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Regulator-posted notice

Breach notice filed by Union Lake Supermarket, LLC (February 2018)

Organization named: Union Lake Supermarket, LLC Provisional: identity as filed, not yet matched to the directory
Type as the source lists it: Improper Disposal

What the sources say

HHS OCR breach portal (HIPAA breaches affecting 500 or more individuals) Primary notice

Posted on the HHS Office for Civil Rights breach portal with a submission date of Feb. 28, 2018.

Organization as reported
Union Lake Supermarket, LLC, NJ
Entity type as reported
Healthcare Provider
Category as reported
Improper Disposal
Location of information as reported
Other Portable Electronic Device
Submission date
Feb. 28, 2018
Observed by BreachRecords
2026-10-18 16:15 UTC (revision 13907, row:5046)
Archived copy
Held in the private archive (provenance)

The covered entity (CE), Union Lake Supermarket, LLC, reported that a portable electronic device used to capture customer signatures was improperly disposed of. This compromised the electronic protected health information (ePHI) of 9,956 individuals. The ePHI involved included names, dates of birth, drivers’ license numbers, medications prescribed, and other treatment information. The CE notified HHS, affected individuals, and the media. In its mitigation efforts, the CE implemented additional administrative and technical safeguards and retrained its staff.

The source's own words, from the revision above.

Figures, per source

  • 9,956 individuals affected (total reported), according to the HHS Office for Civil Rights breach portal, source date Feb. 28, 2018, revision observed 2026-10-18.

Each figure is one source's figure with the basis that source gave. Figures from different sources are shown side by side and are not added, averaged or chosen between.

Timeline

Source dates are the dates the sources give. Observation dates are when BreachRecords recorded each revision.

  • Submission date (HHS Office for Civil Rights breach portal)
  • Observed by BreachRecords (revision 13907)
  • Approved by a reviewer

Organizations linked by a reviewer

  • Union Lake Supermarket, LLC Named as the covered entity Provisional: identity as filed, not yet matched to the directory Linked 2026-10-19, method provisional.

Archived evidence

  • 3dbc27dd5742e041cc1e7fe18cc669e2901fbd3b86b7007ed27948ff4d406e1f
    text/csv, 5,530,996 bytes, retrieved from HHS Office for Civil Rights breach portal, 2026-10-18 16:15 UTC. Archived privately · Provenance · Source page

Records reflect source filings as of the dates shown. BreachRecords is not a regulator.

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