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E0039: Ep Testing Requirements

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

918times cited
837agencies
44states
2018-01-04 – 2026-09-15survey 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 918 citations. Newest inspection first.

Health at Home

Inspection 2026-09-15

The agency failed to hold and document any emergency/disaster exercises or events since their last recertification survey three years ago.

Horizon Home Health

Inspection 2026-09-02

The agency failed to conduct the required full‑scale emergency preparedness exercises as required.

Pacific Home Health and Hospice

Inspection 2026-08-31

The agency failed to conduct and/or maintain documentation demonstrating completion of the required annual emergency preparedness exercise for 1 of the 2 most recent annual testing periods reviewed.

Anchor Pulmonary Rehab and Home Healthcare Services LLC

Inspection 2026-08-12

THIS IS A CONTINUING DEFICIENCY FROM SURVEY DATED 08/23/2023 CITED AT E0039 Based on record review and interview, the agency failed to conduct exercises to test the emergency plan annually by conducting drills or after an actual emergency for three (2023, 2024 and 2025) of three years reviewed.

North Woods Home Nursing

Inspection 2026-08-06

The agency failed to ensure 2 (2025 and 2026) of 2 Emergency Preparedness (EP) drills included all required documentation, resulting in the potential for an unprepared staff response in the event of an emergency.

Faith Home Health

Inspection 2026-07-29

The agency failed to ensure a community-based drill was conducted every two years for all patients and staff.

Providence Home Care

Inspection 2026-07-29

The agency failed to ensure emergency preparedness disaster table-top exercises, drills, community drills or plan activation events were conducted in calendar years 2024 and 2025 for all patients and employees.

Nexus Home Health, Inc

Inspection 2026-07-24

The Agency failed to conduct a full-scale exercise to ensure the effectiveness of the Agency's Emergency Preparedness Plan.

American Nursing Home Health Care, Inc

Inspection 2026-07-09

The agency failed to provide documentation that it had participated in an agency wide and community-based full-scale exercise, each required at least every two years, resulting in the potential for patients and staff not to be properly prepared in the event of an actual emergency.

Visiting Nurse Home Care&Hospice of Carroll County

Inspection 2026-07-09

The facility failed to conduct the required disaster/emergency training/testing drills or provide documentation of actual emergency events with new/existing staff and/or Individuals providing services on behalf of the facility, for two (2) out of the last three (3) calendar years.

Gfk Home Health Care

Inspection 2026-06-26

The agency failed to conduct exercises to test the emergency plan annually for the years of 2024 and 2025. This failure created the risk of the staff not knowing what to do in case of emergency.

Mama Annies Home Health Care LLC

No longer in CMS list
Inspection 2026-06-22

The agency failed to ensure an exercise was performed to test the emergency preparedness plan and an after-action plan was completed for 1 of 1 home health agencies.

Chicago Professional Healthcare, Inc

Inspection 2026-06-18

The Agency failed to ensure the Agency failed to conduct a full-scale exercise, facility-based exercise, or activate the Agency’s Plan as required.

Home and Care Billings

Inspection 2026-06-18

The agency failed to complete a second emergency preparedness exercise as required within the two-year timeframe.

Inspiring Care at Home

No longer in CMS list
Inspection 2026-06-11

The agency failed to analyze and document the agency's response to the tabletop drill for 1 of 1 home health agency.

Centerwell Home Health

Inspection 2026-06-10

The agency failed to maintain documentation of all the components of drills, tabletop exercises, and emergency events.

Zutan Home Healthcare, Inc.

Inspection 2026-06-09

The agency's policies and procedures failed to include conducting a community based full-scale exercise every 2 years, and the agency failed to conduct a community based full-scale exercise every 2 years.

Rainbow Health Care Services, P C

Inspection 2026-05-29

The Agency failed to conduct a full-scale exercise, facility-based exercise, or activate the Agency's plan as required.

Ideal Home Health Services, LLC

Inspection 2026-05-28

The agency failed to ensure the Emergency Preparedness plan was tested per regulation requirements and according to agency policy for 2 (2023 and 2024) of 3 years reviewed, resulting in the potential for an unprepared staff response in the event of an actual emergency.

Pruitthealth at Home - Atlanta

Inspection 2026-05-28

The agency failed to maintain documentation of all the components of drills, tabletop exercises, and emergency events, after action review and revise the hospice's emergency plan, as needed.

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