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Based on record review and interview it was determined the facility failed to administer medication as ordered by the Physician for one (1) of ten (10) sampled residents. Resident #6 had a Physician's order to administer an anti-embolytic medication (Lovenox) that was not administered for two (2) days.

The findings include:

Record review of the facility policy entitled "Documentation Guidelines for Medication Administration Record", CODE: PCS-III-28F, no date, revealed that a Unit Secretary or licensed nurse will transcribe the new medications to the Medication Administration Record (MAR).

Review of the medical record revealed Patient #6 was admitted to the facility, on 02/11/13, with diagnosis of a Left Breast Abscess with Systemic Symptoms.

Review of a Physician's Order, dated 02/12/13, revealed Patient #6 was to be administered Lovenox 30 milligrams (mg) subcutaneous (sc) daily.

Review of Patient #6's MAR, for 02/12/13 through discharge (02/14/13), revealed no documented evidence Lovenox 30 mg (SC) was administered per Physician's order.

Interview with the 3A Unit Manager, on 04/19/13 at 2:50 PM, revealed the process for transcription of physician medication orders was for the Unit Secretary to write the medication onto the (MAR) form the Physician's Order and then the nurse would validate and administer the order. Continued interview revealed that she was unable to determine who validated the order. She further stated the facility missed an opportunity to accurately transcribe a medication in order for the medication to be administered per the Physician's Order.