Emergency Preparedness Deficiency in Training Program
Summary
The facility was found to be non-compliant with emergency preparedness requirements during a Standard Life Safety Code Survey. The deficiency was identified in the Emergency Plan, Training Program, which lacked a demonstration of knowledge for responding to the most likely hazards as identified by the risk assessment. These hazards included emerging infectious diseases, supply chain problems, severe thunderstorms, blizzard/snow problems, and communications failure. There was no documented evidence that the training program included this critical component. During an interview, the administrator acknowledged the omission and mentioned plans to update the quiz section of the emergency plan to address the top five hazards facing the facility.
Penalty
Trusted data from CMS and state health departments
Every citation, penalty and Plan of Correction is sourced from public CMS records (latest release May 27, 2026) and official state health department websites — never guesswork.
Trusted by long-term care providers and associations.
