Complaint # (AR 279) was substantiated, all or in part, with these findings: Based on observation, record review, and interview, the facility failed to ensure the necessary assessments, monitoring, treatment and services were provided for the management of bowel incontinence for Resident #1, as evidenced by: failure to ensure that before a rectal tube with fecal bag (Flexi-seal system) was initiated, the staff responsible for managing the device were knowledgeable and fully competent with doing so; failure to ensure nursing staff monitored the Flexi-seal system and fecal output, promptly addressed leakage of fecal material, kinks or blockage of the tubing, evaluated the positioning of the rectal tube for correct positioning in the rectum when the system continued to experience leakage of… …
F690 citations in Arkansas
Incontinence and catheter care · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arkansas cites F690 less often than its own record predicts
0.67 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arkansas in 2025, this is the portion that was F690.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arkansas surveyors wrote
F690 findings written in Arkansas, 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 interview, the facility failed to ensure the urinary catheter tubing was secured to prevent potential trauma to the urinary meatus and a torn catheter bag was replaced for 1 (Residents #48) of 6 (Residents #4, #8, #48, #58, #66 and #71) sampled residents with indwelling catheters. This failed practice resulted in actual harm to Resident #48 who had no device in place to prevent the indwelling catheter from pulling on the meatus resulting in pain and an reddened and opened area to the meatus and had the potential to affect 7 residents who had indwelling urinary catheters, according to a list provided by the Director of Nursing (DON) on 11/19/2020. The findings are: Resident #48 had [DIAGNOSES REDACTED]. …
Based on observations, record review, interviews and facility policy review, the facility failed to ensure an indwelling catheter was stored off the floor to reduce the risk of infection, cross contamination and injury for one (Resident #3) of one resident reviewed. The findings include:Review of Resident #3's Medical Diagnosis revealed Resident #3 had diagnoses which included urine retention, overactive bladder, chronic kidney disease, tubulointerstitial nephritis (inflamed kidney tubules) and anxiety.Review of an admission Minimum Data Set (MDS) with an Assessment Reference Date of 03/30/2026 revealed, Resident #3 had a Brief Interview for Mental Status score of 14, which indicated the resident was cognitively intact. …
The short window
Recent years
| Year | Share of Arkansas citations | vs expected |
|---|---|---|
| 2023 | 1.31% | 0.81× |
| 2024 | 2.01% | 1.34× |
| 2025 | 0.91% | 0.67× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arkansas surveyors cite →
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