Based on interview and record review, the facility failed to ensure one of five sampled residents (Resident 1), who was at risk for urinary tract infection (UTI - infection that happens when germs enter the urethra [the tube that allows urine from the urinary bladder, a sac that holds urine for temporary storage, exit the body during urination), was accurately and continuously monitored for signs (objective findings that can be seen or measured) and symptoms (subjective data that can be perceived only by the person affected) of UTI (such as complaints of pain, burning sensation, increase in frequency and urgency during urination, increased temperature, or change in urine character [color, odor, amount, and clarity]) to prevent complications (such as repeated UTIs [two or more UTIs within… …
F690 citations in California
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
California cites F690 less often than its own record predicts
0.84 times the national share — cited less often here than elsewhere.
Of every deficiency written in California 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 California surveyors wrote
F690 findings written in California, 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 interview and record review, the facility failed to provide the appropriate treatment and service to prevent urinary tract infection (UTI- infection of the urinary tract) to one (1) of two (2) sampled residents (Resident 1) who was admitted at the facility with indwelling urinary catheter (a thin, flexible tube inserted into the bladder to drain urine when a person is unable to urinate on their own) by failing to: 1. Monitor and document Resident 1's change of condition (COC) that was observed by facility staff on 8/14/2025 and on 8/21/2025 of dark/ brown colored urine (normal urine color is clear and yellow) in the indwelling catheter bag. 2. …
Based on interview and medical record review, the facility failed to provide the necessary care and services related to the resident's bowel elimination status for two of 19 final sampled residents (Residents 9 and 10). * The facility failed to assess and provide the necessary interventions when Residents 9 and 10 had no adequate bowel movements. These failures posed the risk for the residents to not receive the necessary care and services for bowel management. Findings: 1. Medical record for Resident 10 was initiated on 8/18/26. Resident 10 was readmitted to the facility on [DATE]. Review of Resident 10's CNA ADLs documentation for August 2026 for the bowel movements showed Resident 10 only had four bowel movements between 8/1/26 to 8/21/26. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.85% | 0.52× |
| 2024 | 0.92% | 0.61× |
| 2025 | 1.14% | 0.84× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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