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.
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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.
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.
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.
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.
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.