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F693: 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 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: 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. It sits in CMS's quality of life and care category.

2,973citations in the CMS files
2,480homes cited at least once
677in the 12 months to September 2026
2.5%rated actual harm or immediate jeopardy

CMS Health Deficiencies file, data as of September 1, 2026. The files hold each home's last three standard inspections and three years of complaint visits.

How seriously inspectors rate it

Every citation gets a letter for how much harm inspectors found and how many residents it touched (how to read the letters). 18.3% of F693 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)27 (0.9%)
  • Actual harm (G, H, I)48 (1.6%)
  • Potential for more than minimal harm (D, E, F)2,892 (97.3%)
  • Potential for minimal harm (A, B, C)6 (0.2%)

By letter: B 6, D 2,632, E 259, F 1, G 47, H 1, J 22, K 5.

What inspectors wrote

Three recent F693 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 7, 2026, scope and severity DBased on review of facility policy, clinical record review, observation, and staff interview, it was determined that the facility failed to ensure that residents with an enteral feeding tube (G- Tube, a tube inserted in the stomach through the abdomen) received appropriate treatment and services to prevent potential complications for one of three residents (Resident R181).

Providence Health & Rehab Center, Beaver Falls, PA

Inspectors wrote, August 5, 2026, scope and severity DBased on observation, interviews, and record review, the facility failed to ensure Resident (R) 48's feeding tube (G-tube: tube surgically placed through an artificial opening into the stomach) was monitored for placement prior to administration of medications and enteral nutrition (provision of nutrients through the gastrointestinal tract when the resident cannot ingest, chew, or swallow food).

North Point Skilled Nursing Center, Paola, KS

Inspectors wrote, July 31, 2026, scope and severity DBased on observation, interview and record review the facility failed to ensure the tube feeding bottle was dated and timed when opened for 1 of 1 resident (R3) reviewed for tube feeding cares.

Heritage Manor, Chisholm, MN

Most recent F693 citations at the harm or jeopardy level

Newest first, the latest 40 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
July 24, 2026Greenville Health and Rehabilitation CenterGreenville, NC JComplaint
May 13, 2026Ridgeland Nursing Center IncRidgeland, SC JComplaint
May 6, 2026Crystal Pines Rehab & HCCCrystal Lake, IL GComplaint
April 22, 2026Rochester Center for Rehabilitation and NursingRochester, NY GComplaint
April 13, 2026Allure of PinecrestMount Morris, IL GComplaint
April 8, 2026Fort Worth Transitional Care CenterFort Worth, TX HStandard
March 19, 2026Rutland Nursing Home, IncBrooklyn, NY GComplaint
February 20, 2026Aliya of HomewoodHomewood, IL GStandard
February 13, 2026Goldwater Care Peoria HeightsPeoria Heights, IL JComplaint
December 18, 2025New Jersey Veterans Memorial VinelandVineland, NJ JComplaint
December 18, 2025Caretel Inns of Tri-CitiesBay City, MI GComplaint
December 13, 2025New Castle Health and Rehabilitation CenterNew Castle, DE JStandard
December 8, 2025Medilodge of East LansingEast Lansing, MI GComplaint
December 4, 2025Golden Pavilion HealthcareDaly City, CA GComplaint
December 2, 202524th PlaceNorman, OK GComplaint
October 30, 2025Buena Park Nursing CenterBuena Park, CA GComplaint
October 24, 2025The Colonnades at Reflection BayPearland, TX JComplaint
October 24, 2025Core of BedfordBedford, IN GComplaint
September 13, 2025Whispering Pines LodgeLongview, TX JComplaint
September 12, 2025Renwick Nursing and RehabJoliet, IL GStandard
August 6, 2025Vantage at Worcester LLCWorcester, MA GComplaint
July 16, 2025Davidson Health & Rehab CenterLexington, NC JComplaint
July 9, 2025Oakland ManorOakland, IA GComplaint
June 19, 2025Woodway Nursing & RehabHouston, TX KComplaint
June 5, 2025Gulfport Care CenterGulfport, MS GStandard
April 24, 2025Autumn Care of Myrtle GroveWilmington, NC JComplaint
April 10, 2025Golfcrest Nursing CenterHollywood, FL GStandard
April 7, 2025Prescott Nursing and Rehab CommunityPrescott, WI JStandard
March 4, 2025Gogebic Medical Care FacilityWakefield, MI JStandard
March 4, 2025Bria of GodfreyGodfrey, IL GComplaint
February 11, 2025Oakbrook Health and Rehabilitation CenterSummerville, SC GStandard
January 31, 2025Wedgewood Nursing HomeFort Worth, TX JStandard
January 17, 2025Avamere at Pacific RidgeTacoma, WA GComplaint
December 11, 2024The Orchards Post-AcuteBakersfield, CA GComplaint
December 9, 2024Moweaqua Rehab & HCCMoweaqua, IL GComplaint
November 14, 2024Franciscan WoodsBrookfield, WI GComplaint
October 4, 2024Monmouth Rehab and NursingMonmouth, IL JComplaint
September 18, 2024Park Rose Care CenterTacoma, WA GComplaint
August 30, 2024Gardens Nursing and Rehab CenterMiami, FL GStandard
August 28, 2024Alamo Cove Rehab and Nursing CenterKalamazoo, MI GComplaint

Most recent F693 citations

InspectionHomeTownLetter
August 7, 2026Providence Health & Rehab CenterBeaver Falls, PA D
August 5, 2026North Point Skilled Nursing CenterPaola, KS D
July 31, 2026Heritage ManorChisholm, MN D
July 31, 2026South Coast Post AcuteSanta Ana, CA D
July 30, 2026The CrescentSugar Land, TX D
July 30, 2026Santa Monica Rehabilitation CenterSanta Monica, CA D
July 30, 2026White Settlement Nursing CenterWhite Settlement, TX D
July 30, 2026Lake City Center for Nursing and Healing LLCLake City, GA D
July 30, 2026Olympia Convalescent HospitalLos Angeles, CA D
July 29, 2026Magnolia Place Health CareLiberty, TX D
July 24, 2026Abington ManorClarks Summit, PA D
July 24, 2026Eden Nursing & Rehabilitation CenterBrackenridge, PA D
July 24, 2026Greenville Health and Rehabilitation CenterGreenville, NC J
July 24, 2026Coronado Ridge Skilled Nursing & Rehabilitation CeHenderson, NV D
July 24, 2026Alhambra Healthcare & Wellness Centre, LPAlhambra, CA D
July 23, 2026Madison Medical ResortOdessa, TX E
July 23, 2026Salem West Healthcare CenterSalem, OH D
July 23, 2026Northeast Ctr for Rehabilitation and Brain InjuryLake Katrine, NY E
July 23, 2026The Waterview Shores LLCTwo Harbors, MN D
July 22, 2026Capitol House Nursing and Rehab CenterBaton Rouge, LA D
July 22, 2026Arcadia Care HavanaHavana, IL D
July 22, 2026Walnut Creek Skilled Nursing & Rehabilitation CentWalnut Creek, CA D
July 20, 2026Lincolnwood Rehabilitation and Healthcare CenterNorth Providence, RI D
July 20, 2026Sanctuary WadsworthWadsworth, OH D
July 20, 2026Emerald Nursing & Rehabilitation MercyOmaha, NE D

F693 citations by state

Counts depend on how many homes a state has and how often its inspectors visit, so a larger number is not by itself a worse record.

StateCitations
California502
Texas324
Illinois250
Ohio190
Florida157
Pennsylvania135
Michigan130
Indiana113
Missouri81
Louisiana72
Massachusetts69
New York67
Wisconsin66
North Carolina61
Tennessee59
Washington53
New Jersey48
Iowa47
Maryland37
Virginia37
Georgia36
Arkansas34
Minnesota31
Mississippi29
Nevada29
Oklahoma29
Kansas27
Kentucky25
Alabama24
South Carolina24
West Virginia22
Colorado21
Utah17
Connecticut16
Nebraska15
Rhode Island14
Idaho10
Montana10
Oregon10
Delaware9
Hawaii9
Maine7
New Mexico7
District of Columbia6
North Dakota6
Alaska2
Arizona2
South Dakota2
Vermont1
Wyoming1

By inspection year: 2018 12, 2019 65, 2020 19, 2021 68, 2022 179, 2023 529, 2024 855, 2025 759, 2026 487.

Common questions

What is F693 in a nursing home inspection?
F693 is the federal requirement to "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". CMS files it under quality of life and care. A home cited under F693 did not meet that requirement at the inspection.
How often is F693 cited?
The CMS files as of September 1, 2026 list 2,973 F693 citations at 2,480 nursing homes, 677 of them in the 12 months to that date. 2.5% were rated as actual harm or immediate jeopardy.
Is a F693 citation serious?
It depends on the letter. Most F693 citations (97.3%) were rated as potential for more than minimal harm, D to F. 27 were immediate jeopardy, the most serious level.

The interpretive guidance inspectors use for each F-tag is CMS's State Operations Manual, Appendix PP. NursingHomeClear reports the citations as CMS records them and is not affiliated with CMS. All F-tags · Methodology

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