Devices, systems and methods for delivering nutrients to a patient are provided. The gastrostomy feeding device includes a device housing having a proximal portion having an opening therein, a channel operably connected to the opening in the proximal portion, a distal portion having an opening therein, a lumen operably connected to the opening in the distal portion, and a cavity formed within the device housing. The device also includes a rotatable member positioned completely within the cavity and that is rotatable within the cavity relative to the housing. The rotatable member includes a first opening and a second opening and a lumen extending therebetween. The rotatable member is rotatable from a closed configuration to an open configuration where the second opening of the rotatable member is operably connected to the lumen of the device housing. The device further includes an expandable member positioned on the distal portion.