| (2) identifies facility staff, by position or function,
who are assigned to access or obtain the items under paragraph (1)
of this subsection and other necessary resources, and to ensure their
delivery to the facility, as needed, or their transport in the event
of an evacuation;
(3) describes the procedure to ensure medications are
secure and maintained at the proper temperature throughout an emergency;
and
(4) describes procedures and safeguards to protect
the confidentiality, security, and integrity of resident records throughout
an emergency and any evacuation of residents.
(m) Receiving Facility. To act as a receiving facility,
as defined in paragraph (a)(7) of this section, a facility's plan
must include procedures for accommodating a temporary emergency placement
of one or more residents from another assisted living facility, only
in an emergency and only if:
(1) the facility does not exceed its licensed capacity,
unless pre-approved in writing by HHSC, and the excess is not more
than 10 percent of the facility's licensed capacity;
(2) the facility ensures that the temporary emergency
placement of one or more residents evacuated from another assisted
living facility does not compromise the health or safety of any evacuated
or facility resident, facility staff, or any other individual;
(3) the facility is able to meet the needs of all evacuated
residents and any other persons it receives on a temporary emergency
basis, in accordance with §553.18(h) of this chapter, while continuing
to meet the needs of its own residents, and of any of its own staff
or other individuals it is sheltering at the facility during an emergency,
in accordance with its plan under subsection (h) of this section;
(4) the facility maintains a log of each additional
individual being housed in the facility that includes the individual's
name, address, and the date of arrival and departure.
(5) the receiving facility ensures that each temporarily
placed resident has at arrival, or as soon after arrival as practicable
and no later than necessary to protect the health of the resident,
each of the following necessary to the resident's continuity of care:
(A) necessary physician orders for care;
(B) medications;
(C) a service plan;
(D) existing advance directives; and
(E) contact information for each legally authorized
representative and designated emergency contact of an evacuated resident,
and a record of any notifications that have already occurred.
(n) Emergency preparedness and response plan training.
The facility must:
(1) provide staff training on the emergency preparedness
plan at least annually;
(2) train a facility staff member on the staff member's
responsibilities under the plan:
(A) prior to the staff member assuming job responsibilities;
and
(B) when a staff member's responsibilities under the
plan change;
(3) conduct at least one unannounced annual drill with
facility staff for severe weather or another emergency identified
by the facility as likely to occur, based on the results of the risk
assessment required by subsection (b) of this section;
(4) offer training, and document, for each, the provision
or refusal of such training, to each resident, legally authorized
representative, if any, and each designated emergency contact, on
procedures under the facility's plan that involve or impact each of
them, respectively; and
(5) document the facility's compliance with each paragraph
of this subsection at the time it is completed.
(o) Self-reported incidents related to a disaster or
emergency.
(1) A facility must report a fire to HHSC as follows:
(A) by calling 1-800-458-9858 immediately after the
fire or as soon as practicable during the course of an extended fire;
and
(B) by submitting a completed HHSC form titled "Fire
Report for Long Term Care Facilities" within 15 calendar days after
the fire.
(2) A facility must report to HHSC a death or serious
injury of a resident, or threat to resident health or safety, resulting
from an emergency or disaster as follows:
(A) by calling 1-800-458-9858 immediately after the
incident, or, if the incident is of extended duration, as soon as
practicable after the injury, death, or threat to the resident; and
(B) by conducting an investigation of the emergency
and resulting resident injury, death, or threat, and submitting a
completed HHSC Form 3613-A titled "SNF, NF, ICF/IID, ALF, DAHS and
PPECC Provider Investigation Report with Cover Sheet." The facility
must submit the completed form within five working days after making
the telephone report required by paragraph (2)(A) of this subsection.
(p) Emergency Response System.
(1) The facility administrator and designee must enroll
in an emergency communication system in accordance with instructions
from HHSC.
(2) The facility must respond to requests for information
received through the emergency communication system in the format
established by HHSC.
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