Based on record review and interview, it was determined that for one (R149) out of nine residents reviewed for activities of daily living the facility failed to ensure documentation regarding urostomy and pelvic drain output was recorded as ordered. Findings include: Review of R149's clinical record revealed:7/22/25 - R149 was admitted to the facility with a history of bladder cancer and recent urinary tract infection, pelvic infection a urostomy and pelvic drain. 7/22/25 - A physician's order was written for R149's pelvic drains to be emptied and the drainage amounts to be recorded.7/22/25 - A care plan was created for R149's care of urostomy that included the intervention to empty the urostomy drainage bag and change it as needed and record the amount [ML's].7/23/25 - A care plan was… …
F691 citations in Delaware
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
Delaware cites F691 more often than its own record predicts
2.81 times the share F691 takes of citations nationally.
Of every deficiency written in Delaware 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 Delaware surveyors wrote
F691 findings written in Delaware, 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 Delaware citations | vs expected |
|---|---|---|
| 2024 | 0.35% | 4.40× |
| 2025 | 0.21% | 2.81× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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