Complaint Investigation Report

Allegation: Facility staff not being trained to do blood sugar checks

It is alleged that staff have not received training to conduct blood glucose testing for C1 who is disabled and cannot conduct their own blood glucose tests. LPA obtained copy of staff training for Blood Glucose level and Blood Pressure, training was conducted by a Registered Nurse on 2/23/24. LPA obtained a copy of documented record for C1’s Blood Sugar Tests and Blood Pressure Readings from 2/13/26 – 4/11/26, there were no missed tests/readings observed. LPA obtained a copy of C1’s most recent Diabetes Health Condition Care Plan (dated 9/19/25) that states tests are to be conducted in the AM with staff supervision and assistance. LPA observed client being assisted with their blood sugar check at 8:42am, client was able to grab the device that holds the needle themselves and puncture their finger then grab the other device that the blood is placed in and place on the spot of blood drawn for the reading, S1 assisted the client only and did not puncture the C1 with the needle, staff was wearing gloves and used alcohol wipes and properly disposed of all items. LPA interviewed 2 Clients, the 2 clients interviewed do not take any medications that require injection or need blood glucose testing, however, both stated that they are assisted with medication and take it themselves. LPA was not able to interview with C1 as C1 is hard of hearing and LPA was having difficulty communicating, however, the LPA was able to observe C1 being assisted with their Blood Glucose test during visit. LPA interviewed 3 staff and each denied the above allegation and stated that all staff has been trained on assisting the clients with medication and Blood Sugars Tests/Blood Pressure Readings.

Based on statements and interviews conducted with staff & clients, and review of facility file records, there was not enough supportive evidence to concur with the reported allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview held, and a copy of this report was provided.