Aventura At Shiloh Springs

Observation on 09/03/25 at 7:50 A.M. revealed multiple cigarette butts were on the ground along the sidewalk to the front entrance and in the parking lot, as well as in the mulch at the front entrance.

Concurrent interview with HSK #228 verified the cigarette butts located on the ground in the facility parking lot, sidewalk, and in the mulch.

Interview on 09/03/25 at 10:00 A.M.

Licensed Practical Nurse (LPN) #249 revealed the designated smoking area for the residents was located on a patio off of the activity room. LPN #249 stated some residents would sign themselves out on leave of absence (LOA) and go off the facility property to smoke. LPN #249 confirmed residents were to smoke in the designated smoking area unless they were off facility property.

Concurrent observation of the designated smoking area revealed several discarded cigarette butts in the mulch and in the grass.

Further interview with LPN #249 confirmed an appropriate non-combustible container was available for the disposal of smoking materials; however, multiple cigarette butts were in the mulch and the grass area of the smoking area.

Review of the facility policy titled, Smoking, revised 02/18/22, revealed the facility would establish and maintain safe resident smoking practices.

The policy stated that prior to, or upon admission, residents would be informed of any limitation on smoking, including designated smoking areas, and the extent to which the facility could accommodate their smoking or non-smoking preferences.

Further review revealed that residents with restricted smoking privileges requiring monitoring should have the direct supervision of a staff member, family member, visitor, or volunteer worker at all times while smoking.

Smoke breaks would only be held under supervision and/or during assigned smoking break times.The deficiency was based on incidental findings discovered during the course of the complaint investigation.

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