Based on observation, interview, and record review the facility failed to monitor and provide central venous catheter (CVC-a tube placed in a large vein [blood vessel that carries blood to the heart] also known as a central line, to give fluids, blood, medications or to do medical tests) line care for one of three sampled residents (Resident 1) by: 1. Failing to ensure that facility staff identified Resident 1's central venous catheter upon admission on 4/5/2022 and readmission on 5/28/2022. 2. …
F694 citations in California
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F694 more often than its own record predicts
1.74 times the share F694 takes of citations nationally.
Of every deficiency written in California in 2025, this is the portion that was F694.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F694 findings written in California, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview, and record review, facility staff (Registered Nurse 3 [RN 3]) failed to monitor and provide peripheral (away from the center of the body) intravenous (IV- into a vein) line care to one of one sampled resident (Resident 65) on 10/6/2024, when Resident 65 complained of pain to the IV site on the left forearm. This deficient practice resulted in RN 3 continuing to use Resident 65's IV site on the left forearm on 10/6/2024 to administer IV medication further causing Resident 65 to experience untreated pain to the IV site. …
Based on observation, interview, and record review, the facility failed to implement its Policy and Procedure (P&P) titled, Peripheral and Midline IV (intravenous, medicine or fluid that went straight into a vein) Dressing Changes, by failing to label the IV dressing for one of one sampled resident (Resident 31). This deficient practice had the potential to increase the risk of infection for Resident 31 due to unchanged contaminated IV dressing and could lead to serious medical complications. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.38% | 1.33× |
| 2024 | 0.48% | 1.73× |
| 2025 | 0.56% | 1.74× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction