Based on interview, record review and review of the facility's policy it was determined the facility failed to ensure hydration for one (1) of sixty-nine (69) sampled residents (Resident #85). The facility admitted Resident #85 on 04/10/2020, and assessed him/her to be at nutritional risk. Resident #85 had physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The NP (Nurse Practitioner) wrote the orders based on continuous free water provided by a dual pump. However, the dual pump was broken. There was no documented evidence the facility monitored or provided the free water as ordered. …
F693 citations in Kentucky
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
Kentucky cites F693 less often than its own record predicts
1.00 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kentucky 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 Kentucky surveyors wrote
F693 findings written in Kentucky, 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 observation, interview, record review, and review of the facility's policies, the facility failed to ensure that a resident who was fed by enteral means received the appropriate treatment and services to prevent complications of enteral feeding for 2 of 2 residents sampled for enteral feeding, with a total of ten facility residents receiving enteral feeding, Resident (R) 32 and R38.The findings include:Review of the facility's policy titled, Enteral Nutrition, revised November 2018, revealed nursing staff were responsible for monitoring residents for enteral feeding complications. …
The short window
Recent years
| Year | Share of Kentucky citations | vs expected |
|---|---|---|
| 2023 | 0.62% | 0.82× |
| 2024 | 1.20% | 1.70× |
| 2025 | 0.70% | 1.00× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kentucky surveyors cite →
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