Lorien Health Systems Mt Airy
LORIEN HEALTH SYSTEMS MT AIRY in MOUNT AIRY, MD — inspection on February 20, 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
215335
According to the complaint, on 2/3/24 Resident #6's PEG tube came dislodged and was replaced by staff RN #54 with a 20 French PEG tube and inflated with a 15ml balloon as per the SBAR (situation, background, assessment, recommendation) form completed on 2/3/24 at 11:50 AM.
The on-call physician was notified prior to the replacement of the PEG tube and again after.
Staff #54 requested an x-ray to confirm placement of the PEG tube at the family request as documented in the progress notes.
RN #54 was interviewed on 2/19/25 at 3:10 PM.
She recalled the occurrence and replaced the PEG tube in Resident #6.
When asked how to determine when a PEG tube can be replaced, she stated that it should be in the physician orders along with the size of the PEG tube additionally it will state it on the PEG tube package.
Regarding the tube placement with Resident #6, she stated that to check placement she aspirated and pushed air in and auscultated to confirmed placement, additionally with another nurse confirmed placement all as per the facility policy.
The facility policy was reviewed at this time.
There was no date on the Gastrostomy and Jejunostomy Tubes policy.
According to the policy, there was nothing regarding the need for an x-ray to confirm placement.
The DON was notified of the concern that the Gastrostomy policy had no date on 2/20/25
Interview with LPN #68 on 2/19/25 at 8:27 AM regarding the care of and replacement of a PEG tube.
She stated that there are orders in the computer for each resident regarding what to do.
Further she stated that you need physician orders to replace the PEG tube.
Additionally, the PEG package tells you how much water to put in the balloon.
215335
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 215335 B.
Wing 02/20/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Lorien Health Systems MT Airy 705 Midway Avenue Mount Airy, MD 21771