Based on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure that residents received colostomy care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for one (1) of four (4) sampled residents out of a total sample of twenty-four (24) residents (Resident #65). Resident #65 had a colostomy and was unable to get out of bed without the use of a Hoyer ([NAME] of mechanical lift) lift. Resident #65 waited until noon for staff to assist with emptying his/her colostomy bag. Resident #65 was unable to obtain the supplies required for the care of his/her colostomy without the staff's assistance. …
F691 citations in Kentucky
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 — 2023
Kentucky cites F691 more often than its own record predicts
3.80 times the share F691 takes of citations nationally.
Of every deficiency written in Kentucky in 2023, 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 Kentucky surveyors wrote
F691 findings written in Kentucky, 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 Kentucky surveyors cite →
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