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E0033
D

Deficiency in Emergency Preparedness Communication Plan

Cape Coral, Florida Survey Completed on 02-11-2025

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 provide a method for sharing occupancy information and needs as part of their Emergency Preparedness Program (EP). This deficiency was identified during a record review and interview, where it was found that the facility's EP did not include a clear method for communicating occupancy needs to the authority having jurisdiction. This lack of communication could potentially leave receiving facilities and caregivers without the necessary information for accommodating transferred residents. During the review, it was noted that the facility's EP referenced the Emergency Status System (ESS) and included a link to the ESS website. However, the Administrator acknowledged that they would use the online resource 'HFRS' and update the EP to reflect this new website. This indicates that the current EP did not adequately address the requirement for sharing occupancy information, which is crucial for maintaining continuity of care during transfers or intakes of residents.

Plan Of Correction

3/12/25 1. The link was updated to reflect HFRS instead of the old site ESS. 2. Audit of E tags was conducted, and any incorrect findings were corrected. 3. Education provided for E033. 4. Audit for compliance for E33 will be completed by administrator or designee monthly and report to QAPI for one quarter.

See complete original report
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