Based on record review and interviews with staff and the Physician, the facility failed to ensure that subcutaneous (administered under the skin) fluids were administered in accordance with the physician's order for one resident reviewed for parenteral fluid administration (the delivery of fluid through an intravenous, subcutaneous, intramuscular, or mucosal route) (Resident #2). Resident #2 received subcutaneous fluids that were ordered for her roommate, Resident #4. This deficient practice did not result in an adverse outcome.Findings included:Resident #2 was admitted on [DATE] with diagnosis which included end stage renal disease, hypertensive heart disease and diabetes.Review of Resident # 2's quarterly Minimum Data Set (MDS) dated [DATE] indicated the resident was cognitively intact… …
F694 citations in North Carolina
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
North Carolina cites F694 less often than its own record predicts
0.90 times the national share — cited less often here than elsewhere.
Of every deficiency written in North Carolina 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 North Carolina surveyors wrote
F694 findings written in North Carolina, 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 North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.10% | 0.34× |
| 2024 | 0.12% | 0.43× |
| 2025 | 0.29% | 0.90× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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