Failure to Restrict Smoking to Designated Areas
Penalty
Summary
The facility failed to ensure that smoking was restricted to designated areas, as required by both facility policy and state law. Multiple residents reported that smoking was occurring inside resident rooms, common restrooms, shower rooms, and other non-designated areas. One resident specifically stated that this has been a continuing problem, and another resident reported smelling strong cigarette odors upon entering a common restroom. A third resident confirmed the ongoing issue and expressed concern about the impact on residents who are exposed to cigarette smoke. During an inspection of the common restroom, cigarette marks were observed on the wall, and a strong odor of cigarettes was present. Additionally, a crash cart with an oxygen tank was found just outside the restroom, raising further safety concerns. Staff members, including a CNA and an LPN, confirmed the presence of cigarette odors in the restroom and acknowledged that residents are not permitted to smoke in these areas. The Assistant Director of Nursing also observed the cigarette marks and the proximity of the oxygen tank to the restroom, reiterating that smoking should not occur near oxygen tanks or in restrooms. The facility's Smoking Safety Policy states that smoking is only allowed in designated areas and that the interior of the facility must remain smoke-free in accordance with state and local laws. The Smoke Free Illinois Act prohibits indoor smoking in healthcare facilities, including all rooms and hallways, and requires a minimum distance from entrances and ventilation intakes. Despite these policies and regulations, the facility did not prevent residents from smoking in prohibited areas, affecting the safety and comfort of all residents.