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 Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F693 less often than its own record predicts
Versus expected share0.45×
0.45 times the national share — cited less often here than elsewhere.
Share of Montana citations0.31%
Of every deficiency written in Montana in 2025, this is the portion that was F693.
Montana0.31%
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 Montana surveyors wrote
F693 findings written in Montana, 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.
G · Actual harm, isolatedSeptember 20, 2023
Based on observation, interview, and record review, a licensed staff member failed to properly administer enteral tube feedings, for 1 (#1) of 2 sampled residents; and the facility nursing staff failed to have the enteral tube feeding order clarified further on receipt. The failure resulted in the resident being given the incorrect amount of tube feeding formula and the resident had a decline in status. Findings include:
Review of a Facility Reported Incident, sent to the State Survey Agency, dated 7/13/23, At 20:00 (8:00 p.m.) [Resident #1] was receiving her bedtime bolus via her feeding tube. [Resident #1] requested her feeding be stopped. This was done per her request. [Resident #1] was left sitting up in her recliner. …
D · No harm, potential for more than minimal, isolatedApril 9, 2026
Based on observations and interview, the facility failed to ensure appropriate and safe PEG tube practices were followed for 1 (#5) of 29 sampled residents. Findings include:During an observation on 4/7/26 at 9:24 a.m., resident #5's PEG tube was unclamped and unhooked from any tubing.During an observation and interview on 4/8/26 at 8:47 a.m., resident #5's PEG tube was unclamped, and still hooked up to the kangaroo pump with the enteral nutrition not running. Staff member T stated the kangaroo pump had been turned off at 6:30 a.m. and the tubing should have been flushed, clamped, and unhooked from the resident. Staff member T looked at resident #5 and stated, She got me there. Staff member T had been referring to the PEG tube being incorrectly still being hooked up and unclamped. …
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