Hi-desert Medical Center D/p Snf
Hi-Desert Medical Center D/P SNF in Joshua Tree, CA — inspection on January 29, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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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