Failure to Provide Proper Smoking Area Facilities
Penalty
Summary
The facility failed to adhere to smoking regulations in the designated smoking area. During an observation on January 27, 2025, at 8:00 a.m., it was noted that there was an accumulation of cigarette butts on the ground outside the entrance door to the lobby, which serves as the designated smoking area. Additionally, a metal container with a self-closing cover device, into which ashtrays can be emptied, was not available in this area. This deficiency was confirmed during an exit interview with the Administrator and Maintenance Director on the same day at 2:30 p.m.
Plan Of Correction
1. Cigarette butts outside the entrance door to the lobby were immediately cleaned up, and a metal cigarette container was ordered. 2. Smoking areas were audited to ensure they have a metal cigarette container. 3. Education will be provided to ensure proper compliance with this regulation. 4. An audit of smoking areas will be conducted to ensure they have a metal cigarette container. Audit will be done 2x a month for 2 months and 1x a month for 1 month. 5. The findings of these quality monitoring's to be reported to the Quality Assurance/Performance Improvement Committee monthly x6 months.