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F694: Provide for the safe, appropriate administration of IV fluids for a resident when needed

F694 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide for the safe, appropriate administration of IV fluids for a resident when needed. It sits in CMS's quality of life and care category.

1,210citations in the CMS files
1,049homes cited at least once
294in the 12 months to September 2026
2.1%rated actual harm or immediate jeopardy

CMS Health Deficiencies file, data as of September 1, 2026. The files hold each home's last three standard inspections and three years of complaint visits.

How seriously inspectors rate it

Every citation gets a letter for how much harm inspectors found and how many residents it touched (how to read the letters). 23.2% of F694 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)12 (1.0%)
  • Actual harm (G, H, I)14 (1.2%)
  • Potential for more than minimal harm (D, E, F)1,180 (97.5%)
  • Potential for minimal harm (A, B, C)4 (0.3%)

By letter: B 4, D 1,027, E 153, G 14, J 8, K 4.

What inspectors wrote

Three recent F694 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 7, 2026, scope and severity DBased on review of facility policy, clinical records, staff interviews, and resident observations it was determined that the facility failed to include care and management of a PICC line (peripherally inserted central catheter - a long thin flexible tube inserted into a vein in the upper arm and threaded to a large vein near the heart) consistent with professional standards of practice for one of two residents (Resident R181).

Providence Health & Rehab Center, Beaver Falls, PA

Inspectors wrote, July 28, 2026, scope and severity DBased 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)

Ignite Medical Resort Chesterton, Chesterton, IN

Inspectors wrote, July 28, 2026, scope and severity EBased on observation, interview, and record review, the facility failed to administer enteral feeding (delivering liquid food and nutrients directly into the stomach or small intestine) per physician's order for two of four sampled residents (Residents 7 and 8) by failing to ensure Resident 7 and Resident 8 received the correct enteral feeding formula per the physician's order. This deficient practice caused enteral feeding error for Resident 7 and Resident 8, and potentially placed Resident 7 and Resident 8 at risk for adverse effects of the wrong feeding formula (liquid medical food delivered directly into the stomach through an abdominal opening).

Inland Valley Care and Rehabilitation Center, Pomona, CA

Most recent F694 citations at the harm or jeopardy level

Newest first, all 26 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
April 15, 2026Harvard Gardens Rehabilitation & Care CenterCleveland, OH GComplaint
March 27, 2026Willow Brook Rehabilitation and Healthcare CenterKutztown, PA JStandard
February 13, 2026Highland Health and Rehabilitation of CascadiaBellingham, WA GComplaint
October 31, 2025Avir at Veterans MemorialHouston, TX GComplaint
October 29, 2025Careone at Hanover TownshipWhippany, NJ GComplaint
June 5, 2025Magnolia RidgeGardendale, AL JComplaint
March 19, 2025Accel at College StationCollege Station, TX KComplaint
March 19, 2025Archer Heights HealthcareChicago, IL JComplaint
February 20, 2025Roswell Center for Nursing and Healing LLCRoswell, GA GComplaint
January 11, 2025Park Place Care CenterGeorgetown, TX KComplaint
December 11, 2024The Citadel at Saint Joseph VillageFreeport, IL GStandard
November 14, 2024Watertown Health Care CenterWatertown, WI JStandard
November 6, 2024Cornerstone Retirement CommunityTexarkana, TX JStandard
October 24, 2024Paradigm at First ColonyMissouri City, TX KComplaint
October 11, 2024Sunland Post AcuteSunland, CA GStandard
October 3, 2024Luxe at Jupiter Rehabilitation Center (the)Jupiter, FL GComplaint
August 26, 2024Nortonville Health Care CenterNortonville, KS JComplaint
June 14, 2024Avir at StephenvilleStephenville, TX KStandard
May 17, 2024Madera Post Acute CenterEl Monte, CA GComplaint
April 12, 2024Villa Maria Post Acute and RehabilitationTucson, AZ GComplaint
February 8, 2024Dublin Post AcuteDublin, OH GComplaint
November 11, 2023Arc at NormalNormal, IL GComplaint
October 19, 2023The Carlyle at Stonebridge ParkSouthlake, TX JComplaint
September 14, 2023Royal Norwell Nursing & Rehabilitation Center LLCNorwell, MA JStandard
March 17, 2022Courtland Rehabilitation and Healthcare CenterCourtland, VA GStandard
May 7, 2021Mountain View Healthcare CenterMountain View, CA GStandard

Most recent F694 citations

InspectionHomeTownLetter
August 7, 2026Providence Health & Rehab CenterBeaver Falls, PA D
July 30, 2026Saint Anne HomeGreensburg, PA D
July 28, 2026Weslaco Nursing and Rehabilitation CenterWeslaco, TX E
July 28, 2026Ignite Medical Resort ChestertonChesterton, IN D
July 28, 2026Inland Valley Care and Rehabilitation CenterPomona, CA E
July 27, 2026Texoma Healthcare CenterSherman, TX D
July 17, 2026The Gardens Healthcare CenterNorthridge, CA D
July 15, 2026The Eden of Las ColinasIrving, TX D
July 15, 2026Anaheim Terrace Care CenterAnaheim, CA D
July 15, 2026Pacific Haven Subacute and Healthcare CenterGarden Grove, CA E
July 10, 2026Lewis County General Hospital-Nursing Home UnitLowville, NY E
July 9, 2026Tuskegee Airmen Texas State Veterans HomeFort Worth, TX D
July 9, 2026Vierra Falls ChurchFalls Church, VA D
July 9, 2026Heinz Transitional Rehabilitation UnitWilkes-Barre, PA D
July 9, 2026Serenity Spring Senior Living at ArlingtonArlington, OH D
July 8, 2026Ignite Medical Resort ChestertonChesterton, IN D
July 3, 2026Seal Beach Health and Rehabilitation CenterSeal Beach, CA D
July 2, 2026The Pavilion at Sunny HillsFullerton, CA D
July 2, 2026El Encanto Healthcare CenterCity of Industry, CA D
July 2, 2026Senior Village HealthcareBlanchard, OK D
July 2, 2026Sherman Oaks Health & RehabSherman Oaks, CA D
June 29, 2026Gardnerville Health & Rehabilitation CenterGardnerville, NV D
June 26, 2026Atrium Place Health and RehabilitationSaint Louis, MO D
June 26, 2026Serenity Transitional CareTwin Falls, ID D
June 25, 2026Garden Grove Post AcuteGarden Grove, CA D

F694 citations by state

Counts depend on how many homes a state has and how often its inspectors visit, so a larger number is not by itself a worse record.

By inspection year: 2018 1, 2019 12, 2020 9, 2021 33, 2022 49, 2023 206, 2024 337, 2025 347, 2026 216.

Common questions

What is F694 in a nursing home inspection?
F694 is the federal requirement to "provide for the safe, appropriate administration of iv fluids for a resident when needed". CMS files it under quality of life and care. A home cited under F694 did not meet that requirement at the inspection.
How often is F694 cited?
The CMS files as of September 1, 2026 list 1,210 F694 citations at 1,049 nursing homes, 294 of them in the 12 months to that date. 2.1% were rated as actual harm or immediate jeopardy.
Is a F694 citation serious?
It depends on the letter. Most F694 citations (97.5%) were rated as potential for more than minimal harm, D to F. 12 were immediate jeopardy, the most serious level.

The interpretive guidance inspectors use for each F-tag is CMS's State Operations Manual, Appendix PP. NursingHomeClear reports the citations as CMS records them and is not affiliated with CMS. All F-tags · Methodology

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