Failure to Complete Safe Smoking Evaluation for Resident Who Smokes
Penalty
Summary
The facility failed to complete a Safe Smoking Evaluation for a resident who actively smokes cigarettes. According to the facility's Smoking Policy, each resident's smoking status must be evaluated upon admission, including an assessment of their ability to smoke safely with or without supervision, documented through a completed Safe Smoking Evaluation. A review of the resident's clinical record showed no evidence that this evaluation was performed, despite the resident having a diagnosis of Amyotrophic Lateral Sclerosis (ALS), being on hospice for palliative care, and declining smoking cessation. The resident confirmed during an interview that they continue to smoke when able, and the Skilled Nursing Manager acknowledged that the required evaluation had not been completed.