CMS F-tag

F690: Quality of life & care

Appropriate care for residents with incontinence, catheters, or urinary tract infections. Cited 6,296 times at 4,745 nursing homes in the last three inspection cycles.

#18 of 242 tags4% caused harm52 statesLatest survey Jan 8, 2026

How F690 shows up in inspections

#18 of 242 tagsVery often cited

Rarely cited
Occasionally cited
Often cited
Very often cited
Among the most cited

How serious it usually is

Immediate jeopardyJ · K0.5%34
Actual harmG · H3.5%218
No actual harmD · E · F95.9%6,036
Minimal harmB · C0.1%8

4% of F690 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

6,296Citations
4,745Facilities cited33% of rated nursing homes

Citations by survey year

20172
201872
2019256
202088
2021277
2022742
20231,658
20241,843
20251,357
20261

Partial years reflect the rolling three-cycle window, not a change in enforcement.

Where F690 is cited most

Survey agencies differ in what they emphasize, so compare a facility with its own state. Shares are the portion of each state’s rated nursing homes with at least one F690 citation.

States by share of facilities cited

Illinois59% of homes685 citations · 395 of 665 facilities
Texas37% of homes585 citations · 429 of 1,167 facilities
Ohio43% of homes575 citations · 390 of 911 facilities
California35% of homes567 citations · 404 of 1,154 facilities
Pennsylvania39% of homes327 citations · 255 of 653 facilities
Indiana44% of homes309 citations · 224 of 504 facilities
Michigan44% of homes255 citations · 183 of 420 facilities
Florida29% of homes241 citations · 200 of 689 facilities
Missouri38% of homes234 citations · 183 of 479 facilities
Kansas52% of homes199 citations · 153 of 294 facilities

Top 10 of 52 states. Every state page lists its most-cited tags.

Facilities cited most often

The Haven of TuscolaTuscola, IL · Report card7 F6902 with harm
Antelope Valley Care CenterLancaster, CA · Report card6 F6901 with harm
Avenue at Broadview HeightsBroadview Heights, OH · Report card6 F6901 with harm
Bryan Healthcare and RehabilitationBryan, OH · Report card6 F6901 with harm
Casa of HobartHobart, IN · Report card6 F690No harm
Majestic Care of Point PlaceToledo, OH · Report card6 F690No harm
Medina Center for Rehabilitation and NursingMedina, OH · Report card5 F6902 with harm
Fair Havens Senior LivingDecatur, IL · Report card5 F6901 with harm
Generations Oakton PavillionDes Plaines, IL · Report card5 F6901 with harm
Palm Garden of MattoonMattoon, IL · Report card5 F6901 with harm
Arcadia Care WatsekaWatseka, IL · Report card5 F690No harm
Country Oaks Care CenterPomona, CA · Report card5 F690No harm
Evercare at UniversityEdwardsville, IL · Report card5 F690No harm
Goldwater Care BloomingtonBloomington, IL · Report card5 F690No harm
Hillsboro Rehab & HccHillsboro, IL · Report card5 F690No harm

What to ask a facility about a F690 citation

What exactly did the surveyor find, and on what date? The report card shows the date and the severity letter.
What was the plan of correction, and was it accepted by the state on the first submission?
Has the same tag been cited in more than one cycle? Repeat citations matter more than a single one.
If the letter was G or higher: what happened to the resident, and what changed in staffing or process?

Source: CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles, most recent survey Jan 8, 2026. Counts are citations unless labeled facilities.

What is F690 in a nursing home inspection?

F690 is the CMS F-tag for the requirement "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections." (Quality of life & care). Surveyors cite it when a facility is found out of compliance with that regulation during a standard survey or complaint investigation.

How common is F690?

F690 was cited 6,296 times at 4,745 facilities (33% of rated nursing homes) in the last three inspection cycles, ranking #18 of 242 tags. 252 of those citations involved actual harm or immediate jeopardy.

Does a F690 citation mean the facility is unsafe?

Not on its own. Read the scope and severity letter: D through F means no actual harm was found, G through I means a resident was harmed, and J through L means immediate jeopardy. Ask the facility what was cited, what was corrected, and when.

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