SHAWNEE, KS - Federal health inspectors identified multiple deficiencies at Brookdale Rosehill during a standard health inspection on December 10, 2025, including a citation for improper feeding tube care and consent practices. The facility, which received five total deficiencies during the inspection, has not submitted a plan of correction for the feeding tube violation.
Feeding Tube Consent and Care Standards Not Met
Inspectors cited Brookdale Rosehill under federal regulatory tag F0693, which requires nursing facilities to ensure that feeding tubes are not used unless there is a documented medical reason and the resident has provided informed agreement. The regulation also mandates that facilities deliver appropriate, ongoing care for any resident who has a feeding tube in place.
The deficiency was classified at Scope/Severity Level D, meaning it was isolated in nature and no actual harm was documented at the time of the inspection. However, inspectors determined there was potential for more than minimal harm to residents — a designation that signals real clinical risk if the underlying problems are not addressed.
The feeding tube citation fell under the broader category of Quality of Life and Care Deficiencies, one of the most closely monitored areas of federal nursing home oversight.
Why Feeding Tube Protocols Matter
Feeding tubes, including nasogastric tubes and percutaneous endoscopic gastrostomy (PEG) tubes, are medical interventions used when a resident cannot safely consume food or liquids by mouth. While they can be life-sustaining for residents with conditions such as advanced dementia, stroke-related swallowing difficulties, or certain cancers, they carry significant clinical risks when not properly managed.
Improper feeding tube care can lead to aspiration pneumonia, one of the leading causes of hospitalization and death among nursing home residents. When tube feeding formulas enter the lungs rather than the stomach, the resulting infection can be life-threatening, particularly in elderly or immunocompromised individuals.
Other documented risks of inadequate feeding tube management include tube dislodgement, skin breakdown and infection at the insertion site, electrolyte imbalances, and gastrointestinal complications such as bloating, diarrhea, or bowel obstruction. Each of these outcomes can result in emergency medical intervention and significant decline in a resident's overall condition.
Federal regulations under 42 CFR §483.25 require that facilities assess whether a feeding tube is medically necessary, obtain informed consent from the resident or their legal representative, and maintain a comprehensive care plan that includes regular monitoring of tube placement, nutritional intake, and potential complications.
Informed Consent Requirements
The consent component of the citation is equally significant. Federal and state regulations require that residents — or their designated decision-makers — be fully informed about the risks, benefits, and alternatives to feeding tube placement before the intervention proceeds. This includes discussion of comfort-focused care options and the resident's right to refuse the treatment entirely.
When facilities fail to document proper consent, it raises questions about whether residents' autonomy and preferences are being respected in clinical decision-making. Resident rights protections are a foundational element of federal nursing home standards.
No Correction Plan on File
Perhaps the most concerning aspect of the citation is that Brookdale Rosehill has not submitted a plan of correction. When a facility receives a deficiency citation, it is expected to develop and submit a detailed corrective action plan outlining the specific steps it will take to resolve the identified problem, prevent recurrence, and protect residents from future harm.
The absence of a correction plan means there is no documented commitment from the facility to address the feeding tube care and consent failures identified by inspectors. Federal regulators may pursue additional enforcement actions if a plan is not submitted within the required timeframe.
Five Total Deficiencies Cited
The feeding tube care violation was one of five deficiencies identified during the December 2025 inspection cycle. While the specific details of the remaining four citations were not included in this report, the total number of deficiencies provides additional context about the facility's overall compliance posture during the inspection period.
Families with loved ones at Brookdale Rosehill may wish to review the full inspection report, available through the Centers for Medicare & Medicaid Services (CMS) Care Compare website, for a complete accounting of all cited deficiencies and their severity levels.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Brookdale Rosehill from 2025-12-10 including all violations, facility responses, and corrective action plans.
💬 Join the Discussion
Comments are moderated. Please keep discussions respectful and relevant to nursing home care quality.