CMS F-tag

F691: Quality of life & care

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Cited 319 times at 308 nursing homes in the last three inspection cycles.

#123 of 242 tags3% caused harm45 statesLatest survey Dec 19, 2025

How F691 shows up in inspections

F-TAGF691#123 of 242 tagsRarely cited

How serious it usually is

  • Immediate jeopardyJ · K0.6%2
  • Actual harmG · H2.8%9
  • No actual harmD · E · F96.2%307
  • Minimal harmC0.3%1

3% of F691 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 319Citations
  • 308Facilities cited2% of rated nursing homes

Citations by survey year

  • 20199
  • 20202
  • 20218
  • 202230
  • 202397
  • 202498
  • 202575

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

Where F691 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 F691 citation.

States by share of facilities cited

  • California3% of homes32 citations · 32 of 1,154 facilities
  • Pennsylvania5% of homes31 citations · 30 of 653 facilities
  • Ohio3% of homes30 citations · 29 of 911 facilities
  • Indiana3% of homes20 citations · 17 of 504 facilities
  • Michigan4% of homes19 citations · 18 of 420 facilities
  • Virginia6% of homes18 citations · 18 of 285 facilities
  • Illinois3% of homes17 citations · 17 of 665 facilities
  • Missouri3% of homes16 citations · 14 of 479 facilities
  • Texas1% of homes15 citations · 14 of 1,167 facilities
  • Wisconsin3% of homes11 citations · 10 of 321 facilities

Top 10 of 45 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Geneva Lake ManorLake Geneva, WI · Report card2 F6911 with harm
  2. Timbers of Jasper theJasper, IN · Report card2 F6911 with harm
  3. Armstrong Rehabilitation and Nursing CenterKittanning, PA · Report card2 F691No harm
  4. Bridgewood Health Care CenterKansas City, MO · Report card2 F691No harm
  5. Harrison Healthcare CenterCorydon, IN · Report card2 F691No harm
  6. Ignite Medical Resort Fort Worth, LLCFort Worth, TX · Report card2 F691No harm
  7. Majestic Care of GoshenGoshen, IN · Report card2 F691No harm
  8. Mission Point Nursing & Physical Rehabilitation CeBeverly Hills, MI · Report card2 F691No harm
  9. Stellar Care CenterWoodsfield, OH · Report card2 F691No harm
  10. Summers Healthcare CenterHinton, WV · Report card2 F691No harm
  11. Summit, theKansas City, MO · Report card2 F691No harm
  12. Edenbrook Rochester WestRochester, MN · Report card1 F6911 with harm
  13. Fall Creek Rehabilitation and Healthcare CenterHumble, TX · Report card1 F6911 with harm
  14. Father Murray, a Villa CenterCenter Line, MI · Report card1 F6911 with harm
  15. Medilodge of Grand RapidsGrand Rapids, MI · Report card1 F6911 with harm

What to ask a facility about a F691 citation

  1. What exactly did the surveyor find, and on what date? The report card shows the date and the severity letter.
  2. What was the plan of correction, and was it accepted by the state on the first submission?
  3. Has the same tag been cited in more than one cycle? Repeat citations matter more than a single one.
  4. 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 Dec 19, 2025. Counts are citations unless labeled facilities.

Frequently asked questions

What is F691 in a nursing home inspection?
F691 is the CMS F-tag for the requirement "Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services." (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 F691?
F691 was cited 319 times at 308 facilities (2% of rated nursing homes) in the last three inspection cycles, ranking #123 of 242 tags. 11 of those citations involved actual harm or immediate jeopardy.
Does a F691 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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