Based on observation, record review, interviews and review of a facility policy titled Care and Treatment of Feeding Tubes, the facility failed to ensure feeding tubes were managed in a manner to ensure standard of practice and prevent complications. 1) the facility failed to start Resident Identifier (RI) #109's tube feeding as ordered by the physician at the time RI #109 was admitted to the facility on the morning of 06/26/2024; and 2) the facility failed to position RI #9's head of bed (HOB) elevated at 45 degrees as care planned while RI #9's tube feeding was infusing on 07/23/2025. These deficient practices affected RI #9 and RI #109, two of three residents sampled for tube feeding.This deficiency was cited as a result of the investigation of complaint/report number AL00048535/460742. …
F693 citations in Alabama
Tube feeding · Quality of Life and Care Deficiencies
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.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alabama cites F693 less often than its own record predicts
0.71 times the national share — cited less often here than elsewhere.
Of every deficiency written in Alabama in 2025, this is the portion that was F693.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F693 findings written in Alabama, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
The short window
Recent years
| Year | Share of Alabama citations | vs expected |
|---|---|---|
| 2023 | 0.52% | 0.69× |
| 2025 | 0.50% | 0.71× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alabama surveyors cite →
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