Based on observation, interview and record review, the facility failed to ensure a resident admitted with a urinary catheter was assessed for removal of the catheter as soon as possible, received services to prevent urinary tract infections, and had the proper securing device to prevent friction and movement at the insertion site for 1 (Resident #305) of 2 residents reviewed for urinary catheters. The findings included: Review of the facility Policy for Urinary Catheter Care revised 2/21/23 included instructions for infection control: Be sure the catheter tubing and drainage bag are kept off the floor. Catheter changing instructions included: Ensure that the catheter remains secured with a leg strap to reduce friction and movement at the insertion site. …
F690 citations in Florida
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
Florida cites F690 more often than its own record predicts
1.33 times the share F690 takes of citations nationally.
Of every deficiency written in Florida 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 Florida surveyors wrote
F690 findings written in Florida, 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 facility record review, hospital record review, resident representative interview, and staff interviews, the facility failed to develop and implement an effective bowel management plan, to include consistent monitoring of bowel elimination resulting in constipation/fecal impaction for 1 of 3 residents reviewed for bowel incontinence. (resident #1) The findings include: Resident #1 was admitted to the facility on [DATE] and transferred to the hospital on [DATE] due to fever and respiratory concerns. The hospital records reveal on 7/4/19, the resident had an abdominal/pelvic and chest computed tomography (CT) scan without contrast with an impression of fecal impaction and constipation, with a very large amount of stool in the rectum. …
Based on observation, interview, and record review, the facility failed to ensure a resident who enters the facility with an indwelling catheter is assessed for removal of the catheter as soon as possible for 1 of 2 residents, Resident #9, reviewed for urinary catheters. Findings include: Findings include:During an observation on 09/01/26 at 12:55 PM, Resident #9 was observed sitting upright in her bed. She was observed to have a catheter bag attached to her bed on her left side.During an interview on 09/01/26 at 12:55 PM, Resident #9 stated that last week she was told about getting her Foley catheter removed and starting bladder training. She stated that no one has followed up with her since. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 1.77% | 1.09× |
| 2024 | 1.59% | 1.06× |
| 2025 | 1.80% | 1.33× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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