Visitor Limitations Guidance

AFL 20-38.7 From the California Department of Public Health June 16, 2021 TO: All FacilitiesSUBJECT: Visitor Limitations Guidance(This AFL supersedes AFL 20-38.6) All Facilities Letter (AFL) Summary This AFL revision updates and consolidates California Department of Public Health’s (CDPH’s) visitation guidance into single set of recommendations for all facilities in all counties, considering California is moving Beyond the Blueprint for a Safer Economy framework effective June 15, 2021.This AFL also provides updated visitation guidance based upon CDC’s updated healthcare infection prevention and control recommendations in response to COVID-19 vaccination for non-long-term care facilities (e.g., General Acute Care Hospitals, Acute Psychiatric Hospitals).Long-term care (LTC) facilities should continue to refer to AFL 20-22.8 for updated LTC visitation guidance.

Read More

Guidance for Limiting the Transmission of COVID-19 in Long-Term Care Facilities

AFL 20-22.8 From the California Department of Public Health June 2, 2021 TO: Long-Term Care Facilities SUBJECT: Guidance for Limiting the Transmission of COVID-19 in Long-Term Care Facilities(This AFL supersedes guidance provided in AFL 20-22.7) All Facilities Letter (AFL) Summary This AFL notifies long-term care (LTC) facilities of updated CDPH, Centers for Medicare and Medicaid Services (CMS) and Centers for Disease Control and Prevention (CDC) guidance for improving their infection control and prevention practices to prevent the transmission of COVID-19, including guidance for visitation.This AFL authorizes LTC facilities to temporarily modify their facility’s visitation policies in accordance with CMS and CDC COVID-19 guidance when necessary to protect the health and safety of residents, staff, and the public.This AFL provides additional CDPH guidance for group activities and communal dining based upon vaccination status of residents.

Read More

Updated Visitation Fact Sheet Released

CANHR has reviewed the various federal and California guidance regarding visitation in long term care facilities and synthesized the rules into a new fact sheet to guide residents and their families.  The fact sheet highlights the types of visitation nursing homes and residential care facilities for the elderly must provide and under what conditions as well as the infection control protocols facilities may impose during visits.   Download the Fact Sheet HERE (PDF)

Read More

New Visitation Guidelines for RCFE Residents

After a year of stringent restrictions imposed because of COVID-19, the California Department of Social Services (DSS) released new guidance on March 19, 2021 significantly relaxing restrictions on visitors to Residential Care Facilities for the Elderly (RCFE).  The guidance also relaxes restrictions on communal dining and group activities, and on residents returning from outings.  Set forth in PIN 21-17-ASC, the guidance is effective immediately.

Read More

Guidance for Limiting the Transmission of COVID-19 in Long-Term Care Facilities

AFL 21-22.7 From the California Department of Public Health April 16, 2021 TO: Long-Term Care Facilities SUBJECT: Guidance for Limiting the Transmission of COVID-19 in Long-Term Care Facilities (This AFL supersedes guidance provided in AFL 20-22.6) All Facilities Letter (AFL) Summary This AFL notifies long-term care (LTC) facilities of the Centers for Medicare and Medicaid Services (CMS) and Centers for Disease Control and Prevention (CDC) guidance for improving their infection control and prevention practices to prevent the transmission of COVID-19, including guidance for visitation.This AFL authorizes LTC facilities to temporarily modify their facility’s visitation policies in accordance with CMS and CDC COVID-19 guidance when necessary to protect the health and safety of residents, staff, and the public.This AFL provides the California Department of Public Health’s (CDPH’s) visitation guidance for expanded opportunities for indoor in-room visitation and physical touch and infection control measures for fully vaccinated residents and visitors.This revision includes additional visitation guidelines for pediatric residents.  Background On March 11, 2020, CDPH issued AFL 20-22, authorizing LTC facilities to temporarily modify their visitation policies in accordance with CMS and CDC COVID-19 guidance when necessary to protect the health and safety of residents, staff, and the public.

Read More

New Visitation Guidelines Affecting Long Term Care Residents

State and federal authorities have issued a raft of new guidance on visitation. While many of these new rules significantly relax restrictions on visitors, some questions remain regarding areas of inconsistency between the two sets of rules. On March 10 the Centers for Medicare and Medicaid Services (CMS) issued new guidance for nursing homes intended to relieve some of the harm experienced by long term care residents as a result of COVID-19-related restrictions on visitation.

Read More

CMS Updates Nursing Home Guidance with Revised Visitation Recommendations

Nursing homes have been severely impacted by COVID-19, with outbreaks causing high rates of infection, morbidity, and mortality.[1]The vulnerable nature of the nursing home population, combined with the inherent risks of congregate living in a healthcare setting, have required aggressive efforts to limit COVID-19 exposure and to prevent the spread of COVID-19 within these facilities. Since the beginning of the pandemic, the Centers for Medicare & Medicaid Services (CMS) has recognized that physical separation from family and other loved ones has taken a physical and emotional toll on residents and their families.

Read More

Guidance for Limiting the Transmission of COVID-19 in Long-Term Care Facilities

AFL 20-22.6 From the California Department of Public Health March 8, 2021 TO: Long-Term Care Facilities SUBJECT:Guidance for Limiting the Transmission of COVID-19 in Long-Term Care Facilities (This AFL supersedes guidance provided in AFL 20-22.5) All Facilities Letter (AFL) Summary This AFL notifies long-term care (LTC) facilities of the Centers for Medicare and Medicaid Services (CMS) and Centers for Disease Control and Prevention (CDC) guidance for improving their infection control and prevention practices to prevent the transmission of COVID-19, including guidance for visitation.This AFL authorizes LTC facilities to temporarily modify their facility’s visitation policies in accordance with CMS and CDC COVID-19 guidance when necessary to protect the health and safety of residents, staff, and the public.This revision updates the California Department of Public Health’s (CDPH’s) visitation guidance, including:Expanded opportunities for indoor, in-room visitation and physical touchInfection control measures for fully vaccinated residents and visitors Background On March 11, 2020, CDPH issued AFL 20-22, authorizing LTC facilities to temporarily modify their visitation policies in accordance with CMS and CDC COVID-19 guidance when necessary to protect the health and safety of residents, staff, and the public.

Read More

Federal Memo Restores Nursing Home Visits!

On September 17th, the Centers for Medicare and Medicaid Services (CMS) released a memo to the states, restoring visitation in nursing homes.  CMS is requiring facilities to permit visitation whenever a facility has had no new COVID outbreaks for 14 days and the community positivity rate is less than 10%.  Facilities required to permit visitation are encouraged to have outdoor visitation, weather permitting, but are also required to accommodate indoor visitation, including in resident rooms, when outdoor visits are unavailable.

Read More

California Department of Public Health Issues New Visitation Guidance

On August 25, the California Department of Public Health (DPH) issued All Facilities Letter 20-22.4 outlining some significant changes to the State’s ever-evolving guidance relating to visiting nursing homes and other health facilities during the COVID pandemic. The AFL makes clear that visitation restrictions cannot be absolute.  Facilities may not bar any of the following: Visits by Ombudsmen: Facilities must permit ombudsmen in the facility.

Read More