Based on observation, interview and record review, the facility to failed to provide appropriate administration of enteral (passing through the intestine) nutrition for a resident who was dependent upon a gastrotomy tube (g-tube, a tube inserted through the belly that brings nutrition directly to the stomach) (Resident #22). Resident #22's physician's orders showed 40 milliliters (ml)/hour (hr) via g-tube continuously and water flushes 175 ml every four hours. On [DATE], the tube feeding machine was not set in the English language and infused at a rate of 140 ml/hour. Staff failed to ensure the g-tube machine settings were accurately set at 40 ml/hour during medication and treatment administrations and failed to report its language settings to management. …
F693 citations in Missouri
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
Missouri cites F693 less often than its own record predicts
0.76 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri 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 Missouri surveyors wrote
F693 findings written in Missouri, 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 interview and record review, the facility failed to provide appropriate administration of water flushes and enteral nutrition for one resident who was dependent upon a gastrostomy tube (g-tube, a tube inserted through the belly that brings nutrition directly to the stomach) for nutrition and hydration for one residents (Resident #1). Resident #1 was admitted to the facility on [DATE]. Admission orders showed Nepro (balanced, high-calorie nutrition) 50 milliliters (ml)/hour via g-tube continuously and water flushes 180 ml every four hours. On 3/5/24, the order was changed to Glucerna (calorically dense formula) due to the unavailability of Nepro. …
Based on record review, observation and interview the facility failed to obtain specific flush orders and dressing change orders and failed to ensure the physician orders specified which tube staff should administer medications through and which tube staff should administer feedings though for one resident (Resident #5) who had a gastrostomy tube (G-tube - a surgically placed device providing direct access to the stomach for feeding, fluids, and medications when a person cannot eat enough by mouth) and a jejunostomy tube (J-tube - a long-term feeding tube surgically placed through the abdomen directly into the small intestine's middle section (jejunum) to deliver nutrients and medication). The facility's census was 7. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.38% | 0.50× |
| 2024 | 0.43% | 0.61× |
| 2025 | 0.53% | 0.76× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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