Based on observation, interview, and record review, for 1 out of 54 sampled residents, the facility did not ensure each resident who entered the facility with an indwelling catheter or subsequently received one was assessed for removal of the catheter as soon as possible unless the resident's clinical condition demonstrates that catheterization was necessary. Specifically, the facility did not discontinue a resident's Foley catheter when ordered by a provider in a timely manner. This was cited at a harm level. Resident identifier: 34.Findings Included:Resident 34 was admitted on [DATE] with diagnosis that included acute kidney failure, obstructive and reflux uropathy, intracerebral hemorrhage, and encephalopathy. …
F690 citations in Utah
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
Utah cites F690 more often than its own record predicts
1.31 times the share F690 takes of citations nationally.
Of every deficiency written in Utah 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 Utah surveyors wrote
F690 findings written in Utah, 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 interview and record review, the facility did not ensure that a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible. Specifically, staff were applying a PureWick external urinary catheter device without orders or training on how to use the device. Resident identifier: 28. Findings included:Resident 28 was admitted to the facility on [DATE] with diagnoses which included fracture around internal prosthetic right hip joint, muscle weakness, abnormality of gait and mobility, congestive heart failure, lymphedema, muscle wasting and atrophy. On 6/29/26 at 10:05 AM, an interview was conducted with resident 28. Resident 28 stated she wore a PureWick device at nighttime. …
The short window
Recent years
| Year | Share of Utah citations | vs expected |
|---|---|---|
| 2023 | 2.08% | 1.28× |
| 2024 | 1.21% | 0.81× |
| 2025 | 1.78% | 1.31× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Utah 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