complaint·May 1, 2025

Facility is not ensuring that an appropriately skilled professional is assisting the resident with injections. - UNSUBSTANTIATED It was reported that a med tech has been giving Resident 1 (R1) their insulin shots. LPA reviewed the Medication Administration Record (MAR) for R1 which states that R1 takes 20 ml of insulin daily at bedtime. MAR shows that R1 received their insulin shots every evening. Physicians Report states that R1 requires assistance with medication management. During staff interviews it was learned that R1 prepares their own insulin dosage and gives themselves their dosage with staff supervision. Executive Director stated staff assist R1 to dial their insulin pen to the correct dosage and R1 gives themselves their insulin. It was determined that R1 gives themselves their insulin dosage with staff supervision. This allegation is unsubstantiated. Facility staff are not dispensing medication as prescribed. - UNSUBSTANTIATED It was reported that the facility had been giving Resident 1 (R1) insulin without checking their glucose level. LPA reviewed the Medication Administration Record (MAR) for R1 which states R1 checked their glucose levels four times per day using Blood Glucose Test In Vitro Strip. Physicians Report states that R1 requires assistance with medication management. 5 of 5 staff interviewed stated that R1 takes their own glucose readings with “hand over hand’ assistance from staff. Executive Director stated that staff hand R1 their glucose meter and R1 takes their own glucose readings. Staff logs the readings in R1’s MAR. It was determined that R1 has been checking their glucose levels four times per day with assistance from staff. This allegation is unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED. No deficiencies cited. Exit interview conducted and a copy of the report was provided to administrator Stacey Baxter.