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F0759
D

Medication Error Rate Exceeds Federal Threshold Due to Improper Insulin Administration

Fremont, California Survey Completed on 04-24-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

During a medication administration observation, a registered nurse administered Lantus Insulin and Novolog Insulin to a resident but failed to follow the manufacturer-recommended technique for insulin pen injections. Specifically, the nurse did not hold the insulin pen in place for the required 5 to 10 seconds after injection, instead withdrawing the needle after only 2 to 3 seconds. This incorrect technique was observed for both types of insulin administered to the resident. Each instance of improper administration was counted as a separate medication error, resulting in a medication error rate of 8%, which exceeds the federal threshold of 5%. The nurse acknowledged the error during a follow-up interview, stating she forgot the correct technique.

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