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.
F690 in Illinois. Pick another state for the same tag.
Against expectation — 2025
Illinois cites F690 more often than its own record predicts
Versus expected share1.50×
1.50 times the share F690 takes of citations nationally.
Share of Illinois citations2.03%
Of every deficiency written in Illinois in 2025, this is the portion that was F690.
Illinois2.03%
National1.35%
Share of all citations that were F690.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F690 findings written in Illinois, 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.
J · Immediate jeopardy, isolatedJune 1, 2026
Based on interview and record review, the facility failed to ensure timely assessment, monitoring, physician notification, diagnostic evaluation, and intervention for significant changes in condition related to urinary catheter complications and signs and symptoms of urinary tract infection (UTI) for one (R1) of three residents reviewed for urinary catheters in the sample of three. The facility failed to recognize, investigate, escalate, and respond to repeated abnormal urinary findings and changes in condition despite R1's known history of recurrent UTIs, urosepsis, and rapid clinical decline requiring prior hospitalizations. …
Based on interview, observation, and record review, the facility failed to provide complete and timely incontinent care for 2 of 3 residents (R9 and R14); reviewed for Bowel/Bladder Incontinence in a sample of 16. This failure resulted in R14 expressing feelings of embarrassment and displaying dissatisfaction with care.Findings include:1.R14's Facesheet with a print date of 8/13/26 documented she was admitted to the facility on [DATE] with diagnosis of, in part, acute cystitis, chronic obstructive pulmonary disease, chronic kidney disease and difficulty walking.R14's Minimum Data Set (MDS) dated [DATE] documented she was moderately cognitively impaired and required partial/moderate assistance with toileting hygiene and was dependent on staff for toileting transfers. …
D · No harm, potential for more than minimal, isolatedAugust 30, 2026
Based on observation, interview, and record review the facility failed to ensure a resident had catheter change orders, current physician recommendations for catheter changes were followed, and catheter tubing was kept off the floor for 2 of 3 residents (R2 & R3) reviewed for catheters in the sample of 6.The findings include:1. On 8/30/26 at 11:54 AM, R3 was sitting in a wheelchair in the dining room. R3 had an indwelling urinary catheter with the tubing on the floor. The urine in the tubing was cloudy yellow with thick sediment present. V5 Assistant Director of Nursing - ADON walked by the dining room and was asked to look at the resident. V5 stated she could see already that his tubing was on the floor and it should not be. …
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