Based on record review and interviews, the facility failed to ensure ostomy care was provided and documented according to the physician's orders for one (Resident #5) out of three residents reviewed for ostomy care. This failure resulted in the inability to determine whether the resident received required ostomy care and hygiene support. Findings include:Record review showed Resident #5 was admitted in October 2021 with multiple diagnoses including partial intestinal obstruction, ileostomy status, Type 2 diabetes mellitus with chronic kidney disease, vascular dementia (moderate), muscle weakness, need for assistance with personal care, hypertensive heart and chronic kidney disease with heart failure, and obstructive sleep apnea. …
F691 citations in Florida
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
Florida cites F691 less often than its own record predicts
0.86 times the national share — cited less often here than elsewhere.
Of every deficiency written in Florida 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 Florida surveyors wrote
F691 findings written in Florida, 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.
What else Florida surveyors cite →
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