You are not to blame, but you are entitled to your feelings of frustration, anger, sadness, regret, or whatever feelings you have around a) the impacts your mom's decisions have had on her health and longevity and b) the impacts your mom's decisions have had on you and your family.
Yes, she's an adult and gets to make her own decisions, but those decisions often affect both her and you negatively. She doesn't get to be free from your emotions around those negative effects -- whether you express them to her or not, you're entitled to have them.