As a reminder, QSO MEMO 20-41-ALL, revised on June 21, 2021, is the guidance related to Emergency Preparedness exercise exemption based on a facility’s activation of their emergency plan.  LeadingAge reviewed the top 5 citations for EP tags cited by CMS during a health or separate EP survey. 

#1           F 24  Policy and Procedures for volunteers and staff during an emergency

#2           F 37  EP Training Program

#3           F 39  EP Testing

#4           F 41  LTC Emergency Power  – emergency generator

#5           F 30  Names and Contact Information

Please review the EP regulations and guidance to be compliant in all areas. 

Questions?

Contact:

Laura Hofmann, MSN, RN – Director of Clinical and Nursing Facility Regulatory Services
c: 425-231-4804