Based on observation, record review and staff interview the facility failed to ensure Resident #85 was provided with colostomy care in accordance with professional of care and to meet the needs of the resident. This was true for one (1) of one (1) residents reviewed for colostomy care during the long term care survey process. Resident Identifier: #85. Facility Census: 102. a) Resident #85 During an observation on the first day of the survey in the afternoon Resident #85 was observed leaving his room. Bowel movement was observed falling from the resident colostomy bag onto the floor. Resident #85 was assisted back to his room by a nurse at that time. A review of Resident #85's medical record found Resident #85 was admitted to the facility on [DATE]. …
F691 citations in West Virginia
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
West Virginia cites F691 more often than its own record predicts
1.20 times the share F691 takes of citations nationally.
Of every deficiency written in West Virginia 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 West Virginia surveyors wrote
F691 findings written in West Virginia, 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 West Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 1.03× |
| 2025 | 0.09% | 1.20× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else West Virginia surveyors cite →
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