Based on record review, interviews, and review of the facility policy titled Urinary Tract Infections/Bacteriuria-Clinical Protocol, the facility failed to provide appropriate treatment and services to prevent a catheter associated urinary tract infection from worsening for one of 57 sampled residents (R) (R10). The failure caused R10 to be sent to an acute care hospital with the diagnosis of shock, sepsis, and metabolic crisis (including acute kidney injury and acute renal failure). R10 expired in the hospital on [DATE]. On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation caused or had the likelihood to cause serious injury, harm, impairment, or death to residents. …
F690 citations in Georgia
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
Georgia cites F690 less often than its own record predicts
0.46 times the national share — cited less often here than elsewhere.
Of every deficiency written in Georgia 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 Georgia surveyors wrote
F690 findings written in Georgia, 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 record review and staff interviews, the facility failed to provide appropriate treatment and care for one resident (R) (R660) with a severe urinary tract infection (UTI). Abnormal urinalysis (UA) and culture and sensitivity (C&S) results were reported to the facility on [DATE] and the facility failed to seek medication for treatment. Actual Harm occurred on 12/16/2023 when R660 was admitted to the hospital for 11 days with a urinary tract infection and acute renal failure. The sample size was 44. Findings include: Review of the electronic medical record (EMR) revealed R660 was admitted to the facility on [DATE] with diagnoses including multiple sclerosis (MS), muscle weakness, and lack of coordination. …
Based on observations, staff interviews, and review of the facility policies titled, Catheter Care, and Bowel and Bladder Incontinence, the facility failed to ensure one of three sampled residents (R) (R2), who received perineal care was thoroughly cleaned and free of feces. The deficient practice increased the risk of urinary tract infections for R2.Findings includeReview of the facility policy, Catheter Care revised 03/09/2005, documented, STANDARD: Urinary meatus needs to be cleaned and free of secretions.Review of the facility policy, Bowel and Bladder Incontinence revised 08/2026, documented Policy: To provide guidance in the preventive measure for controlling common infections for incontinent residents as part of the overall infection control program. …
The short window
Recent years
| Year | Share of Georgia citations | vs expected |
|---|---|---|
| 2023 | 1.11% | 0.68× |
| 2024 | 0.67% | 0.45× |
| 2025 | 0.63% | 0.46× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Georgia surveyors cite →
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