Licensure Reference Number 175 NAC 12-006.09D6 Based on record review and interviews, the facility failed to provide necessary care and treatment for colostomy (a hole (stoma) in the abdominal wall allows waste to leave the body) for 2 (Resident 1 and Resident 6) of 2 sampled residents. The facility census was 107. Findings are: A. A record review of Resident 1's Physicians Diagnosis list dated 02/02/2023 revealed a diagnosis of having a colostomy. A record review of Resident 1's Physician Orders dated 02/02/2023 revealed, there was no orders for the colostomy bag (a colostomy bag attaches to the stoma to collect the waste) and wafer to be changed. …
F691 citations in Nebraska
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
Nebraska cites F691 more often than its own record predicts
1.13 times the share F691 takes of citations nationally.
Of every deficiency written in Nebraska 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 Nebraska surveyors wrote
F691 findings written in Nebraska, 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 Nebraska surveyors cite →
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