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Based on record review and interview the facility failed to administer a patient's home medications as the physician ordered. (Patient #1)

Findings Include:

Review of the facility Policy MEDICATIONS BROUGHT IN WITH PATIENTS (dated 2/2016) reflected: " ...Purpose: 1.1 To ensure that medication brought in by the patient are utilized during their stay ..." " ...Patient's own medications may be used during their stay in the facility for the following reasons: 1) To avoid interruption in therapy ..."

Review of the facility Policy Medication Administration (dated 8/15) reflected: " ...Nurse will administer medication at the scheduled time ....will chart on the MAR: Time, Route Site, Initial ...will circle the scheduled missed dose and give a brief explanation (NPO,etc.) and initial ..." The policy did not reflect what to do if a patient's home medication is missing.

Review of Patient #1's Physician's Orders, dated 1/19/16, reflected, Mononessa 0.25 /35 mcg (microgram) PO (by mouth) Q day (every day).

Review of Patient #1's Medication Administration Record (MAR) reflected:
Start date 1/19/16 Mononessa 0.25/35 mcg po Q day Birth control (Home Med); on 1/19, 1/20, and 1/21 the letters NA were written on the administration record. The record did not define what the letters NA meant. The back of the MAR reflected a Documentation of Omitted Doses of Medication form. The nurses had not written an explanation for the missing doses.

During an interview on 4/14/16 at 2:00 p.m., in the conference room, Staff #7, Nurse Manager confirmed the finding. Staff #7 stated, "The NA means not available. The nurse should contact the physician if medications are not available."