Smoking Regulations Deficiency
Penalty
Summary
The facility failed to maintain smoking regulations in one location, affecting one of two floors. During an observation on December 10, 2024, at 12:07 p.m., cigarette butts were found in a trash receptacle at the outdoor smoking location. Additionally, the area did not have a noncombustible receptacle with a self-closing lid for emptying ashtrays, as required by the smoking regulations. This deficiency was confirmed during an exit interview with the Facility Administrator, Facilities Manager, and Regional Facilities Manager on the same day between 12:20 p.m. and 12:35 p.m.
Plan Of Correction
- The cigarette butts were immediately removed from the trash bin. A noncombustible receptacle, with self-closing lid was provided by the smoking area to empty ashtrays. - The facility will be assessed to ensure no other trash receptacles are used to discard cigarette waste. Staff will be educated by Maintenance Director/designee on proper disposal of cigarette butts. Maintenance Director will be educated by NHA/designee to ensure proper receptacles are available by the smoking area. - Smoking area will be audited monthly x3 by maintenance director/designee to ensure cigarette butts are disposed of properly and proper receptacles are available by the smoking area.