E0001: Establishment Of The Emergency Program (Ep)
CMS level: Condition Serious. On this site, a condition-level citation is labeled Serious, a standard-level citation Moderate, and an element-level citation Minor. What the labels mean · How to choose an agency
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. CMS source file. What the labels mean
Where it was cited
- Michigan82
- Indiana58
- Ohio33
- Illinois28
- California26
- Florida24
- Arizona17
- Minnesota13
- Utah10
- Wisconsin10
- Nevada9
- Missouri8
- New Mexico6
- District of Columbia5
- Maryland5
- Pennsylvania5
- South Dakota5
- Virginia5
- Massachusetts4
- Kansas3
- Montana3
- Nebraska3
- New Hampshire3
- Arkansas2
- Maine2
- Rhode Island2
- Texas2
- Washington2
- West Virginia2
- Wyoming2
- Alabama1
- Colorado1
- Delaware1
- Idaho1
- North Carolina1
- Oregon1
- Puerto Rico1
Most recent citations
The 20 most recent of 386 citations. Newest inspection first.
Heritage Home Health Services
The agency failed to ensure the emergency preparedness program met all requirements to meet the health, safety, and security needs of their staff and patient population (E0001), failed to ensure an Emergency Preparedness Plan was in place and reviewed every 2 years (E0004); failed to ensure a…
Purposecare of Indiana
The agency failed to maintain a comprehensive emergency preparedness program.
American Nursing Home Health Care, Inc
The agency failed to develop an emergency preparedness (EP) plan that must be reviewed and updated at least every 2 years (See E 0004); failed to develop and maintain an EP plan that was based on both agency-based and community-based risk assessments (See E 0006); failed to ensure their emergency…
Majestic Home Health LLC
The home health agency failed to ensure the EP Plan included strategies for addressing emergency events identified by the risk assessment (See E0006); failed to ensure the EP Plan addressed patient population, including, but not limited to, the type of services the home health agency has the…
Tlc Home Care of the Twin Cities
The home health agency failed to meet the Condition of Participation: E-0001 at 484.102. The agency failed to maintain an emergency preparedness (EP) plan, determine patient population needs, establish a system to coordinate care, provide training and testing, review and update the EP policy…
Medlife Homecare Inc
The Agency failed develop and maintain a comprehensive emergency preparedness (EP) program that must be reviewed and updated at least every 2 years (E-0004); failed to ensure the development of an EP plan utilizing an all-hazards approach with a documented facility-based and community-based risk…
Tiffco CARE2 LLC
No longer in CMS listThe agency failed to develop and maintain an emergency preparedness plan and review and update it every 2 years (E-0004), complete a facility and community-based All-hazards approach document and the plan to address the identified emergency (E-0006), address the patient at-risk population and how…
Canary Home Healthcare of Indiana Inc
The home health agency failed to evidence a comprehensive plan that was updated every two years (see Tag E0004); failed to update delegations of authority and succession plans (see Tag E0007); failed to include a process for cooperation and collaboration with local, state and federal emergency…
Freedom Home Care, LLC
No longer in CMS listThe agency failed to ensure a facility based and community based risk assessment utilizing an all-hazards approach was updated every two years (E0006), attempts to contact local, regional, state, and federal officials to ensure collaboration in emergencies (E0009), ensure the patients' emergency…
Marscare
This condition is not met, but did not result in immediate jeopardy, as evidenced by the following standards: 484.102 (a)(1)(2) - Risk assessment 484.102 (a)(4) - Process for cooperation and collaboration 484.102 (b)(2) Secures and maintains availability of records 484.102 (c) Standard…
Adventhealth Home Health
The Home Health Agency failed to develop, maintain, review and update the emergency preparedness plan to include an all hazards approach, ensuring shared duties with sister agency’s locations and administrative staff were updated when changes occurred and failed to ensure staff received required…
Always a Step Beyond
The agency failed to establish and maintain a comprehensive emergency preparedness program (Tag 004); failed to ensure the completion of an all-hazards risk assessment every two (2) years (Tag 006); failed to specify the population served (Tag 009); failed to maintain documentation of initial…
Homestead Health LLC
The agency was not in substantial compliance with the Conditions of Participation for Emergency Preparedness. - The agency failed to develop and implement an emergency preparedness plan and update the plan every two years.
Capital Home Health Care Inc
Specifically, the agency failed to develop and maintain an emergency preparedness plan that included strategies for addressing emergency events, assessment of the patient population to identify persons at-risk, the type of services the agency has the ability to provide in an emergency; and…
Staffed for Perfection Healthcare Staffing
No longer in CMS listThe agency failed to maintain compliance with the condition of Emergency Preparedness at 42 CFR 494.62. The requirement was not met as evidenced by: the agency failed to complete a community based hazard risk assessment (E0006); the agency failed to include a process for cooperation and…
Four Seasons Home Health Care
The agency failed to ensure an emergency plan existed that was based on a documented facility and community-based risk assessment from an all-hazards approach, including strategies for the identified potential hazards (E0006); failed to ensure its Emergency Preparedness policies and procedures had…
Excellacare Skilled Services
The Agency failed to develop an emergency preparedness (EP) plan that must be reviewed, and updated, resulting in lack of direction for Agency personnel (See E 0004); failed to develop an emergency preparedness plan that must be reviewed and updated at least every 2 years that included guidance for…
Lasik Home Health Care Inc
The agency failed to maintain compliance with the condition of Emergency Preparedness at 42 CFR 494.62. The requirement was not met as evidenced by: the agency failed to include a process for cooperation and collaboration with local, state, and federal emergency preparedness officials to maintain…
Hometown Home Healthcare Inc
No longer in CMS listThe home health agency failed to develop and implement EP policies and procedures to address potential hazards identified in its risk assessment (see E0013), develop and implement EP policies and procedures which indicated the agency’s system of medical documentation during an emergency (see…
1ST Option Adult Day Services and Home Health LLC
No longer in CMS listThe home health agency failed to evidence a plan which was updated at least every two years (Tag E0004); failed to include a process for cooperation and collaboration with local, state and federal emergency preparedness officials that included documented attempts to contact officials in an effort…