F691 in Texas. Pick another state for the same tag.
Against expectation — 2025
Texas cites F691 less often than its own record predicts
Versus expected share0.96×
0.96 times the national share — cited less often here than elsewhere.
Share of Texas citations0.07%
Of every deficiency written in Texas in 2025, this is the portion that was F691.
Texas0.07%
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 Texas surveyors wrote
F691 findings written in Texas, 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.
K · Immediate jeopardy, patternApril 13, 2025
Based on observations, interviews, and record review, the facility failed to ensure that residents who required colostomy, urostomy, or ileostomy services received such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 4 residents (Resident #1) reviewed for ostomy care in that:
1.
The facility failed to ensure Resident #1's ileostomy (a surgical procedure that creates an opening in the abdomen, called a stoma, to divert waste from the small intestine), wafer (the piece of the pouching system that sticks to your body and holds your pouch in place and should help protect the skin around your stoma from damage) and bag were in place.
2. …
Based on interviews and record review, the facility failed to ensure residents who needed colostomy care were provided such care, consistent with professional standards of practice for 2 of 4 (Resident #76 and Resident #293) residents reviewed for colostomies (surgical opening in which a piece of the colon was diverted to an artificial opening in the abdominal wall to bypass a damaged part of the colon).
The facility failed to ensure training, care and documentation was consistent for Resident #76 and Resident #293 as bowel movements were not consistently documented, a colostomy was documented as an ileostomy/urostomy and colostomies were not consistently emptied.
The failure could place residents at risk of complications related to a colostomy and emotional distress. …
D · No harm, potential for more than minimal, isolatedJuly 23, 2026
Based on interview and record review the facility failed to ensure that residents who required colostomy, urostomy, or ileostomy services, received such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for one of three residents (Resident #2) reviewed for quality of care. The facility failed to ensure adequate and consistent colostomy care was provided every 3 days. Resident #2 went 6 days without her colostomy bag being changed. …
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