Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
of F693 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 2025759
Every F693 citation surveyors wrote nationally that year.
Facilities cited733
Distinct nursing homes with at least one F693 finding.
The harm level
How severely F693 is cited
2.6% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J220.7%
K50.2%
L—
Actual harm
G521.7%
H10.0%
I—
No harm, potential for more than minimal
D2,76888.4%
E2778.8%
F10.0%
No harm, potential for minimal
A—
B60.2%
C—
Every recorded F693 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F693 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
J · Immediate jeopardy, isolatedJuly 24, 2026
Based on record review and interviews with staff, Physicians and Nurse Practitioners (NP), the facility failed to identify the seriousness of new onset and continued vomiting, complete and document ongoing comprehensive nursing assessments of the residents condition or identify the urgent need for medical attention for a severely cognitively impaired resident with a diagnosis of traumatic brain injury who received all fluid and caloric intake through bolus tube feedings six times a day. Resident #145 had an acute vomiting episode on [DATE] and the 6:00 AM bolus feeding was held. Nursing staff provided three scheduled bolus tube feedings on [DATE] before the 10:00 PM bolus tube feeding was held due to vomiting. …
Based on interview, and record review, the facility failed to verify the correct placement of Resident 1's gastrostomy tube (G-tube-a flexible tube that is placed directly into the stomach through an abdominal wall incision for administration of food, fluids, and medications). The nursing staff failed to verify Resident 1's G-tube had not migrated further into or out of the stomach, by not observing through assessment a printed number or measurable level on the tubing that exited Resident 1's abdomen (G-tube length). …
D · No harm, potential for more than minimal, isolatedSeptember 17, 2026
Based on observation, interview and record review, the facility failed to provide treatment and services to prevent complications of enteral feeding for one of two (Residents #115) residents reviewed for G- tubes. The facility failed to ensure LVN H checked residual before administration of medication through Resident #115's G-tube (a tube inserted through the wall of the abdomen directly into the stomach for nutrition) on 09/15/26 at 4:08PM. This failure could place residents at risk of abdominal discomfort, nausea, and tube rupture.assessment reflected that he received 51% (percent) or more of total calories through tube feeding. …
B · No harm, potential for minimal, patternMay 15, 2026
Based on observation and interview the facility failed to ensure a resident who was fed by enteral means received the appropriate treatment and services to prevent complications of enteral feeding including but not limited to aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, and nasal-pharyngeal ulcers from 1 of 1 nutrition room observed for stored enteral feedings. The facility failed to ensure one box of Glucerna 1.2 containing 6 quart containers of enteral feedings did not exceed the expiration date and were removed from the nutrition room. This deficient practice could lead to residents receiving expired feedings and result in health complications. …
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Ensure medication error rates are not 5 percent or greater.
Cited in the same inspection, not caused by one another.
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