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 Indiana. Pick another state for the same tag.
Against expectation — 2025
Indiana cites F693 more often than its own record predicts
Versus expected share1.44×
1.44 times the share F693 takes of citations nationally.
Share of Indiana citations1.01%
Of every deficiency written in Indiana in 2025, this is the portion that was F693.
Indiana1.01%
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 Indiana surveyors wrote
F693 findings written in Indiana, 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 12, 2023
Based on record review and interview, the facility failed to implement measures to ensure a moderately impaired dependent resident was not lying flat in bed while an enteral (administered into the gastrointestinal tract) tube feeding was infusing, which led to labored breathing, audible crackle lung sounds, projectile vomiting, unresponsiveness, intubation, and ultimately death for 1 of 3 residents reviewed for tube feeding. (Resident B)
The immediate jeopardy began on [DATE] when the resident was observed several times by staff during the early and late morning hours with the head of bed flat and the enteral tube feeding infusing. …
Based on observation, interview, and record review, the facility failed to ensure a resident received the necessary interventions to prevent dislodgement of a gastrostomy tube (feeding tube) for 1 of 1 resident reviewed for feeding tubes. This deficient practice resulted in a hospitalization to remove the G-tube, sepsis, and cannot have a new G-tube placed for 6 weeks. (Resident B) Finding include:
On 10/24/25 at 10:40 a.m., Resident B was observed to be sitting in a reclining wheelchair. A yellow nasogastric tube (a flexible tube inserted through the nose and down the throat into the stomach) was observed to have feeding infusing from a feeding pump.
On 10/24/25 at 11:05 a.m., Resident B's clinical record was reviewed. …
D · No harm, potential for more than minimal, isolatedJune 17, 2026
Based on observation, record review, and interview, the facility failed to ensure the head of the bed was elevated to at least a 30 degree angle for a resident with an enteral feeding (tube feeding) that was infusing for 1 of 1 resident randomly observed for tube feeding. (Resident S) Finding includes:During a random observation on 6/16/26 at 2:43 p.m., Resident S was observed in bed with a tube feeding infusing at 65 cubic centimeters (cc) per hour on a pump. CNA 1 and CNA 2 entered the room to provide incontinence care. CNA 2 took the remote control for the bed and laid the resident's head of the bed all the way down so she was completely flat in the bed. CNA 1 was asked if she had put the tube feeding on hold and she indicated she did not. …
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