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E0013: Development Of Ep Policies And Procedures

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

304times cited
287agencies
40states
2018-01-04 – 2026-08-12survey dates

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

Most recent citations

The 20 most recent of 304 citations. Newest inspection first.

Select Home Health Services, Inc

Inspection 2026-08-12

The agency failed address the agencies communication plan in 1 of 1 emergency preparedness plan.

Sierra Pride Home Healthcare Agency

Inspection 2026-07-23

The agency failed to develop and update its emergency preparedness (EP) policies and procedures that were based on an EP plan, risk assessment, and communication plan, resulting in the agency's inability to implement appropriate emergency actions which could negatively affect the health and safety…

Health Care Solutions Services, Inc

Inspection 2026-07-21

The agency failed to ensure the emergency preparedness policies and procedures were reviewed and updated at least every 2 years.

American Nursing Home Health Care, Inc

Inspection 2026-07-09

The agency failed to develop and update its emergency preparedness (EP) policies and procedures that were based on an EP plan, risk assessment, and communication plan, resulting in the agency's inability to implement appropriate emergency actions which could negatively affect the health and safety…

Tlc Home Care of the Twin Cities

Inspection 2026-05-12

The agency failed to review and update their emergency preparedness (EP) risk assessment, policies and procedures at least every two years.

Medlife Homecare Inc

Inspection 2026-05-07

The agency failed to develop and implement an emergency preparedness (EP) policy and procedure that aligned with an established EP and communication plans that utilized an all-hazards approach, resulting in the inability to review and update policies at least every 2 years.

Advocare Home Health, LLC

Inspection 2026-05-06

The Home Health agency failed to update the Emergency Policy and Procedures as required.

Extracare Home Health Services

Inspection 2026-04-16

The agency failed to maintain Emergency Preparedness policies and procedures that had been reviewed and updated at least every 2 years, resulting in the potential for poor patient outcomes during a disaster if staff are ill-prepared.

Rmg Home Care Inc

Inspection 2026-04-16

The agency failed to complete a hazards risk assessment as part of the agency's Emergency Preparedness (EP) Plan.

Enhabit Home Health

Inspection 2026-03-06

The agency failed to develop emergency preparedness policies and procedures based on the Hazard Risk Assessment for one (1) of one (1) year reviewed (2025).

Northwest Home Health & Rehab

Inspection 2026-03-05

The Agency failed to establish policies and procedures based on the risk assessment.

Vn Home Health Care

Inspection 2026-03-05

The agency failed to ensure its Emergency Preparedness policies and procedures were reviewed and updated at least every 2 years, resulting the potential for undesired responses in the event of an emergency.

Homestead Health LLC

Inspection 2026-02-25

The agency failed to ensure policies were developed, implemented and reviewed every two years.

Caring Professionals Home Care

Inspection 2026-02-19

The Agency failed to ensure the Emergency plan policies and procedures were reviewed and updated biannually.

Entera Healthcare, Ltd.

Inspection 2026-02-11

The Agency failed to establish policies and procedures based on the risk assessment.

Acton Public Health Nursing SE

Inspection 2026-01-14

The agency failed to ensure the policy and procedure for the Emergency Preparedness (EP) Plan was reviewed and updated every 2 years.

Four Seasons Home Health Care

Inspection 2026-01-07

The agency failed to ensure its Emergency Preparedness policies and procedures had been reviewed and updated at least every 2 years, resulting in the potential for ineffective staff responses and poor patient outcomes in the event of a disaster.

Lasik Home Health Care Inc

Inspection 2025-09-16

The home health care agency failed to evidence emergency preparedness policies and procedures that aligned with the facility and community based risk assessment in 1 of 1 home health care agency.

Hometown Home Healthcare Inc

No longer in CMS list
Inspection 2025-08-21

The home health agency failed to develop and implement EP policies and procedures to address potential hazards identified in its risk assessment, which had the potential to affect all active patients and employees.

Mils Home Health Care Agency

Inspection 2025-08-14

The facility failed to utilize the Hazard Vulnerability Assessment to develop policies for the identified areas of threat and concerns in the agency plan for emergency preparedness.

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