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Based on observation, interview, and record review, it was determined the facility failed to meet this requirement by not adopting all of the smoking regulations into the facility's smoking policy.

The Findings Include:

Observation, during the Life Safety Code tour revealed on 01/20/10 at 1:00pm, at the building outside entrance of the Emergency Department a patient using a wheelchair that had a oxygen cylinder attached to the back of the wheelchair was smoking.

Interview on 01/20/10 at 1:00pm, with the Administrator revealed he knew that smoking in the non-designated areas was an issue. The Administrator stated that smoking should not occur this close to the oxygen cylinder.

A review of the facility smoking policy revealed it did not meet the requirements of this regulation. Further review of the facility's smoking policy on 01/20/10 at 1:00pm, revealed the Emergency Department was not designated as a smoking area for the facility.

Based on observation and interview it was determined the facility failed to ensure the residents' beds were safe and free of electrical hazard.

The Findings Include:

Observation during the Life Safety Code tour on 01/20/10 at 12:10pm revealed the electrical coil heating unit located in the Nursing Administration Office exceeded the 212 degrees F safety hazard.


Interview with the Safety Director on 01/20/10 at 12:10pm revealed the Maintenance Director was unaware of the electrical heating unit in use.

Interview with the Administrator on 01/20/10 at 12:10pm revealed he was not aware of the electrical heating unit.

Based on observation, interview, and record review, it was determined the facility failed to meet this requirement by not adopting all of the smoking regulations into the facility's smoking policy.

The Findings Include:

Observation, during the Life Safety Code tour revealed on 01/20/10 at 1:00pm, at the building outside entrance of the Emergency Department a patient using a wheelchair that had a oxygen cylinder attached to the back of the wheelchair was smoking.

Interview on 01/20/10 at 1:00pm, with the Administrator revealed he knew that smoking in the non-designated areas was an issue. The Administrator stated that smoking should not occur this close to the oxygen cylinder.

A review of the facility smoking policy revealed it did not meet the requirements of this regulation. Further review of the facility's smoking policy on 01/20/10 at 1:00pm, revealed the Emergency Department was not designated as a smoking area for the facility.

Based on observation and interview it was determined the facility failed to ensure the residents' beds were safe and free of electrical hazard.

The Findings Include:

Observation during the Life Safety Code tour on 01/20/10 at 12:10pm revealed the electrical coil heating unit located in the Nursing Administration Office exceeded the 212 degrees F safety hazard.


Interview with the Safety Director on 01/20/10 at 12:10pm revealed the Maintenance Director was unaware of the electrical heating unit in use.

Interview with the Administrator on 01/20/10 at 12:10pm revealed he was not aware of the electrical heating unit.