Natchitoches Community Care Center
NATCHITOCHES COMMUNITY CARE CENTER in NATCHITOCHES, LA — inspection on July 18, 2024.
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
Review of the facility's policy titled, Dietician (Revised October 2017) revealed the following, in part:
1. A qualified Dietician or other clinically qualified nutrition professional will help oversee food and nutritional services provided to the residents .
9.
Our facility's Dietician is responsible for, but not necessarily limited to: a.
Assessing nutritional needs of residents;
An observation and interview on 07/15/2024 at 10:26 a.m., revealed Resident #26 had a feeding pump infusing Diabetisource AC at 25 ml/hr., with the water flush set at 150 ml/6hrs. At that time, Resident #26 typed I'm hungry, I'm losing weight on her phone, then typed I'm getting one capful of feeding an hour.
During that time, Resident #26's daughter entered the room, and said her mother's tube feeding was not enough, and she had lost weight. Resident #26's daughter explained she was here today to talk to someone about her mother's tube feeding, and being hungry.
An interview on 07/16/2024 at 2:49 p.m. with S4 RN Clinical Coordinator, revealed she was responsible for carrying out dietary recommendations for Resident #26 on 07/05/2024.
She indicated that Resident #26 was NPO with tube feedings, and getting bolus feedings of Diabetisource AC 250ml every 8 hours, and flush with 150ml of water every 8 hours. S4 RN Clinical Coordinator said that Resident #26 was assessed by S19 RD on 07/04/2024, with recommendations to increase Diabetisource to 250ml carton every 6 hours, and flush with 150 ml of water every 6 hours, to increase Resident #26's caloric intake from 900Kcals to 1200Kcals. S4 RN Clinical Coordinator stated that on 07/05/2024, S7 ADON requested S19 RD give her the rate for continuous feeding on a pump because Resident #26 was staying long-term.
She stated that the S19 RD sent an email on 7/05/2024 recommending Diabetisource AC at 45 ml/hr. S4 RN Clinical Coordinator stated that she called S10 NP and misread the recommendation to S10 NP. S4 RN Clinical Coordinator indicated that she entered the order as 25 ml/hr., instead of the recommended 45 ml/hr. S4 RN Clinical Coordinator stated I read the recommendation wrong.
195405
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 195405 B.
Wing 07/18/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Natchitoches Community Care Center 781 Highway 494 Natchitoches, LA 71457
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.