NEW JERSEYAccidentalHealthcareHealthcareDisposal ErrorCustomer Data InvolvedPHIHealth (basic)Identity (basic)Government IDHighResolved

Union Lake Supermarket, LLC

bd_b476f92a809b995a · schema v1 · pii pii-v1

Severity

High

Discovered

—

Filed

Feb 28, 2018

To disclose

—

Affected

9,956

Confidence

69%

Full breach record for Union Lake Supermarket, LLC →

Union Lake Supermarket, LLC reported to HHS on 2018-02-28 a Improper Disposal affecting 9956 individuals. Breached information located on Other Portable Electronic Device. The CE implemented additional administrative and technical safeguards and retrained its staff.

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HIPAA clock✓ HHS notified

⚠ no discovery dateNo discovery date was extracted, so no notification clock can be evaluated.

⚠ No discovery dateThe OCR public portal omits the discovery date, so the 60-day notification clock cannot be evaluated from this source — only that the filing was submitted.

Incident timeline — partial

? — ?

Breach window unknown

Feb 28, 2018

Filed

—

No filing yet · watching

Compliance clocks stay unassessable until a regulatory filing lands. Dashed segments fill in automatically when corroboration arrives.

Tracked as a single-filing incident — the only disclosure on record for this event so far.Confirmed9,956 affectedView incident

Name: Union Lake Supermarket, LLC
norm: union lake supermarket
Industry: Health Care Services

Name: Union Lake Supermarket, LLC
norm: union lake supermarket
Industry: Healthcaresource default

Discovered: Not extracted — the OCR public portal omits it
Materiality determined: —
Notification sent: —
Affected individuals: 9,956nationwide
Data types: PHIHealth (basic)Identity (basic)Government ID
HHS breach type: Improper disposal
Where the data lived: Portable electronic device
Covered-entity type: Healthcare provider
Attack vector: Misconfiguration
Threat actor: Internal
Regulator citations: Notified HHS

During the incident: Notified HHS
Notified affected individuals
Notified the media
Changes made: Implemented additional administrative and technical safeguards
Retrained its staff
Source: Quoted from the filing itself, not independently verified.

Compliance flags: HHS notified
Discovery-date grounding: no discovery dateNo discovery date was extracted, so no notification clock can be evaluated.
Clock breakdown: Statute Window Elapsed Threshold Status
HIPAA
Discovered: not extracted
→ Notified: not extracted
— regulatory submission HHS notified

Statute	Window	Elapsed	Threshold	Status
HIPAA	Discovered: not extracted → Notified: not extracted	—	regulatory submission	HHS notified

Status: No extraction artifact recorded for this disclosure.

Evidence ladder

Leak-site claim

Attacker assertion only. Establishes: claim date, group, alleged victim.

Press / market report

Unlocks: incident narrative, operational impact. Still no compliance clock.

State AG / regulator filingThis record

Unlocks: discovery date, data types, affected count, compliance clock.

SEC 8-K / victim statement

Unlocks: materiality, stated response, full audit trail. Ceiling removed.

Source URL: https://ocrportal.hhs.gov/ocr/breach/breach_report.jsf
DisclosureLens renders the full SEC/HHS filing inline below from the originating regulator’s public record (§4.5 fair report privilege).
Filed at: Feb 28, 2018
Raw hash: 8e69d9a62f96082dc311bed0450fb3c060a7277a4890b9e50af0408618d1f4dc

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Reporting entityUnion Lake Supermarket, LLC

Victim entityUnion Lake Supermarket, LLC

IncidentMisconfiguration

Stated responseNotified HHS

ComplianceHHS notified

Extraction provenanceno artifact recorded

Source provenanceocrportal.hhs.gov

Source filing