F691 in Illinois. Pick another state for the same tag.
Against expectation — 2025
Illinois cites F691 less often than its own record predicts
Versus expected share0.99×
0.99 times the national share — cited less often here than elsewhere.
Share of Illinois citations0.07%
Of every deficiency written in Illinois in 2025, this is the portion that was F691.
Illinois0.07%
National0.08%
Share of all citations that were F691.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F691 findings written in Illinois, 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.
G · Actual harm, isolatedJune 30, 2026
Based on interview and record review, the facility failed to follow the resident's plan of care and accepted standards of practice for ostomy care by failing to monitor, measure, and document ileostomy output, resulting in lack of adequate nurse-to-provider communication, for one of one resident (R1) reviewed for ostomy care and services. This failure resulted in R1 having significant abdominal pain, being transported to the hospital, and diagnosed with a bowel obstruction.Findings include: R1's facility sheet shows diagnoses of colostomy status. …
D · No harm, potential for more than minimal, isolatedAugust 27, 2026
Based on interview and record review, the facility failed to ensure urostomy appliance changes were completed for 1 of 3 residents (R1) reviewed for quality of care in a sample of 4.The findings include:R1's Resident Face Sheet documented R1 was admitted to the facility on [DATE] at 5:30 PM, with a primary diagnosis of Spastic Quadriplegic Cerebral Palsy and other diagnoses including: Neuromuscular dysfunction of bladder and Extended Spectrum Beta Lactamase (ESBL) resistance-urine.R1's Care Plan with a revision date of 8/6/26 documents a problem area of Resident requires a urostomy, risk for infection hx (history) of recurrent urinary infections, neurogenic dysfunction. …
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