F691: Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services
F691 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
It sits in CMS's quality of life and care category.
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). 40.1% of F691 citations came from a complaint visit rather than a routine inspection.
By letter: C 1, D 279, E 23, F 1, G 11, H 1, K 1.
What inspectors wrote
Three recent F691 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, July 23, 2026, scope and severity DBased 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. This failure could place residents at risk of physical and mental health decline and could cause pain and further discomfort.
Kingwood Rehabilitation and Healthcare Center, Kingwood, TX
Inspectors wrote, July 20, 2026, scope and severity DBased on record review and interviews, the facility failed to ensure ostomy care was provided and documented according to the physician's orders for one (Resident #5) out of three residents reviewed for ostomy care. This failure resulted in the inability to determine whether the resident received required ostomy care and hygiene support.
Sun Terrace Health Care Center, Sun City Center, FL
Inspectors wrote, July 16, 2026, scope and severity DBased on interview, and record review, it was determined the facility failed to ensure that residents were provided with necessary medical supplies timely. This was evident for 3 (Resident #2, #8, and #9) of 3 residents reviewed for colostomy care during the complaint survey.
Elkton Nursing and Rehabilitation Center, Elkton, MD
Most recent F691 citations at the harm or jeopardy level
Newest first, all 13 in the current files. Each home's page shows the citation in full context, with its correction status.
| Inspection | Home | Town | Letter | Visit |
|---|---|---|---|---|
| June 30, 2026 | Aliya of Crestwood | Crestwood, IL | G | Complaint |
| May 28, 2026 | Medilodge of Marshall | Marshall, MI | G | Complaint |
| February 13, 2026 | Pilgrim Manor | Plymouth, IN | G | Standard |
| February 2, 2026 | Columbia Basin Care Facility | The Dalles, OR | G | Standard |
| November 20, 2025 | Edenbrook Rochester West | Rochester, MN | G | Standard |
| July 16, 2025 | Royal Park Health and Rehabilitation | Spokane, WA | G | Complaint |
| April 29, 2025 | Nexus Pavilion at Belleville | Belleville, IL | G | Complaint |
| April 13, 2025 | Fall Creek Rehabilitation and Healthcare Center | Humble, TX | K | Complaint |
| March 17, 2025 | Geneva Lake Manor | Lake Geneva, WI | G | Standard |
| October 31, 2024 | Silver Creek Rehab and Healthcare Center | Bristol, RI | H | Standard |
| October 30, 2024 | Regalcare at Glen Ridge | Medford, MA | G | Complaint |
| March 11, 2024 | Villas at Sunny Acres, the | Thornton, CO | G | Standard |
| August 14, 2023 | Timbers of Jasper the | Jasper, IN | G | Standard |
Most recent F691 citations
F691 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.
By inspection year: 2019 5, 2020 2, 2021 6, 2022 18, 2023 52, 2024 95, 2025 82, 2026 57.
Common questions
- What is F691 in a nursing home inspection?
- F691 is the federal requirement to "provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services". CMS files it under quality of life and care. A home cited under F691 did not meet that requirement at the inspection.
- How often is F691 cited?
- The CMS files as of September 1, 2026 list 317 F691 citations at 305 nursing homes, 73 of them in the 12 months to that date. 4.1% were rated as actual harm or immediate jeopardy.
- Is a F691 citation serious?
- It depends on the letter. Most F691 citations (95.6%) were rated as potential for more than minimal harm, D to F. 1 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