Based on medical record review, staff interviews, and policy review, the facility failed to provide appropriate ileostomy care. This affected one (Resident #108) of one resident reviewed for ostomy care. The facility census was 107.Findings include:Review of the closed medical record for Resident #108 revealed an admission date of 06/03/23. Diagnoses included dementia, acquired absence of unspecified parts of the digestive tract. Resident #108 discharged to the hospital on [DATE].Review of the care plan dated 04/11/24 - revealed Resident #108 had an ileostomy and was at risk for complications. …
F691 citations in Ohio
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 — 2025
Ohio cites F691 more often than its own record predicts
1.64 times the share F691 takes of citations nationally.
Of every deficiency written in Ohio in 2025, 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 Ohio surveyors wrote
F691 findings written in Ohio, 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 Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.12% | 1.51× |
| 2024 | 0.23% | 2.83× |
| 2025 | 0.12% | 1.64× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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