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F0684
D

Failure to Administer Omeprazole According to Manufacturer Guidelines

Goshen, Indiana Survey Completed on 05-23-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A deficiency occurred when a nurse administered omeprazole 20 mg delayed release capsule to a resident after the resident had already eaten most of his lunch, rather than before a meal as recommended by the manufacturer. The resident, who had a diagnosis of gastro-esophageal reflux disease, had a physician's order to receive omeprazole daily at noon. The facility's policy required medications to be administered according to manufacturer specifications, which for omeprazole includes administration before meals. The pharmacist and medication information sheet both confirmed that omeprazole should be given prior to meals, but this was not followed during the observed medication pass.

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