It is the sheltering-in-place concept that has not been adequately planned or tested. As Annexes are created to address vulnerabilities, it is realized that many disasters involving the elderly population will require staying in place, sometimes for prolonged time periods, rather than evacuation (Florida Health Care Association 2007). These plans must be created and tested as well. Issues discussed earlier pertaining to supply chains and stockpiling are paramount here. In general, plans are useless if not tested. This was again demonstrated through the Katrina disaster. When examining 20 SL/LTC residences with approved disaster plans, all had major issues when attempting.
