Staunton Post Acute & Rehabilitation
STAUNTON POST ACUTE & REHABILITATION in STAUNTON, VA — inspection on April 28, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
materials in their possession. LPN #1 stated two certified nurses' aides (CNAs) from 3rd floor
passing out ice on 3rd floor and was a little late going out with the smokers on 4/27/26. CNA #1
#1 stated there were three other smokers in the courtyard during the session in addition to R107. CNA #1 stated R107 was not smoking when she arrived in the courtyard, and she did not see the resident with any smoking materials. CNA #1 stated, We hand out cigarettes individually, one at a time, and light them. CNA #1 stated R107 smoked two cigarettes during the session and consumed both prior to ending the smoking session. CNA #1 stated if R107 was smoking prior to 2:45 p.m., she had no idea where she got the cigarette or lighter as the smoking supplies stayed locked in the medication room.
CNA #1 stated regarding the observation of R107 actively smoking at 2:40 p.m., We were not down there yet [in the courtyard]. CNA #1 stated none of the residents were smoking when she arrived in the courtyard with the smoking supplies. CNA #1 stated R107 had never demonstrated any safety issues during smoking and did not require an apron or adaptive equipment.On 4/28/26 at 8:35 a.m.
CNA #2 that supervised smoking on the afternoon of 4/27/26 was interviewed. CNA #2 stated she was with CNA #1 supervising smoking on the afternoon of 4/27/26. CNA #2 state she and CNA #1 were not out with residents at 2:30 p.m. as scheduled but were late taking the smokers out. CNA #2 stated she and CNA # 1got the smoking box from the medication room and took it to the courtyard.
CNA #2 stated R107 was already in the courtyard and there was no smoking going on by any residents when they arrived in the courtyard. CNA #2 stated she and CNA #1 watched R107 smoke two cigarettes during the session with both cigarettes consumed and extinguished/discarded in the receptacle prior to the end of the session. CNA #2 stated R107 was given two cigarettes, one at a time and that staff always lighted the cigarettes for residents. CNA #2 stated she was not aware R107 had been smoking and she did not know how the resident got a cigarette or lighter. CNA #2 stated R107 was always a safe smoker, never dropping ashes or cigarettes and that the resident did not require an apron or device. CNA #2 stated R107 smoked two cigarettes in front of us and that all cigarettes and the lighter were returned and locked in the medication room after the session.On 4/28/26 at 9:10 a.m., the administrator and director of nursing (DON) were interviewed about R107 observed actively smoking unsupervised.
The administrator stated all resident smoking required supervision and that he was unsure where R107 got the cigarette and/or lighter.
The administrator stated that residents that smoked were required to follow facility policies to ensure safe smoking.The facility's policy titled Smoking Permitted (revised 10/20/22) documented, .The facility will implement processes to respect the resident's right to smoke and will provide an environment for safe smoking in a manner that does not infringe on any resident's rights.Residents who desire to smoke will be educated on the facility policy and practices for safe smoking.The resident will verbalize understanding of the facility policy and practices and will sign acknowledgement of receipt of the policy.Resident who desire to smoke may not keep smoking related materials [i.e. cigarettes, electronic smoking devices (e-cigarettes), refill cartridges/fluid, cigars, pipes, tobacco, lighter, lighter fluid, match, etc.] on their person when not smoking or in their room.Resident who are determined by the interdisciplinary team as needing supervision will be within eyesight of staff, family, or designated volunteer during the time that the resident is smoking.Non-compliance with smoking safety requirements is taken very seriously.The facility may initiate discharge planning for a violation of any part of this policy and for any unsafe smoking practice that poses risk to residents or for repeated non-compliance with the facility safe smoking policy/practices.This finding was reviewed with the administrator and DON on 4/28/26 at 3:00 p.m. with no further information presented prior to the end of the survey.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.