Based on observations, interviews and record review, the facility failed to have an effective system in place to ensure two or four residents reviewed (#45 and #35) out of seven residents, received the appropriate treatment and services to prevent complications of enteral feeding, such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, and nasal-pharyngeal ulcers. Specifically: Record review and observations on 6/2/21 at 9:20 a.m., 6/3/21 at 9:30 a.m., and 6/7/21 at 10:12 a.m., revealed the facility failed to follow facility policy, standards of practice, care plan directives and physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . -Resident #45 had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . …
F693 citations in Colorado
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
Colorado cites F693 less often than its own record predicts
0.80 times the national share — cited less often here than elsewhere.
Of every deficiency written in Colorado 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 Colorado surveyors wrote
F693 findings written in Colorado, 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.
Based on record review and interviews the facility failed to ensure residents with a feeding tube received appropriate treatment and services for two (#6 and #30) of three residents reviewed with a feeding tube out of 35 sample residents.Specifically, the facility failed to:-Ensure timely administration of Resident #30's water flush; and,-Ensure timely administration of Resident #6's bolus tube feeding Findings include: I. Professional reference According to [NAME], P.A., [NAME], A.G., et.al., Fundamentals of Nursing, 10 ed. (2021), E. [NAME], St. Louis Missouri, pp. 605-606. …
The short window
Recent years
| Year | Share of Colorado citations | vs expected |
|---|---|---|
| 2023 | 0.25% | 0.34× |
| 2024 | 0.45% | 0.64× |
| 2025 | 0.56% | 0.80× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
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