complaint·June 30, 2022

Interviews conducted and records reviewed revealed that R1 was prescribed insulin injections at the time of admission into the facility. At the time, based upon interviews, record review, and LPA’s observation, R1 was alert and oriented and able to perform his/her own testing and injection. As R1’s condition deteriorated and R1 progressed to admission into hospice care, insulin was discontinued and R1 was prescribed and received oral medication. The investigation did not yield evidence to conclude that, during the time in which R1 was prescribed insulin, facility staff who were not skilled to do so conducted R1’s glucose testing or administered insulin injections to the resident. Based upon a lack of evidence to corroborate the allegations, the allegations are unsubstantiated. This finding means that although the allegations may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Ma Niza Ambalada, Administrator, and copies of this report and Licensee/Appeal Rights (LIC 9058) were provided to the administrator at the conclusion of the visit. Administrator’s signature on this report acknowledges receipt of copies of the rights and report.