Canterbury Place

Review of Resident R2's active physician order dated 10/17/25, indicated to administer Omeprazole (medication used to treat conditions caused by excess stomach acid) Oral Capsule Delayed Release 20 mg Give 1 capsule by mouth two times a day for GERD (gastroesophageal reflux disease).

Review of Resident R2's admission physician order dated 10/6/25, and discontinued on 10/17/25, indicated to administer Omeprazole Oral Capsule Delayed Release 20 mg Give 1 capsule by mouth in the morning for GERD.

Review of Resident R2's clinical record physician progress note dated 10/17/25, indicated Resident R2 denies any heartburn or reflux and wasn't clear on why he was taking the Omeprazole BID prior to admission.

Review of records indicated possible switch to Pantoprazole (medication that reduces stomach acid production) daily but orders resumed Omeprazole 20 mg BID (twice a day) upon hospital discharge - has been receiving Omeprazole 20 mg daily - resume at BID dosing.

Review of Resident R2's clinical record hospital Discharge summary dated [DATE], indicated to administer Omeprazole (20 mg Delayed Release Capsule) 1 cap by mouth 2 times per day.

During an interview on 11/18/25, at 3:03 p.m., the NHA and Director of Nursing (DON) confirmed that the facility failed to ensure physician orders were transcribed accurately on admission for two of three records reviewed (Closed Record Resident R1 and Resident R2). 28 Pa.

Code: 201.18(b)(1) Management.28 Pa.

Code: 211.10(c)(d) Resident care policies.28 Pa.

Code: 211.12(d)(1)(3)(5) Nursing services.

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