Based on observation, record review and staff interviews, for one (1) of eleven sampled residents, facility staff failed to minimize risks to a resident receiving intravenous (IV) therapy as evidenced by failing to label and date, as appropriate, the IV infusion tubing. Resident #1.The findings included:A facility policy titled, Intravenous Therapy dated 06/25/25 documented:- All IV tubing is to be labeled with date, time and initials.Resident #1 was admitted to the facility on [DATE] with multiple diagnoses that included: Epilepsy, Cerebral Infarction, and Benign Neoplasm of Cerebral Meninges.Review of the resident's medical record revealed the following:An Annual Minimum Data Set (MDS) assessment dated [DATE] showed that facility staff coded: a Brief Interview for Mental Status (BIMS)… …
F694 citations in District of Columbia
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
District of Columbia cites F694 more often than its own record predicts
4.98 times the share F694 takes of citations nationally.
Of every deficiency written in District of Columbia 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 District of Columbia surveyors wrote
F694 findings written in District of Columbia, 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.
The short window
Recent years
| Year | Share of District of Columbia citations | vs expected |
|---|---|---|
| 2024 | 1.02% | 3.67× |
| 2025 | 1.60% | 4.98× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else District of Columbia surveyors cite →
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