F926

Based on observations, record review, review of facility's policies and procedures, residents and staff interviews, the facility failed to implement and enforce the facility's Resident Smoking Supervised and Unsupervised policy to ensure safe smoking practices for 4 (Residents #37, #67, #118 and #119) of 4 sampled residents reviewed for safe smoking out of 17 total smokers in the facility.The facility failure to enforce the smoking policy that clearly addressed the safe storage of ignition devices by allowing residents to keep lighters/ignition devices unsecured in their rooms created an avoidable fire safety risk, placing four of 17 resident smokers at a likelihood for serious harm, injury or death. These concerns resulted in the determination of immediate jeopardy. …

Naples Health and Rehabilitation Center · Florida

Based on interview and record review the facility failed to follow the Fire Plan Policy and utilize the fire blanket or fire extinguisher after an unsupervised resident shirt caught fire during a smoke break. This affected 1 of 3 residents (R4) reviewed for emergency fire policy and procedures. This failure resulted in R4 being hugged by V4 (Social service assistant) to extinguish R4 shirt. R4 was sent to the local hospital, burn unit, and treated for [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: On 4-6-22 at 10:39 AM, V1 (Administrator) said R4 admitted to flicking his cigarette which caused cigarette embar to fall and ignite R4's shirt. The staff did not notice R4's embar fall and ignite his shirt. V1 described R4's shirt as an ultra thin western shirt. …

Rivaya Care of Des Plaines · Illinois

Based on observation, interview, and record review, the facility failed to establish policies regarding smoking areas, and smoking safety for 1 of 1 smoking area.The facility failed to provide an ashtray of safe design that would prevent a lit cigarette from coming into contact with a discarded cigarette butt. These failures could place residents and staff at risk of fire and burn injury.Findings included: During an observation on 09/02/26 at 10:02 a.m., during the scheduled smoke break, revealed there was an ash tray hanging on the wall in which it did not have a proper place to put the cigarette out. It only had a hole where someone could place their cigarette but not to ensure the cigarette was out completely. …

Greenhill Villas · Texas

Based on interview, policy, and record review, the facility failed to implement smoking policies as required for one Resident (#49) out of one applicable Resident, out of a total sample of 15 residents, and also failed to ensure that the Resident smoking area was maintained in a safe, clean and sanitary manner. Specifically, the facility staff failed to: 1. For Resident #49, ensure that smoking assessments and Resident Agreement for safe smoking habits were completed quarterly as required. 2. Establish a cleaning schedule to empty the cigarette disposal receptacles timely and replace a missing cigarette disposal receptable cover to prevent accidental fires and/or burns and unsafe disposal of cigarette butts on the ground in the smoking area. Findings include: 1. …

Poet's Seat Healthcare Center · Massachusetts