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 Delaware. Pick another state for the same tag.
Against expectation — 2025
Delaware cites F693 more often than its own record predicts
Versus expected share1.52×
1.52 times the share F693 takes of citations nationally.
Share of Delaware citations1.06%
Of every deficiency written in Delaware in 2025, this is the portion that was F693.
Delaware1.06%
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 Delaware surveyors wrote
F693 findings written in Delaware, 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, isolatedDecember 13, 2025
Based on document review, interviews, and facility policy review, the facility failed to ensure that one of four residents (Residents (R) 133) reviewed for tube feeding was assessed and monitored for nutritional and fluid needs and to intervene when resident (R133) aspirated tube feeding through the nose and mouth multiple times and gained a significant amount of weight. This failure resulted in harm to R133 when he went into cardiac arrest once while aspirating and was hospitalized three times after aspiration of tube feeding. …
D · No harm, potential for more than minimal, isolatedSeptember 9, 2025
Based on observation, interview, and record review, it was determined that for one (R12) out of one resident reviewed for tube feeding, the facility failed to utilize a feeding tube in accordance with current professional standards of practice. Findings include:Review of the facility's policy and procedure titled Enteral Feeding: Administration by Pump, last revised 2/24/25, documented, . 15.3.2 Fill in the information on the container's label (patient's name, room number, date, start time, and flow rate) . …
C · No harm, potential for minimal, widespreadJuly 15, 2019
Based on record review and interview it was determined that the facility failed to ensure that a resident with a gastric (stomach) feeding tube, received appropriate care and services to prevent complications for one (R46) out of one resident reviewed for gastric tube feeding care and management. Additionally, the facility policy did not reflect the current standards of practice for tube placement verification. Findings include:
Auscultation (listening) is no longer recommended for checking placement of the feeding tube. Movement of air would likely be heard whether the tube was in the correct or incorrect location. …
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