F691 in Wisconsin. Pick another state for the same tag.
Against expectation — 2025
Wisconsin cites F691 more often than its own record predicts
Versus expected share1.93×
1.93 times the share F691 takes of citations nationally.
Share of Wisconsin citations0.15%
Of every deficiency written in Wisconsin in 2025, this is the portion that was F691.
Wisconsin0.15%
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 Wisconsin surveyors wrote
F691 findings written in Wisconsin, 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, isolatedMarch 17, 2025
Based on interview and record review, the Facility did not ensure a resident received treatment and care in accordance with professional standards of practice to prevent the need for repeated medical interventions. This was discovered with 1 (R13) of 14 residents reviewed for quality of care.
In the last 120 days R13 has been sent to the emergency department six times for complications related to nephrostomy tubes (thin, flexible tubes inserted directly into the kidney to drain urine when the natural urinary tract is blocked).
Findings include:
R13 was originally admitted to the facility on [DATE] and most recently readmitted [DATE] after a hospital stay. …
D · No harm, potential for more than minimal, isolatedJuly 8, 2026
Based on observation, interview, and record review, the facility did not provide appropriate colostomy care for 1 of 1 Residents out of a total sample of 19 Residents (R10). R10 has an open abdominal wound leaking bowel contents. This was a recognized complication after intestinal fistula repair with anticipated future surgical repair. R10's leaking colostomy was not care planned or identified on the Kardex treatment record resulting in staff not providing timely colostomy cares. Findings include:The facility's Colostomy/Ileostomy Care Policy, revised 10/2025, indicates: the purpose of this procedure is to provide guidelines that will aid in preventing expose of the resident's skin to fecal matter. Preparation 1. …
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