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 Michigan. Pick another state for the same tag.
Against expectation — 2025
Michigan cites F693 more often than its own record predicts
Versus expected share1.36×
1.36 times the share F693 takes of citations nationally.
Share of Michigan citations0.95%
Of every deficiency written in Michigan in 2025, this is the portion that was F693.
Michigan0.95%
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 Michigan surveyors wrote
F693 findings written in Michigan, 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, isolatedMarch 4, 2025
All times are in Eastern Daylight Time (EDT) unless otherwise noted.
Based on interview and record review, the facility failed to replace a feeding tube in accordance with professional standards of practice for one Resident (#1) of two residents reviewed for enteral nutrition, which resulted in Immediate Jeopardy when Resident #1 subsequently suffered aspiration pneumonia requiring admission to the Intensive Care Unit (ICU) and ultimately resulted in Resident #1 being placed on comfort care measures.
The Immediate Jeopardy (IJ) began on 1/11/25 when Registered Nurse (RN) J inserted a urinary catheter with 30 cc (cubic centimeter) balloon into the gastrostomy site of Resident #1 (R1) to use as a feeding tube. …
This citation pertains to Intake Number 2677656. Based on interview and record review, the facility failed to reconcile enteral feeding (tube feeding) orders for one resident (Resident #1) of two residents reviewed for enteral feeding resulting in approximately 19 hours of no enteral feeding/nutrition and rehospitalization. Findings include: Resident #1: On 12/17/25, at 9:30 AM, a record review of Resident #1's electronic medical record (EMR) revealed a readmission on [DATE] with diagnoses that included Chronic Hypoxic Respiratory Failure, Severe protein-calorie malnutrition, Septic shock, Diabetes Type 2 and Gastrostomy. Resident #1 had severely impaired cognition. A review of the . admission Assessment Date: 10/17/2025 12:46 . revealed Resident #1 was readmitted at 12:46 PM. …
D · No harm, potential for more than minimal, isolatedAugust 6, 2026
Based on observation, interview and record review the facility failed to ensure that an enteral feeding formula maintained its best nutrient value and was protected from possible contamination or degradation by being administered beyond 24 hours from initiation for one resident (Resident #92) of two residents reviewed for enteral feeding. Findings include: Resident #92 (R92):A review of R92's medical record revealed an admission into the facility on [DATE] and readmission on [DATE] with diagnoses that included hemiplegia and hemiparesis following cerebral infarction (stroke) affecting right dominant side, aphasia (cognitive communication deficient with speech and understanding), dysphasia (impaired ability to eat and drink), percutaneous endoscopic gastrostomy tubes (PEG / delivers… …
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