Emergency Preparedness Documentation Deficiency
Summary
The facility was found to be non-compliant with emergency preparedness requirements during a recertification survey. Specifically, the emergency plan lacked documentation regarding the resident populations at risk during an emergency event and the services in place to address their unique vulnerabilities. This deficiency was identified through a record review, which revealed no documented evidence of a description of the resident populations at risk or the services provided to address their vulnerabilities. During an interview, the facility's administrator acknowledged the absence of this documentation and indicated an intention to address the issue.
Penalty
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