Rose Blumkin Jewish Home
Inspection Findings
F-Tag F0690
F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Licensure Reference Number 175 NAC 12-006.09(H)(iv)(6)Based on interview and record review the facility failed to change an indwelling catheter and monitor post void residuals for 1(Resident 1) of 3 residents sampled. The facility census was 93. The findings are:Record review of Resident 1's Minimum Data Set (MDS: a federally mandated assessment tool used for care planning) revealed the facility's staff assessed
the following about the resident:-Brief Interview of Mental Status (BIMS) was scored as a 12. According to
the MDS Manual a score of 8-12 indicates moderate cognitive impairment.-required substantial assistance with upper body dressing and hygiene.-required total assistance with toileting, bathing, lower body dressing, bed mobility and transfers. Record review of Resident 1's Comprehensive Care Plan (CCP) dated 08-11-2025 revealed Resident 1 had an indwelling foley catheter (a tube inserted into the bladder to drain urine) due to obstructive and reflux uropathy (a condition where the outflow of urine is blocked and urine backs up into the kidneys).Record review of Resident 1's Treatment Administration Record (TAR) for September 2025 revealed an order to change to indwelling catheter every 30 days, leave the catheter out and monitor post void residual (the amount of urine left in the bladder after an individual has voided). If the post void residual volume was greater than 500 milliliters (ml) the facility staff were to replace the indwelling catheter. According to the TAR, this was due on 09-15-2025 and there was no initial in the box indicating
the staff changed the catheter. The TAR also revealed an order for indwelling catheter care every shift. An
interview with the Director of Nursing (DON) on 10-02-2025 at 8:45 AM confirmed Resident 1's catheter was not changed on 09-15-2025 and the catheter should have been changed and post void residuals should have been monitored.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Rose Blumkin Jewish Home in Omaha, NE inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Omaha, NE, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Rose Blumkin Jewish Home or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.