complaint·August 23, 2021

Interviews confirmed that previously, concerns were raised regarding residents not utilizing the designated smoking area. In response, the Executive Director provided documentation demonstrating that the facility has addressed all staff, residents, and responsible parties of the smoking policy. Furthermore, the facility has reminded said individuals of the smoking policy and that it is allowed only in the designated smoking area. Interviews with residents could not corroborate the claim that smoke was getting into the facility. Most interviews supported the claim that residents nor staff have smelled smoke in the facility, and all understood that residents were not allowed to smoke in the facility and could only do so in the designated smoking areas. Interviews with residents whom smoke stated that they understood the facility policy and have complied. Based on the information obtained, there is insufficient evidence to support the claim that the staff are not providing a comfortable environment for residents. This allegation is deemed Unsubstantiated at this time. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.