| (iii) accounting for residents and facility staff after
they have been evacuated;
(iv) accounting for residents absent from the facility
at the time of the evacuation;
(v) releasing resident information in an emergency
situation to promote continuity of a resident's care;
(vi) contacting the local EMC to find out if it is
safe to return to the geographical area after an evacuation;
(vii) determining if it is safe to re-enter and occupy
the building after an evacuation; and
(E) includes procedures for notifying the local EMC
regarding an evacuation of the facility;
(F) includes procedures for notifying HHSC Regulatory
Services regional office for the area in which the facility is located
by telephone immediately after the EPC makes a decision to evacuate;
and
(G) includes procedures for notifying HHSC Regulatory
Services regional office for the area in which the facility is located
by telephone immediately when residents have returned to the facility
after an evacuation.
(6) Transportation. A facility's plan must contain
a section for transportation that:
(A) arranges for a sufficient number of vehicles to
safely evacuate all residents;
(B) identifies facility staff designated to drive a
facility owned, leased or rented vehicle during an evacuation;
(C) includes procedures for safely transporting residents,
facility staff involved in an evacuation; and
(D) includes procedures for safely transporting and
having timely access to oxygen, medications, records, food, water,
equipment, and supplies needed during an evacuation.
(7) Health and Medical Needs. A facility's plan must
contain a section for health and medical needs that:
(A) identifies the types of services used by residents,
such as dialysis, oxygen, respirator care, or hospice services; and
(B) ensures the resident's needs identified in subparagraph
(A) of this paragraph are met during an emergency situation.
(8) Resource Management. A facility's plan must contain
a section for resource management that:
(A) includes a plan for identifying medications, records,
food, water, equipment and supplies needed during an emergency situation;
(B) identifies facility staff who are assigned to locate
the items in subparagraph (A) of this paragraph and who must ensure
the transportation of the items during an emergency situation; and
(C) includes procedures to ensure medications are secure
and maintained at the proper temperature during an emergency situation.
(e) Training. The facility must:
(1) train a facility staff member on the staff member's
responsibilities under the plan within 30 days after assuming job
duties;
(2) train a facility staff member on the staff member's
responsibilities under the plan at least annually and when the staff
member's responsibilities under the plan change; and
(3) conduct one unannounced annual drill with facility
staff for severe weather and other emergency situations identified
by the facility as likely to occur, based on the results of the risk
assessment required by subsection (c)(1) of this section.
(f) Self-Reported Incidents.
(1) A facility must report a fire to HHSC as follows:
(A) by calling 1-800-458-9858 immediately after the
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 an emergency situation that
caused the death or serious injury of a resident to HHSC as follows:
(A) by calling 1-800-458-9858 immediately after the
death or serious injury; and
(B) by submitting a completed HHSC form titled "HHSC
Provider Investigation Report" within 5 working days after making
the telephone report required by paragraph (2)(A) of this subsection.
(g) Emergency Response System.
(1) The facility administrator and director of nursing
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.
|
| Source Note: The provisions of this §554.1914 adopted to be effective August 1, 2011, 36 TexReg 4668; transferred effective January 15, 2021, as published in the Texas Register December 11, 2020, 45 TexReg 8871; amended to be effective January 24, 2023, 48 TexReg 217 |
