F691 in Michigan. Pick another state for the same tag.
Against expectation — 2025
Michigan cites F691 more often than its own record predicts
Versus expected share1.75×
1.75 times the share F691 takes of citations nationally.
Share of Michigan citations0.13%
Of every deficiency written in Michigan in 2025, this is the portion that was F691.
Michigan0.13%
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 Michigan surveyors wrote
F691 findings written in Michigan, 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.
J · Immediate jeopardy, isolatedMarch 1, 2023
This citation pertains to intake MI00132704.
Based on interview and record review, the facility failured to monitor and care for nephrostomy tubes consistent with professional standards of practice, in one of one resident reviewed for nephrostomy care and services (Resident #10), resulting in an Immediate Jeopardy due to the likelihood for serious harm and/or death when Resident #10 required an emergency transfer to the hospital for appropriate care with intravenous fluids, replacement of nephrostomy tubes and antibiotic treatment for a serious infection. …
This citation pertains to intake number 2801450 Based on interview and record review, the facility failed to ensure appropriate urostomy care for one resident (resident #7) out of three reviewed, resulting in a hospitalization for a diagnosis of septic shock secondary to a urinary tract infection. Findings include:Review of the medical record reflected Resident #7 (R7) was admitted to the facility on [DATE], with diagnoses that included neuromuscular dysfunction of bladder and paraplegia. R7 no longer resided in the facility.On 5/27/26 at 3:04 PM, R7s Family Member (FM) S stated that she frequently visited R7 at the facility when he resided there and expressed concerns regarding the provision of urostomy care. …
D · No harm, potential for more than minimal, isolatedJune 24, 2026
This citation pertains to intake # 3034407 Based on observation, interview, and record review, the facility failed to monitor and assess one of three resident's (Resident #102) reviewed for ostomy care. Findings:Resident #102 (R102) Review of Face Sheet revealed R102 was a [AGE] year-old Spanish speaking male, originally admitted to the facility on [DATE], with pertinent diagnoses of a small bowel obstruction that was surgically repaired and a colostomy was placed, and an abdominal abscess that developed after surgery and required IV (intravenous) antibiotics. Other pertinent diagnoses include a history of a brain bleed that required a craniotomy and resulted in aphasia (difficulty speaking) and weakness to one side of his body. …
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