Based on observations, record reviews and staff interviews, the facility staff failed to provide a resident with water flushes via Percutaneous Endoscopic Gastrostomy (PEG) tube as prescribed for one (1) of 49 sampled residents. (Resident #38) The findings included: Resident #38 was admitted on [DATE] with multiple medical diagnoses that included Dysphagia following Cerebral Infarction and Gastrostomy Tube. A care plan with a review date of 09/13/24 documented in part, Focus - [Reside#38] requires tube feeding related to Dysphagia .Interventions -The resident is dependent with [gastrostomy] tube feeding and water flushes . A physician order dated 02/12/25 instructed, hydration water flushes 300 milliliters every four (4) hours via gastrostomy tube. …
F693 citations in District of Columbia
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
District of Columbia cites F693 more often than its own record predicts
1.14 times the share F693 takes of citations nationally.
Of every deficiency written in District of Columbia 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 District of Columbia surveyors wrote
F693 findings written in District of Columbia, 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 District of Columbia citations | vs expected |
|---|---|---|
| 2023 | 0.45% | 0.60× |
| 2024 | 1.02% | 1.45× |
| 2025 | 0.80% | 1.14× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else District of Columbia surveyors cite →
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