Failure to Develop Comprehensive Care Plans for Smoking and Respiratory Needs
Penalty
Fine: $23,56582 days payment denial
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 develop and implement comprehensive care plans addressing all identified needs for two residents. One resident, admitted in May 2018, was assessed as safe to smoke with supervision according to a Smoking Safety Screening completed in November 2024; however, the resident's care plan did not include any documentation of the need for supervised smoking. Another resident, admitted in March 2025, had physician orders for the use of a Continuous Positive Airway Pressure (CPAP) device since mid-March 2025, but there was no evidence of a care plan addressing CPAP usage in the medical record. These omissions were confirmed with facility leadership during the survey.