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E0034
B

Deficiency in Emergency Preparedness Communication Plan

Philadelphia, Pennsylvania Survey Completed on 01-23-2025

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 was found to be deficient in its emergency preparedness communication plan. During a document review on January 23, 2025, it was discovered that the plan did not include a method for providing information about the facility's needs and its ability to provide assistance to the authority having jurisdiction, the Incident Command Center, or a designee. This omission affects the entire facility, as it lacks a crucial component of emergency preparedness. An exit interview with the Administrator and Maintenance Director on the same day confirmed the absence of this documentation. The deficiency highlights a gap in the facility's ability to communicate effectively during emergencies, which is a requirement under federal regulations. The lack of a comprehensive communication plan could potentially hinder the facility's response in emergency situations.

Plan Of Correction

1. At risk resident list with mobility status was available as of 1-22-2025 and failed to give to inspector at inspection. 2. NHA will ensure the list is maintained in the emergency prepared book.

See complete original report
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