The program has reached providers in over 33 states through train-the-trainer sessions and conferences. Much of the information provided in this report was gained or substantiated through extensive interaction with providers around the United States and internationally. Ultimately through a large evaluation component, impact of the training on preparedness, creation of plans, and staff will be reported. This paper examines the need for LTC comprehensive disaster planning, major considerations, and the exercises that must follow if a LTC community is to be adequately prepared for the disasters they might face. Both physical and mental health realities must be taken into account.