We are currently in litigation in a case against Caretel in Livingston County, a skilled care facility, that failed to report a serious medication error occurring when a resident was given her roommate’s medication. The roommate was diabetic. Our client’s loved one was not. Our client’s mother was given Glyburide, a diabetic medication, which resulted in an irreversible hypoglycemic coma and her death. When informed of the medication error by the University of Michigan Hospital, the facility chose not to report the incident because the University of Michigan Hospital did not send a medical report. The nursing home took the position it had “nothing” to report. Failure to report serious injury and death in nursing homes is a serious problem. A recently introduced bill in the Michigan Senate (SB 462) will require that a nursing home immediately report harmful neglect, abuse or mistreatment by telephone to the Department of Licensing and Regulation. Unfortunately, the bill does not specify the penalty for failing to do so.