Based on record review, observations and interviews, it was determined that for one (R106) out of five residents reviewed for bowel and bladder, the facility failed to ensure appropriate treatment and services to restore and/or maintain bladder function were implemented. Findings include: Review of R106's clinical records revealed: Cross Refer to F641, F656, F689 and F842 The facility's policy titled, Incontinence with a revised date 1/2024, documented, Based on resident's comprehensive assessment, all residents that are incontinent will receive appropriate treatment and services .1. …
F690 citations in Delaware
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
Delaware cites F690 more often than its own record predicts
1.88 times the share F690 takes of citations nationally.
Of every deficiency written in Delaware 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 Delaware surveyors wrote
F690 findings written in Delaware, 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 it was determined that for one (R94) out of two residents reviewed for urinary tract infections the facility failed to ensure that a resident with a urinary catheter remained free of infection. Findings include: John Hopkins medical center guidelines regarding antibiotic stewardship for UTI indicated, Enterococcus [bacteria] can be a contaminant or colonizer, particularly in patients with urinary catheters or multiple organisms growing in urine culture. https://www.hopkinsmedicine.org/-/media/antimicrobial-stewardship/bacterial_uti_guidelines.pdf. …
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 1.32% | 0.81× |
| 2024 | 2.63% | 1.75× |
| 2025 | 2.55% | 1.88× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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