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 Oregon. Pick another state for the same tag.
Against expectation — 2025
Oregon cites F690 less often than its own record predicts
Versus expected share0.62×
0.62 times the national share — cited less often here than elsewhere.
Share of Oregon citations0.84%
Of every deficiency written in Oregon in 2025, this is the portion that was F690.
Oregon0.84%
National1.35%
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 Oregon surveyors wrote
F690 findings written in Oregon, 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, isolatedJanuary 11, 2023
Based on interview and record review it was determined the the facility failed to monitor and assess Resident 2 for signs of UTI (urinary tract infection) such as decreased food and fluid intake and decreased urine output and failed to notify the provider of condition changes for 1 of 3 sampled residents (#2) reviewed for change of condition. This failure was determined to be an immediate jeopardy situation because the facility failed to recognize and treat a UTI which resulted in severe sepsis and death. Findings include:
Resident 2 admitted to the facility in 4/2022 with diagnoses including intellectual disabilities and neurogenic bladder. …
Based on interview and record review it was determined the facility failed to provide care and services to prevent a [CONDITION(S)] for 1 of 3 sampled residents (#3) reviewed for urinary catheter care. This failure resulted in Resident 3 being transferred to the hospital due to a [CONDITION(S)] with [CONDITION(S)] (a potentially life-threatening condition related to an infection). Findings include:
Resident 3 was admitted to the facility in 2021 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] .
Resident 3's Care Plan included an intervention for staff to monitor, record and report to the physician signs and symptoms of a [CONDITION(S)] including cloudiness, no output and altered mental status. …
D · No harm, potential for more than minimal, isolatedAugust 10, 2026
Based on observation, interview, and record review, it was determined the facility failed to medically justify or remove a catheter, complete a urology referral as ordered, and provide education on risks of long-term catheterization for 1 of 2 sampled residents (#6) reviewed for urinary catheter. This placed residents at risk for infection and loss of normal bladder function. Findings include: Resident 6 was admitted to the facility in 10/2025 with an indwelling foley catheter. Resident 6 had a history of diabetes and urine retention.The facility's indwelling catheter policy, dated 7/2026, stated, The resident will not be catheterized unless the resident's clinical condition demonstrates that catheterization is necessary. …
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