Based on observations, record review and interviews, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for one (#2) of seven residents reviewed for foley catheter care and catheter assessments out of eleven sample residents.Specifically, the facility failed to ensure staff were appropriately trained in the care needs of a resident with quadriplegia and effectively monitoring Resident #2, who had an indwelling foley catheter for signs and symptoms of urinary retention. This resulted in the resident being transferred to the hospital where she was admitted to the hospital's intensive care unit for a higher level of care. …
F690 citations in Colorado
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
Colorado cites F690 less often than its own record predicts
0.74 times the national share — cited less often here than elsewhere.
Of every deficiency written in Colorado 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 Colorado surveyors wrote
F690 findings written in Colorado, 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 observations, interviews and record review the facility failed to consistently provide catheter care, treatment and services to minimize the risk of urinary tract infections for two (#15 and #11) of three residents reviewed for catheter care out of 29 sample residents. Resident #15 admitted to the facility for long term care on 2/28/22 with a diagnosis of depression, quadriplegia (decreased or no movement of all four limbs), neurogenic bowel (decreased bowel movements), neuromuscular dysfunction of bladder (decreased bladder movement) and colostomy status (an opening into the colon from the outside of the body). …
Based on observations, record review and interviews, the facility failed to provide catheter care in accordance with standards of professional practice for one (#118) of three residents out of 62 sample residents.Specifically, the facility failed to ensure:-The urinary catheter was changed timely for Resident #118; and,-Resident #118, who was incontinent of the bladder, received appropriate treatment and services to prevent urinary tract infections (UTI) and to restore continence to the extent possible.Findings include:I. Facility policy and procedureThe Catheter Care policy, revised August 2022, was provided by the nursing home administrator (NHA) on 6/25/26 at 7:55 a.m. …
The short window
Recent years
| Year | Share of Colorado citations | vs expected |
|---|---|---|
| 2023 | 0.51% | 0.31× |
| 2024 | 0.30% | 0.20× |
| 2025 | 1.01% | 0.74× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction