E0042: Integrated Ep Program
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
- Indiana3
- Minnesota3
- Wisconsin3
- Alaska2
- California2
- Montana2
- Arkansas1
- Illinois1
- Kansas1
- Maine1
- Missouri1
- Ohio1
- Pennsylvania1
- Utah1
Most recent citations
The 20 most recent of 23 citations. Newest inspection first.
Marion County Home Care Services
The Home Health Agency (HHA) failed to comply with the requirements for an integrated emergency preparedness program as specified in §484.102(e).
Beartooth Billings Clinic Home Care
The agency failed to implement and document required agency specific risk assessment, policies, and emergency preparedness components into an integrated health system emergency preparedness program.
Providence at Home With Compassus Home Health, Humboldt
The Clinical Manager stated she did not have a copy of the emergency procedure at the office.
Upland Hills Home Health
Failed to develop an emergency preparedness program that demonstrated the agency's involvement and coordination related to the unique circumstances and services offered in the event of a system-wide emergency in 1 of 1 Emergency Preparedness programs reviewed.
Madelia Community Hospital Home Care
No longer in CMS listFailed to ensure an individual facility-based risk assessment for each separately certified facility within the health system utilizing an all-hazards approach.
Madigan Home Health Care, Inc.
The agency failed to demonstrate that it has met the testing requirement for the separately certified home health agency as part of the unified emergency preparedness program for the integrated healthcare system.
Anderson Home Health Services
The health system, which includes the home health as a part of their facilities, failed to demonstrate the home health agency (HHA) was included in the emergency preparedness plan (EPP) as separate related to patient population and unique circumstances, and failed to involve the HHA in development…
Holy Family Memorial Inc.
No longer in CMS listThe agency and healthcare integrated system failed to demonstrate and document the home health agency’s active involvement in the tabletop exercise/drill in 1 of 1 Emergency Preparedness Programs reviewed.
The Center for Hospice and Palliative Care Inc
The home health agency (HHA) failed to ensure its Emergency Preparedness Program (EPP) designated itself as part of an integrated healthcare system, Findings include: A document updated October 2021, titled “Center for Hospice Care ... Emergency Preparedness Program” included all of the agency’s…
Madison Medical Center
No longer in CMS listFailed to assure this plan is an integrated emergency preparedness program as outlined in this regulation.
Parkview Health at Home LLC
The agency failed to ensure the integrated emergency preparedness plan with the hospital ensured the licensed home health agency met all the requirements of an integrated health system's plan.
Pintler Home Health
The agency failed to develop an integrated and complete EOP (emergency operations plan), where the separately certified facility's unique circumstances, patient populations and other services are identified.
International Quality Homecare of Wisconsin, LLC
The agency failed to demonstrate how it was actively involved in the developement and maintainance of the unified and integrated emergency preparedness (EP) program, in 1 of 1 EP program reviewed.
First Choice Home Health
The home health agency (HHA) did not ensure the integrated emergency preparedness (EP) program demonstrated: that each separate facility actively participated in the development of the program; the program was developed and maintained in a manner that took into account each separately certified…
Madlyn and Leonard Abramson Center for Jewish Life
No longer in CMS listThe facility failed to include documentation that the emergency preparedness plan be developed and maintained in a manner that takes into account each separately certified facility's unique circumstances, patient populations, and services offered, demonstrate that each separately certified facility…
Town and Country Home Health Care
Failed to ensure an individual facility-based risk assessment for each separately certified facility within the health system utilizing an all-hazards approach.
Petersburg Medical Center Home
The facility failed to include as part of the integrated health care system, contact information in the communication plan for the State of Alaska, Emergency Preparedness staff during times of evacuation or emergency.
Ascension at Home
The agency failed to ensure that the integrated emergency preparedness program demonstrated that the parent agency and its branch had actively participated in the development of the emergency preparedness program that included risk assessments within their areas for 1 of 1 agency.
Lakeview Homecare
Failed to ensure an individual facility-based risk assessment for each separately certified facility within the health system utilizing an all-hazards approach.
Hospice & Home Care of Juneau
The agency failed to ensure the emergency preparedness plan included a description of services offered by the home health agency during an emergency event.