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 North Carolina. Pick another state for the same tag.
Against expectation — 2025
North Carolina cites F690 more often than its own record predicts
Versus expected share1.10×
1.10 times the share F690 takes of citations nationally.
Share of North Carolina citations1.49%
Of every deficiency written in North Carolina in 2025, this is the portion that was F690.
North Carolina1.49%
National1.36%
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 North Carolina surveyors wrote
F690 findings written in North Carolina, 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, isolatedAugust 30, 2024
Based on record review, and interviews with staff and the physician, the facility failed to ensure Resident #6 received necessary care and services for a urinary tract infection (UTI) when she experienced signs and symptoms of a change in condition. The facility failed to follow up on results of urinalysis, failed to effectively respond to a positive urinalysis (UA) report, failed to follow up on results of urine culture and sensitivity, effectively respond to urine culture and sensitivity results (C&S), and administer an antibiotic that was sensitive to the microorganism listed on the C&S report. These deficient practices affected 1 of 4 residents reviewed for UTI (Resident #6). …
Based on record review and Medical Director, Hospital Urologist, Nurse Practitioner (NP), Resident Representative (RR) and staff interviews, the facility failed to follow hospital discharge orders for a urinary catheter to remain in place for 1 of 5 residents reviewed for urinary catheters (Resident #161). Resident #161 was admitted to the facility from the hospital on 9/18/25 with a urinary catheter due to a diagnosis of hydronephrosis (swelling of the kidneys due to urinary retention). Resident #161's urinary catheter was removed at the facility on 9/19/25 at 6:27 AM and subsequently reinserted at 11:09 PM after the Medical Director reviewed the hospital records which indicated the urinary catheter was to remain in place until follow up with urology. …
D · No harm, potential for more than minimal, isolatedSeptember 11, 2026
Based on observations, record review, staff and resident interviews, the facility failed to obtain a physician order for the size of an indwelling urinary catheter for 1 of 1 resident reviewed for urinary catheters (Resident #7). The findings included:Resident #7 was admitted to the facility on [DATE] with diagnoses that included obstructive uropathy (a blockage or hinderance in the flow of urine from the kidneys through the ureters and into the bladder, and then out through the urethra).Resident #7's quarterly Minimum Data Set assessment dated [DATE] revealed the Resident was cognitively intact and had an indwelling urinary catheter.Review of Resident #7's care plan dated 06/16/26 revealed a goal that the Resident would remain free of catheter related trauma through interventions such as… …
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