Based on observation, interview, and record review it was determined, for 1 of 33 sampled residents, that the facility failed to provide appropriate treatments and services to prevent complications of enteral feeding including but not limited to aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, and nasal-pharyngeal ulcers. Specifically, physician orders to prevent a clogged feeding tube were not followed for a resident who was receiving enteral feeding. Resident identifier: 4. Findings Include 1. …
F693 citations in Utah
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
Utah cites F693 more often than its own record predicts
1.27 times the share F693 takes of citations nationally.
Of every deficiency written in Utah 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 Utah surveyors wrote
F693 findings written in Utah, 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 observation, interview and record review, for 4 out of 54 sampled residents, the facility did not prevent complications of enteral feeding including but not limited to aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, and naso-pharyngeal ulcers. Specifically, residents were observed to be laying flat while tube feedings were being infused. Resident identifiers: 8, 130, 155 and 166. Findings included:1. Resident 166 was admitted to the facility on [DATE] with diagnoses which included acute respiratory failure with hypoxia, pneumonitis due to inhalation of food and vomit, pneumonia due to klebsiella and protein-calorie malnutrition. On 5/6/26 at 10:50 AM, an observation was made of resident 166. …
The short window
Recent years
| Year | Share of Utah citations | vs expected |
|---|---|---|
| 2023 | 0.69% | 0.92× |
| 2024 | 0.52% | 0.74× |
| 2025 | 0.89% | 1.27× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Utah surveyors cite →
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