Emergency plan rules in Ohio

2 license types researched, regulated by Ohio Department of Health. Every requirement below carries the rule that imposes it.

Skilled nursing facility

Licensed in Ohio as Nursing Home, by Ohio Department of Health.

Ohio Admin. Code 3701-17-25 (disaster preparedness, fire and carbon monoxide safety); 3701-17-24 (temperature regulation)

Drills

Twelve fire exit drills a year, approximately every three months on each shift, held under varied times and conditions so staff learn the signals and the action required. Drills between 9 p.m. and 6 a.m. may use a coded announcement instead of an audible alarm. The state fire marshal may grant a written variance. Plus at least two disaster preparedness drills a year.

What happens to the plan

OAC 3701-17-25 sets no duty to file the disaster preparedness plan or have it approved. The plan is kept in the nursing home, with off-site paper and electronic copies. Whether any other rule adds a filing duty has not been checked.

This is a finding, not a gap: Ohio has no filing duty here, so the plan is kept on file rather than submitted anywhere.

How long records are kept

Records of each drill and practice (date, time, employee attendance, effectiveness of the plan, training format used) kept on file in the nursing home for 3 years.

Ohio-specific requirements
A tornado drill, and it must fall between March and July

One of the two required annual disaster preparedness drills must be a tornado drill conducted during the months of March through July. A tornado drill run outside that window does not satisfy it.

Ohio Admin. Code 3701-17-25 (B)(2)
Notify the director when an emergency interrupts operations

Notify the director of health by phone or email when there is an interruption affecting resident health and safety due to an emergency or disaster involving the nursing home.

Ohio Admin. Code 3701-17-25 (H)
Transfer agreement renewed biannually; off-site plan copies

The plan provides for transport to a predetermined facility if a disaster requires long-term evacuation, backed by a written transfer agreement renewed biannually. A paper and an electronic copy of the plan are kept off-site.

Ohio Admin. Code 3701-17-25 (A)(1)
Plan elements set by the nursing home rule

The plan covers evacuation of residents with physical or cognitive impairments, fire protection including when the fire alarm or sprinkler system is under maintenance or inoperative, locating missing residents, severe weather, site-specific disaster potential, and infection prevention and control during an emergency or disaster. A correctly oriented, wall-specific floor plan is posted.

Ohio Admin. Code 3701-17-25 (A)(1)-(6), (D)
Staff disaster and fire training

Staff, consultants and volunteers are trained and periodically updated on the disaster preparedness plan. All staff are instructed semi-annually in fire control, evacuation and disaster procedures, and regularly scheduled staff on all shifts receive annual fire prevention training from the state fire marshal or a local fire department.

Ohio Admin. Code 3701-17-25 (A), (E)
Temperature range and 48-hour HVAC repairs

Keep resident areas between 71 °F and 81 °F and keep a device to check ambient temperature. Keep written policies, developed with the medical director, for temperatures outside that range; evaluate immediately and monitor residents at risk. Keep arrangements with qualified persons for emergency electrical and HVAC service, and complete necessary repairs within 48 hours.

Ohio Admin. Code 3701-17-24 (A)-(F)
Worth knowing
  • Ohio's nursing home disaster preparedness rule does not reference the federal CMS emergency preparedness rule (42 CFR 483.73); it is a separate state requirement that applies alongside it.
What we haven’t confirmed for this license
  • filing — OAC 3701-17-25 was read and contains no filing or approval duty. Open the remaining OAC 3701-17 rules (3701-17-08 through 3701-17-21, codes.ohio.gov/ohio-administrative-code/chapter-3701-17) and the Ohio EMA guidance the old entry cited, and record whether any of them requires the plan to be filed with or approved by ODH or a county emergency management agency.

Reviewed 2026-09-28

Assisted living / residential care

Licensed in Ohio as Residential Care Facility, by Ohio Department of Health.

Ohio Admin. Code 3701-16-13 (building, plumbing, fire and carbon monoxide safety); 3701-16-16 (temperature regulation)

Drills

Twelve fire exit drills a year, one on each shift at least every three months. Each drill transmits an alarm signal to the fire department or monitoring station and verifies it was received; drills between 9 p.m. and 6 a.m. may use a coded announcement instead of an audible alarm, with the signal transmitted no more than 12 hours later where the system cannot transmit without an audible alarm. Every staff member takes part in at least one fire drill a year. Residents capable of self-evacuation are actually evacuated in at least two fire drills a year on each shift. Plus at least two disaster preparedness drills a year.

What happens to the plan

OAC 3701-16-13 sets no duty to file the disaster preparedness plan or have it approved. The plan is kept readily available in the facility and maintained electronically for off-site access. Whether any other rule adds a filing duty has not been checked.

This is a finding, not a gap: Ohio has no filing duty here, so the plan is kept on file rather than submitted anywhere.

How long records are kept

Records of each fire drill and each tornado drill (date, time, staff attendance, method of activation, effectiveness, number evacuated, total evacuation time, weather, problems and corrective actions) kept in the facility for 3 years.

Ohio-specific requirements
Tornado drill between March and July

One of the two annual disaster preparedness drills must be a tornado drill conducted during March through July.

Ohio Admin. Code 3701-16-13 (K)(2)
Notify the director when an emergency interrupts operations

Notify the director of health by email or telephone when there is an interruption of normal business services due to an emergency or disaster involving the facility.

Ohio Admin. Code 3701-16-13 (J)(6)
Report fires within 24 hours

Report any fire, damage due to fire, and any illness, injury or death of a resident due to fire or smoke inhalation within 24 hours to the office of the state fire marshal and the Department of Health.

Ohio Admin. Code 3701-16-13 (W)
Plan elements set by the residential care rule

The plan covers evacuation, including residents with impaired mobility and transport to a predetermined facility that can accommodate all residents; fire protection, including a fire watch and prompt notice to the local fire authority and the state fire marshal when detection, alarm or sprinkler systems are impaired; locating missing residents, including notifying local law enforcement; and severe weather, with designated tornado shelter areas. A floor plan is posted in each section or floor.

Ohio Admin. Code 3701-16-13 (J)(1)-(4), (N)
Written transfer agreements; plan kept on site and electronically

Maintain written transfer agreements with other facilities that can meet the needs of residents who need transfer. Keep a copy of the plan readily available in the facility at all times and maintain it electronically for off-site access.

Ohio Admin. Code 3701-16-13 (J), (X)
Staff and resident fire and disaster training

Train staff in fire control and evacuation procedures within three working days of starting work. Regularly scheduled staff on all shifts receive annual fire prevention training from the state fire marshal or a local fire department. Train all residents in what to do in a fire, tornado, disaster or other emergency.

Ohio Admin. Code 3701-16-13 (P)-(R)
Temperature range of 71 °F to 81 °F

Keep resident areas between 71 °F and 81 °F, at a safe and comfortable temperature and humidity, and keep a device to check ambient temperature.

Ohio Admin. Code 3701-16-16 (A)-(C)
Out-of-range temperature policy and HVAC repairs

Written policies for temperatures outside the range, immediate evaluation and monitoring, and arrangements with qualified persons for emergency electrical and HVAC service with repairs within 48 hours. Not verified word for word.

Ohio Admin. Code 3701-16-16 (D)-(F) — not yet confirmed against primary text
Worth knowing
  • Ohio licenses assisted living as a residential care facility under OAC 3701-16.
What we haven’t confirmed for this license
  • filing — OAC 3701-16-13(J) was read and contains no filing or approval duty. Open the remaining OAC 3701-16 rules (3701-16-10 onward, codes.ohio.gov/ohio-administrative-code/chapter-3701-16) and record whether any of them requires the plan to be filed with or approved by ODH or a county emergency management agency.
  • mandate[7] — Only key phrases of OAC 3701-16-16(D)-(F) were read. Open https://codes.ohio.gov/ohio-administrative-code/rule-3701-16-16 (or the authenticated PDF of the rule) and read paragraphs (D), (E) and (F) in full, including the relocation-site and documentation wording.

Reviewed 2026-09-28

Build an Ohio emergency plan →

Everything else we’ve researched about Ohio

Same state, the problems either side of this one. Each carries its own statute and the date we last checked it.

What this page is

The requirements Ohio places on a facility emergency preparedness plan, taken from the state’s own rules rather than a national template. Where we have confirmed something against primary text it is stated plainly; where we have not, it says so and names what to check. Nothing here is inferred from what other states do.

The part that is the same everywhere

The federal layer does not vary by state, and it is narrower than it is usually described. OSHA 29 CFR §1910.38 does not bind every employer on its own — by its applicability paragraph it governs an emergency action plan whenever another OSHA standard requires the employer to have one, and it then settles what that plan must contain. The CMS emergency preparedness rule applies by certified provider type rather than by building. That layer, plus the exit-route, alarm and first-aid rules and the fire code’s plan structure, is covered in the main crash course rather than repeated on all fifty state pages.

Write the plan

The Emergency Plan Builder produces the document itself. It reads the same research as this page, but it does not yet carry every requirement here into the plan it writes, so check the plan against this page before you rely on it for Ohio. The Compliance Calendar puts the drills and inspections on dates.