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F0689
D

Failure to Provide Care Planned Smoking Safety Interventions

Wood Village, Oregon Survey Completed on 05-09-2025

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

A deficiency occurred when a resident with Wernicke's encephalopathy and dementia, who was care planned to wear smoking gloves while smoking to prevent burns, was observed smoking in the designated area without the required gloves. The resident's care plan and quarterly smoking evaluation both specified the use of smoking gloves, and the most recent MDS assessment indicated moderate cognitive impairment. During the observation, the resident stated that staff did not offer the smoking gloves, and a CNA confirmed the resident was not wearing them as required. The Director of Nursing Services acknowledged that staff failed to provide the gloves as outlined in the care plan.

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