Long-Term Care (LTC) Emergency Preparedness

The tools and resources on this page were developed to assist with emergency preparedness planning for long-term care (LTC) facilities. LTC facilities include nursing homes, skilled nursing facilities (SNF), assisted living facilities (ALF), Assisted living (AL) licensed group homes, intermediate care facility for individuals with intellectual disabilities (ICF/IID), home care agencies, and hospice. The resources on this page are intended for LTC facility owners, administrators, and staff, as well as others who may assist with LTC emergency preparedness planning, such as health care coalitions.

The toolkit was updated February 2023, see the latest version below.

On this page:
Long-Term Care Resources
Long-Term Care Toolkit

Staffing

• Long-term Care Contingency Staffing Plan (TEMPLATE) (DOCX)
• Long-Term Care Contingency Staffing Plan Training Webinar (YouTube: 36 minutes)
  This webinar was developed early in COVID and alludes to COVID and providing best practices on how to complete your contingency staffing plan.
   

Long-term care resources

• ASPRTracie: Long-term Care Facilities
  LTC resources covering a broad spectrum of Emergency Preparedness and Response information.  Ranging from published best practices and lessons learned to templates and toolkits developed from preparedness partners nationwide.
• Guidance – Pre-Planning Efforts Surrounding Nursing Home Residents and Flood Activities
  Guidance for long-term care facilities on receiving residents from evacuated facilities.
• HHS TRACIE: Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers
  Resources that can help providers and suppliers comply with the Centers for Medicare and Medicaid Emergency Preparedness Rule.
• Long-term Care: COVID-19
  COVID-19 related resources.

Long-term care preparedness toolkit (updated Feb. 2023)

• Baseplan (PDF)
  • Appendix A: CMS Emergency Preparedness Checklist (PDF)
  • Appendix A2: ASPR: LTC Requirements CMS Emergency Preparedness Final Rule (PDF) 
  • Appendix A3: ASPR: Provider and Supplier Types Covered by the CMS Emergency Preparedness Rule (PDF)
  • Appendix A4: CMS: CMS Releases Updated Emergency Preparedness Guidance (PDF)
  • Appendix A5: CMS Appendix Z Table Crosswalk (PDF)
  • Appendix A6.1: Supplemental Document for Group Homes, Home Care, and Hospice
  • Appendix A6.2: Resident Emergency Preparedness Information (PDF)
  • Appendix B: Hazard Vulnerability Analysis and Tool
  • Appendix C: Communications
  • Appendix C.2: External and Internal Contacts (XLS)
  • Appendix D.1: Incident Command Systems (ICS) Organization Chart
  • Appendix D.2: HICS Incident Action Plan (IAP) QuickStart Guide (PDF)
  • Appendix D.3: Incident Command Structure (ICS) - Digging Deeper
  • Appendix E: Facility/Agency Contact Lists (PDF)
  • Appendix F: Building Specific Information (PDF)
  • Appendix G: HIPAA Waiver Toolkit (PDF) 
  • Appendix H: Facility/Agency Shelter-in-Place Checklists and Response Items (PDF)
  • Appendix I: Evacuation Checklists (PDF)
  • Appendix J: Evacuation Transportation
  • Appendix K: MOU Template
  • Appendix L: Recovery Checklist (PDF)
  • Appendix M: Exercise, Evaluation, and Improvement Planning Checklist (AAR-IP)
  • Appendix M2: After Action Report Template (Word)
  • Appendix M3: AAR/IP Template (Word)
  • Appendix M4: Health Care Provider AAR/IP Template (Word)
  • Appendix N: Regional Contacts and Important Resources
  • Appendix O: Additional Resources
  • Annex A: Emergency Notification of Administrator/Director Policy
  • Annex B: Bioterrorism Threats
  • Annex C: Bomb Threat Guidance
  • Annex D: External Chemical Spill
  • Annex E: Electrical Power Outage Guidance
  • Annex F: Licensed Facility/Agency Evacuation Guidance
  • Annex G: Fire Guidance
  • Annex H: Severe Weather; Thunderstorms – Tornados – Winter Weather – Extreme Heat and Cold
  • Annex I: Cybersecurity
  • Annex J: Flood Guidance
  • Annex K: Missing Resident
  • Annex L: Emergency Shut Down
  • Annex M: Emerging Infectious Disease (EID) or High Consequence Infection Disease (HCID)
  • Annex N: Active Shooter
  • Annex O: Radiological Incidents