Based on record review, review of facility policy, and staff interview, the facility failed to provide care and services to prevent nutritional deficits for 1 of 2 sampled residents (#8) reviewed for tube feedings. Failure to provide nutritional needs as ordered may lead to malnutrition, dehydration, and other complications. Findings include: Review of facility policy titled Enteral Nutrition (Tube Feeding) occurred on 07/09/26. This policy, dated 06/24/26, stated, . Enteral nutrition (EN) may be necessary for residents who are unable to consume enough calories orally to meet their nutritional needs. A resident who is fed via EN receives appropriate treatment and services .Review of Resident #8's medical record occurred on all days of survey. …
F693 citations in North Dakota
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
North Dakota cites F693 less often than its own record predicts
0.39 times the national share — cited less often here than elsewhere.
Of every deficiency written in North Dakota 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 North Dakota surveyors wrote
F693 findings written in North Dakota, 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 North Dakota citations | vs expected |
|---|---|---|
| 2023 | 0.35% | 0.47× |
| 2024 | 0.74% | 1.05× |
| 2025 | 0.28% | 0.39× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Dakota 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