Complaint # 2569488 Based on interviews, record reviews, and facility policy reviews, it was determined that the facility failed to obtain a physician's order to ensure consistent provision of a customized Total Parenteral Nutrition (TPN; a unique mix of proteins, carbohydrates, fats, vitamins, minerals, and fluids delivered intravenously (IV; delivered directly into the bloodstream through a vein) for 48 hours which included 50 milliequivalents (meq) of Potassium Chloride (KCl), as well as interruption of the TPN (greater than 12 hours of missed hydration) which resulted in Resident #1's hospitalization for electrolyte abnormalities, that included severe hypokalemia (low potassium level), metabolic alkalosis (caused by volume depletion) and acute kidney injury. …
F694 citations in New Jersey
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
New Jersey cites F694 less often than its own record predicts
0.29 times the national share — cited less often here than elsewhere.
Of every deficiency written in New Jersey 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 New Jersey surveyors wrote
F694 findings written in New Jersey, 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, interviews, record review, and review of pertinent facility documentation, it was determined that the facility failed to 1) obtain/renew physician orders (POs) to ensure that a resident received the appropriate care to maintain a centrally inserted intravenous catheter (CVC) (a long, flexible tube inserted into a large vein that goes near the heart for long-term intravenous (IV) antibiotics), and 2) discontinue a CVC after the completion of IV antibiotics consistent with professional standards of practice. This deficient practice was identified for 1 of 1 resident (Resident #123) reviewed for IV therapy. …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 0.12% | 0.43× |
| 2024 | 0.10% | 0.36× |
| 2025 | 0.09% | 0.29× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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