Deficiency in Emergency Preparedness Plan at Riverside Health and Rehab Center
Penalty
Summary
Riverside Health and Rehab Center was found to have deficiencies in its Emergency Preparedness (EP) Plan during a survey conducted on December 30, 2024. The facility failed to include updated and accurate names and contact information for residents and their physicians in the EP Plan. This deficiency was identified through an interview and documentation review conducted at 8:45 a.m. on the same day. The Facility Administrator and Maintenance Director confirmed during an interview at 1:30 p.m. that the EP Communication Plan lacked the necessary accurate contact information for residents and their physicians. This omission in the communication plan is a violation of the requirements set forth in 42 CFR 483.73, which mandates that such information be included and maintained in the facility's emergency preparedness communication plan.
Plan Of Correction
NHA/Designee will educate the Maintenance Director/Designee on the Emergency Preparedness Plan requirements regarding Names and Contact Information. The current resident roster and physicians names and contact information will be put in the EPP binder and be updated weekly by the Receptionist/Designee. NHA/Designee will audit the EPP names and contacts on weekly x 4 weeks.