Failure to Address Smoking Needs in Resident Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan addressing all of a resident's needs, specifically regarding smoking. Upon admission, a resident with diagnoses including hypertension, hyperlipidemia, and a history of alcohol abuse was identified as a smoker who required supervision and the use of a smoke apron during smoke breaks, as documented in his smoke evaluation. However, the resident's care plan did not include any information about his smoking status or required precautions. During an observed smoke break, the resident was seen smoking outside with other residents and was not wearing a smoke apron as required. Facility staff confirmed that the care plan did not address the resident's smoking needs, resulting in noncompliance with regulatory requirements for comprehensive care planning.