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 Washington. Pick another state for the same tag.
Against expectation — 2025
Washington cites F693 less often than its own record predicts
Versus expected share0.55×
0.55 times the national share — cited less often here than elsewhere.
Share of Washington citations0.38%
Of every deficiency written in Washington in 2025, this is the portion that was F693.
Washington0.38%
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 Washington surveyors wrote
F693 findings written in Washington, 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, isolatedFebruary 14, 2019
Based on observation, interview, and record review, the facility failed to ensure safety measures were followed to prevent potential complications associated with artificial nutrition delivery through tube feeding devices for two of four residents (#3 and #31) reviewed for maintaining proper positioning during administration, and the time period following administration of tube feeding, as well as staff competency for providing care to residents receiving tube feeding. This failure placed residents at the likelihood for risk for aspiration (inhaling of food/fluid contents into the lungs) and development of lung infection.
These failures resulted in an Immediate Jeopardy (IJ) related to inadequate care and services on 01/30/19. …
Based on observation, interview and record review, the facility failed to ensure enteral nutrition (the delivery of nutrients through a tube feeding [TF] directly into the stomach or small intestine) was administered in accordance with physician's orders and professional standards of practice for 4 of 4 residents (Resident 1, 2, 3, & 4), reviewed for TF management. Resident 1 experienced harm when they were found positioned in bed at a 10 degree angle while actively receiving TF in respiratory distress and had tube feeding formula coming from their mouth requiring transfer to the hospital where they were diagnosed with aspiration pneumonia (a lung infection that occurs when you inhale liquid into your lungs). …
D · No harm, potential for more than minimal, isolatedJune 16, 2026
. Based on interviews and record review, the facility failed to hold enteral feedings (Method of delivering liquid nutrition directly into the stomach), for 1 of 3 (Resident 2) residents reviewed for enteral feeding. This failure placed residents at risk of receiving unnecessary enteral feedings and the potential for a diminished quality of life.Findings included. Record review of facility policy titled Enteral Feedings , dated 10/01/2021, documented Enteral feedings will be administered in accordance with the physician/practitioner order and as reflected in the resident's Advanced Directive if known. Resident 2 was admitted to the facility on [DATE], with multiple diagnoses for rehabilitation services. …
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