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.
F693 in Pennsylvania. Pick another state for the same tag.
Against expectation — 2025
Pennsylvania cites F693 less often than its own record predicts
Versus expected share0.89×
0.89 times the national share — cited less often here than elsewhere.
Share of Pennsylvania citations0.62%
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F693.
Pennsylvania0.62%
National0.70%
Share of all citations that were F693.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F693 findings written in Pennsylvania, 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.
J · Immediate jeopardy, isolatedMarch 24, 2022
Based on review of clinical records, review of facility documentation and interviews with staff, it was determined that the facility failed to follow physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This failure resulted in actual harm to Resident R1 who received the incorrect volume of the enteral formula, developed vomiting, required transfer to the hospital and was diagnosed with acute respiratory failure secondary to aspiration, for one of four residents reviewed on enteral feeding. (Resident R1). …
Based on clinical record review, observation, and staff interview, it was determined that the facility failed to provide the appropriate monitoring, care, and services for two of four residents receiving parenteral nutrition (Residents 18 and 37) which resulted in actual harm to Resident 18, who developed an infection to the site of the parenteral tube feed which caused pain, multiple hospital trips, and required IV (intravenous) antibiotic therapy.
Findings include:
Observation of Resident 18 on March 26, 2024, and March 27, 2024, revealed the resident had a percutaneous endoscopic gastrostomy (PEG tube - tube placed through the abdomen directly into the stomach to provide nutrition and medication when oral intake is not adequate). …
D · No harm, potential for more than minimal, isolatedAugust 28, 2026
Based on select facility policy, observations, clinical record review, and staff interviews, it was determined the facility failed to ensure enteral feeding syringes in use were labeled and dated and failed to ensure tube feed solution was properly labeled, dated, and discarded for one resident out of 36 residents reviewed (Resident 120).Findings include: A review of the facility policy titled Enteral Feeding Tube Policy, last reviewed by the facility on January 20, 2026, indicated when irrigation sets/syringes are used with feeding tubes, they should be rinsed with warm water after each use and replaced every twenty-four hours. …
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