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Cross-sectional Survey of Long-Term Care Facilities in the Rockaway Peninsula: Preparedness and Response During Hurricane Sandy

Published online by Cambridge University Press:  14 August 2017

Lynn Jiang*
Affiliation:
Emergency Medicine Residency Program, New York Presbyterian Hospital, New York, New York
Christopher Tedeschi
Affiliation:
College of Physicians and Surgeons, Columbia University, New York, New York
Saleena Subaiya
Affiliation:
Emergency Medicine Residency Program, New York Presbyterian Hospital, New York, New York
*
Correspondence and reprint requests to Lynn Jiang, Emergency Medicine Department, New York Presbyterian Hospital, 565 East 68th Street, New York, NY 10021 (e-mail: [email protected]).

Abstract

Background

Few studies have described the challenges experienced by long-term care facilities (LTCFs) following Hurricane Sandy. This study examined LTCF preparedness and experiences during and after the storm.

Methods

A cross-sectional survey was conducted 2 years after Hurricane Sandy to assess LTCF demographics, preparation, and post-storm resources. Surveys were conducted at LTCFs located on the Rockaway Peninsula of New York City. All LTCFs located in a heavily affected area were approached.

Results

Of 29 facilities, 1 had closed, 5 did not respond, 9 declined to participate, and 14 participated, yielding a response rate of 50% for open facilities. Twenty-one percent of the facilities had preparations specifically for hurricanes. More than 70% of the facilities had lost electricity, heat, and telephone service, and one-half had evacuated. Twenty-one percent of the facilities reported not receiving any assistance and over one-half reported that relief resources did not meet their needs.

Conclusions

Many LTCFs lacked plans specific to such a large-scale event. Since nearly all of the LTCFs in the region were affected, preexisting transportation and housing plans may have been inadequate. Future preparation could include hazard-specific planning and reliance on resources from a wider geographic area. Access to electricity emerged as a top priority. (Disaster Med Public Health Preparedness. 2018;12:194–200)

Type
Original Research
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2017 

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References

1. Blake, ES, Kimberlain, TB, Berg, RJ, et al. Tropical Cyclone Report: Hurricane Sandy. National Hurricane Center. http://www.nhc.noaa.gov/data/tcr/AL182012_Sandy.pdf. Published February 12, 2013. Accessed July 11, 2017.Google Scholar
2. New York City Special Initiative on Resilience and Recovery. A Stronger, More Resilient New York. https://www.nycedc.com/resource/stronger-more-resilient-new-york. Published June 2013. Accessed July 11, 2017.Google Scholar
3. Pollak, M. Why So Many Nursing Homes in the Rockaways? New York Times. http://www.nytimes.com/2012/11/18/nyregion/why-so-many-nursing-homes-in-the-rockaways.html?_r=1. Published 2012. Accessed February 10, 2016.Google Scholar
4. Mayor Bloomberg Issues Order for Mandatory Evacuation of Low-Lying Areas as Hurricane Sandy Approaches, PR 377-12 [press release]. City of New York website. http://www1.nyc.gov/office-of-the-mayor/news/377-12/mayor-bloomberg-issues-order-mandatory-evacuation-low-lying-areas-hurricane-sandy. Published October 28, 2012. Accessed July 11, 2017.Google Scholar
5. Dosa, DM, Grossman, N, Wetle, T, et al. To evacuate or not to evacuate: lessons learned from Louisiana nursing home administrators following Hurricanes Katrina and Rita. J Am Med Dir Assoc. 2007;8(3):142-149. https://doi.org/10.1016/j.jamda.2006.11.004.Google Scholar
6. Dosa, DM, Hyer, K, Brown, LM, et al. The controversy inherent in managing frail nursing home residents during complex hurricane emergencies. J Am Med Dir Assoc. 2008;9(8):599-604. https://doi.org/10.1016/j.jamda.2008.05.007.CrossRefGoogle ScholarPubMed
7. Gibbs, LI, Holloway, CF. Hurricane Sandy After Action: Report and Recommendations to Mayor Michael R. Bloomberg. http://www.nyc.gov/html/recovery/downloads/pdf/sandy_aar_5.2.13.pdf. Published May 2013. Accessed July 11, 2017.Google Scholar
8. Caruso, D. Sandy Highlights Nursing Home Evacuation Troubles. http://bigstory.ap.org/article/sandy-highlights-nursing-home-evacuation-troubles. Published 2013. Accessed March 29, 2016.Google Scholar
9. Associated Press. Elderly and disabled Sandy victims are still homeless. http://www.nydailynews.com/new-york/elderly-disabled-sandy-victims-homeless-article-1.1227517. Published 2012. Accessed March 29, 2016.Google Scholar
10. Levinson, D. Gaps continue to exist in nursing home emergency preparedness and response during disasters: 2007-2010. US Department of Health and Human Services, Office of Inspector General. https://oig.hhs.gov/oei/reports/oei-06-09-00270.asp. Published April 2012. Accessed July 11, 2017.Google Scholar
11. Castle, NG. Nursing home evacuation plans. Am J Public Health. 2008;98(7):1235-1240. https://doi.org/10.2105/AJPH.2006.107532.CrossRefGoogle ScholarPubMed
12. Subaiya, S, Moussavi, C, Velasquez, A, et al. A rapid needs assessment of the Rockaway Peninsula in New York City after Hurricane Sandy and the relationship of socioeconomic status to recovery. Am J Public Health. 2014;104(4):632-638. https://doi.org/10.2105/AJPH.2013.301668.Google Scholar
13. Centers for Disease Control and Prevention. Community Assessment for Public Health Emergency Response (CASPER) Toolkit. 2nd ed. Atlanta, GA: CDC; 2012.Google Scholar
14. Vogt, B. Issues in nursing home evacuations. Int J Mass Emerg Disasters. 1991;9(2):247-265.Google Scholar
15. Servis, KW, Fage, BI. Comprehensive Emergency Management Program Worksheet. New York State Department of Health. https://www.health.ny.gov/professionals/nursing_home_administrator/docs/dal_05-11_comprehensive_emergency_management_program_worksheet.pdf. Published 2005. Accessed July 11, 2017.Google Scholar
16. New York City Office of Emergency Management. New York City Hurricane Evacuation Zones. http://www.nytimes.com/interactive/2012/10/28/nyregion/hurricane-evacuation-zones.html?_r=0. Published 2012. Accessed June 6, 2016.Google Scholar
17. New York City Office of Emergency Management. New York City Hurricane Evacuation Zones. http://www.nyc.gov/html/oem/downloads/pdf/hurricane_map_english.pdf. Published 2016. Accessed June 6, 2016.Google Scholar
18. Centers for Medicare & Medicaid Services. Medicare and Medicaid Programs; Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers; Proposed Rule. Fed Regist. 2013;78(249):79082-79200.Google Scholar
19. Norris, FH, Kaniasty, K. Reliability of delayed self-reports in disaster research. J Trauma Stress. 1992;5(4):575-588. https://doi.org/10.1002/jts.2490050407.Google Scholar