Center Point Health Care And Rehab
Center Point Health Care and Rehab in BATON ROUGE, LA — inspection on November 25, 2025.
Found 2 citations. 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
Review of Resident #1's MAR dated November 2025 revealed twenty-two hours continuous tube feeding of Glucerna 1.5 at 50 mL/hr to be signed as administered daily at 9:00 a.m. and 6:00 p.m.
Further review revealed S4LPN documented administration of Resident #1's enteral feeding at 50 mL/hr on the following dates: 11/12/2025 at 6:00 p.m., 11/13/2025, 11/18/2025, 11/19/2025, 11/20/2025, 11/23/2025, and 11/24/2025 at 9:00 a.m. An observation was made of Resident #1 on 11/24/2025 at 8:59 a.m.
She was lying in bed with tube feeding of Glucerna 1.5 infusing via pump at 40 mL/hr. An observation was made of S4LPN reconnecting Resident #1's tube feeding on 11/24/2025 at 12:12 p.m.
She administered the Glucerna 1.5 at 40 mL/hr via pump. An interview was conducted with S4LPN on 11/24/2025 at 12:18 p.m.
She confirmed Resident #1 was receiving Glucerna 1.5 at 40 mL/hr continuously.
She reviewed Resident #1's tube feeding order and confirmed the tube feeding should have been infusing at 50 mL/hr for 22 hours per day.
She confirmed she signed out the ordered tube feeding as being administered at 50 mL/hr when it was only infusing at 40 mL/hr.
She confirmed she should have checked the tube feeding rate this morning prior to signing out the current physician ordered rate, and she did not.
She stated she was unaware Resident #1's tube feeding rate had increased to 50 mL/hr.
She stated Resident #1 had been receiving 40 mL/hr on her shifts. An interview was conducted with S1DON on 11/25/2025 at 9:55 a.m.
She reviewed Resident #1's clinical record.
She confirmed Resident #1's tube feeding order for Glucerna 1.5 at 50 mL/hr for 22 hours per day started on 11/12/2025.
She confirmed the nurse should have verified Resident #1 was receiving tube feedings at the physician ordered rate.
She confirmed the nurse should have verified Resident #1's tube feeding was infusing at the physician ordered rate prior to documenting administration of the tube feeding.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Center Point Health Care and Rehab
8225 Summa Avenue Baton Rouge, LA 70809
SUMMARY STATEMENT OF DEFICIENCIES
Based on observations, interviews, and record review, the facility failed to ensure a resident maintained acceptable parameters of nutritional status by failing to ensure the resident received tube feedings based on the comprehensive assessment for 1 (#1) of 3 residents reviewed with feeding tubes.Findings: Review of the facility's policy titled, Nutritional Management, and revised 05/2023, revealed the following, in part:Policy: The facility provides care and services to each resident to ensure the resident maintains acceptable parameters of nutritional status in the context of his or her overall condition.Compliance Guidelines:1. A systematic approach is used to optimize each resident's nutritional status:c.
Developing and consistently implementing pertinent approaches.4.
Care Plan implementation:d.
Tube feeding or parenteral fluids will be provided in the context of the resident's overall clinical condition and resident goals/preferences.
Review of Resident #1's Clinical Record revealed an admission date of 01/20/2025 and diagnoses, which included Cerebral Infarction, Hemiplegia and Hemiparesis, Unspecified Protein-Calorie Malnutrition, Adult Failure to Thrive, Gastrostomy Status, Dysphagia, and Type 2 Diabetes Mellitus.
Review of Resident #1's Physician Orders dated November 2025 revealed the following, in part:Start: 09/28/2025; D/C date: 11/12/2025 - Twenty-two hours continuous tube feeding of Glucerna 1.5 at 40 mL/hr.Start: 11/12/2025, current order - Twenty-two hours continuous tube feeding of Glucerna 1.5 at 50 mL/hr.
Review of Resident #1's current Care Plan revealed the following, in part:Problem: The resident requires tube feeding related to Dysphagia; nothing by mouth.Interventions: The resident is dependent on tube feeding.
See Medical Doctor orders for current feeding orders.
Review of Resident #1's weight history from 08/29/2025 through 11/17/2025 revealed the following:08/29/2025 - 139.4 pounds;09/15/2025 - 136 pounds;10/10/2025 - 130 pounds; and11/17/2025 - 128.8 pounds.
Review of Resident #1's Registered Dietician Note by S3RD dated 11/06/2025 revealed the following, in part:Current weight: 130 poundsTube feeding is not meeting Resident #1's daily nutrient needs.
Current tube feeding: Glucerna 1.5 at 40 mL/hr for 22 hours per day.Tube feeding is providing 1320 kcal, meeting 81% of calories.Total daily needs: 1636-1800 kcalRecommendation: increase tube feeding rate to 50 mL/hr continuous. An observation was made of Resident #1 on 11/24/2025 at 8:59 a.m.
She was lying in bed with tube feeding of Glucerna 1.5 infusing via pump at 40 mL/hr. An observation was made of S4LPN reconnecting Resident #1's tube feeding on 11/24/2025 at 12:12 p.m.
She administered the Glucerna 1.5 at 40 mL/hr via pump. An interview was conducted with S4LPN on 11/24/2025 at 12:18 p.m.
She confirmed Resident #1 was receiving Glucerna 1.5 at 40 mL/hr continuous.
She reviewed Resident #1's tube feeding order and confirmed the tube feeding should have been infusing at 50 mL/hr for 22 hours per day. An interview was conducted with S3RD on 11/25/2025 at 8:59 a.m.
She stated Resident #1 was receiving tube feeding only for nutrition.
She confirmed, on 11/06/2025, she recommended to increase Resident #1's tube feeding rate to 50 mL/hr.
She stated Resident #1's physician approved to increase her tube feeding rate, and therefore, the facility should have been administering the tube feeding at 50 mL/hr when the physician ordered it.
She confirmed Resident #1 needed the Glucerna 1.5 at 50 mL/hr to increase her caloric intake to better meet her needs.
An interview was conducted with S1DON on 11/25/2025 at 9:55 a.m.
She reviewed Resident #1's RD note dated 11/06/2025 and confirmed the recommendation was to increase her Glucerna 1.5 to 50 mL/hr.
She confirmed the physician's order was implemented on 11/12/2025 for Glucerna 1.5 at 50 mL/hr for 22 hours per day.
She confirmed Resident #1's tube feeding should have been administered at the physician ordered rate. An interview was conducted with S2NP on 11/25/2025 at 10:45 a.m.
She confirmed she was in agreement with increasing Resident #1's tube feeding rate to 50 mL/hr.
She stated she expected Resident #1's tube feeding to be administered at the ordered rate of 50 mL/hr.
Facility ID: