Based on interview and record review, the facility did not ensure that parenteral medications were administered consistent with professional standards of nursing practice for 1 of 1 resident (R29) reviewed for parenteral medications. R29 was readmitted to the facility on [DATE] with a midline for IV (intravenous) antibiotic treatment following a diagnosis of sepsis secondary to urinary tract infection with E. coli bacteremia (bacteria in the blood). On 7/27/24, LPN P (Licensed Practical Nurse) attempted to flush the midline and was unable to, noting that some of the normal saline ran down R29's arm. LPN P reported this to RN O (Registered Nurse) around 2:20 PM on 7/27/24. …
F694 citations in Wisconsin
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
Wisconsin cites F694 less often than its own record predicts
0.45 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wisconsin 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 Wisconsin surveyors wrote
F694 findings written in Wisconsin, 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 that a Peripherally Inserted Central Catheter (PICC) line was maintained in accordance with professional standards of practice for 1 of 1 resident (R) reviewed for parenteral fluids (R1). The facility failed to: Obtain and implement active physician orders for scheduled PICC line dressing changes for R1. Document required routine clinical assessments of the PICC insertion site for localized signs and symptoms of infection. Update R1's care plan to reflect the presence of a PICC line, associated care needs, and monitoring interventions.Findings include: According to the National Library Institute <cbi.nlm.nih.gov/books/NBK594495/> central venous access devices (CVADs) may be inserted centrally or peripherally. …
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 0.11% | 0.39× |
| 2024 | 0.10% | 0.38× |
| 2025 | 0.15% | 0.45× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wisconsin surveyors cite →
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