Avante Villa At Jacksonville Beach Inc

Review of Resident #18's physician's orders revealed Isosource 1.5 at 60ml/hr. for 20 hours off 10:00 am to 2:00 pm for Activities of Daily Living with/200 milliliters of Free Water Flush every 6 hours.5. On 12/22/2025 at 11:55 am, Resident #19 was observed to be lying in bed with the head of the bed elevated at approximately 30 degrees.

The resident's enteral feeding bag was undated. (Photographic evidence obtained)Review of Resident #19's medical record showed to read an admission date of 4/8/2022.

The resident's diagnoses included malignant carcinoid tumor of the small intestine, gastrostomy status, hemiplegia and hemiparesis following cerebral infarction, dysphagia, oropharyngeal phase, and gastroesophageal reflux disease.

Review of Resident #19's physician's orders revealed enteral feed order every four hours flush with 150 milliliters of water, Enteral feed to order flush G tube with 10 CC's of water before and after bolus feeds, and Enteral feed order two times a day Isosource 1.5 at 50 ml/hr. for 20 hours plus 150 milliliters of free water flow every four hours-on at 2:00 PM off at 10 AM period.

During an interview on 12/22/2025 at 10:50 am, Staff A, Licensed Practical Nurse (LPN), stated, The night shift changes out all of the tube feedings, bags and syringes.

When asked why there were several tube feedings that were either undated or outdated, LPN stated, Night shift changes those.

During an interview on 12/22/2025 at 1:30 pm, Staff B, Registered Nurse (RN), stated, The bags and everything are changed out on the midnight shift.

During an interview on 12/22/2025 at 2:15 pm, the DON stated, All the tube feedings, water bags and syringes are changed out by the midnight shift. It should be dated when it is placed.

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