Based on observation, interview, clinical record review, and document review the facility failed to ensure 1 of 13 sampled residents (Resident #27) received appropriate care to prevent a urinary tract infection (UTI) when facility policy and Centers for Disease Control and Prevention (CDC) recommendations related to Transmission-Based Precautions (TBP) were not followed and the resident remained in a shared room with another resident known to have an active infection with a Multidrug-Resistant Organism (MDRO). This deficient practice resulted in potentially avoidable isolation of the resident, UTI with an MDRO, and treatment with Intravenous (IV) antibiotics (ABX). …
F690 citations in Nevada
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
Nevada cites F690 more often than its own record predicts
1.21 times the share F690 takes of citations nationally.
Of every deficiency written in Nevada 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 Nevada surveyors wrote
F690 findings written in Nevada, 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 document review, the facility failed to ensure perineal care was performed on a routine basis for a resident with an indwelling catheter for 1 of 36 sampled residents (Resident 45). The deficient practice placed residents at risk for urinary tract infection (UTI).Findings include:R45 was admitted on [DATE] with diagnoses including malignant neoplasm of the rectum and attention to colostomy.A nursing admission assessment dated [DATE], documented R45 was admitted with a 16 French (diameter size)/10 milliliter balloon Foley catheter and had a rectal mass. …
The short window
Recent years
| Year | Share of Nevada citations | vs expected |
|---|---|---|
| 2023 | 2.04% | 1.25× |
| 2024 | 1.79% | 1.19× |
| 2025 | 1.64% | 1.21× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nevada 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