Failure to Date and Initial PICC Line Dressing
Penalty
Summary
The facility failed to ensure safe and appropriate administration of IV therapy by not dating and initialing the dressing of a resident’s peripherally inserted central catheter (PICC) line as required. Surveyors observed the resident on two consecutive days with an IV/PICC dressing on the right upper arm that lacked a date and staff initials, despite a physician’s order initiated on 1/3/26 directing that the PICC dressing be changed every seven days and as needed. The resident, who was cognitively intact and receiving IV antibiotics through the PICC line, reported that he did not believe the dressing had been changed in over a week. The Treatment Administration Record indicated a PICC dressing placement/change on 1/3/26, but there was no way to verify ongoing compliance with the weekly change requirement from the dressing itself because it was not dated or initialed, contrary to the facility’s own policy for PICC/Midline/CVAD dressing changes.
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