This letter outlines the requirements for nursing homes and other healthcare facilities to establish policies regarding smoking, smoking areas, and smoking safety in accordance with applicable Federal, State, and local laws and regulations. It also references the National Fire Protection Association (NFPA) standards for health care facilities and life safety code and provides guidance on how to review policies and look for signs of smoking. Additionally, it outlines the training requirements for staff, including abuse, neglect, and exploitation training, dementia management and abuse prevention training, care of the cognitively impaired, and training of feeding assistants. Nursing homes and healthcare facilities must adhere to these requirements and review their policies to ensure they are compliant with the outlined regulations.

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