Plans & Policies

PEG Tube Facility Plan of Care

Before an RCFE can admit or retain any resident receiving G-tube (gastrostomy) feedings, a written facility plan of care is required under CCR §87633. This document covers physician authorization, nursing delegation, and all required monitoring elements.

Regulatory requirement CCR §87633 & H&SC §1569.72 - Required before admitting or retaining any G-tube resident

What’s included

  • Facility-level plan of care for G-tube resident admission
  • Physician authorization requirements and signature section
  • Nursing delegation protocol for gastrostomy feeding assistance
  • Feeding schedule and formula documentation template
  • Tube site care and complication monitoring procedure
  • Staff competency verification requirements
  • Emergency response procedure for tube dislodgement or complications
  • CDSS reporting obligations for G-tube-related incidents
  • Editable Microsoft Word format

Who needs this

  • RCFEs planning to admit a resident with a PEG/G-tube feeding device
  • Facilities that received a CDSS citation for missing G-tube documentation
  • Administrators whose current plan lacks nursing delegation specifics
Plans & Policies $99
  • Instant download
  • California RCFE compliant
  • Editable Word format
  • One-time purchase
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3

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Fill in your facility-specific details in the editable Word file and include it in your CDSS application or operations.

Questions answered

Frequently asked questions

Can an RCFE serve residents with PEG tubes?

Yes, but only under specific conditions. CCR §87633 and H&SC §1569.72 allow RCFEs to retain bedridden or medically complex residents receiving G-tube feedings if a written plan of care is in place, physician authorization is documented, and nursing delegation requirements are met.

What is nursing delegation in the context of G-tube care?

Unlicensed caregivers in an RCFE cannot independently perform clinical procedures. However, a licensed nurse can delegate specific tasks - such as attaching the feeding bag, monitoring for complications, and recording feeding volumes - to a trained, competency-verified unlicensed caregiver. This delegation must be documented in writing.

What happens if a G-tube resident is admitted without a plan?

Admitting or retaining a G-tube resident without a written plan of care is a serious CDSS deficiency. It can result in a civil penalty, a mandatory correction plan, and if the resident is harmed, potential license action.

Is this document different from the PEG Tube Staff Training document?

Yes. This Facility Plan of Care ($109) is the administrative authorization and procedure document required at the facility level. The PEG Tube Staff Training document ($99) is the caregiver-facing training protocol for unlicensed staff who assist with feedings. Both may be required depending on your situation.

How often must the plan be reviewed?

The plan should be reviewed whenever the resident's medical condition changes, when the physician order for feeding is updated, after any G-tube-related complication or incident, and at least every six months as part of the routine care plan cycle.