Every finding on record at Tropical Health Hospice of Georgia, LLC

Based on review of binder labeled “Emergency Preparedness Plan,” and staff interview, it was determined the agency failed to develop an emergency preparedness plan based on a documented risk assessment utilizing an all-hazards approach. --- The findings include: Review of binder labeled “Emergency Preparedness Plan,” it was determined the agency failed to develop an emergency preparedness plan based on a documented risk assessment utilizing an all-hazards approach. The emergency preparedness plan failed to reveal a documented risk assessment. On 12/16/2025 at 12:00 p.m., an interview was conducted with the Administrator in her office. She confirmed that she failed to do emergency preparedness risk assessment. She also said that her focus was on the patients. She was not aware that she must do emergency preparedness risk assessment for the agency and the surrounding community. The Administrator confirmed no risk assessment had been completed as part of the emergency plan. No policy related to the Emergency Preparedness Plan risk assessment was available during the survey or upon exit.

Based on review of binder labeled “Emergency Preparedness Plan,” and staff interview, it was determined that the governing body failed to assume responsibility for the management of the agency by failing to develop the facility emergency preparedness plan based on a documented risk assessment utilizing an all-hazards approach. --- The findings include: Review of binder labeled “Emergency Preparedness Plan,” it was determined the agency failed to develop an emergency preparedness plan based on a documented risk assessment utilizing an all-hazards approach. The emergency preparedness plan failed to reveal a documented risk assessment. On 12/16/2025 at 12:00 p.m., an interview was conducted with the Administrator in her office. She confirmed that she failed to do emergency preparedness risk assessment. She also said that her focus was on the patients. She was not aware that she must do emergency preparedness risk assessment for the agency and the surrounding community. The Administrator confirmed no risk assessment had been completed as part of the emergency plan. No policy related to the Emergency Preparedness Plan risk assessment was available during the survey or upon exit.