On 09/16/22 at 3:00 p.m., an Immediate Jeopardy (IJ) was verified with the Oklahoma State Department of Health (OSDH) regarding the facility's failure to prevent aspiration with proper positioning for residents who received enteral nutrition. Resident #3 was found to be lying supine by the treatment nurses with continuous enteral feeding infusing. As a result of lying supine, the resident was transferred to the hospital and was diagnosed with aspiration pneumonia. Resident #9 was observed lying supine with a continuous tube feeding infusing. …
F693 citations in Oklahoma
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
Oklahoma cites F693 less often than its own record predicts
0.80 times the national share — cited less often here than elsewhere.
Of every deficiency written in Oklahoma 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 Oklahoma surveyors wrote
F693 findings written in Oklahoma, 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 and interview, the facility failed to ensure physician's orders were followed for enteral feeding for 1 (#1) of 1 resident sampled for enteral feeding.The administrator identified 72 residents resided in the facility. Findings:On 12/01/25 at 10:30 a.m., Resident #1 was observed resting in bed with their eyes open.A facility policy titled Enteral Tube Feeding via Syringe (Bolus), dated November 2018, read in part, Verify that there is a physician's order for this procedure. …
Based on observation, interview, record review, and facility policy review, the facility failed to ensure a resident received nutritional feeding via a percutaneous endoscopic gastrostomy (PEG) tube according to physician's orders for 1 (Resident #63) of 3 residents reviewed for tube feedings. Findings included: A facility policy titled, Enteral Nutrition, revised 11/2018, revealed, 4. Enteral nutrition is ordered by the provider based on the recommendations of the dietician. An admission Record revealed the facility readmitted Resident #63 on 02/06/2026. According to the admission Record, the resident had a medical history that included diagnoses of Rett's syndrome and functional quadriplegia. …
The short window
Recent years
| Year | Share of Oklahoma citations | vs expected |
|---|---|---|
| 2023 | 0.39% | 0.52× |
| 2024 | 0.44% | 0.63× |
| 2025 | 0.56% | 0.80× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oklahoma surveyors cite →
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