Failure to Annually Update and Submit Comprehensive Emergency Management Plan
Summary
The facility failed to comply with Florida Statute 408.821 and Florida Administrative Code 59A-4 by not submitting its comprehensive emergency management plan (CEMP) on an annual basis. During record review on 04/21/2026 with the Director of Maintenance, surveyors determined that the CEMP on file had expired on 11/01/2024. No updated or renewed CEMP had been submitted to the appropriate county authority since the expiration of the last approved plan. In an interview conducted during the exit conference, the Administrator acknowledged that the CEMP had expired and confirmed that the facility had not yet submitted an updated plan to the county. The deficiency was cited under Florida Statute 408.821 and 400.23(2)(g), and Florida Administrative Code 59A-4.126(3), as a Class III violation related to emergency management planning requirements.
Penalty
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