| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 883844 | (X3) Date Survey Completed 04/01/2026 |
| Name of Provider or Supplier Wtpc, Llc | Street Address, City, State 541 West Park. Place, Henderson, TN | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| E0001 | Establishment of the Emergency Program (EP) §403.748, §416.54, §418.113, §441.184, §460.84, §482.15, §483.73, §483.475, §484.102, §485.68, §485.542, §485.625, §485.727, §485.920, §486.360, §491.12 The [facility, except for Transplant Programs] must comply with all applicable Federal, State and local emergency preparedness requirements. The [facility, except for Transplant Programs] must establish and maintain a [comprehensive] emergency preparedness program that meets the requirements of this section.* The emergency preparedness program must include, but not be limited to, the following elements: * (Unless otherwise indicated, the general use of the terms "facility" or "facilities" in this Appendix refers to all provider and suppliers addressed in this appendix. This is a generic moniker used in lieu of the specific provider or supplier noted in the regulations. For varying requirements, the specific regulation for that provider/supplier will be noted as well.) *[For hospitals at §482.15:] The hospital must comply with all applicable Federal, State, and local emergency preparedness requirements. The hospital must develop and maintain a comprehensive emergency preparedness program that meets the requirements of this section, utilizing an all-hazards approach. The emergency preparedness program must include, but not be limited to, the following elements: *[For CAHs at §485.625:] The CAH must comply with all applicable Federal, State, and local emergency preparedness requirements. The CAH must develop and maintain a comprehensive emergency preparedness program, utilizing an all-hazards approach. The emergency preparedness program must include, but not be limited to, the following elements: This CONDITION is not met as evidenced by: Based on the rural health clinic's (rhc's) policies and procedures, document review, observations, and interviews, the RHC failed to develop and implement an Emergency Preparedness (EP) plan that was reviewed and updated at least every 2 years with some essential elements. The findings included: 1. The RHC failed to maintain and update every two years a documented community and facility-based risk assessment, utilizing an all-hazards approach. Refer to E 0006. 2. The RHC failed to maintain and update every 2 years an EP training and testing program. Refer to E 0036. 3. The RHC failed to educate all employees on the EP program upon hire and at least every two years. Refer to E 0037. 4. The RHC failed to document they had conducted exercises to test the emergency plan annually and participated in a full-scale exercise, facility-based functional exercise or community-based every 2 years. Refer to E 0039 |