The complications which may occur in nursing homes with enteral feedings can be life-threatening to the resident and frustrating to the nursing staff. An understanding of the complications and the necessary interventions can reduce the incidence of complications and enhance the care of residents. Common complications of enteral feeding are described, including gastrointestinal, respiratory, metabolic, and mechanical problems. Gastrointestinal complications involve malnutrition, medications, and diarrhea related to the formula. The most dangerous complication of enteral feeding is aspiration of formula. Clinical signs of aspiration include tachypnea, hypoxemia, and respiratory acidosis. Hyperglycemia and fluid and electrolyte imbalances are metabolic complications associated with enteral feedings and parenteral feedings. Tube obstruction is one of the most common mechanical problems of enteral feedings.