Based on interview and record review, the facility failed to ensure colostomy (a surgical procedure that brings one end of the large intestine out through the abdominal wall to allow waste to leave the body) care was provided for one of two sampled residents (Resident 1) as indicated on the physician's order and facility's colostomy policy.This failure had the potential to result in colostomy complications including discomfort, stool leakage or decreased quality of life for Resident 1.Findings:During a review of Resident 1's admission Record, the admission record indicated Resident 1 was admitted to the facility on [DATE] with diagnoses that included partial intestinal obstruction (a partial blockage of the small or large intestine), colostomy status, and chronic kidney disease (CKD -… …
F691 citations in California
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F691 less often than its own record predicts
0.84 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, this is the portion that was F691.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F691 findings written in California, 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.
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 0.71× |
| 2024 | 0.04% | 0.50× |
| 2025 | 0.06% | 0.84× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California 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