Based on observation, record review, and interview, the facility failed to ensure an Intravenous (IV) Peripherally Inserted Central Catheter (PICC) site was assessed, maintained, and cared for; which resulted in hospitalization , [DIAGNOSES REDACTED]. In addition to the resident in immediate jeopardy, the facility failed to ensure a resident's Peripherally Inserted Central Catheter (PICC Line) site was monitored and recorded in the clinical record resulting the potential for more than minimal harm that is not immediate jeopardy for 1 of 3 residents reviewed for IV line care (Resident L). …
F694 citations in Indiana
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
Indiana cites F694 more often than its own record predicts
1.49 times the share F694 takes of citations nationally.
Of every deficiency written in Indiana 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 Indiana surveyors wrote
F694 findings written in Indiana, 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, the facility failed to provide Intravenous Fluids (IV) as ordered by the physician for 1 of 4 residents reviewed for medication and/or fluid administration (Resident B). This deficient practice resulted in hospitalization for dehydration. Findings include: The closed clinical record for Resident B was reviewed on [DATE] 10:23 a.m. The resident [DIAGNOSES REDACTED]., malformation of coronary vessels and heart failure. A quarterly Minimum Data Set assessment, dated [DATE], indicated the resident was severely cognitively impaired. The resident was admitted to the facility on [DATE] and expired [DATE]. A current care plan titled, Potential for infection R/T (related to): Midline IV cath. …
Based on observation, record review and interview, the facility failed to ensure an intravenous (IV) access and fluids were initiated timely, flush orders were obtained from the physician, the flush was completed per policy, and the insertion site was monitored for signs and symptoms of adverse reaction, for 1 of 3 residents reviewed for parenteral fluids. (Resident C)Finding includes:During an observation on 7/27/26 at 11:50 a.m., RN 1 entered Resident C's room with a 10 cubic centimeters (cc) syringe of 0.9% normal saline (NS). She indicated the tubing needed to be flushed due to observing blood in the tubing. The resident was lying in bed and IV fluids were infusing at 60 cc's an hour into a peripheral IV access site in the right forearm. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 0.52% | 1.83× |
| 2024 | 0.52% | 1.86× |
| 2025 | 0.48% | 1.49× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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