E · No harm, potential for more than minimal, patternFebruary 3, 2020
Based on the review of the residents' clinical records, a review of the facility's policy and procedures related to smoking, observations of residents and staff practices, and interviews with residents and facility staff, it was determined that the facility failed to consistently implement their smoking policy. This finding was evident for 3 of 3 residents reviewed for smoking (Resident #10, #21, #69). The findings include: On 01-30-2020 a review of the facility's current smoking policy and procedure revealed that the intent of the policy was to provide a safe smoking area for residents/patients that request to smoke and are capable of safe smoking behaviors either independently or with supervision. …