Facility Operations

Hurricane Michael Updates

Emergency Status System

  • Available Beds Outside Impact Area: AHCA and the Florida Department of Health are asking health care providers outside the impact area of Hurricane Michael to update their bed availability into the Emergency Status System (ESS).
  • Impacted Centers Status: Additionally, those centers in the impacted areas should continue to update into the Emergency Status System any storm-related events, such as power outages, evacuation, generators, storm-related damages, etc.   Accurate data and timely participation will help ensure that we have up-to-date information for your facility.
  • Nursing homes needing ESS login assistance: 850-412-4303
  • Assisted Living Centers ESS login assistance: 850-412-4304
  • After-hours ESS login assistance: 850-264-7924

Agency for Health Care Administration

Florida Department of Health

Nurse Reciprocity

  • Florida is part of the Nurse Licensure Compact. The Compact allows a nurse to have one multistate license in the primary state of residence and practice in other Compact states, while subject to each state's practice laws and discipline. Employers can confirm a nurse's license and receive a Licensure QuickConfirm report at http://www.nursys.com.


  • Overcapacity 408.821(2), Florida Statutes
  • Facilities that are overcapacity as a result of having received evacuees due to Hurricane Michael may operate over-capacity for 15 days.
  • To operate overcapacity in excess of 15 days, the provider must request permission in writing to go beyond the 15-day limit. The request must be submitted prior to the 15th day, so please submit the request as soon as you are aware of the need.
  • Send an email to Laura.MacLafferty@ahca.myflorida.com or kim.smoak@ahca.myflorida.com with the following subject line - Request to Exceed 15-day Overcapacity Limit due to Hurricane Michael - and in the message, provide the following information:

    The name and address of your facility.
    Name of the facility from which the evacuees came (another nursing center or assisted living center; special needs shelter; hospital; etc.)
    How many total people did you receive.
    How many people will you be over capacity, beyond the 15 days.
    Where are the evacuees living in your facility (private room converted to semi-private? Dining room? Other location(s) in your building?)

Travel During Established Curfews/Facility Re-entry

  • FL Department of Health Law Enforcement Advisory Re Health Care Travel During Established Curfews
  • Sample Reentry Letter
  • Hospital and Nursing Home Reentry/Reoccupancy Information
    Hospitals, nursing homes and remote emergency departments that have closed or evacuated and want to reopen and re-occupy must ensure the facility is undamaged and all critical systems (e.g. electrical, medical gas, ventilation) are functional and staffing is sufficient. Send an email notification to ahcaeoc@ahca.myflorida.com to update evacuation status.

    If power is not fully restored, even if generators are operational, contact local emergency operation officials as necessary prior to re-entry. If the hospital, nursing home or remote emergency department is damaged, contact the AHCA Office of Plans and Construction to discuss damage and impact prior to re-opening and re-occupancy.

  • AHCA contacts for North Florida include:
    Scott Waltz: (850) 443-3534 - Primary or (850) 363-0867Alternate
    Gary Birkbeck: (407) 463-7158

Indoor Air Quality Procedures

  • Centers that have experienced undesired water intrusion for extended periods of time can generate conditions which may erode indoor air quality and produce an environment detrimental to patients, residents and health care providers from exposure to mold. Water intrusion may also be caused by problems such as leakage through the roof, exterior walls, and windows, clogged HVAC drain pans, clogged sewage lines, or improperly functioning HVAC equipment that does not maintain proper humidity control within the building envelope. Regardless of the cause, once water has entered the center and wetted building materials, mold growth is likely to occur within 48 to 72 hours if the water is not immediately removed and building materials properly dried.
  • AHCA has shared basic procedures centers can review to ensure indoor air quality will not adversely affect the environment of care. Click here to review.

Federal Information

  • CMS Hurricane Michael Web Page (Waivers)
  • 1812(f): This  waiver of the requirement for a 3-day prior hospitalization for coverage of a skilled nursing facility stay provides temporary emergency coverage of Skilled Nursing Facility (SNF) services without a qualifying hospital stay, for those people who are evacuated, transferred, or otherwise dislocated as a result of the effect of the hurricane.  In addition, for certain beneficiaries who may have exhausted their SNF benefits, it authorizes renewed SNF coverage without first having to start a new benefit period. (Blanket waiver for all impacted facilities)
  • 483.20: This waiver provides relief to Skilled Nursing Facilities on the timeframe requirements for Minimum Data Set assessments and transmission. (Blanket waiver for all impacted facilities) 
  • MLN Matters: Hurricane Michael Disaster-Related Florida and Georgia Claims
  • US HHS ASPR Hurricane-related Resources

Temporary Housing

  • FEMA has approved Transitional Sheltering Assistance (TSA) for families in Bay County. TSA provides FEMA funded short-term lodging in hotels and motels for eligible disaster survivors who are unable to return home for an extended period due to disaster-related damages or inaccessibility of their communities. Click here for details.

Food Assistance Benefits

  • To assist families in recovery after Hurricane Michael, current Supplemental Nutrition Assistance Program (SNAP) households in Bay, Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Wakulla, and Washington counties will receive replacement benefits at a 40 percent rate by close of business Wednesday, October 17, 2018. Additionally, current SNAP customers are permitted to purchase hot foods with their Electronic Benefits Transfer (EBT) cards at participating retailers through October 31. Click here for details.

Power Updates

Click here for outage updates

Click here for outage updates

Procedures for Monitoring Resident Temperatures

If your facility or a facility within your organization is operating on generator power, procedures for monitoring resident temperatures should be activated. Facilities should review procedures with their staff to ensure everyone has a clear understanding of these procedures.

It’s important to remember that when it’s hot outside, power outages and the failure of HVAC systems can create harmful and fatal conditions for nursing home residents. Part of the aging process is a decrease in the body’s ability to regulate temperature. Hyperthermia occurs when the body’s temperature reaches or exceeds 104°F. There are steps to consider for maintaining a healthy body temperature in the event of a mechanical failure of climate control systems during times of extreme heat or cold.

If your center has a loss of function in its cooling system during hot weather, the following procedures should be implemented to prevent Hyperpyrexia. When the facility temperature reaches 85°F and remains so for four hours, the facility should:

  • Encourage residents to increase consumption of fluids by making water, juices, and Gatorade
  • Make sure an adequate supply of ice is available in the building
  • Open windows to let cooler outside air in and utilize fans to move air
  • Monitor body temperatures of the residents
  • Relocate residents, if necessary
  • Monitor environmental thermometers on a 24-hour basis



Resource Links

Executive Orders

FHCA Emergency Operations Team

  • Bob Asztalos (850) 284-1166
  • Melanie Motiska (850) 321-6194
  • Tom Parker (850) 590-0968
  • Emmett Reed (850) 251-1051
  • Kristen Knapp (850) 510-4389
  • Deborah Franklin (813) 679-7533
  • Kim Broom (863) 899-0693
  • Robin Bleier (727) 744-2021

FHCA Email Alerts

FHCA Disaster Call Recordings

**Calls Have Ended**