- Date
- 9/19/2023
- Report number
- OR0004700300
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide inservice
- Result
- Substantiated
- Findings
- On 01/03/24, Witness 1 (APS Investigator) stated Staff 1 (Caregiver) administered insulin to Resident 1, without having been delegated. A record review of an email exchange between Witness 1 and Staff 3 (Administrator) on 09/19/23, Staff 1 was not delegated to administer insulin to resident 1. Staff 2 (LPN) responded via email, that Staff 1 was not delegated to administer insulin to Resident 1.
Based on interview and record review, conducted through a desk review on 01/03/24, it was confirmed the facility failed to document that they had observed and evaluated the individual's ability to perform safe medication and treatment administration unsupervised for 1 of 1 sampled residents (#1) who received insulin, by a staff member who was not delegated.