Failure to Ensure Safe Smoking Practices for Supervised Residents
Penalty
Summary
The facility failed to ensure safe smoking practices for residents who required supervision and adaptive equipment during smoking breaks. Two residents with cognitive and physical impairments, including visual impairment and dexterity issues, were observed smoking without the required protective smoking aprons, despite care plans specifying the need for supervision and use of adaptive devices. One resident was noted to have burns on his clothing, and neither resident was offered or wearing a smoking apron during supervised smoke breaks. Staff interviews confirmed a lack of awareness regarding the requirement for smoking aprons for these residents. Review of facility policy indicated that residents should be evaluated for safe smoking practices and that care plans should reflect any restrictions or necessary adaptive equipment. However, observations and interviews revealed that these protocols were not consistently followed, resulting in residents with identified risks smoking without appropriate safety measures in place. The facility had identified fifteen residents requiring assistance with smoking, but the deficiency was observed in the two residents reviewed.