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 Tennessee. Pick another state for the same tag.
Against expectation — 2025
Tennessee cites F693 more often than its own record predicts
Versus expected share1.31×
1.31 times the share F693 takes of citations nationally.
Share of Tennessee citations0.92%
Of every deficiency written in Tennessee in 2025, this is the portion that was F693.
Tennessee0.92%
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 Tennessee surveyors wrote
F693 findings written in Tennessee, 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 10, 2020
Based on medical record review, observation, and interview the facility failed to ensure the prescribed tube feeding formula was available for 1 of 5 residents (Resident #77) reviewed for tube feedings when Resident #77's prescribed tube feeding was substituted with a tube feeding formula that required an increase in rate to equal the nutritional value. The increase in the tube feeding rate resulted in Resident #77's increased residuals, tube feedings held frequently, and rate had to be decreased, so the resident was not provided the required caloric intake to sustain him in his severely malnourished state, which resulted in unresponsiveness, [DIAGNOSES REDACTED], and emergent hospitalization . …
Based on review of the facility policy, medical record review, facility investigation review, and interview, the facility failed to prevent complications of enteral feeding for 1 resident (Resident #1) of 3 residents reviewed for enteral feedings. The facility provided the resident 2 meal trays, despite the resident being NPO (nothing by mouth). The facility's failure to ensure NPO status was maintained resulted in a rehospitalization and Harm to Resident #1.
The findings include:
Review of the facility policy titled Feeding Tubes, Gastrostomy [feeding tube placed into the stomach], Jejunostomy [feeding tube placed into the small intestine], Transgastric Jejunal [feeding tube placed into the stomach with 2 ports to access both the stomach and small intestine] dated 5/19/2020, showed .the… …
D · No harm, potential for more than minimal, isolatedMay 19, 2026
Based on facility policy review, facility competency review, medical record review, observation, and interview, the facility failed to ensure a resident with a percutaneous endoscopic gastrostomy (peg) tube (a feeding tube inserted through the abdominal wall directly into the stomach to deliver nutrition, fluids, or medications) received appropriate care and services to prevent complications for 1 of 1 (Resident #13) sampled residents reviewed for peg tube. The findings include: 1. …
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