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.
F693 in California. Pick another state for the same tag.
Against expectation — 2025
California cites F693 more often than its own record predicts
Versus expected share1.26×
1.26 times the share F693 takes of citations nationally.
Share of California citations0.89%
Of every deficiency written in California in 2025, this is the portion that was F693.
California0.89%
National0.70%
Share of all citations that were F693.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F693 findings written in California, 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.
J · Immediate jeopardy, isolatedMay 19, 2023
Based on interview and record review the facility failed to ensure a resident who had a Gastrostomy Tube (GT, a tube surgically inserted into the stomach or small intestines used to deliver fluids and medications) receive treatment and services to prevent complications such peritonitis (a life threatening infection of the abdominal lining), and perforation (a hole made by boring or piercing) in the peritoneal (lining of the abdominal cavity) and spillage of gastric (acidic fluid in the stomach) contents in the abdominal tissue) for one of two sampled resident (Resident 1), who had a newly inserted GT placed on [DATE]. …
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, isolatedAugust 28, 2026
Based on observation, interview, and record review, the facility staff failed to elevate the resident's head of the bed (HOB) for one of one sampled resident (Resident 8) receiving formula through the gastrostomy tube (GT, a tube inserted through the abdomen that delivers nutrition directly to the stomach) in accordance with the resident's care plan and physician's order. This deficient practice had the potential to result in aspiration (inhalation of foreign materials) and pneumonia (a lung infection) to Resident 8. …
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