Failure to Update Care Plan and Supervision After Resident Vaping Incidents
Penalty
Summary
The facility failed to ensure adequate supervision and safety measures for a resident who was observed vaping inside the facility, contrary to the established smoking policy. The resident's care plan allowed for unsupervised smoking, and their smoking supplies were kept on their person. Despite two documented incidents where the resident was found vaping inside the facility, including one instance where the resident was educated about the policy but did not comply, no new smoking assessment was completed, and the care plan was not updated to address the non-compliance. Facility policy required that electronic cigarettes be used only in designated smoking areas and that a safe smoking assessment be completed for all residents using e-cigarettes. The policy also stated that the care plan should be revised to include additional safety measures if a resident did not abide by the smoking policy. Interviews with the ADON and DON confirmed that appropriate reassessment and care plan updates were not performed following the incidents, and the resident continued to have access to their vaping supplies.