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Nursing Homes and Assisted Living Facilities: Planning and Decision Making for Sheltering in Place or Evacuation

Both options carry risks.

Although significant progress has been made in disaster preparedness since the devastating 2005 hurricane season in the Gulf Coast states, unique challenges remain for long-term-care providers in nursing homes, assisted living facilities, and continuing-care retirement communities. All of these facilities are responsible for the safety of vulnerable residents during disasters. During the 2005 season, poor management of evacuation efforts contributed to a significant number of deaths: more than 139 nursing home residents during Hurricane Katrina, and twenty-three residents in a bus accident during Hurricane Rita (Polivka-West, 2006). Retrospective reviews of the ...

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