Although there are required evacuation drills, tornado drills, and other drills depending on the area of the country, it has most often been found that there is insufficient communication and collaboration between the first responder community and those in SL/LTC settings. Full evacuations are not often performed due to resource limitations and actual risk to residents in such circumstances. Plans on paper may be insufficient to realize the cognitive and mobility constraints that make evacuation and transportation of this population very different than with younger or more physically and mentally able populations
