In general, evacuation plans are in place for all long term care settings. What varies most is how much has been actually tested, and what sectors have been involved in these drills and exercises. In many cases, the drills have been mostly simulated, the first responders and transportation mechanisms have not been adequately involved, and tracking systems and the mechanics of moving residents with documentation and medications have not been tested. Evacuation plans and drills must be taken to the next level of preparedness by involving all sectors and actually testing as much as possible