1. A. An administrator shall ensure that:

   1. 1. A disaster plan is developed, documented, maintained in a location accessible to personnel members and other employees, and, if necessary, implemented that includes:

      1. a. When, how, and where residents will be relocated, including:

         1. i. Instructions for the evacuation or transfer of residents,
         2. ii. Assigned responsibilities for each employee and personnel member, and
         3. iii. A plan for continuing to provide services to meet a resident’s needs;
      2. b. How a resident’s medical record will be available to individuals providing services to the resident during a disaster;
      3. c. A plan for back-up power and water supply;
      4. d. A plan to ensure a resident’s medications will be available to administer to the resident during a disaster;
      5. e. A plan to ensure a resident is provided nursing services and other services required by the resident during a disaster; and
      6. f. A plan for obtaining food and water for individuals present in the nursing care institution or the nursing care institution’s relocation site during a disaster;
   2. 2. The disaster plan required in subsection (A)(1) is reviewed at least once every 12 months;

   3. 3. Documentation of a disaster plan review required in subsection (A)(2) is created, is maintained for at least 12 months after the date of the disaster plan review, and includes:

      1. a. The date and time of the disaster plan review;
      2. b. The name of each personnel member, employee, or volunteer participating in the disaster plan review;
      3. c. A critique of the disaster plan review; and
      4. d. If applicable, recommendations for improvement;
   4. 4. A disaster drill for employees is conducted on each shift at least once every three months and documented;

   5. 5. An evacuation drill for employees and residents:

      1. a. Is conducted at least once every six months; and

      2. b. Includes all individuals on the premises except for:

         1. i. A resident whose medical record contains documentation that evacuation from the nursing care institution would cause harm to the resident, and
         2. ii. Sufficient personnel members to ensure the health and safety of residents not evacuated according to subsection (A)(5)(b)(i);

   6. 6. Documentation of each evacuation drill is created, is maintained for at least 12 months after the date of the drill, and includes:

      1. a. The date and time of the evacuation drill;
      2. b. The amount of time taken for employees and residents to evacuate to a designated area;

      3. c. If applicable:

         1. i. An identification of residents needing assistance for evacuation, and
         2. ii. An identification of residents who were not evacuated;
      4. d. Any problems encountered in conducting the evacuation drill; and
      5. e. Recommendations for improvement, if applicable; and
   7. 7. An evacuation path is conspicuously posted on each hallway of each floor of the nursing care institution.
2. B. An administrator shall ensure that, if applicable, a sign is placed at the entrance to a room or area indicating that oxygen is in use.

3. C. An administrator shall:

   1. 1. Obtain a fire inspection conducted according to the time-frame established by the local fire department or the State Fire Marshal,
   2. 2. Make any repairs or corrections stated on the fire inspection report, and
   3. 3. Maintain documentation of a current fire inspection.

Historical Note

Adopted effective January 28, 1980 (Supp. 80-1). Section repealed by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2). New Section R9-10-424 made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 19 A.A.R. 3334, effective October 1, 2013 (Supp. 13-4). Amended by exempt rulemaking at 20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effective July 1, 2014 (Supp. 14-2).