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F0689
D

Failure to Enforce Smoking Material Storage Policy

Orange Park, Florida Survey Completed on 05-22-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain a safe environment by not enforcing its smoking policy for two residents with significant medical and cognitive conditions. Both residents were permitted to smoke unsupervised in designated areas, with the requirement that smoking materials be stored by staff and not kept in their rooms. However, during observations and interviews, it was found that both residents had cigarette lighters and cigarettes in their personal living spaces, contrary to facility policy. Staff confirmed that residents were not allowed to keep smoking materials in their rooms, and photographic evidence documented the presence of these items. Resident medical records indicated multiple diagnoses, including heart disease, chronic respiratory failure, cognitive deficits, and mental health disorders. Despite care plans and staff instructions outlining the risks and facility rules, both residents were found with prohibited smoking materials in their rooms. Staff interviews further confirmed awareness of the policy, yet the materials were not secured as required, resulting in a failure to prevent potential accident hazards related to smoking.

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