Based on clinical record review, staff interviews, urologist interview, hospital record review, death certificate and policy/procedure review, the facility failed to provide accurate measurements of urinary output, and failed to implement fluid intake and assessments/interventions for 4 out of 4 resident with a an indwelling catheter (Resident #9, #4, #7 and #12) and 3 out of 4 resident that were diagnosed with a urinary tract infection (Resident #9, #7 and #12) which resulted in Resident #9 who showed no urinary output for 32 hours and had a fluid intake of 150 cc over a 48 hour period from 1/9/26-1/12/26. Resident #9 displayed symptoms of confusion, abdominal distention, and discomfort during cares on 1/12/26. …
F690 citations in Iowa
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
Iowa cites F690 less often than its own record predicts
0.99 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa 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 Iowa surveyors wrote
F690 findings written in Iowa, 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, clinical record review, consultant pharmacy interview and staff interviews, the facility failed to complete routine urinary catheter care, monitor urinary output and administer an antibiotic to treat an urinary tract infection (UTI) per physician order for 2 of 3 residents (Resident #1 and Resident #11) reviewed for urinary catheter. Resident #1 did not receive a full nine-day course of antibiotics to treat an UTI which resulted in a hospitalization. The facility reported a census of 88 residents Findings include: 1.The Quarterly Minimum Data Set (MDS) Assessment completed on 11/19/25 revealed Resident #11 with a Brief Interview for Mental Status (BIMS) score of 10, indicating a moderate cognitive impairment. …
Based on observation, clinical record review, staff interview, and policy review, the facility failed to provide appropriate toileting hygiene assistance to prevent a urinary tract infection (UTI) for 2 of 3 resident (#2, #68). The facility reported a census of 68 residents.Findings include:Resident #2's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 15 out of 15 which indicated completely intact cognition. It included diagnoses of severe intellectual disabilities, bipolar disorder, diabetes mellitus, seizure disorder, and the need for assistance with personal care. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 2.06% | 1.27× |
| 2024 | 1.84% | 1.23× |
| 2025 | 1.35% | 0.99× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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