Find a nursing home

Home / F-tags / F690

F690: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections

F690 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. It sits in CMS's quality of life and care category.

6,120citations in the CMS files
4,606homes cited at least once
1,205in the 12 months to September 2026
3.9%rated actual harm or immediate jeopardy

CMS Health Deficiencies file, data as of September 1, 2026. The files hold each home's last three standard inspections and three years of complaint visits.

How seriously inspectors rate it

Every citation gets a letter for how much harm inspectors found and how many residents it touched (how to read the letters). 27.8% of F690 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)33 (0.5%)
  • Actual harm (G, H, I)205 (3.3%)
  • Potential for more than minimal harm (D, E, F)5,875 (96.0%)
  • Potential for minimal harm (A, B, C)7 (0.1%)

By letter: B 5, C 2, D 5,261, E 613, F 1, G 198, H 7, J 24, K 9.

What inspectors wrote

Three recent F690 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 13, 2026, scope and severity DBased on observation, interview, and record review, the facility failed to ensure residents who were incontinent of bladder or had a urinary catheter received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 3 Residents (Resident #18) reviewed for quality of care. CNA A failed to properly secure the foley catheter tubing (indwelling tube to empty the bladder) while providing incontinent care to Resident #18. This failure placed the residents at risk of their Foley catheters getting dislodged, unwanted pain,trauma, infections, and decreasing their quality of life.

Munday Nursing Center, Munday, TX

Inspectors wrote, July 30, 2026, scope and severity DBased on observations, resident record review, staff interviews, and facility policy review, the facility failed to provide timely incontinence care Resident #13. This affected one (Resident #13) of one resident reviewed for incontinence care. The facility census was 95.

Avenue at Brooklyn, Brooklyn, OH

Inspectors wrote, July 30, 2026, scope and severity DBased on observation, record review, resident, staff, and physician interviews, the facility failed to obtain a physician order for the use of an indwelling urinary catheter for 1 of 4 residents (Resident #26) reviewed for urinary catheter.

Chowan River Nursing and Rehabilitation Center, Edenton, NC

Most recent F690 citations at the harm or jeopardy level

Newest first, the latest 40 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
July 27, 2026Fox Run ManorFindlay, OH GComplaint
July 23, 2026Kingswood Senior LivingKansas City, MO JComplaint
July 22, 2026Aperion Care Marion LLCMarion, IN GComplaint
July 10, 2026Northbrook Healthcare and Rehabilitation CenterCedar Rapids, IA KComplaint
June 18, 2026Adviniacare Waterview Villas, LLCEast Providence, RI GComplaint
June 9, 2026Swan Health at Overland ParkOverland Park, KS GComplaint
June 4, 2026Pleasant Springs Healthcare CenterMount Pleasant, TX GStandard
June 4, 2026Continental Care and RehabilitationButte, MT GStandard
June 1, 2026Rushville Nursing & Rehab CtrRushville, IL JComplaint
May 18, 2026Avir at Tierra EsteEl Paso, TX JComplaint
May 11, 2026Medina Bsd Opco LLCMedina, OH JComplaint
May 6, 2026Highland Pointe Health & Rehab CenterHighland Heights, OH GComplaint
May 1, 2026Emerald Nursing and RehabilitationElizabethtown, PA HStandard
April 23, 2026Prairie Village Healthcare CtrJacksonville, IL JComplaint
April 22, 2026Resorts at Chester River Manor CorpChestertown, MD GComplaint
April 21, 2026Altercare of Canal Winchester Post-Acute RcCanal Winchester, OH GComplaint
March 27, 2026Paradigm at Woodwind LakesHouston, TX GComplaint
March 26, 2026Village Creek Rehabilitation and Nursing CenterLumberton, TX GStandard
March 26, 2026Birch Creek Post Acute & RehabilitationTacoma, WA GComplaint
March 12, 2026Whitefish Care and RehabilitationWhitefish, MT GStandard
March 12, 2026Kalispell Rehabilitation and Nursing LLCKalispell, MT GStandard
March 11, 2026Park Bend Rehabilitation and Healthcare CenterBurleson, TX KComplaint
March 4, 2026Country View NursingBowling Green, MO GComplaint
March 4, 2026Silvis Center for Nursing Rehab & CareSilvis, IL GComplaint
March 3, 2026Arbors at StreetsboroStreetsboro, OH GComplaint
February 25, 2026Helia Healthcare of BentonBenton, IL GComplaint
February 25, 2026Aliya of EvanstonEvanston, IL GComplaint
February 17, 2026Amethyst Health of Brown DeerMilwaukee, WI JComplaint
February 13, 2026Bria of WoodriverWood River, IL GStandard
February 11, 2026Royal Oaks Nursing and Rehabilitation CenterUrbandale, IA GComplaint
February 11, 2026Evercare at UniversityEdwardsville, IL GStandard
February 4, 2026Marshall Manor WestMarshall, TX GStandard
January 30, 2026Helia Healthcare of EnergyEnergy, IL GComplaint
January 22, 2026Lakeside Health and WellnessKemp, TX HStandard
January 9, 2026Paradigm at Woodwind LakesHouston, TX GStandard
January 9, 2026Country View NursingBowling Green, MO GStandard
January 9, 2026Silver Foxes Sr Living & RehabMcLeansboro, IL GComplaint
December 31, 2025Warren Nursing & RehabWarren, OH GComplaint
December 29, 2025Wexner Heritage HouseColumbus, OH GStandard
December 15, 2025Msm Brigham City LLCBrigham City, UT GStandard

Most recent F690 citations

InspectionHomeTownLetter
August 13, 2026Munday Nursing CenterMunday, TX D
August 12, 2026Beaumont Nursing and RehabilitationBeaumont, TX D
August 12, 2026Val Verde Nursing and Rehabilitation CenterDel Rio, TX D
August 12, 2026Lake City Healthcare and Rehabilitation CenterLake City, FL D
July 30, 2026Avenue at BrooklynBrooklyn, OH D
July 30, 2026Chowan River Nursing and Rehabilitation CenterEdenton, NC D
July 30, 2026Cedar Falls Health Care CenterCedar Falls, IA D
July 29, 2026West Oaks Nursing & RehabilitationHouston, TX D
July 29, 2026Otterbein Sunset VillageSylvania, OH D
July 27, 2026Jourdanton Nursing and RehabilitationJourdanton, TX D
July 27, 2026Fox Run ManorFindlay, OH G
July 24, 2026Paradigm at First ColonyMissouri City, TX E
July 24, 2026Briarcliff Manor Center for Rehab and Nursing CareBriarcliff Manor, NY D
July 23, 2026Carlisle Skilled Nursing and Rehabilitation CenterCarlisle, PA D
July 23, 2026La Grande Post Acute RehabLa Grande, OR D
July 23, 2026Carecore at Margaret HallCincinnati, OH D
July 23, 2026Northeast Ctr for Rehabilitation and Brain InjuryLake Katrine, NY D
July 23, 2026Kingswood Senior LivingKansas City, MO J
July 23, 2026Shirley Chapman Sholom Home EastSaint Paul, MN D
July 23, 2026Aspen Park of CascadiaMoscow, ID D
July 23, 2026Montrose Springs Skilled Nursing & Wellness CenterMontrose, CA D
July 22, 2026Locust Grove VillageLa Crosse, KS D
July 22, 2026Greater Southside Health and RehabilitationDes Moines, IA E
July 22, 2026Aperion Care Marion LLCMarion, IN G
July 22, 2026Willows of New CastleNew Castle, IN D

F690 citations by state

Counts depend on how many homes a state has and how often its inspectors visit, so a larger number is not by itself a worse record.

StateCitations
Texas657
Illinois647
California593
Ohio566
Pennsylvania300
Indiana293
Missouri236
Florida234
Michigan232
Kansas189
Wisconsin162
Virginia154
Massachusetts142
Iowa133
North Carolina113
New Jersey109
New York103
Washington100
Minnesota90
Mississippi77
Maryland74
Oklahoma68
Louisiana63
Arkansas62
Georgia57
Tennessee55
Oregon48
Nevada42
Rhode Island42
Kentucky41
Utah41
Alabama38
Connecticut37
Colorado36
West Virginia36
Arizona35
Delaware33
Nebraska29
New Mexico28
South Carolina26
North Dakota22
Montana17
Hawaii15
Idaho15
District of Columbia6
Maine6
South Dakota5
Vermont5
Wyoming5
Alaska2
New Hampshire1

By inspection year: 2017 1, 2018 38, 2019 155, 2020 57, 2021 160, 2022 416, 2023 1,128, 2024 1,823, 2025 1,468, 2026 874.

Common questions

What is F690 in a nursing home inspection?
F690 is the federal requirement to "provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections". CMS files it under quality of life and care. A home cited under F690 did not meet that requirement at the inspection.
How often is F690 cited?
The CMS files as of September 1, 2026 list 6,120 F690 citations at 4,606 nursing homes, 1,205 of them in the 12 months to that date. 3.9% were rated as actual harm or immediate jeopardy.
Is a F690 citation serious?
It depends on the letter. Most F690 citations (96.0%) were rated as potential for more than minimal harm, D to F. 33 were immediate jeopardy, the most serious level.

The interpretive guidance inspectors use for each F-tag is CMS's State Operations Manual, Appendix PP. NursingHomeClear reports the citations as CMS records them and is not affiliated with CMS. All F-tags · Methodology

Find a nursing home Read an inspection