OIG report: Post-Katrina, nursing homes still ill-prepared for disasters

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"[Long-term care] ombudsmen were often unable to support nursing home residents during disasters; most had no contact with residents until after the disasters. [State survey agencies] reported making some efforts to assist nursing homes during disasters, mostly related to nursing home compliance issues and ad hoc needs."

The report recommends that the Centers for Medicare and Medicaid Services revise federal regulations to include specific requirements for emergency plans and training; update the State Operations Manual to provide detailed guidance for state survey agencies on nursing home compliance with emergency plans and training; and promote the use of checklists. It also recommends that the Administration on Aging develop model policies and procedures for long-term-care ombudsmen to protect residents during and after disasters.