Based on observations, interviews, record review, and the facility policy titled, Colostomy/Ileostomy Care, the facility failed to ensure care consistent with professional standards of practice for one of two sampled residents (R) (R78). This deficient practice placed R78 at risk for skin breakdown and discomfort.Findings Include:Review of the facility's policy titled Colostomy/Ileostomy Care, review date 01/21/2026, revealed that The purpose of this procedure is to provide guidelines that will aid in preventing exposure of the resident's skin to fecal matter.Review of the Quarterly Minimum Data Set (MDS) assessment for R78, dated 01/10/2026, revealed in Section C (Cognitive Patterns) a Brief Interview for Mental Status (BIMS) score of 15, indicating little to no cognitive impairment. …
F691 citations in Georgia
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 — 2024
Georgia cites F691 more often than its own record predicts
1.69 times the share F691 takes of citations nationally.
Of every deficiency written in Georgia in 2024, 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 Georgia surveyors wrote
F691 findings written in Georgia, 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 Georgia citations | vs expected |
|---|---|---|
| 2023 | 0.09% | 1.05× |
| 2024 | 0.13% | 1.69× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Georgia surveyors cite →
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