F694 in Illinois. Pick another state for the same tag.
Against expectation — 2025
Illinois cites F694 more often than its own record predicts
Versus expected share1.26×
1.26 times the share F694 takes of citations nationally.
Share of Illinois citations0.40%
Of every deficiency written in Illinois in 2025, this is the portion that was F694.
Illinois0.40%
National0.32%
Share of all citations that were F694.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F694 findings written in Illinois, 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.
J · Immediate jeopardy, isolatedMarch 19, 2025
Based on observation, interview, and record review the facility failed to correctly administer antibiotics intravenous piggy bag via PICC line for one resident (R2). This failure resulted in V8 (Untrained LPN) observed administering improper treatment via PICC line to R2, putting R2 at risk of air embolism.
This was identified as an immediate jeopardy which begin on 04/14/25 at 11:55am when V8 was noted in the medication room reconstituting IVPB, Ertapenem Sodium Solution Reconstituted 1GM (Gram) and proceeded to administer it via a peripherally inserted central catheter (PICC line).
V1 (Administrator) was informed of the immediate jeopardy and a template was presented on 04/24/25 at 10:11am. …
Based on observation, interview, and record review the facility failed to provide physician ordered intervention that maintained the patency of a CVC-Central Venous Catheter for 1 of 1 resident (R2) reviewed for parental fluids in the sample of 18. This failure resulted in the occlusion of R2's catheter and the need for replacement.
The findings include:
R2's Current Minimum Data Set on 12/11/2024 shows, R2 is cognitively intact.
On 12/11/24 at10:17AM, R2 pulled up her pant leg to reveal a CVC-Central Venous Catheter in her left upper thigh that had a blue colored locking cap labeled 3.6 milliliters and a red colored locking cap labeled 3.5 milliliters. The clear lumens of the red capped and blue capped catheter had dark red blood in the tubing. …
D · No harm, potential for more than minimal, isolatedAugust 25, 2026
Based on observation, interview and record review the facility failed to ensure necessary PICC (peripherally inserted central catheter) line care was timely implemented, provided, and documented in accordance with physician orders and established PICC line maintenance guidance for two (R1 and R2) of five residents reviewed for PICC line care. Findings include:1.R1's hospital discharge orders dated 08/04/26 documented an order for Ceftriaxone 2 grams every 24 hours for six (6) weeks, beginning 08/06/26, for Endocarditis. The discharge instructions documented that R1 had a PICC line placed on 08/03/26 and that the PICC line dressing was to be changed every seven (7) days. Instructions for care of the PICC line site were attached to the discharge orders. …
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