Failure to Reassess Smoking Safety for Resident
Penalty
No penalty information released
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 provide a hazard-free environment for one resident by not following its own smoking policy. According to the facility's policy, a resident's ability to smoke safely must be re-evaluated quarterly, upon a significant change in physical or cognitive status, and as determined by staff. Review of the clinical record for one resident showed that the most recent smoking assessment was completed on June 9, 2024, and no further assessments were documented. During an interview, the DON confirmed that no additional smoking assessments had been performed since that date. This lapse resulted in the facility not ensuring ongoing evaluation of the resident's ability to smoke safely, as required by policy.