Failure to Timely Develop Comprehensive Care Plans for Tobacco Use
Penalty
Summary
The facility failed to develop comprehensive care plans to address the needs of two residents who used tobacco products or vaping devices. For both residents, clinical records and assessments indicated tobacco use, but there was no documentation of a care plan related to smoking until a specific date. This gap in care planning meant that the residents' needs and choices regarding tobacco use were not addressed in a timely manner, as required by facility policy and state regulations. Both residents had significant medical histories, including diagnoses such as high blood pressure, PTSD, anemia, paraplegia, and muscle weakness. Despite these conditions and the identified tobacco use, the care plans for smoking were not developed until after the initial assessments and documentation. The Director of Nursing confirmed that the facility did not create comprehensive care plans to meet the care needs of these residents prior to the identified date.