Evacuating Special Needs Facilities

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Evacuating Special Needs Facilities

• Panel Discussion
• Kevin Coughlin, Director, BAL
• Juan Flores, RFOD, SRO, BNHRC
• Oren Hammes, DMHSAS
• Paul Peshek, Director BNHRC

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The Story
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CRAWFORD COUNTY NURSING HOME EVACUATION

• What can DQA do
• Notification of Emergency
• Decision to Evacuate
• Who is moving Residents
• Accounting for location of Residents
• Decision to Return

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Wisconsin Assisted Living

• Community Based Residential Facilities
• 5 or more services above room board
• Residential Care Apartment Complex
• 5 or more apartment, services above room board
• Adult Family Homes
• 3-4 residents, services above room board

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Assisted Living
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CBRF Emergency Plans

• 1. Procedures for orderly evacuation or other
  department-approved response during a fire
  emergency.
• 2. Response to serious illness or accidents.
• 3. Preparation for and response to severe weather
  including tornado and flooding.
• 4. A route to dry land when the facility is
  located in a flood plain.
• 5. Location of an emergency shelter for the
  residents.
• 6. A means of transporting residents to the
  emergency shelter.
• 7. How meals will be provided to residents at the
  emergency shelter.

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RCAC - Emergency Assistance

• A residential care apartment complex shall ensure
  that tenant health and safety are protected in
  the event of an emergency and shall have the
  capacity to provide emergency assistance 24 hours
  a day. A residential care apartment complex shall
  have a written emergency plan which describes
  staff responsibilities and procedures to be
  followed in the event of fire, sudden serious
  illness, accident, severe weather or other
  emergency and is developed in cooperation with
  local fire and emergency services

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AFH - Fire safety evacuation plan

• The licensee shall have a written plan for the
  immediate and safe evacuation of all occupants of
  the home in the event of a fire. The plan shall
  identify an external meeting place.

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Recent AL Evacuations

• Grand Chute CBRF fire 8 elderly residents
  evacuated to a CBRF next door
• In recent flood - Stoddard RCAC evacuated part of
  the 1st floor to 2nd and to surrounding
  facilities
• Schofield CBRF full evacuation to another
  facility because of a direct threat
• Milwaukee CBRF - full evacuation to a hotel
  because of a fire

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Where to find these facilities in your area?

• Assisted living directors available by PDF or
  Excel spreadsheet
• http//dhfs.wisconsin.gov/bqaconsumer/AssistedLivi
  ng/AsLivDirs.htm

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Nursing Home

• Nursing home means a place where 5 or more
  persons who are not related to the operator or
  administrator reside, receive care or treatment
  and, because of their mental or physical
  condition, require access to 24-hour nursing
  services, including limited nursing care,
  intermediate level nursing care and skilled
  nursing services.

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Nursing Homes By Region
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Nursing Home Beds By Region
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DHFS.WISCONSIN.GOV

• Nursing Homes alphabetical by county (then by
  city)
• Nursing Homes alphabetical by city
• Nursing Homes alphabetical by facility name
• Spreadsheet version of Nursing Home Directory -
  for sorting data in different ways. A shortened
  version of the facility name is included to help
  in creating mailing labels.
• Wisconsin Health Care Provider Directories for
  lists of Swing Bed Hospitals (contain beds that
  can be converted to Nursing Home use)
• Wisconsin Facilities with Dedicated Units for the
  Care of Ventilator-Dependent Persons

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Regulatory Expectationsfor Nursing Homes
andEmergency Plans

• State Requirements
• HFS 132.82(3)(a)
• (3) RESIDENT SAFETY AND DISASTER PLAN.
• (a) Disaster plan. 1. Each facility shall have a
  written procedure which shall be followed in case
  of fire or other disasters, and which shall
  specify persons to be notified, locations of
  alarm signals and fire extinguishers, evacuation
  routes, procedures for evacuating helpless
  residents, frequency of fire drills, and
  assignment of specific tasks and responsibilities
  to the personnel of each shift and each
  discipline.

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HFS 132.82(3)(a) Continued

• 2. The plan shall be developed with the
  assistance of qualified fire and safety experts,
  including the local fire authority.
• 3. All employees shall be oriented to this plan
  and trained to perform assigned tasks.
• 4. The plan shall be available at each nursing
  station.
• 5. The plan shall include a diagram of the
  immediate floor area showing the exits, fire
  alarm stations, evacuation routes, and locations
  of fire extinguishers. The diagram shall be
  posted in conspicuous locations in the corridor
  throughout the facility.

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Regulatory Expectationsfor Nursing Homes
andEmergency Plans

• Federal Requirements
• 42 CFR 483.75(m)
• 1. The facility must have detailed written plans
  and procedures to meet all potential emergencies
  and disasters, such as fire, severe weather, and
  missing residents. F517
• 2. The facility must train all employees in
  emergency procedures when they begin to work in
  the facility, periodically review the procedures
  with existing staff, and carry out unannounced
  staff drills using those procedures. F518

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• Nursing Homes Required to Have Them
• Variation is Present
• Assistance is Often Warmly Accepted

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Web Resources

• Disaster Preparedness Memo
• http//dhfs.wisconsin.gov/rl_DSL/Publications/06-0
  27.htm
• State Expert Panel on the Evacuation of
  Healthcare Facilities
• http//dhfs.wisconsin.gov/rl_DSL/Providers/dstrpln
  g0506.htm
• Template Policy
• http//dhfs.wisconsin.gov/rl_DSL/Providers/EvacShe
  ltTemplate.pdf
• Preparedness Emergency Planning Webcasts
• http//media1.wi.gov/DHFS/Catalog/Front.aspx?cid5
  2b30129-99d6-4fec-bd02-996f9d117efa
• DQA Safety in Healthcare
• http//dhfs.wisconsin.gov/rl_DSL/patntsafety.htm

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Questions?