Based on record review and interview, the facility failed to ensure appropriate care and services for 1 of 2 sampled residents with an IV (intravenous) line (Resident #1). The lack of timely response to needed care for a Peripherally Inserted Central Catheter (PICC) line dislodgement for Resident #1 on 09/04/24 resulted in psychological harm as evidenced by staff and family report that the resident was irate and hysterical. The findings included: Review of the record revealed Resident #1 was admitted to the facility on [DATE] and transferred out the the hospital on 09/04/24, after dislodgement of the resident's Peripherally Inserted Central Catheter (PICC/intravenous access through a vein in the arm and threaded into a large vein near the heart). …
F694 citations in Florida
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
Florida cites F694 more often than its own record predicts
2.24 times the share F694 takes of citations nationally.
Of every deficiency written in Florida 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 Florida surveyors wrote
F694 findings written in Florida, 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 observation, interview, and record review, the facility failed to ensure an intravenous (IV) dressing was changed as ordered for 1 of 1 resident reviewed for IV therapy, out of a total sample of 6 residents, (#6).Findings:Cross Reference F725Resident #6 was admitted to the facility from an acute care hospital on 7/20/26 with diagnoses that included osteomyelitis (bone infection), Parkinson's disease, sepsis, depression, anxiety, and need for assistance with personal care.Review of State Agency Medical Certification for Medicaid Long Term Care Services and Patient Transfer Form 5000-3008 dated 7/20/26 showed resident #6 was being treated with IV antibiotics for sepsis at the hospital which was to continue at the facility.Review of the Minimum Data Set (MDS) admission assessment… …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 0.54% | 1.89× |
| 2024 | 0.80% | 2.86× |
| 2025 | 0.72% | 2.24× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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