Exposure Watch

HVA and annual review

Annual all-hazards risk assessment for nursing homes that reflects the year you actually had

An annual all-hazards risk assessment should reflect the year your buildings actually had, not just the hazards listed in last year's template.

Last reviewed Jun 15, 2026.

Exposure Watch console showing facility exposure and source-cited history
Example monitoring view. Exposure Watch provides decision support from authoritative, source-cited information.

Fast answer

How should a nursing home update an annual all-hazards risk assessment?

For nursing homes, the all-hazards risk assessment must be facility-based and community-based. E-0006 sits on that requirement. Exposure Watch helps by preserving a source-cited record of external hazards that approached each monitored building during the review period.

A risk assessment gets stale quietly. The facility may have had smoke, heat, flood, power, and severe-weather exposure long before the annual review meeting lands on the calendar.

Why the annual review misses real exposure

The review meeting often depends on what people remember. That favors dramatic events and misses smaller exposures that still show the community risk around a building.

A year of source-cited rows gives the team a better starting point: not a new HVA written by software, but a record of what the facility actually saw.

Annual risk-assessment evidence worksheet

Use this short worksheet to capture what the team needs before the formal review, not as a substitute for the official program.

ElementHow to use it
Facility and community riskList hazards that approached or affected the building during the review period.
Evidence date rangeConfirm the period covered by the source-cited rows.
Plan review promptFlag which hazards deserve discussion in the annual review.

Download worksheet This static worksheet is a practical review aid, not a certification or official filing tool.

How Exposure Watch helps

Exposure Watch keeps external-hazard history by facility so the annual risk-assessment conversation starts from saved evidence. It supports your review; it does not generate, certify, or approve the assessment.

The evidence trail to keep on every page

FacilityHazardSourceStatus / distanceFirst seenLast checkedExport
Facility AWildfire smokeAuthoritative, source-cited alertNearby / activetimestamptimestampExport
Facility BPower shutoffAuthoritative, source-cited noticePossible impacttimestamptimestampExport
Facility CFloodAuthoritative, source-cited alertWatch areatimestamptimestampExport

Built automatically from the same live checks - no extra binder work.

What Exposure Watch does not do

Exposure Watch does not replace your emergency-preparedness program, make compliance guarantees, file regulatory reports, run incident command, or tell staff what to do in the moment. It helps your team keep the facility-level external-hazard picture and evidence trail current.

FAQ

What does facility-based and community-based mean in practice?

The review should account for risks tied to the specific building and the community around it. Exposure Watch contributes observed external-hazard history for those monitored locations.

Can Exposure Watch write the annual risk assessment?

No. It can support the review by preserving source-cited exposure history. Your facility decides the assessment content and any plan updates.

Does Exposure Watch collect PHI?

No. Exposure Watch is facility-level external-hazard monitoring. Do not enter resident names, patient records, medical details, or clinical data.

Does Exposure Watch tell staff what to do during an incident?

No. It surfaces facility exposure and preserves the record. Your team keeps responsibility for operations, clinical judgment, reporting, and emergency-preparedness decisions.

Sources

  1. 42 CFR 483.73, Emergency preparedness
  2. CMS Emergency Preparedness Rule page
  3. OIG nursing home emergency-preparedness audit
  4. CalMatters reporting on nursing home wildfire preparedness