How a Florida Long-Term Care Facility Protects Against Cyberattacks and Natural Disasters with Continuous Penetration Testing & Business Continuity Planning

A multi-location long-term care (LTC) facility in Florida provides critical care to elderly and medically vulnerable patients. With Florida’s high risk of hurricanes, flooding, and severe storms, combined with the increasing threat of cyberattacks, the organization faced dual challenges in protecting its operations.

The facility must comply with strict healthcare regulations , including:

• HIPAA (Health Insurance Portability and Accountability Act) for patient data security
• HITRUST for cybersecurity best practices
• CMS Emergency Preparedness Rule for disaster resilience

While the facility had disaster recovery and cybersecurity measures in place, leadership realized they needed a   more proactive, integrated approach to ensure regulatory compliance and improve overall resilience.

The Challenge: Addressing Cyber & Natural Disaster Risks

The LTC facility identified three major risks:

1. Cybersecurity Threats: Ransomware attacks targeting patient records and medical devices.
2. Natural Disasters: Hurricanes causing power outages, flooding, and operational disruptions.
3. Regulatory Compliance Gaps: Meeting CMS, HIPAA, and HITRUST requirements for both cybersecurity and emergency preparedness.

Previously, the organization relied on annual audits and manual penetration testing, but that left them vulnerable between testing cycles. They also conducted emergency drills but lacked a structured, expert-led tabletop exercise program to integrate cybersecurity and disaster response.

The Solution: PTaaS & Tabletop Exercises for Continuous Preparedness

To strengthen security and disaster resilience, the facility partnered with Agility Recovery to implement a dual approach: 1. Continuous Penetration Testing as a Service (PTaaS) for Automated Cybersecurity Monitoring

• Weekly security scans identified vulnerabilities in EHR systems, medical devices, and third-party software.
• Automated compliance reports simplified HIPAA and HITRUST audit preparation.
• Real-time alerts helped IT teams remediate security risks before they became incidents.

2. Tabletop Exercises Led by an Agility Certified Business Continuity Planner

• Quarterly tabletop exercises simulated hurricanes, cyberattacks, and power outages.
• Cross-functional teams, including clinical staff, IT, and leadership, participated in real-world scenario testing.
• Exercises identified gaps in disaster response and cybersecurity incident plans.

3. Integrated Business Continuity & Cybersecurity Strategy

• The Agility Business Continuity Planner helped the facility update and refine its emergency response plans.
• Cybersecurity risks were incorporated into the overall disaster recovery framework.
• Post-exercise debriefs provided actionable recommendations to improve response time and decision-making.

Results: A Resilient Long-Term Care Facility Protected Against Natural Disaster and Cyberattack Interruptions

Since implementing continuous PTaaS and structured tabletop exercises for common regional events like hurricanes, flooding, and power outages, the LTC facility has achieved:

• 100% compliance with HIPAA, HITRUST, and CMS emergency preparedness requirements.
• Zero unpatched high-risk vulnerabilities in EHR and patient data systems.
• Improved emergency response times for hurricanes, power outages, and cyber incidents.
• Better staff preparedness through hands-on training and incident simulations.

Key Takeaways for Healthcare Organizations

For long-term care facilities in high-risk regions like Florida, a proactive approach to cybersecurity and disaster recovery is essential. Combining automated penetration testing with expert-led tabletop exercises ensures that both cyber and natural disaster risks are addressed. ✔ Continuous security validation with PTaaS to protect patient data and IT systems. ✔ Scenario-based training to prepare staff for real-world threats. ✔ Seamless compliance with HIPAA, HITRUST, and CMS requirements. Being prepared is non-negotiable. Secure your facility, protect your patients, and ensure compliance with Agility Recovery’s tabletop testing and cyber resilience solutions .