Based on record review and interview, it was determined that the facility failed to flush a gastrostomy tube in accordance with professional standards of practice. This was found to be evident for 1 (#12) out of 1 resident reviewed for gastrostomy tube flushing. The findings include:During a record review on 5/20/2025 at 8:30 AM, the surveyor noted an order written on 2/5/2025 at 18:00 that read, Flush G-Tube Q 6 Hours four times a day for hydration There was no mention of what or how much to flush the gastrostomy tube with.During an interview on 5/20/2025 at 9:30 AM, the Director of Nursing acknowledged the concern and stated, The order is incomplete. It should have specified the amount in the order.
F693 citations in Maryland
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
Maryland cites F693 less often than its own record predicts
0.47 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maryland 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 Maryland surveyors wrote
F693 findings written in Maryland, 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 Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.25% | 0.34× |
| 2024 | 0.48% | 0.68× |
| 2025 | 0.33% | 0.47× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland 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