E0004: Develop Ep Plan, Review And Update Annually
CMS level: Standard Moderate. 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
- California84
- Michigan76
- Illinois51
- Texas42
- Florida40
- Ohio29
- Arizona22
- Indiana22
- Nevada21
- New Mexico20
- Minnesota19
- Pennsylvania18
- Virginia18
- Oklahoma12
- Massachusetts8
- Missouri8
- New Hampshire8
- Wisconsin8
- Kansas7
- South Carolina7
- District of Columbia6
- Puerto Rico6
- West Virginia6
- Alabama5
- Oregon5
- Arkansas4
- Colorado4
- Maryland4
- Connecticut3
- Idaho3
- Louisiana3
- Iowa2
- Kentucky2
- Maine2
- Montana2
- North Carolina2
- Nebraska2
- New York2
- Rhode Island2
- Tennessee2
- Georgia1
- Utah1
- Washington1
Most recent citations
The 20 most recent of 590 citations. Newest inspection first.
Comprehensive Home Care Inc.
The Agency failed to review and update the Emergency Preparedness Plan every two years.
USA Home Health, Inc
Failed to ensure that all staff are trained in emergency preparedness and conduct the emergency drill annually.
Golden Years Homecare Specialists II
The agency failed to develop and maintain an emergency preparedness plan that included an annual evaluation at least every 2 years for one of one Emergency Preparedness Plan.
Ace-Ellent Healthcare Services, Inc.
The agency failed to develop and maintain an emergency preparedness plan that must be reviewed and updated every two (2) years for 2 of 3 years reviewed (years 2024, and 2025).
Anchor Pulmonary Rehab and Home Healthcare Services LLC
THIS IS A CONTINUING DEFICIENCY FROM SURVEY DATED 11/02/2020 and 08/23/2023 CITED AT E0004 Based on record review and interview, the agency failed to maintain an emergency preparedness plan that was reviewed and updated at least every two years since 2020 (no reviews were done for 2023, 2024 and…
Consolidated First Choice Home Health Inc
The agency failed to complete an internal review of its emergency preparedness and response plan every two years to evaluate its effectiveness and to update the plan as needed for 1 of 3 calendar years.
Bluebonnet Health Services of Waco
The agency failed to develop and maintain an emergency preparedness plan that included an annual evaluation at least every 2 years for one of one Emergency Preparedness Plan.
Camino de Salud Nursing Care
The agency failed to develop and maintain an Emergency Preparedness and Response Plan (EPRP) separately for each licensed HCSSA entity.
Prime Home Health Services, Inc
The Agency failed to review and update its Emergency Preparedness Plan and policies biennially.
Sierra Pride Home Healthcare Agency
The agency failed to review and update its emergency preparedness (EP) plan as required at least every two years, and include strategies to address identified high-risk emergency situations, resulting in no directions for agency personnel in the event of an actual emergency or disaster and the…
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 two years, resulting in no directions for agency personnel in the event of an actual emergency or disaster and the potential for poor patient outcomes.
Guardian Angels Plus Home Health
The agency failed to develop and maintain an EP plan that must be reviewed and updated at least every two years for one of one EP plan reviewed.
McGuffey Home Health Care, LLC
The agency failed to develop an emergency preparedness plan that must be reviewed and updated at least every two years, resulting in the potential for poor patient outcomes due to the agency being ill-prepared in the event of an actual emergency or disaster.
Zutan Home Healthcare, Inc.
The agency failed to review and update the emergency preparedness plan at least every 2 years and the agency's policies and procedures failed to include this process.
Absolutely Angels Inc
The agency failed to maintain an EP plan that was reviewed and updated at least every two years to evaluate its effectiveness and update the plan as needed.
Tlc Home Care of the Twin Cities
The agency failed to maintain an emergency preparedness (EP) plan, to include contingency planning and to update the plan at least every two years.
Medlife Homecare Inc
The agency failed to develop a comprehensive emergency preparedness (EP) plan that had been reviewed and updated at least every 2 years, resulting in lack of direction for agency personnel in the event of an actual emergency or disaster.
Advocare Home Health, LLC
The Home Health agency failed to complete a facility specific Hazard Vulnerability Analysis (HVA) and update the Emergency Preparedness Plan as required.
Apex Home Healthcare, Inc
The agency failed to develop and maintain an emergency preparedness program that included the required elements that must be reviewed and updated at least every 2 years, resulting in the potential to affect the Agency's ability to provide safe patient care in the event of an actual emergency.
Platinum Home Health Care, Inc
The Agency failed to review and update its Emergency Plan and policies biennially.