Lock Haven Rehab: Diabetic's Blood Sugar Soars - PA
The resident, identified as CR1 in inspection records, was supposed to receive 30 units of insulin glargine twice daily to control diabetes. On January 3, 2025, at 8:26 PM, nursing staff marked the evening dose as unavailable.
Three minutes earlier, a blood sugar check showed the resident's glucose level at 227 mg/dL — already flagged as dangerously high in the facility's vital check system.
Nobody called the resident's doctor about the missed insulin dose or the elevated blood sugar reading.
By 4:59 AM the next morning, the resident's blood sugar had nearly doubled to 449 mg/dL. Staff finally contacted the on-call physician, who ordered emergency fast-acting insulin.
The intervention worked. By 7:46 AM, the resident's blood sugar dropped to 95 mg/dL.
Director of Nursing told inspectors on January 9 that the insulin glargine "was marked unavailable due to not arriving from the pharmacy in time for administration."
The facility provided no alternative treatment during the 8-hour gap between the missed dose and emergency intervention.
A second resident experienced similar medication delays. Resident 2 was prescribed daily lidocaine patches for hip pain, applied each morning since September 11, 2024.
On January 7, 2025, at 8:20 AM, staff noted the lidocaine patch "was on order" instead of administering it. The Director of Nursing confirmed to inspectors that "the patch was not available to be administered to the resident."
Federal inspectors found Lock Haven Rehabilitation and Senior Living failed to ensure medications were available in a timely manner for two of four residents they reviewed for medication availability concerns.
The inspection, completed January 9, 2025, was conducted in response to complaints about the facility at 22 Cree Drive.
Insulin glargine is a long-acting medication essential for diabetic patients to maintain stable blood sugar levels. Missing doses can cause dangerous spikes that require immediate medical intervention.
The facility's medication administration records showed both residents had established treatment plans — CR1 had been receiving twice-daily insulin since August 7, 2024, and Resident 2 had used daily pain patches since September.
State inspectors noted the facility violated Pennsylvania regulations requiring adequate nursing services and pharmacy services to meet residents' needs.
The nursing home administrator and Director of Nursing reviewed the findings with inspectors on January 9 at 3:45 PM.
Lock Haven Rehabilitation previously faced citations for nursing service deficiencies, according to inspection records. The latest violations affected what inspectors classified as "few" residents but caused actual harm.
For the diabetic resident, that harm was measurable: blood sugar levels that climbed to nearly five times normal overnight, requiring emergency physician intervention to prevent potentially life-threatening complications.
The facility must submit a plan of correction addressing how it will ensure timely medication availability and appropriate physician notification when doses are missed due to pharmacy delays.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Lock Haven Rehabilitation and Senior Living from 2025-01-09 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
LOCK HAVEN REHABILITATION AND SENIOR LIVING in LOCK HAVEN, PA was cited for violations during a health inspection on January 9, 2025.
The resident, identified as CR1 in inspection records, was supposed to receive 30 units of insulin glargine twice daily to control diabetes.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.