Based on observations, interviews, facility policy review, and record review, the facility failed to monitor a resident's bowel movements and initiate the Bowel Regime protocol on shift 7 for 1 of 1 residents reviewed (Resident # [R] 46). This failure resulted in R46 not having a bowel movement for an additional 16 shifts which resulted in R46 screaming out for help and crying because of the pain due to gas buildup and constipation. Findings: The facility's policy, Bowel Regime last revised 3/23 indicated: - Certified Nursing Assistant (CNA) is responsible for accurate documentation of bowel moments in Point Click Care (PCC) [electronic medical record]. - The Licensed Nurse reviews the PCC Clinical Alerts daily for residents in need of the bowel regime. …
F690 citations in Maine
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
Maine cites F690 less often than its own record predicts
0.48 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maine 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 Maine surveyors wrote
F690 findings written in Maine, 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 clinical record review and interviews, the facility failed to initiate a resident's bowel regime protocol timely for 1 of 5 residents reviewed for unnecessary medications (Resident #2 [R2]). Findings:Review of R2's clinical record, effective date: 12/31/25 9:42 a.m., Type: Care Plan Meeting. Summary of meeting. Occupational Therapy (OT) - Initiated beginning OT with an evaluation on 12/30/25). R2 was in significant pain resulting to inability to do ADLs(activities of daily living)/functional mobility assessment, but agreeable to evaluation write up to be complete. …
What else Maine surveyors cite →
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