Based on interview, record review, and facility document and policy review, the facility failed to provide appropriate care and services to a resident with an indwelling urinary catheter for 1 (Resident #26) of 1 resident reviewed for urinary catheters. Certified Medication Aide (CMA) #2, an unlicensed staff member, replaced Resident #26's indwelling urinary catheter while under the direct supervision of Registered Nurse (RN) #1. CMA #2 inserted the indwelling urinary catheter into Resident #26 and inflated the catheter balloon prior to seeing a return of urine. RN #1 then took over the insertion of Resident #26's indwelling urinary catheter procedure, deflated the balloon, repositioned the catheter, and reinflated the balloon, with no observed return of urine. …
F690 citations in Oklahoma
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
Oklahoma cites F690 less often than its own record predicts
0.65 times the national share — cited less often here than elsewhere.
Of every deficiency written in Oklahoma 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 Oklahoma surveyors wrote
F690 findings written in Oklahoma, 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 facility document review, the facility failed to ensure an indwelling urinary catheter tubing was secured and a urine collection bag was stored in a manner to prevent infection for 1 (Resident #60) of 2 residents with a urinary catheter.Findings included: A facility document titled, Catheter Care Guideline, with an effective date of 03/2025, indicated, Our facility is committed to providing proper catheter care in accordance with current professional standards of practice. The document further indicated the Purpose was, To ensure care aligns with safe and effective management of urinary catheters and reduce the risk of infection and promote resident comfort and dignity. The document also indicated, 3. Daily Catheter Care: e. …
The short window
Recent years
| Year | Share of Oklahoma citations | vs expected |
|---|---|---|
| 2023 | 1.24% | 0.76× |
| 2024 | 0.98% | 0.66× |
| 2025 | 0.88% | 0.65× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oklahoma surveyors cite →
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