Based on observation, interviews, and record review, the facility failed to ensure that a resident received the appropriate treatment and services to prevent complications of enteral feeding for one (Resident #129) of one reviewed for tube feeding. Specifically, Resident #129 was not administered enteral fluids for nutrition/hydration per physician orders. Subsequently, Resident #129 was hospitalized on [DATE] with a diagnosis of hypernatremia (high concentration of sodium in the blood). This resulted in actual harm to Resident #129 that was not Immediate Jeopardy The findings included: The facility policy titled, Kangaroo Enteral Feeding Pump Use and Management, revised 04/2026 documented only trained licensed nursing personnel shall initiate, adjust or discontinue enteral feedings. …
F693 citations in New York
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
New York cites F693 less often than its own record predicts
0.73 times the national share — cited less often here than elsewhere.
Of every deficiency written in New York 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 New York surveyors wrote
F693 findings written in New York, 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 and interviews conducted during the abbreviated survey, the facility did not ensure that necessary care was provided to ensure the administration of tube feeding according to established criteria for accuracy and prevention of complications for three (3) (Residents #50, #61 and #62) of seven (7) residents reviewed with feeding tubes. Specifically, for Residents #61 and #62, feeding formula was not labeled properly with resident's name, date and time hung, rate of feeding, or the nurse's initials; and for Residents #61 and #50 infection control practice was compromised by observations of a dirty feeding tube syringe and an enteral feeding tube clog remover uncovered at the bedside.The findings include: Policy titled Enteral Feeding revised 02/24/2016 documented formula… …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 0.26% | 0.35× |
| 2024 | 0.60% | 0.85× |
| 2025 | 0.51% | 0.73× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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