Based on interview, observation, and open and closed record review, the facility failed to ensure tube feedings were ordered and implemented appropriately to prevent gastrointestinal symptoms including severe abdominal pain, nausea, and vomiting. Actual Harm occurred on [DATE] when Dietician #677 wrote an order for [MEDICAL RECORD OR PHYSICIAN ORDER] . On [DATE] at 4:00 A.M. Resident #35 had a large emesis, and abdominal pain causing her to cry out in pain. On [DATE] Hospice RN #727/ Hospice Physician #729 ordered to discontinue the continuous tube feeding and only administer the bolus tube feeding order. The facility failed to transcribe the physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #35 expired on [DATE]. …
F693 citations in Ohio
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
Ohio cites F693 less often than its own record predicts
0.84 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio 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 Ohio surveyors wrote
F693 findings written in Ohio, 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 record review, observations, staff interviews, and facility policy, the facility failed to ensure Resident #56's tube feeding water bag was replaced within the required 24 hour timeframe. This deficiency affected one resident (Resident #56) of three reviewed for tube feedings. The facility census was 72.Findings include:Review of the medical record for Resident #56 revealed an admission date of 02/05/26 with diagnoses including pressure ulcer of sacral region, Alzheimer's disease, dementia, Parkinson's disease, and dysphagia.Review of the care plan dated 06/29/26 revealed Resident #56 required tube feeding. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.83% | 1.11× |
| 2024 | 0.64% | 0.91× |
| 2025 | 0.59% | 0.84× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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