Based on interview and record review it was determined the facility failed to ensure a resident received appropriate care and services related to a feeding tube for 1 of 1 unsampled resident (#165) reviewed for a feeding tube. Resident 165 required surgery for feeding tube replacement. Findings include: Resident 165 admitted to the facility in 2023 with diagnoses including dysphagia (difficulty swallowing) and a feeding tube. On 5/8/23 a FRI was received which alleged on 5/6/23 Staff 12 (Former RNCM) had difficulty with Resident 165's feeding tube while providing enteral feeding, and cut off the port (opening to access the feeding tube) for improved administration of the feeding. Staff 12 indicated there was no equipment to care for the tube feeding and the present equipment was dirty. …
F693 citations in Oregon
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
Oregon cites F693 less often than its own record predicts
0.45 times the national share — cited less often here than elsewhere.
Of every deficiency written in Oregon 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 Oregon surveyors wrote
F693 findings written in Oregon, 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 interview and record review it was determined the facility failed to ensure tube feeding supplies were provided for 1 of 3 sampled residents (# 8) reviewed for nutrition. This placed residents at risk for poor nutrition and a delay in enteral feeding. Findings include:Resident 8 was admitted to the facility in 4/2026 with diagnoses including hemiplegia and hemiparesis following cerebral infarction (paralysis of one side of the body and mild to moderate weakness of one side of the body following a stroke caused by a blood clot in the brain). A 4/26/26 Hospital After Visit Summary indicated Resident 7 was to receive tube feeding through nasogastric (NG) tube daily for 18 hours, with a start time of 4:00 PM and end time of 10:00 AM, at a rate of 70 ml/hour. …
The short window
Recent years
| Year | Share of Oregon citations | vs expected |
|---|---|---|
| 2023 | 0.16% | 0.21× |
| 2024 | 0.23% | 0.32× |
| 2025 | 0.31% | 0.45× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oregon 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