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COVID-19: Long Term Care/Skilled Nursing Facilities

Posted/Updated on 8/25/20 3:45 PM

During the COVID 19 pandemic, long-term care facilities/skilled nursing facilities have received much attention, unfortunately due to the rapid spread of COVID 19 and a staggering number of infections and deaths that have occurred in these facilities since the outbreak. As a result, state and federal government agencies which regulate, monitor and evaluate these facilities have stepped up their attention and monitoring.

Providers and staff need to ensure that they are aware of regulations that were already in place as well as updated guidelines, regulations and requirements in force during the pandemic. The following resources discuss the challenges affecting long-term care facilities as well as provide guidance and recommendations to help reduce risk and keep residents safe.

Strategies to Prepare for COVID-19 in Long-term Care Facilities

Nursing Home Visitation Guidance

Telemedicine for Long-term Care Facilities

COVID-19 Reporting and Notification Requirements

CARES Act- Regulatory Waivers for Long Term Care Facilities

Pursuant to the federal CARES Act, CMS has implemented several waivers which are intended to provide flexibility in day-to-day operations while allowing for measures to slow the spread of COVID-19.

The waivers apply to certain limitations and restrictions and are intended to serve multiple purposes including leveraging telehealth, expanding facility workforce, creating COVID-only care centers, and reducing certain types of paperwork and reporting requirements.

Other Considerations for Long-term Care Facilities

  • Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes
    This document is a compilation of actions employed by organizations, including state governments, in the United States and outlying territories to assist nursing homes in meeting the needs of nursing home residents since the onset of the COVID-19 pandemic recognized in early 2020.
    (This compendium is not intended as guidance from CMS. It does not replace or serve as a substitute for CMS requirements and policy. The actions outlined in this document have not been evaluated for effectiveness by CMS or any government agency. This compendium is solely an informational product offered by CMS to nursing homes as well as state and local officials during the National Public Health Emergency.

  • Department of Justice Launches a National Nursing Home Initiative (prior to COVID 19 breakout the Justice Department was looking to take a heavier hand with substandard nursing homes, dated March 3, 2020)

  • The Importance of Addressing Advance Care Planning and Decisions About Do-Not-Resuscitate Orders During Novel Coronavirus 2019 (COVID-19)

Topics: COVID-19

← Back to Pandemic: COVID-19 ExchaNGe

The information provided on this site offers risk management recommendations and resource links. The information does not constitute a legal opinion, nor is it a substitute for legal advice. Legal inquiries about this topic should be directed to an attorney. NORCAL Group makes no representation regarding compliance with state or federal law by offering these resources. These documents and links are provided for your convenience and reference only, and the provision of these materials does not mean NORCAL Group is affiliated or associated with these organizations.