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