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 Vermont. Pick another state for the same tag.
Against expectation — 2023
Vermont cites F693 less often than its own record predicts
Versus expected share0.73×
0.73 times the national share — cited less often here than elsewhere.
Share of Vermont citations0.55%
Of every deficiency written in Vermont in 2023, this is the portion that was F693.
Vermont0.55%
National0.75%
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 Vermont surveyors wrote
F693 findings written in Vermont, 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.
G · Actual harm, isolatedFebruary 16, 2022
Based upon interview and record review, the facility failed to ensure a resident receiving enteral feeding received appropriate care and services for 1 resident [Res. #67] of 1 residents receiving tube feedings.
Findings include:
Review of the medical record for Res. #67 reveals the resident was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] .
Review of Res. #67's Care Plan reveals the resident was identified as having 'a PEG tube due to [CONDITION(S)]' [Percutaneous Endoscopic Gastrostomy (PEG) is a procedure to place a feeding tube, called PEG tubes].
Review of Res. #67's Minimum Data Sheet [MDS] Quarterly Review, dated 1/5/22, under Sec. K: Swallowing and Nutritional Status lists Res. …
D · No harm, potential for more than minimal, isolatedAugust 9, 2023
Based upon observations, interview, and record review, the facility failed to ensure tube feedings were administered as ordered and weight status was monitored as ordered for 1 resident [Res. #59] of 35 sampled residents.
Findings include:
Per review of Res. #59's medical record, the resident is diagnosed as being in a Persistent Vegetative State and is fed solely through a tube [G-tube] into h/her stomach. The resident's medical history and diagnoses include Dysphagia [difficulty in swallowing food or liquid], Quadriplegia [pattern of paralysis that can affect a person from the neck down], and Anoxic Brain Damage [damage to the brain due to a lack of oxygen supply]. …
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