Based on observation, record review, and staff interview, the facility failed to ensure a resident who received enteral feeding was provided that feeding in accordance with professional standards of being in a semi-Fowler's position during the tube feeding administration. This deficient practice was identified in one (1) of one (1) resident reviewed who received enteral feedings. Resident identifier: Resident #41. Census: 102. On 03/28/23 at 5:26 PM, the State Agency determined these failures placed Resident #41 and six (6) other residents receiving enteral feeding in an immediate jeopardy situation due to potential complications from improper positioning. On 03/28/23 at 5:27 PM, the State Agency notified the Nursing Home Administrator of the immediate jeopardy. …
F693 citations in West Virginia
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
West Virginia cites F693 less often than its own record predicts
0.78 times the national share — cited less often here than elsewhere.
Of every deficiency written in West Virginia 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 West Virginia surveyors wrote
F693 findings written in West Virginia, 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, record review, and staff interview the facility failed to ensure that the administration of enteral nutrition is consistent with and follows physician orders. This failed practice was found true for (1) one of (2) residents reviewed for the care area of tube feeding during the Long-Term Care Survey Process. Resident identifier #59. Facility Census: 88. a) Resident #59A record review on 04/19/26 at 11:30 PM, revealed an order for Resident #59 that read as follows:One time a day Isosource 1.5 @60ml/hr X18 hrs. Volume 1080ml.Instructions for the 18-hour tube feeding were to start at 12:00 PM, and end at 6:00 AM.An observation on 04/19/26 at 12:10 PM, found Resident #59 asleep in bed. …
The short window
Recent years
| Year | Share of West Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.42% | 0.56× |
| 2024 | 0.30% | 0.42× |
| 2025 | 0.54% | 0.78× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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