Country Villa Belmont Heights Healthcare Center
1730 Grand Ave Long Beach, CA 90804
Citation Number: 940009762
Citation Date: 5/21/2013
Violation Date: 1/27/2010
Class: AA
Penalty: $75,000

On 1/26/10, a resident had a gastrostomy tube (GT) surgically inserted through her skin and stomach wall to provide nutrition and medications. On 1/27/10, the resident pulled the GT out. The facility's procedures dictated that a GT was only to be inserted per a physician's orders. Disregarding the procedures, a facility LVN reinserted a new GT and resumed the feeding formula. On 1/28/10, the resident began vomiting, had an elevated temperature and rapid heartbeat, and low blood pressure. The resident was transferred to the ER where she was diagnosed with acute peritonitis, which was caused by the GT being improperly inserted into the peritoneal cavity, causing septic shock. The resident died nine days after being admitted to the hospital. There was no documented evidence of the CNA having any training related to GT care. The facility was cited for not providing appropriate treatment and services.