Based on interviews, observations, and record reviews, the facility failed to ensure residents who were fed by enteral means received the appropriate treatment and services to prevent complications of enteral feeding for one of eight residents (Resident #4) reviewed for enteral nutrition. The facility failed to ensure Resident #4 was not laid in a flat position while her feeding tube was actively flowing by CNA E on [DATE].The facility failed to ensure LVN D provided timely nursing care/interventions in response to Resident #4's possible aspiration on [DATE].An Immediate Jeopardy (IJ) situation was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 10:39 AM. …
F693 citations in Texas
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
Texas cites F693 more often than its own record predicts
1.32 times the share F693 takes of citations nationally.
Of every deficiency written in Texas 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 Texas surveyors wrote
F693 findings written in Texas, 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 interviews and record reviews, the facility failed to ensure that a resident who was fed by enteral means received the appropriate treatment and services to prevent complications of enteral feeding for 1 (CR #1) out of 3 residents sampled for quality of care.The facility failed to follow professional standards of practice and their policy when Resident #1's g-tube site was noted as leaking on multiple occasions and the resident was ultimately discharged to the hospital with G-Tube complications requiring G-tube replacementThis failure could place residents at risk of not receiving appropriate G-Tube placement verification resulting in complications of poor nutrition, hydration and medication administration with G-Tube use affecting quality of care.Record review of CR #1's… …
Based on observation, interview and record review, the facility failed to provide treatment and services to prevent complications of enteral feeding for one of two (Residents #115) residents reviewed for G- tubes. The facility failed to ensure LVN H checked residual before administration of medication through Resident #115's G-tube (a tube inserted through the wall of the abdomen directly into the stomach for nutrition) on 09/15/26 at 4:08PM. This failure could place residents at risk of abdominal discomfort, nausea, and tube rupture.assessment reflected that he received 51% (percent) or more of total calories through tube feeding. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 1.12% | 1.49× |
| 2024 | 0.95% | 1.36× |
| 2025 | 0.93% | 1.32× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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