Emergency Preparedness

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​AHCA/NCAL provides information and resources to help members respond to an emergency in a timely, organized, and effective manner. ​​​


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What You Need to Know​​​ ​

Monkeypox
In August 2022, the United States declared the ongoing monkeypox outbreak a public health emergency. Learn more about the disease and the warning​ signs you need to watch out for in LTC.​  

COVID-19 Updates​
​​Find the latest information on COVID-19 for long term care providers. This includes infection control practices, regulatory requirements and resources on COVID-19 vaccinations for long term care staff and residents. 

To meet Emergency Preparedness requirements, providers must be able to demonstrate their experience activating their emergency plans through written documentation. This is most commonly accomplished through ​an After-Action Report (AAR) and Improvement Plan. AHCA has developed a COVID-19 AAR Template that members can utilize to document their response and recovery efforts during the pandemic. 
Long term care facilities should prepare to manage potential flu outbreaks and double efforts to encourage residents and staff to take the influenza vaccine. Individuals 65 years or older are one of the high risk groups who can experience serious complications, even death, from influenza infection. Learn more on how to minimize the flu for residents.​ ​
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Active Shooter Preparedness​
HealthCap® offers a free webinar that focuses on key aspects of active shooter events and what to do if your long term care community experiences a threat or real-life active shooter.

 

 

 

Financial Recovery After a Hurricane: Navigating Insurance, FEMA, and Grant Opportunities for Long Term Care Facilitieshttps://www.ahcancal.org/News-and-Communications/Blog/Pages/Financial-Recovery-After-a-Hurricane-Navigating-Insurance,-FEMA,-and-Gran-Opportunities-for-Long-Term-Care-Facilities-.aspxFinancial Recovery After a Hurricane: Navigating Insurance, FEMA, and Grant Opportunities for Long Term Care Facilities10/25/2024 4:00:00 AM<p>​<span data-contrast="auto" lang="EN-US" style="font-size:11pt;">​​In the wake of Hurricanes Helene and Milton, long term care facilities, assisted living centers, and long term care communities are facing significant financial and operational challenges. Financial recovery is critical to ensure these facilities can continue providing essential care to their residents. The recovery effort can be cumbersome, specifically the process of navigating financial recovery, including insurance claims, Federal Emergency Management Agency (FEMA) assistance, and grant opportunities.</span><span data-ccp-props="{}" style="font-size:11pt;"> </span></p><div><div style="text-decoration:underline;"><span data-contrast="auto" lang="EN-US"><strong>Understanding the Impact and Taking Immediate Action</strong></span><span data-ccp-props="{}"> </span></div><div><span data-contrast="auto" lang="EN-US">As organizations begin to assess their damage, documentation is key. Start by thoroughly photographing and recording damage to property, equipment, and infrastructure. This evidence will be vital when filing insurance claims or seeking federal assistance.</span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}"><br></span></div><div><span data-contrast="auto" lang="EN-US">Contact insurance providers immediately to report the damage. Most policies will require prompt notification, and understanding your coverage—especially for business interruption—can help you plan for the shortfall in revenue while your facility is being restored.</span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}"><br></span></div><div style="text-decoration:underline;"><span data-contrast="auto" lang="EN-US"><strong>Navigating FEMA Assistance</strong></span><span data-ccp-props="{}"> </span></div><div><span data-contrast="auto" lang="EN-US">For those in areas designated as </span><a href="https://www.fema.gov/disaster/declarations?field_dv2_declaration_date_value%5bmin%5d=2019&field_dv2_declaration_date_value%5bmax%5d=2024&field_dv2_declaration_type_value=All&field_dv2_incident_type_target_id_selective=All" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">disaster zones</span></span></a><span data-contrast="auto" lang="EN-US">, FEMA offers crucial support. The registration process for </span><a href="https://www.disasterassistance.gov/" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">FEMA Disaster Assistance</span></span></a><span data-contrast="auto" lang="EN-US"> is straightforward, but it’s important to have your documentation ready. This includes proof of property ownership or lease agreements, tax identification numbers, and a comprehensive list of damages and repair costs.</span><span data-ccp-props="{"335559739":120}"> </span></div><div><span data-ccp-props="{"335559739":120}"><br></span></div><div><span data-contrast="auto" lang="EN-US">Additionally, </span><a href="https://www.fema.gov/assistance/public/community-disaster-loan" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">FEMA's Community Disaster Loan</span></span></a><span data-contrast="auto" lang="EN-US"> program can be a lifeline for long term care facilities facing a drop in revenue due to the impact of the storm. This program helps cover essential operating costs, ensuring that your facility can maintain services even as you work through the recovery phase​.</span></div><div><span data-contrast="auto" lang="EN-US"><br></span></div><div><span data-contrast="auto" lang="EN-US" style="text-decoration:underline;"><strong>Leveraging SBA Disaster Loans</strong></span><span data-ccp-props="{}"> </span></div><div><span data-contrast="auto" lang="EN-US">Beyond FEMA, the Small Business Administration (SBA) provides financial assistance in the form of low-interest disaster loans. These loans cater specifically to businesses and non-profit organizations, including health care and long term care facilities. Organizations may be eligible for two types of loans:</span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}">​<br></span></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="14" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Physical Disaster Loans</strong></span><span data-contrast="auto" lang="EN-US"><strong>:</strong> For repairs to buildings, equipment, and infrastructure.</span><span data-ccp-props="{}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="14" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Economic Injury Disaster Loans (EIDL):</strong></span><span data-contrast="auto" lang="EN-US"> To help with working capital needs during the period of reduced operations.</span><span data-ccp-props="{}"> </span></li></ul></div><div><span data-contrast="auto" lang="EN-US">Applying for these loans requires submitting financial documents and detailed records of losses, so being prepared will speed up the approval process.</span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}"><br></span></div><div style="text-decoration:underline;"><span data-contrast="auto" lang="EN-US"><strong>Exploring State, Local, and Private Grants</strong></span><span data-ccp-props="{}"> </span></div><div><span data-contrast="auto" lang="EN-US">While federal assistance is crucial, don’t overlook the support available from state emergency management agencies. These agencies often have specialized funds or grant opportunities tailored for the health care and long term care sectors. Additionally, non-profit organizations and industry groups frequently offer financial assistance to bridge gaps that insurance or federal aid may not fully cover.</span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}"><br></span></div><div><ul role="list"><li data-leveltext="+" data-font="Arial" data-listid="15" data-list-defn-props="{"335551500":0,"335552541":1,"335559685":720,"335559991":360,"469769226":"Arial","469769242":[8226],"469777803":"left","469777804":"+","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>ACL Disaster Recovery Assistance Grants</strong></span><span data-contrast="auto" lang="EN-US"><strong>:</strong> The Administration for Community Living (ACL) provides grants to state and local governments, nonprofit organizations, and small businesses that serve older adults and people with disabilities. These grants support disaster recovery, research, and the development of innovative services. More information can be found on the </span><a href="https://acl.gov/grants" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">ACL website</span></span></a><span data-contrast="auto" lang="EN-US">.</span><span data-ccp-props="{"201341983":0,"335559739":120,"335559740":278}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="+" data-font="Arial" data-listid="15" data-list-defn-props="{"335551500":0,"335552541":1,"335559685":720,"335559991":360,"469769226":"Arial","469769242":[8226],"469777803":"left","469777804":"+","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Economic Development Administration (EDA) Disaster Supplemental Funding</strong></span><span data-contrast="auto" lang="EN-US"><strong>:</strong> The EDA provides disaster recovery grants to help communities implement long-term economic recovery strategies through a variety of construction and non-construction projects. Long-term care facilities can leverage these grants for infrastructure improvements and other recovery efforts. Further details are available at </span><a href="https://www.eda.gov/sites/default/files/2024-01/EDA_Funding_Opportunities.pdf" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="truncate" data-ccp-charstyle-defn="{"ObjectId":"4854474c-40c8-4bf4-8178-ab46c46c9314|177","ClassId":1073872969,"Properties":[201342446,"1",201342447,"5",201342448,"1",201342449,"1",469777841,"Aptos",469777842,"",469777843,"Aptos",469777844,"Aptos",201341986,"1",469769226,"Aptos",268442635,"22",469775450,"truncate",201340122,"1",134233614,"true",469778129,"truncate",335572020,"1",469778324,"Default Paragraph Font"]}">U.S. Economic Development Administration</span></span></a><span data-contrast="none" lang="EN-US">.</span><span data-ccp-props="{"201341983":0,"335559739":120,"335559740":278}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="+" data-font="Arial" data-listid="15" data-list-defn-props="{"335551500":0,"335552541":1,"335559685":720,"335559991":360,"469769226":"Arial","469769242":[8226],"469777803":"left","469777804":"+","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="3" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Opportunities through your state affiliate</strong></span><span data-contrast="auto" lang="EN-US"><strong>:</strong> Contact your </span><a href="https://members.ahcancal.org/About-Us/Our-Affiliates" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">state affiliate</span></span></a><span data-contrast="auto" lang="EN-US">, as they may be aware of state-based programs and support that may be helpful in recovery. </span><span data-ccp-props="{"201341983":0,"335559739":120,"335559740":278}"> </span></li></ul></div><div style="text-decoration:underline;"><span data-contrast="auto" lang="EN-US"><strong>Preparing for the Future</strong></span><span data-ccp-props="{}"> </span></div></div><div><div><span data-contrast="auto" lang="EN-US">The lessons learned from Hurricanes Helene and Milton should guide your facility in enhancing its disaster preparedness strategies. Update your emergency plans to include specific protocols for evacuations, sheltering residents, and maintaining critical healthcare services during prolonged disruptions. AHCA’s </span><a href="https://ahcapublications.org/products/emergency-preparedness-program" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">Emergency Preparedness Guidebook for Long Term Care</span></span></a><span data-contrast="auto" lang="EN-US"> is a helpful guide to developing, documenting and maintaining a comprehensive EP plan.</span><span data-ccp-props="{"335559739":120}"> </span></div><div><span data-contrast="auto" lang="EN-US"><br></span></div><div><span data-contrast="auto" lang="EN-US">Building partnerships with local emergency responders, health care providers, health care coalitions, and other long term care facilities can create a more robust support network. These connections can facilitate resource sharing and ensure a coordinated response in future emergencies.</span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}"><br></span></div><div><span data-contrast="auto" lang="EN-US">Recovering from the impact of Hurricanes Helene and Milton requires a multifaceted approach that includes leveraging insurance, federal assistance, and local support. By taking proactive steps to document damage, file claims, and seek out every available resource, your facility can rebuild stronger and continue to serve its residents effectively.</span><span data-ccp-props="{}"> </span></div><div><span style="font-size:11pt;"> </span></div><div style="text-decoration:underline;"><span data-contrast="auto" lang="EN-US"><strong>Recommended Checklist for Financial Recover</strong><strong>y</strong></span><span data-ccp-props="{"134245418":true,"134245529":true,"201341983":0,"335559738":240,"335559739":0,"335559740":276,"469777462":[284],"469777927":[0],"469777928":[1]}"> </span></div><div><span data-contrast="auto" lang="EN-US"><span data-ccp-parastyle="Body Text"></span></span><span data-ccp-props="{"335559739":120}"> </span></div><div><span data-contrast="auto" lang="EN-US"><strong>IMMEDIATE STEPS​:</strong></span><span data-ccp-props="{"134245418":true,"134245529":true,"201341983":0,"335559738":0,"335559739":0,"335559740":240,"469777462":[284],"469777927":[0],"469777928":[1]}"> </span></div><div><ul role="list"><li data-leveltext="" data-font="Wingdings" data-listid="11" data-list-defn-props="{"335551500":0,"335552541":1,"335559685":720,"335559991":360,"469769226":"Wingdings","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong><em>Contact Insurance Provider</em></strong></span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></div><div><ul role="list"><ul><li data-leveltext="" data-font="Wingdings" data-listid="7" data-list-defn-props="{"335551500":1001313,"335552541":1,"335559685":1440,"335559991":360,"469769226":"Wingdings","469769242":[9675],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Assess Damage:</strong></span><span data-contrast="auto" lang="EN-US"> Document damages immediately with photos, videos, and written descriptions.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></ul></div><div><ul role="list"><ul><li data-leveltext="" data-font="Wingdings" data-listid="7" data-list-defn-props="{"335551500":1001313,"335552541":1,"335559685":1440,"335559991":360,"469769226":"Wingdings","469769242":[9675],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>File a Claim:</strong></span><span data-contrast="auto" lang="EN-US"> Notify your insurance provider as soon as possible. Keep a record of all communications.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></ul></div><div><ul role="list"><ul><li data-leveltext="" data-font="Wingdings" data-listid="7" data-list-defn-props="{"335551500":1001313,"335552541":1,"335559685":1440,"335559991":360,"469769226":"Wingdings","469769242":[9675],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="3" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Temporary Repairs:</strong></span><span data-contrast="auto" lang="EN-US"> Make temporary repairs to prevent further damage, keeping receipts for reimbursement.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> ​​</span></li></ul></ul></div><div><ul role="list"><li data-leveltext="" data-font="Wingdings" data-listid="11" data-list-defn-props="{"335551500":0,"335552541":1,"335559685":720,"335559991":360,"469769226":"Wingdings","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><em><strong>Engage with FEMA Assistance</strong></em></span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></div><div><ul role="list"><ul><li data-leveltext="" data-font="Wingdings" data-listid="6" data-list-defn-props="{"335551500":1001313,"335552541":1,"335559685":1440,"335559991":360,"469769226":"Wingdings","469769242":[9675],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Register with FEMA:</strong></span><span data-contrast="auto" lang="EN-US"> Go to </span><a href="https://www.disasterassistance.gov/" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">disasterassistance.gov</span></span></a><span data-contrast="auto" lang="EN-US"> to start your application.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></ul></div><div><ul role="list"><ul><li data-leveltext="" data-font="Wingdings" data-listid="6" data-list-defn-props="{"335551500":1001313,"335552541":1,"335559685":1440,"335559991":360,"469769226":"Wingdings","469769242":[9675],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US">​<strong>Provide Necessary Information:</strong></span><span data-contrast="auto" lang="EN-US"> Submit details on damages, costs, any insurance claims, proof of property ownership or lease agreements, and tax ID numbers.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></ul></div><div><ul role="list"><ul><li data-leveltext="" data-font="Wingdings" data-listid="6" data-list-defn-props="{"335551500":1001313,"335552541":1,"335559685":1440,"335559991":360,"469769226":"Wingdings","469769242":[9675],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="3" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Track Application Status:</strong></span><span data-contrast="auto" lang="EN-US"> Regularly check your application status and provide any additional documentation if required.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></ul></div><div><ul role="list"><li data-leveltext="" data-font="Wingdings" data-listid="11" data-list-defn-props="{"335551500":0,"335552541":1,"335559685":720,"335559991":360,"469769226":"Wingdings","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="3" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong><em>Engage with FEMA’s Community Disaster Loan Program</em></strong></span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></div><div><ul role="list"><ul><li data-leveltext="" data-font="Wingdings" data-listid="5" data-list-defn-props="{"335551500":1001313,"335552541":1,"335559685":1440,"335559991":360,"469769226":"Wingdings","469769242":[9675],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US">Consider</span><span data-contrast="auto" lang="EN-US"> this option if your facility experiences a significant drop in revenue due to the events.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></ul></div><div><ul role="list"><ul><li data-leveltext="" data-font="Wingdings" data-listid="5" data-list-defn-props="{"335551500":1001313,"335552541":1,"335559685":1440,"335559991":360,"469769226":"Wingdings","469769242":[9675],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US">​The loan can cover </span><span data-contrast="auto" lang="EN-US"><strong>essential operating expenses</strong></span><span data-contrast="auto" lang="EN-US"> to keep your facility operating during recovery. </span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></ul></div></div><div><div><span data-contrast="auto" lang="EN-US"></span><span data-ccp-props="{"201341983":0,"335559685":1440,"335559739":0,"335559740":240}"> </span></div><div><span data-contrast="auto" lang="EN-US"><strong>LONGER-TERM FINANCIAL RECOVERY:</strong></span><span data-ccp-props="{"134245418":true,"134245529":true,"201341983":0,"335559738":0,"335559739":0,"335559740":240,"469777462":[284],"469777927":[0],"469777928":[1]}"> </span></div><div><ul role="list"><li data-leveltext="" data-font="Wingdings" data-listid="11" data-list-defn-props="{"335551500":0,"335552541":1,"335559685":720,"335559991":360,"469769226":"Wingdings","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="4" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong><em>Explore SBA Loans</em></strong></span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></div><div><ul role="list"><ul><li data-leveltext="" data-font="Wingdings" data-listid="4" data-list-defn-props="{"335551500":1001313,"335552541":1,"335559685":1440,"335559991":360,"469769226":"Wingdings","469769242":[9675],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Economic Injury Disaster Loans (EIDL):</strong></span><span data-contrast="auto" lang="EN-US"> Consider applying if your facility suffered substantial economic damage.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></ul></div><div><ul role="list"><ul><li data-leveltext="" data-font="Wingdings" data-listid="4" data-list-defn-props="{"335551500":1001313,"335552541":1,"335559685":1440,"335559991":360,"469769226":"Wingdings","469769242":[9675],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Physical Disaster Loans:</strong></span><span data-contrast="auto" lang="EN-US"> These loans can help repair or replace damaged property, including equipment and inventory.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></ul></div><div><ul role="list"><li data-leveltext="" data-font="Wingdings" data-listid="11" data-list-defn-props="{"335551500":0,"335552541":1,"335559685":720,"335559991":360,"469769226":"Wingdings","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="5" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong><em>Research Grant Opportunities</em></strong></span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></div><div><ul role="list"><ul><li data-leveltext="" data-font="Wingdings" data-listid="8" data-list-defn-props="{"335551500":1001313,"335552541":1,"335559685":1440,"335559991":360,"469769226":"Wingdings","469769242":[9675],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Administration for Community Living (ACL) Grants:</strong></span><span data-contrast="auto" lang="EN-US"> The ACL offers disaster recovery assistance specifically for organizations serving older adults and people with disabilities.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></ul></div><div><ul role="list"><ul><li data-leveltext="" data-font="Wingdings" data-listid="8" data-list-defn-props="{"335551500":1001313,"335552541":1,"335559685":1440,"335559991":360,"469769226":"Wingdings","469769242":[9675],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Economic Development Administration (EDA) Disaster Supplemental Funding:</strong> </span><span data-contrast="auto" lang="EN-US">Provides funding for infrastructure improvements and economic recovery projects.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></ul></div><div><ul role="list"><ul><li data-leveltext="" data-font="Wingdings" data-listid="8" data-list-defn-props="{"335551500":1001313,"335552541":1,"335559685":1440,"335559991":360,"469769226":"Wingdings","469769242":[9675],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="3" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Foundation Support:</strong></span><span data-contrast="auto" lang="EN-US"> Look for foundations that offer grants specifically targeting disaster recovery and resilience efforts in long term care facilities.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></ul></div><div><ul role="list"><li data-leveltext="" data-font="Wingdings" data-listid="11" data-list-defn-props="{"335551500":0,"335552541":1,"335559685":720,"335559991":360,"469769226":"Wingdings","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="6" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong><em>Coordinate with Local Emergency Management</em></strong></span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></div><div><ul role="list"><ul><li data-leveltext="" data-font="Wingdings" data-listid="9" data-list-defn-props="{"335551500":1001313,"335552541":1,"335559685":1440,"335559991":360,"469769226":"Wingdings","469769242":[9675],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US">Engage with local offices of emergency management to understand additional local and state resources available for recovery.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></ul></div><div><ul role="list"><ul><li data-leveltext="" data-font="Wingdings" data-listid="9" data-list-defn-props="{"335551500":1001313,"335552541":1,"335559685":1440,"335559991":360,"469769226":"Wingdings","469769242":[9675],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US">​Establish partnerships with other healthcare facilities for resource sharing.</span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></ul></div><div><ul role="list"><li data-leveltext="" data-font="Wingdings" data-listid="11" data-list-defn-props="{"335551500":0,"335552541":1,"335559685":720,"335559991":360,"469769226":"Wingdings","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="7" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong><em>Preparing for the Future</em></strong></span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></div><div><ul role="list"><ul><li data-leveltext="" data-font="Wingdings" data-listid="10" data-list-defn-props="{"335551500":1001313,"335552541":1,"335559685":1440,"335559991":360,"469769226":"Wingdings","469769242":[9675],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Update Disaster Preparedness Plans:</strong></span><span data-contrast="auto" lang="EN-US"> Revise emergency plans to include specific protocols for evacuations, sheltering residents, and maintaining critical services. </span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> </span></li></ul></ul></div><div><ul role="list"><ul><li data-leveltext="" data-font="Wingdings" data-listid="10" data-list-defn-props="{"335551500":1001313,"335552541":1,"335559685":1440,"335559991":360,"469769226":"Wingdings","469769242":[9675],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Build Partnerships:</strong></span><span data-contrast="auto" lang="EN-US"> Establish relationships with local emergency services, healthcare providers, and other long term care facilities for coordinated response and recovery sharing. </span><span data-ccp-props="{"201341983":0,"335559739":0,"335559740":240}"> ​</span></li></ul></ul></div></div>In the wake of Hurricanes Helene and Milton, long term care facilities, assisted living centers, and long term care communities are facing significant financial and operational challenges.
New Resources and Relief on Provider Enrollment Off-Cycle Revalidationhttps://www.ahcancal.org/News-and-Communications/Blog/Pages/New-Resources-and-Relief-on-Provider-Enrollment-Off-Cycle-Revalidation.aspxNew Resources and Relief on Provider Enrollment Off-Cycle Revalidation10/11/2024 4:00:00 AM​​​Today, we received additional information from the Centers for Medicare and Medicaid Services (CMS) regarding the <a href="/News-and-Communications/Blog/Pages/Mandatory-Provider-Enrollment-Off-Cycle-Revalidation-for-ALL-SNFs-.aspx" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">mandatory off-cycle revalidation process</a> for skilled nursing facilities (SNFs). The developments offer a delay for providers impacted by Hurricanes Helene and Milton, as well as offer all providers and vendors nationwide some additional support and relief with the reporting requirements.<br><br>Here's a brief summary of the updates from CMS:<br><br><ol><li>Due to disaster declarations, CMS will be extending the revalidation due dates for all SNFs in Florida, Georgia, South Carolina, North Carolina and Tennessee until May 1, 2025. </li><li>CMS has scheduled an <a href="https://cms.zoomgov.com/webinar/register/WN_vfsU5LSKR3atiW9T_AhrDg#/registration" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">Open Door F​​orum</a> for Thursday, October 17 where it will discuss expanded ownership disclosures.</li><li>The agency released updated guidance on Friday, October 11 with an email address so providers can ask questions directly (<a href="mailto:SNFDisclosures@cms.hhs.gov" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">SNFDisclosures@cms.hhs.gov</a>). </li><li>Earlier this week, CMS also updated  <a href="https://www.cms.gov/files/document/guidance-snf-attachment-855a.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">sub-regulatory guidance</a> so that fewer people have to report personal identifiable information, such as social security numbers and dates of birth.  </li></ol>Below is more information on each of these new developments.<br><br><strong>Disaster Delay</strong><br><br>Due to disaster declarations, AHCA has been informed by CMS that all SNFs in the states of Florida, Georgia, South Carolina, North Carolina, and Tennessee will have until May 1, 2025, to submit their pending initial, revalidation, reactivation, or CHOW applications, regardless of:<div><br><ol><li>When they received their revalidation notification letter (i.e., October, November, and December).</li><li>The particular county in which they're located in said state.</li></ol>CMS says it will update the SNF sub-regulatory guidance to reflect this. As soon as that is made available, we will share that with AHCA/NCAL members. <br><br>For more information regarding the numerous, active disaster declarations from CMS, please visit their Current Emergencies <a href="https://www.cms.gov/about-cms/what-we-do/emergency-response/current-emergencies" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">website</a>. <br><br><strong>CMS Open Door Forum on Thursday, October 17</strong><br><br>Thursday's Open Door Forum will include a section on the SNF Expanded Ownership, Management, and Related Party Reporting. <br><br><strong>Date:  Thursday, October 17, 2024</strong><br><strong>Start Time:  2:00 PM – 3:00 PM Eastern Time (ET)</strong><br><strong>Conference Leaders: </strong>Todd Smith & Jill Darling <br><br><a href="https://cms.zoomgov.com/webinar/register/WN_vfsU5LSKR3atiW9T_AhrDg" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank"><strong>Register in advance for this webinar</strong></a><strong>:</strong><br><strong>Meeting ID:</strong> 160 823 4591<br><strong>Passcode:</strong> 200020<br><br>Contact CMS with any questions about the Open Door Forum: <a href="mailto:SNF_LTCODF-L@cms.hhs.gov" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">SNF_LTCODF-L@cms.hhs.gov</a><br><br><strong>Mailbox for Questions</strong><br><br>A CMS e-mail address is now available to send your questions about this issue: <a href="mailto:SNFDisclosures@cms.hhs.gov" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">SNFDisclosures@cms.hhs.gov</a>.  <br><br>If you plan to contact CMS directly, we ask that AHCA members copy our dedicated email inbox (<a href="mailto:855Revalidation@ahca.org" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">855Revalidation@ahca.org</a>) when they submit questions, so that we may track these with CMS.   <br><br><strong>Clarification for Additional Disclosable Parties (ADPs)</strong><br><br>On October 8 and 15, CMS updated its <a href="https://www.cms.gov/files/document/guidance-snf-attachment-855a.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">sub-regulatory guidance</a> (page 14 of Section VI[A]) to clarify that SNFs need only report the taxpayer identification numbers (TINs) and dates of birth (DOB) of the parties listed in that section. This effectively means that SNFs do not have to collect and disclose SSNs, TINs, and DOBs of ADPs and their ADPs' owners/managers, so long as those parties are not required to disclose because of other positions they hold, such as owners, directors, officers or managers of the SNF. Please see the full list of such parties in Section VI(A).<br><br>Parties that have policy questions beyond this guidance may e-mail <a href="mailto:SNFDisclosures@cms.hhs.gov" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">SNFDisclosures@cms.hhs.gov</a>. Questions regarding the SNF's enrollment application should be directed to the SNF's applicable Medicare Administrative Contractors.<br><br><strong>AHCA/NCAL Support</strong><br><br>A friendly reminder that AHCA/NCAL is also offering two webinars on this issue: one for providers on Friday, October 18 and one for vendors on Monday, October 21. <a href="/News-and-Communications/Blog/Pages/Upcoming-AHCA,-NCAL-Webinars-on-Mandatory-Provider-Enrollment-Revalidation-.aspx" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">Learn more on how to register</a>.  <br><br>Meanwhile, we are developing <a href="/Reimbursement/Pages/default.aspx" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">additional member resources​</a> to help support your data collection and submission efforts.<br><br>CMS may have a dedicated email address, but members are welcome to continue to reach out to AHCA with questions: <a href="mailto:855Revalidation@ahca.org" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">855Revalidation@ahca.org</a>. ​<br><br></div>
Public Safety Power Shutoffhttps://www.ahcancal.org/News-and-Communications/Blog/Pages/Public-Safety-Power-Shutoff.aspxPublic Safety Power Shutoff9/24/2024 4:00:00 AMRecent events have highlighted the increasing threat posed by pre-emptive power shutdowns, aimed at preventing wildfires, on vulnerable populations such as nursing homes and senior living facilities. A U.S. News article from June 2024,<a href="https://www.usnews.com/news/health-news/articles/2024-06-09/power-cuts-to-prevent-wildfires-threaten-to-leave-nursing-homes-in-the-dark" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank"> "Power Cuts to Prevent Wildfires Threaten to Leave Nursing Homes in the Dark"</a>, outlines the severe consequences these power cuts can have on facilities that rely on continuous electricity to maintain essential services and ensure resident safety.<br><br>To support our members, AHCA has developed a<a href="/Survey-Regulatory-Legal/Emergency-Preparedness/MemberOnlyDocs/Public%20Safety%20Power%20Shutdown%20Resource%20Final%209-24.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"> resource</a> to assist members in understanding and preparing for a Public Safety Power Shutoff. A Public Safety Power Shutoff (PSPS) is a planned shutoff of power lines by a utility company to help prevent wildfires from starting. As climate change continues to exacerbate the frequency and intensity of wildfires, utilities across the country are increasingly resorting to PSPS to mitigate the risk of fires sparked by electrical equipment. While these preventive measures are crucial for community safety, they pose significant challenges for nursing homes, where uninterrupted power is essential for maintaining critical health and safety systems.<br><br>This newly published<a href="/Survey-Regulatory-Legal/Emergency-Preparedness/MemberOnlyDocs/Public%20Safety%20Power%20Shutdown%20Resource%20Final%209-24.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank"> Public Safety Power Shutoff resource</a> provides a comprehensive guide to support nursing homes in preparing for PSPS events, and includes regulatory implications and considerations for preparation, mitigation and communication.<br><br>As always, continue to monitor AHCA’s Emergency Preparedness<a href="/Survey-Regulatory-Legal/Emergency-Preparedness/Pages/default.aspx" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank"> website</a>.<br><br>
Don’t Let Popcorn Affect Your Next Life Safety Surveyhttps://www.ahcancal.org/News-and-Communications/Blog/Pages/Don’t-Let-Popcorn-Affect-Your-Next-Life-Safety-Survey.aspxDon’t Let Popcorn Affect Your Next Life Safety Survey7/10/2024 4:00:00 AMThe only thing better than eating fresh popcorn is enjoying the mesmerizing entertainment it provides during the explosive transformation of the kernels.  How that transformation occurs, however, can have an impact on life safety compliance and subsequently your survey results.  <br><br>There are a myriad of popcorn “popping" machines available for purchase, and it is not uncommon to find popcorn machines in locations such as activities areas, dining rooms, and/or lounge spaces.  Many of these popcorn machines are considered “air pop" machines.  Air pop machines generally only utilize hot air to work their magic.  However, many other popcorn machines utilize oil.  These machines, specifically due to the use of oil, can often be a gray area from a code compliance perspective.  Since popcorn machines are not uniquely addressed in the Life Safety Code®, individual Authorities Having Jurisdiction (AHJs) have significant leeway in determining their hazard and subsequent protection requirements.  While many AHJs require no special protection for a popcorn machine that utilizes oil, some AHJs will require the units to be located within a hazardous area enclosure, or other AHJs will require the units to be operated under a hood extinguishing system.<br><br>As you assess the potential impact of a popcorn machine in your organization, here are some questions to consider:<br><br><ul><li>Does your popcorn machine utilize oil of any quantity?</li><li>Is the popcorn used in your machine packaged with oil?  </li><li>Do you utilize your popcorn machine in an area outside of the kitchen?</li></ul>If the answer to any of these questions is “yes", you should consider reaching out to your state survey agency for clarification around their interpretations on popcorn machine use and storage.  CMS does not have any specific stances or unique requirements around popcorn machine use or placement, leaving the interpretation to your state or local jurisdiction.  <br><br>If you have questions, please reach out to <a href="mailto:emergencyprep@ahca.org" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">emergencyprep@ahca.org</a> <br><br><br>​<br><br>

 Featured Video

 Top Resources

 Planning Ahead

​In order to effectively handle disasters and emergencies, it is important for centers to plan ahead and prepare in advance. Long term and post-acute care centers can use a targeted approach to addressing vulnerabilities and hazards to help them best respond to and recover from events. This site seeks to assist centers in creating a plan to address its greatest risks:
​​
Hazard Vulnerability Assessment
The Hazard Vulnerability Assessment (HVA) is a tool designed to assist centers in evaluating vulnerability to specific hazards. The tool uses various categories, such as probability of experiencing a hazard, human impact, property and business impact and response, to create a numeric value based on various hazards.

 Incident Command System

The Incident Command System is part of the emergency management system in many levels (federal, state, and local). Every significant incident or event, whether large or small, and whether it is even defined as an emergency, requires certain management functions to be performed.

The Nursing Home Incident Command System (NHICS) and Assisted Living Incident Command System (ALICS) outline a management framework that empowers long-term care staff to improve the effectiveness and efficiency of their incident response -- no matter what shift, or what day of the week the event occurs. ​​

Resources


 

 ‭(Hidden)‬ CMS Emergency Preparedness Rule

The Emergency Preparedness Final Rule was released on Friday, September 16, 2016. AHCA, along with guest speakers, will hold a webinar series event​ this year on the new emergency preparedness final rule impacting Skilled Nursing Facilities (SNF), Nursing Facilities (NF) and Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID). This final rule is not applicable to Assisted Living Providers. 

Providers will need to be in compliance by November 15th 2017. The webinar series will include, special guest speakers, an overview of the key new requirements, a list of tools to assess if you are prepared for the rule, steps to take now to prepare.

On Friday, September 1st, CMS released a memorand​um to State Survey Agency Directors announcing that the Emergency Preparedness Training is now available. All surveyors are required to take the training prior to surveying the Emergency Preparedness requirements. Surveying for requirements begins November 15th, 2017. 

The online course is now available on the Surveyor Training Website On-Demand. Once in the course catalog for provider training, search “emergency” and the course information will appear. Providers will have continued (ongoing) access to the course, so they can review it anytime.

Members are strongly encouraged to review and complete the training as it includes quizzes and exercises to check understanding. The training states to surveyors that the requirements do not prescribe or mandate specific technology or tools nor detailed requirements for how facilities should write emergency plans. The training includes the questions surveyors will ask and how documentation will be reviewed and checked. Links to resources and glossary terms are also included.​

​Emergency Resources

In addition to planning for natural disasters, staff and facilities must be prepared for other emergencies, such as pandemics, influenza, active shooters and more. All emergency situations must be handled swiftly, diligently and with the utmost care for staff and patients.

 Active Shooter

​While many emergencies are caused by natural disasters and are, staff and facilities should also be prepared for other types of emergencies. One emergency for which facilities should have plans in place is an active shooter.
Please note: The policies below are models only and should be modified and tailored to meet the needs of individual communities. 

 
AHCA/NCAL's Active Shooter Resources
External Resources

 Assisted Living Resources

The Emergency Preparedness Guide for Assisted Living is a comprehensive resource that will assist members with developing emergency operations plan and includes the planning process. The guide includes templates and numerous resources for members to utilize.

 

Assisted Living Incident Command System (ALICS)

The Incident Command System (ICS) is one component of the National Incident Management System or (NIMS). The Assisted Living Incident Command System or “ALICS” is a simplified ICS and through its use, long-term care providers can become part of this standardized system of efficient response. ICS was modified by two consultants for assisted living and reviewed by AALNA board members and then reviewed by the NCAL Workgroup of the AHCA/NCAL Emergency Preparedness Committee.

ALICS offers long-term care providers a flexible framework for command and control that is based on the standardized system of ICS. It does this through a system that is designed to:
  • Manage all emergency, routine, or planned events, of any size or type, by establishing a clear chain of command and a process for communication, decision‐making and delegation.
  • Allow personnel from different agencies or departments to be integrated into a common structure that can effectively address issues and delegate responsibilities.
  • Provide needed logistical and administrative support to operational personnel.​

 Shelter In Place

Shelter In Place: Planning Resource Guide for Nursing Homes

For the purposes of this resource guide, shelter in place (SIP) is defined as: A protective action strategy taken to maintain resident care in the facility and to limit the movement of residents, staff and visitors in order to protect people and property from a hazard.

Shelter In Place Guidebook (PDF)

 State Resources

Wisconsin

 Winter Weather

The Centers for Disease Control and Prevention published a comprehensive winter weather health and safety site. Owners and administrators can take tips to prepare for extreme cold conditions and winter storms.​

 In Case of An Emergency

AHCA/NCAL regularly publishes and distributes informative documents for members regarding emergency preparedness, response, and recovery.

During public health emergencies, CMS will post updates on waivers on their Emergency Response and Recovery page. Members should check this page for updates during an event.