Smoking Agreements

Risk – Lack of a formal process to assess and manage smoking risk which results is resident injury and/or facility risk of fire.

Risk Management Strategies:

  • If smoking is permitted, be proactive in assessing resident and facility risk and implementing interventions that support resident safety, including but not limited to:

  • Resident Safety – A formal process for evaluating the resident’s safety for unsupervised smoking (a smoking assessment tool is recommended)

  • Signed Smoking Agreement – A signed smoking agreement that includes designated areas for smoking, storage of smoking paraphernalia, and smoking area rules/safety requirements

  • Supervised Smoking – If supervised smoking is provided, the logistics of providing this service including frequency of service (e.g., four times per day). The resident should be notified in advance if they will be billed for smoking supervision.

  • Oxygen Use – Prohibit smoking if the resident is on oxygen or has oxygen attached to their mobility device (e.g., scooter, wheelchair)

  • Smoking Violations – Documentation of smoking violations and resident (family as appropriate) communication regarding the violation.

  • Smoking environment – Ensure the safety of the designated smoking environment, including smoking receptacles for extinguishing the cigarettes, a fire extinguisher and fire blanket

Source – HCIS Senior Resource Center. Pendulum. Assisted Living Policies and Procedures.