In a recent study, the office of the inspector general concluded that:

Emergency plans lacked relevant information—including only about half of the tasks on the CMS checklist. Nursing homes faced challenges with unreliable transportation contracts, lack of collaboration with local emergency management, and residents who developed health problems. LTC ombudsmen were often unable to support nursing home residents during disasters; most had no contact with residents until after the disasters.

While the study recognized that most nursing homes were complying with the federal regulations to develop a plan, the OIG was still concerned about these implementation problems.