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 Ohio. Pick another state for the same tag.
Against expectation — 2025
Ohio cites F690 more often than its own record predicts
Versus expected share1.43×
1.43 times the share F690 takes of citations nationally.
Share of Ohio citations1.94%
Of every deficiency written in Ohio in 2025, this is the portion that was F690.
Ohio1.94%
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 Ohio surveyors wrote
F690 findings written in Ohio, 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, isolatedMay 11, 2026
Based on record review, observations, hospital record review, interviews, and policy review, the facility failed to ensure safe, clinically indicated, and competent Foley catheter insertion and follow up monitoring for Resident #64 and failed to follow physician orders for indwelling catheter care for Resident #37. This resulted in Immediate Jeopardy and serious life-threatening harm, negative health outcomes, and/or death for one resident (#64) when Licensed Practical Nurse (LPN) #800 performed a non ordered Foley catheter change on [DATE] while Resident #64 was visibly moving, resisting, and verbalizing pain, without clinical assessment, supervisory involvement, or medical provider notification. …
Based on medical record review, resident and staff interviews, and policy review, the facility failed to follow physician orders regarding Resident #9's indwelling urinary catheter by not flushing the catheter as ordered and failed to notify the resident's nephrologist in a timely manner of a positive urine culture result dated 07/19/26. This resulted in Actual Harm on 07/19/26 when although Medical Director #600 was notified on 07/19/26, the nephrologist, who had specifically ordered the urine and culture and required notification of the results, was never contacted. Medical Director #600 did not initiate treatment and deferred back to the nephrologist, causing additional delay in treatment. …
D · No harm, potential for more than minimal, isolatedAugust 26, 2026
Based on record reviews, observations, interviews, and policy review, the facility failed to provide adequate and timely incontinence care. This affected two residents (Residents #64 and #77) of four residents who were investigated for incontinence care. The facility also failed to ensure urinary catheter care orders were in place. This affected one resident (Resident #124) of four residents who were reviewed for catheter care. The facility census was 104.Findings include:
1. Review of the medical record revealed Resident #77 was admitted to the facility on [DATE] with diagnoses including spina bifida, paraplegia, neuromuscular dysfunction of the bladder, and a need for assistance with personal care. …
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