Hi-desert Medical Center D/p Snf
Inspection Findings
F-Tag F0693
F 0693 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
the Registered Dietician (RD), the RD stated that on January 21, 2026, there was a care plan meeting set with Resident 1's daughter regarding a concern about a full tube feeding bottle was hanging at Resident 1's bedside dated January 19, 2026 and Resident 1 did not received tube feeding as physician's order. The RD verified with Resident 1's daughter and it was changed by the nursing staff. The RD stated an incident report was created at this time. A review of Resident 1's Current weights, dated January 14, 2026, through January 25, 2026, were reviewed as follows:January 14, 2026, Current weight: 87.2 kg [kilogram- unit of measurement]January 18, 2026, Current weight: 87.2 kgJanuary 25, 2026, Current weight: 85.4 kg (loss of 1.8 kg) During an interview on January 29, 2026, at 3:17 PM, with the Director of Nursing (DON), the DON stated, when the incomplete tube feeding was identified, the nurse notified the physician, and the decision was made to continue feeding at the same rate. During a concurrent interview and record review on January 29, 2026, at 4:35 PM, with RN 1, the Nursing narrative [NN], dated January 21, 2026, and January 22, 2026, were reviewed. The NN dated January 21, 2026, indicated .upon reconnecting the patient to their enteral feeding it was noted that only water was running through the system. upon inspecting the pump further it appeared was continually only flushing with water. A new bottle of [name of tube feeding] was hung and the pump was reset completely. The NN dated January 22, 2026, indicated . notified physician that the resident's tube feeding was not administered to resident for 48 hours, that only water was being infused via g-tube [PEG] for 48 hours. RN 1 stated, the nursing staff should have checked on the feeding to ensure that it was being administered. RN 1 stated it is important because nutrition is number 1, it can cause the blood sugar to go down, weight loss, and the residents should receive the nutrition they need.
During a concurrent interview and record review on January 29, 2026, at 5:02 PM, with the DON, the facility's policy and procedure (P&P) titled, Guidelines for Management of Enteral and Parenteral Nutrition, dated September 19, 2016, was reviewed. The Guidelines for Management of Enteral and Parenteral Nutrition, dated September 19, 2016, indicated .Guidelines.initiate enteral formula (recommended by nutrition support specialist) at full strength at goal rate if no GI [gastrointestinal- related to the stomach and intestines] compromise. The DON stated that the policy was not followed and should have been because it is important to meet each resident's nutritional needs.
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Hi-Desert Medical Center D/P SNF in Joshua Tree, 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 Joshua Tree, 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 Hi-Desert Medical Center D/P SNF or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.