complaint·July 16, 2021

The LPA reviewed files at 9:30 a.m., and confirmed that facility house rules state that smoking may only take place in designated areas. At the time of the visit, there was only one resident (R1) identified as someone who smokes. At 9:55 a.m, the LPA observed that lighters were kept locked in a locked box in the kitchen drawer. The LPA interviewed R1, who confirmed that they only smoke in designated areas in the facility, and denied ever smoking inside the facility. R1 claims to not have smoked in the presence of any resident whom was on oxygen. R1 did not have their lighter and noted that it was locked up. In addition, the LPA interviewed a family member of another resident who was present during today's visit, and they confirmed that they have not observed anyone smoking either inside or outside of the facility. This particular family member visits this facility at least twice a day. During today's visit, the LPA observed appropriate 'No Smoking - Oxygen in Use' signs for those residents whom use oxygen. The Administrator confirmed that R1 occasionally smokes, and confirmed that they only allow R1 to smoke in designated areas. Based on the information obtained, there is insufficient evidence to support the claim that the facility does not provide a safe environment for residents in care. The facility has a house rule that addresses a policy around smoking in designated outdoor areas and lighters are locked up for the safety of all residents. The designated smoking areas are an appropriate distance from the facility. This allegation is Unsubstantiated at this time. No deficiencies cited. Exit interview conducted. A copy of the report was issued.