Based on record review, the facility failed to ensure appropriate treatment and services to treat a urinary tract infection [MEDICAL CONDITION] for 1 of 4 sampled residents (Resident #30) with an indwelling urinary catheter. Failure to adequately monitor and promptly treat Resident #30's UTI resulted in an admission to the hospital for [MEDICAL CONDITION] work up, including continuous bladder irrigation (CBI) and treatment with intravenous (IV) antibiotics. Findings include: Review of Resident #30's medical record occurred on all days of survey. [DIAGNOSES REDACTED]. Nurses' notes identified the following: *02/22/19 at 10:48 p.m.: . …
F690 citations in North Dakota
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
North Dakota cites F690 more often than its own record predicts
1.83 times the share F690 takes of citations nationally.
Of every deficiency written in North Dakota 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 North Dakota surveyors wrote
F690 findings written in North Dakota, 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 record review, review of facility policy, and staff interview, the facility failed to provide appropriate care and services for 1 of 1 sampled resident (Resident #6) with a suprapubic catheter. Failure to provide the ordered catheter size and type placed the resident at risk for ineffective urinary drainage and other catheter-related complications.Findings include:Review of the facility policy titled Catheter: Care, Insertion & Removal, Drainage Bags, Irrigation, Specimen occurred on 08/19/26. This policy, dated 03/02/26, stated, . PROCEDURE: Reinsertion of Suprapubic Catheter . 1. Verify physician order. 2. …
The short window
Recent years
| Year | Share of North Dakota citations | vs expected |
|---|---|---|
| 2023 | 1.40% | 0.86× |
| 2024 | 1.73% | 1.15× |
| 2025 | 2.49% | 1.83× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Dakota 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