeding through the J tube as ordered by the physician, because of his gastroparesis. When asked what could happen if Resident 1 was given enteral feeding from the G tube port, he stated if Resident 1 was not having nausea and vomiting he would think the feeding was being passed down to the small intestine. When asked if he was able to confirm Resident 1's enteral feeding was being passed down to the small intestine on 10/15/25, The Nurse Practitioner stated he could not confirm.
When asked what could have caused Resident 1's blood sugar to drop as low as 36 mg/dl on 10/15/25, the Nurse Practitioner was not able to answer.2. 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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BUENA PARK NURSING CENTER in BUENA PARK, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BUENA PARK, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BUENA PARK NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.