Based on interview and record review, the facility failed to ensure the nursing staff used professional standards of care and aseptic (to prevent healthcare associated infections, surgical site infections and laboratory contamination) technique when changing Resident 20's PICC line [a peripherally inserted central catheter (PICC) is a long, soft, flexible tube inserted into a vein in the upper arm and advanced to a large vein above the heart] dressing. Resident 20 experienced harm when they required an emergency transfer to the emergency department (ED) to have their PICC line replaced, and additional diagnostic procedures (ultrasound and Xray) performed when their PICC line was cut with unclean and unsterile scissors. …
F694 citations in Washington
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
Washington cites F694 less often than its own record predicts
0.87 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington 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 Washington surveyors wrote
F694 findings written in Washington, 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 intravenous (IV) services were provided in accordance with professional standards of practice for 2 of 4 residents (Residents 8 & 18) reviewed for IV therapy. The failure to provide Peripherally Inserted Central Catheter (PICC- a long, thin tube that's inserted through a vein in the upper arm and extended into the larger veins near the heart) care including monitoring, maintenance (including changing needleless injection caps), sterile PICC dressing changes weekly, measuring external length to verify the line had not migrated, and arm circumference to monitor for potential serious complications placed the residents at risk for adverse events, loss of vascular access, infection, pain, and diminished quality of… …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 0.19× |
| 2024 | 0.33% | 1.20× |
| 2025 | 0.28% | 0.87× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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