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E0035
B

Deficiency in Emergency Preparedness Communication Plan

Newtown Square, Pennsylvania Survey Completed on 01-13-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain and update an emergency preparedness communication plan that includes a method for sharing information from the emergency plan with residents and their families or representatives. During a document review on January 13, 2025, at 8:00 a.m., it was revealed that the emergency communications plan lacked this essential component, affecting the entire facility. This deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director on the same day at 10:30 a.m., where the lack of documentation was acknowledged.

Plan Of Correction

Facility established policy to share appropriate information from the facility's emergency plan with residents and their representatives. The Senior Director of Property and Facilities will ensure the Emergency Operations Manual and related policies are reviewed on an annual basis. Results of review will be submitted by The Senior Director of Property and Facilities to the Quality Assurance and Performance Improvement Committee on an annual basis.

See complete original report
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