The state requires each facility to have a disaster plan in place.
The Florida Health Care Association works with hundreds of nursing homes to make sure they understand how to get their patients out, and if they stay, how to handle the situation, including having supplies for weeks.
Bill Phelan of the Florida Health Care Association said, "We've had a pretty good track record the last couple of years, eight major storms, 30,000 patients evacuated. No deaths. No injuries."
The disaster evacuation plan started as a 26-page guide in 2003 and is now 168 pages long. It has changed with the passing of each hurricane.