F691 in Utah. Pick another state for the same tag.
Against expectation — 2024
Utah cites F691 more often than its own record predicts
Versus expected share2.17×
2.17 times the share F691 takes of citations nationally.
Share of Utah citations0.17%
Of every deficiency written in Utah in 2024, this is the portion that was F691.
Utah0.17%
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 Utah surveyors wrote
F691 findings written in Utah, 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.
G · Actual harm, isolatedOctober 3, 2022
Based on observation, interview, and record review it was determined for 1 of 6 sample residents that the facility did not ensure that a resident who required colostomy services, received care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences. Specifically, a resident with a suprapubic urostomy pulled out his suprapubic catheter and did not have it replaced before it closed, for which the resident resident required urgent replacement outside of the facility. The findings for this deficiency were determined to have occurred at a harm level. Resident identifier: 6. …
D · No harm, potential for more than minimal, isolatedNovember 13, 2024
Based on interview and record review, for 1 of 65 sample residents, the facility did not ensure a resident who required colostomy services received care consistent with professional standards of practice, the person-centered care plan, and the resident's goals and preferences. Specifically, the facility ran out of colostomy supplies and when the supplies were ordered, the wrong item was ordered leaving the resident without colostomy supplies. Resident identifier: 3.
Resident 3 was admitted to the facility on [DATE] with diagnoses that included Arnold Chiari Syndrome with spina bifida and hydrocephalus, severe protein-calorie malnutrition, osteomyelitis right ankle and foot, paraplegia, borderline personality disorder, major depressive disorder, morbid obesity, bipolar disorder, and anxiety… …
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