MINNEAPOLIS, MN — Federal health inspectors identified continence and catheter care deficiencies at Catholic Eldercare On Main during a December 2025 inspection that uncovered 12 total deficiencies at the Minneapolis facility. The facility has not yet submitted a plan of correction.
Bladder and Catheter Care Deficiencies
During the standard health inspection conducted on December 18, 2025, surveyors determined that Catholic Eldercare On Main failed to provide appropriate care for residents regarding bowel and bladder continence, catheter management, and urinary tract infection prevention. The deficiency was cited under federal regulatory tag F0690, which falls under the category of Quality of Life and Care Deficiencies.
The violation was classified at Scope/Severity Level D, meaning it was isolated in nature and did not result in documented actual harm. However, inspectors determined there was potential for more than minimal harm to affected residents — a designation that signals the deficiency could lead to meaningful health consequences if left unaddressed.
Proper continence care is a foundational element of nursing home quality. When facilities fail to meet these standards, residents face elevated risk of skin breakdown, infection, and diminished dignity. The F0690 tag specifically addresses a facility's obligation to ensure that residents who are incontinent receive care and services to restore continence when possible, and that those with catheters receive proper management to reduce complications.
Why Continence Care Failures Carry Serious Health Risks
Urinary catheter management is one of the most clinically significant areas of nursing home care. Catheter-associated urinary tract infections, known as CAUTIs, are among the most common healthcare-associated infections in long-term care settings. The Centers for Disease Control and Prevention has identified CAUTIs as a leading cause of secondary bloodstream infections, which can become life-threatening — particularly for elderly residents with compromised immune systems.
Appropriate catheter care protocols require regular assessment of whether a catheter is still medically necessary, proper hygiene during insertion and maintenance, routine monitoring for signs of infection, and timely removal when the device is no longer needed. When these steps are not consistently followed, bacteria can travel along the catheter and into the bladder, leading to infections that may spread to the kidneys or bloodstream.
For residents managing incontinence without catheters, proper care includes timely toileting assistance, regular checks for skin moisture, barrier cream application, and individualized continence management plans. Prolonged exposure to moisture from incontinence can cause skin maceration, pressure injuries, and fungal infections — conditions that are painful and slow to heal in older adults.
Twelve Deficiencies and No Correction Plan
The continence care citation was one of 12 deficiencies identified during the inspection, suggesting broader compliance challenges at the facility. While the specific details of the remaining 11 deficiencies were not included in this citation, the total count places Catholic Eldercare On Main above the national average for deficiencies per inspection cycle.
According to federal data, the average Medicare-certified nursing home receives approximately 7 to 8 deficiencies per standard health inspection. A count of 12 indicates a pattern of non-compliance that regulators may monitor closely in subsequent visits.
Perhaps most notably, the inspection record indicates that the provider has not submitted a plan of correction for the continence care deficiency. Federal regulations require nursing homes to submit a credible correction plan outlining specific steps, responsible parties, and completion dates for resolving each cited deficiency. The absence of such a plan raises questions about the facility's responsiveness to regulatory findings.
What Federal Standards Require
Under federal nursing home regulations, facilities must ensure that residents who are incontinent receive services that are consistent with their assessed needs and treatment goals. This includes conducting thorough assessments upon admission and at regular intervals, developing individualized care plans, and providing staff training on proper continence management techniques.
Facilities are also required to demonstrate that they are actively working to restore continence when clinically appropriate, rather than defaulting to catheter use or incontinence products as a matter of convenience. Staffing levels, training quality, and consistent care routines all play a role in whether a facility meets these standards.
Residents and families seeking the complete inspection results for Catholic Eldercare On Main can review the full federal survey report, which contains detailed findings for all 12 cited deficiencies.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Catholic Eldercare On Main from 2025-12-18 including all violations, facility responses, and corrective action plans.