Based on facility policy review, record review, observation, and interview it was determined the facility failed to have an effective system to ensure one (1) of twenty-seven (27) residents received care and services for an indwelling urinary catheter, Resident #8. Resident #8 returned to the facility after an acute care stay on [DATE] with an indwelling catheter in place. However, from [DATE] to [DATE] there was no documented evidence the facility performed care and services for Resident #8's indwelling catheter or obtained laboratory tests as ordered by the physician. Resident #8 was admitted to acute care, on [DATE], with multiple diagnoses, which included a Urinary Tract Infection (UTI) and Sepsis, requiring intravenous antibiotic therapy. Resident #8 expired at the hospital on [DATE]. …
F690 citations in Kentucky
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
Kentucky cites F690 less often than its own record predicts
0.41 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kentucky 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 Kentucky surveyors wrote
F690 findings written in Kentucky, 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, interview, record review, and review of facility policy, it was determined the facility failed to ensure that residents who entered the facility with an indwelling catheter or received one (1) after admission was assessed for removal of the catheter as soon as possible and received the appropriate treatment and services to prevent urinary tract infections for one (1) of three (3) sampled residents observed for indwelling urinary catheter care out of ten (10) total sampled residents (Resident #4). Observation and interview with Resident #4 revealed the resident had an indwelling urinary catheter-related to wound management for a coccyx pressure ulcer. …
Based on observation, interview, record review, review of the facility's procedure manual, Lippincott Nursing Procedures, and the staff's Skill Competency sheets, the facility failed to ensure residents had their urinary collection bags secured properly below the bladder for 1 of 2 residents assessed for urinary catheters, Resident (R) 33. The findings include:Review of the facility's procedure manual revealed the facility used Lippincott Nursing Procedures, ninth edition, copyright 2023 Wolters Kluwer, which stated, Keep the drainage bag below the level of the patient's bladder to prevent backflow of urine into the bladder, which increases the risk of catheter urinary tract infection.Review of the staff's Skill Competency sheet given to CNAs and nurses in orientation revealed there was no… …
The short window
Recent years
| Year | Share of Kentucky citations | vs expected |
|---|---|---|
| 2023 | 1.23% | 0.76× |
| 2024 | 0.15% | 0.10× |
| 2025 | 0.56% | 0.41× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kentucky surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction