Based on observation, interview, and record review, the facility failed to provide the appropriate treatment and services to prevent potential complications of enteral tube-feeding (TF) for one of one resident (Resident (R) 19) sampled for TF. The TF formula and TF flush bag was not labeled with a date which would indicate that the formula and flush bag were changed every 48 hours. As a result of this deficient practice, the facility placed residents who are on enteral nutrition at risk for avoidable infections and complications. Findings Include: On 05/20/25 at 09:33 AM, observed R19's TF formula with approximately 100 milliliters (mL) left and TF flush bag with a label indicating it belonged to R19, but the date was left blank. …
F693 citations in Hawaii
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
Hawaii cites F693 less often than its own record predicts
0.97 times the national share — cited less often here than elsewhere.
Of every deficiency written in Hawaii 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 Hawaii surveyors wrote
F693 findings written in Hawaii, 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 Hawaii citations | vs expected |
|---|---|---|
| 2023 | 1.05% | 1.40× |
| 2024 | 0.44% | 0.63× |
| 2025 | 0.68% | 0.97× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Hawaii surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction