Surviving stroke patients and their families shall receive instruction on: Signs and symptoms of acute stroke, including the importance of activating EMS; Effects and prognosis of acute stroke; Potential complications of acute stroke; Needs and rationales for treatment; Patient compliance instructions for risk reduction of individual risk factors and secondary prevention programs; and Post-stroke support services. The facility shall support or participate in, or both support and participate in, acute stroke educational activities developed for EMS personnel which are conducted at least once a year.