Notice

These works are licensed under the Creative Commons Attribution-No Derivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nd/4.0/

These documents are not intended to replace the informed judgment of individual physicians, nurses or other clinicians nor are they intended as  statements of prevailing community standards or minimum standards of practice. They are suggested methods and techniques for achieving optimal health care, not minimum standards below which residents necessarily would be placed at risk.

COVID-19 Webinars

Throughout this pandemic we've held multiple webinars to assist you, the provider, with the basics of a pandemic program, adjusting to the "new normal", reporting requirements, documentation control, and other important topics. You can watch a replay of these webinars by clicking on the links below. 

COVID-19 June 25 Q&A Webinar replay

COVID-19 May 5 Q&A Webinar replay

COVID-19 March 26 Q&A Webinar replay 

COVID-19: Not If, But When - Define the Elements of a Pandemic Plan

Administration Resources

  • Admission Process/Opening Up COVID-19 v3 (Revised 7/16/20)
    Policy and Procedure to follow for New Admissions during the COVID-19 Pandemic.
  • Admission Process/Opening Up COVID-19 - Spanish v3 (Revised 7/16/20)
    Policy and Procedure to follow for New Admissions during the COVID-19 Pandemic. (Spanish version)
  • Adult Cardiac Arrest Algorithm for Suspected or Confirmed COVID-19 Patients
    An algorithm from the American Heart Association for treating cardiac arrest patients with suspected or confirmed COVID-19
  • Care Efficiency Bundling Tasks v1 (Released 5/26/20)
    Consolidate services to limit the number of times we enter a resident's room.
  • Care Efficiency Bundling Tasks - Spanish v1 (Released 5/26/20)
    Consolidate services to limit the number of times we enter a resident's room. (Spanish version)
  • CMS Counseling Checklist v1 (Released 8/18/20)
    People who have COVID-19 or were exposed to COVID-19 need to separate themselves from others until there is little risk of spreading (transmitting) the infection to others. CMS has provided a checklist to assist providers when communicating with patients.
  • CMS Memo and Letter to Residents' Regarding Right to Vote v1 (Released 10/13/20)
    The Centers for Medicare & Medicaid Services (CMS) is affirming the continued right of nursing home residents to exercise their right to vote. While the COVID-19 Public Health Emergency has resulted in limitations for visitors to enter the facility to assist residents, nursing homes must still ensure residents are able to exercise their Constitutional right to vote. States, localities, and nursing home owners and administrators are encouraged to collaborate to ensure a resident’s right to vote is not impeded.
  • CMS Sept 2020 Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes v10
    This toolkit catalogs the many innovative solutions designed at the state level to protect our nation’s vulnerable nursing home residents during the Coronavirus disease 2019 (COVID-19) pandemic.
  • CMS SNF QRP COVID-19 Public Reporting Tip Sheet v1 (Released 10/26/20)
    The purpose of the tip sheet is to help providers understand the Centers for Medicare & Medicaid Services’ (CMS) public reporting strategy for the SNF QRP to account for CMS quality data submissions that were optional and excepted from public reporting due to the COVID-19 public health emergency (PHE).
  • CMS: Talking Points for Providers v1 (Released 8/18/20)
    People who have COVID-19 or were exposed to COVID-19 need to separate themselves from others until there is little risk of spreading (transmitting) the infection to others. CMS has provided talking points to help providers communicate this important message to their patients.

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Documentation Resources

  • COVID-19 Care Plan Toolkit - Spanish v2 (Updated 7/15/20)
    The Nursing Home Reform Act of 1987 says that nursing homes "must provide services and activities to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident in accordance with a written plan of care". This toolkit was developed to assist you in updating your current care plans to address the COVID-19 pandemic. Facilities across the country are being cited for not having updated, comprehensive care plans to address the risks associated with the virus, isolation, decline in ADLs, etc. This toolkit will give you some examples and is not intended to be the end-all but rather the beginning! (Spanish version)
  • COVID-19 Care Plan Toolkit v2 (Updated 7/15/20)
    The Nursing Home Reform Act of 1987 says that nursing homes "must provide services and activities to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident in accordance with a written plan of care". This toolkit was developed to assist you in updating your current care plans to address the COVID-19 pandemic. Facilities across the country are being cited for not having updated, comprehensive care plans to address the risks associated with the virus, isolation, decline in ADLs, etc. This toolkit will give you some examples and is not intended to be the end-all but rather the beginning!
  • Documentation Guidance During COVID-19 v1 (Released 5/6/20)
    Thorough documentation is critical to the facility’s success to support proper assessment and care and services were provided to the resident. Here is some guidance to guide you.
  • Documentation Guidance During COVID-19 - Spanish v1 (Released 5/6/20)
    Thorough documentation is critical to the facility’s success to support proper assessment and care and services were provided to the resident. Here is some guidance to guide you. (Spanish version)
  • Documentation Keys: COVID-19 Guidance v1 (Released 6/21/20)
    Items to record and/or copy and put in COVID-19 Response File. This will enable you to best demonstrate the actions you have taken (and continue to take) in response to the pandemic.
  • Documentation Keys: COVID-19 Guidance - Spanish v1 (Released 6/24/20)
    Items to record and/or copy and put in COVID-19 Response File. This will enable you to best demonstrate the actions you have taken (and continue to take) in response to the pandemic. (Spanish version)

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End of Life Resources

  • Advanced Directives Policy & Procedure v2 (Revised 7/16/20)
    Each resident has the right to formulate an advance directive, including the right to request, refuse and/or discontinue treatment. This sample policy can be modified to your facility.
  • Advanced Directives Policy & Procedure - Spanish v2 (Revised 7/16/20)
    Each resident has the right to formulate an advance directive, including the right to request, refuse and/or discontinue treatment. This sample policy can be modified to your facility. (Spanish version)
  • Cardiopulmonary Resuscitation (CPR) During COVID-19 v1 (Updated 4/22/20)
    Additional precautions are required when performing CPR during this pandemic, use this sample policy & procedure and customize for your facility.
  • Cardiopulmonary Resuscitation (CPR) During COVID-19 - Spanish v1 (Updated 4/22/20)
    Additional precautions are required when performing CPR during this pandemic, use this sample policy & procedure and customize for your facility. (Spanish version)
  • Handling the Body of Persons who Have Died from Suspected/Confirmed COVID-19 v1 (Released 4/15/20)
    To date, there is no evidence of persons having been infected from exposure to the body of persons who died from COVID-19. The dignity of the deceased, their cultural and religious traditions/beliefs, and their family will be respected and protected on an individual basis, balancing family wishes and the risk of exposure. The safety and well-being of caregivers who provide post-mortem care is a high priority.
  • Handling the Body of Persons who Have Died from Suspected/Confirmed COVID-19 - Spanish v1 (Released 4/17/20)
    To date, there is no evidence of persons having been infected from exposure to the body of persons who died from COVID-19. The dignity of the deceased, their cultural and religious traditions/beliefs, and their family will be respected and protected on an individual basis, balancing family wishes, and the risk of exposure. The safety and well-being of caregivers who provide post-mortem care is a high priority. (Spanish version)
  • Post Mortem Care Policy During COVID-19 v1 (Released 4/15/20)
    The dignity of a resident who has died including their cultural and religious traditions/beliefs and their family will be respected and protected while providing postmortem care to the extent possible during a pandemic. (Spanish version)
  • Post Mortem Care Policy During COVID-19 - Spanish v1 (Released 4/15/20)
    The dignity of a resident who has died including their cultural and religious traditions/beliefs and their family will be respected and protected while providing postmortem care to the extent possible during a pandemic. (Spanish version)
  • Things to Remember: End of Life v1 (Released 4/20/20)
    No one wants to think about end of life, but you should be prepared. Here are some things to remember at this time.
  • Things to Remember: End of Life - Spanish v1 (Released 4/23/20)
    No one wants to think about end of life, but you should be prepared. Here are some things to remember at this time. (Spanish version)

Infection Control Resources

  • Algorithm - Considerations for Interpreting Antigen Test Results from the CDC (Released 9/22/20)
    The CDC has released an algorithm to assist in interpreting antigen test results in nursing homes.
  • Cleaning and Disinfecting Guidance v1 (Released 9/12/20)
    Cleaning and Disinfecting Guidance - Plan, Prepare and Respond
  • 3 Key Steps to Take While Waiting for Your COVID-19 Test Result from the CDC v1 (Released 8/14/20)
    To help stop the spread of COVID-19, take these 3 key steps NOW while waiting for your test results
  • 3 Key Steps to Take While Waiting for Your COVID-19 Test Result from the CDC - Spanish v1 (Released 8/14/20)
    To help stop the spread of COVID-19, take these 3 key steps NOW while waiting for your test results (Spanish version)
  • Admitting a Resident with COVID-19 v1 (Released 4/10/20)
    If you are accepting the admission of a resident with suspected or positive COVID, consider the tips outlined here.
  • Admitting a Resident with COVID-19 - Spanish v1 (Released 4/15/20)
    If you are accepting the admission of a resident with suspected or positive COVID, consider the tips outlined here. (Spanish version)
  • Admitting Residents from a Hospital Setting v1 (Released 4/16/20)
    Things to consider when admitting residents from a hospital setting during the COVID-19 Pandemic.
  • Admitting Residents from a Hospital Setting - Spanish v1 (Released 4/16/20)
    Things to consider when admitting residents from a hospital setting during the COVID-19 Pandemic. (Spanish version)
  • Aerosol-Generating Procedures During COVID-19 v2 (Revised 7/16/20)
    The COVID-19 virus is transmitted by respiratory droplets, so aerosol-generating procedures can be associated with a high risk of transmission. This is a policy you can use for residents with chronic conditions requiring aerosol-generating procedures
  • Aerosol-Generating Procedures During COVID-19- Spanish v2 (Revised 7/16/20)
    The COVID-19 virus is transmitted by respiratory droplets, so aerosol-generating procedures can be associated with a high risk of transmission. This is a policy you can use for residents with chronic conditions requiring aerosol-generating procedures (Spanish version)

PPE Resources

  • Competency Checklist Donning PPE (Released 6/1/20)
    Steps to take when putting on PPE
  • Competency Checklist - Removing PPE #1 v1 (Released 7/6/20)
    Steps to take when removing PPE Sample #1
  • Competency Checklist - Removing PPE #1 - Spanish v1 (Released 7/6/20)
    Steps to take when removing PPE Sample #1 (Spanish version)
  • Competency Checklist - Removing PPE #2 v1 (Released 7/6/20)
    Steps to take when removing PPE Sample #2
  • Competency Checklist - Removing PPE #2 - Spanish v1 (Released 7/6/20)
    Steps to take when removing PPE Sample #2 (Spanish version)
  • COVID-19 PPE for Healthcare Personnel v2 (Updated 6/15/2020)
    This is a visual graphic from the CDC showing preferred PPE and acceptable alternative PPE that can be posted in your facility.
  • Daily PPE Tracking Log - COVID Unit v1 (Released 5/6/20)
    Tracking log you can use as a template for your facility to track the PPE provided to employees in the COVID-19 Care Area on a daily basis.
  • Daily PPE Tracking Log - COVID Unit - Spanish v1 (Released 5/6/20)
    Tracking log you can use as a template for your facility to track the PPE provided to employees in the COVID-19 Care Area on a daily basis. (Spanish version)
  • Daily PPE Tracking Log v1 (Released 5/6/20)
    Tracking log you can use as a template for your facility to track the PPE provided to employees on a daily basis.
  • Daily PPE Tracking Log - Spanish v1 (Released 5/6/20)
    Tracking log you can use as a template for your facility to track the PPE provided to employees on a daily basis. (Spanish version)

Regulatory Resources

  • Focused Infection Control Toolkit v1 (Released 6/23/20)
    On Friday, March 13, 2020, the President declared a national emergency which triggered the Secretary’s ability to authorize waivers or modifications of certain requirements pursuant to section 1135 of the Social Security Act (the Act). Under section 1135(b)(5) of the Act, CMS is prioritizing surveys, including infection control surveys for nursing homes. This toolkit includes the survey preparation checklist, entrance conference guide and several policies related to containing the spread of COVID-19 to assist you in preparing for a focused survey.
  • Focused Infection Control Toolkit - Spanish v1 (Released 6/23/20)
    On Friday, March 13, 2020, the President declared a national emergency which triggered the Secretary’s ability to authorize waivers or modifications of certain requirements pursuant to section 1135 of the Social Security Act (the Act). Under section 1135(b)(5) of the Act, CMS is prioritizing surveys, including infection control surveys for nursing homes. This toolkit includes the survey preparation checklist, entrance conference guide and several policies related to containing the spread of COVID-19 to assist you in preparing for a focused survey. (Spanish version)
  • Liability Sign On Letter v1 (Posted 6/15/20)
    Letter requesting that Congress act to provide reasonable liability protections during this health crisis by expanding the protections in section 3215 of the CARES Act to all health care professionals and front-line facilities.
  • Notification Toolkit v2
    CMS has new guidance requiring nursing homes to report COVID-19 related data to the CDC/NHSN database weekly which is in addition to any state and local reporting currently being done. This requirement is effective May 17, 2020, with public reporting of facility numbers of COVID cases, both resident and staff. Effective May 8, 2020, additional reporting requires that with any new case of COVID-19 or when 3 or more staff or residents are symptomatic within a 72-hour period, residents, representatives, and families are notified by 5:00 pm the following day. This is in addition to the requirement of notifying representatives/families of a resident’s change of condition. The notification process must be done in a way that protects the privacy of our staff and residents (HIPAA). This toolkit provides several sample documents for your consideration. There are two “initial” letter samples that may be used to notify residents, families, and staff of the new CMS requirements. The third sample letter is considered an “update letter” and may be used to post the required data on your website, send via email or USPS, depending on your individual situation.
  • Notification Toolkit - Spanish v2
    CMS has new guidance requiring nursing homes to report COVID-19 related data to the CDC/NHSN database weekly which is in addition to any state and local reporting currently being done. This requirement is effective May 17, 2020, with public reporting of facility numbers of COVID cases, both resident and staff. Effective May 8, 2020, additional reporting requires that with any new case of COVID-19 or when 3 or more staff or residents are symptomatic within a 72-hour period, residents, representatives, and families are notified by 5:00 pm the following day. This is in addition to the requirement of notifying representatives/families of a resident’s change of condition. The notification process must be done in a way that protects the privacy of our staff and residents (HIPAA). This toolkit provides several sample documents for your consideration. There are two “initial” letter samples that may be used to notify residents, families, and staff of the new CMS requirements. The third sample letter is considered an “update letter” and may be used to post the required data on your website, send via email or USPS, depending on your individual situation. (Spanish version)

Reopening Resources

  • Compassionate Care Visits Policy & Procedure v1 (Released 8/18/20)
    A policy & procedure that follows CDC and CMS guidelines regarding Compassionate Care Visitation.
  • Compassionate Care Visits Policy & Procedure - Spanish v1 (Released 8/24/20)
    A policy & procedure that follows CDC and CMS guidelines regarding Compassionate Care Visitation. (Spanish version)
  • Early Progressive Mobility Program v1 (Released 8/24/20)
    Sarcopenia, a loss of muscle mass, can begin after only 2 days of bed rest, decreasing muscle strength by 1%-3% per day. One week of bed rest can result in a 20% decrease in muscle strength and an additional 20% muscle strength loss for each week on bed rest! The purpose of this program is to introduce a mobility program designed to maintain baseline mobility and functional capacity, decrease the incidence of delirium, and decrease the length of stay in hospitalized patients.
  • Early Progressive Mobility Program - Spanish v1 (Released 8/27/20)
    Sarcopenia, a loss of muscle mass, can begin after only 2 days of bed rest, decreasing muscle strength by 1%-3% per day. One week of bed rest can result in a 20% decrease in muscle strength and an additional 20% muscle strength loss for each week on bed rest! The purpose of this program is to introduce a mobility program designed to maintain baseline mobility and functional capacity, decrease the incidence of delirium, and decrease the length of stay in hospitalized patients. (Spanish version)
  • Outdoor Visitation Reopening Policy & Procedure v1 (Released 8/18/20)
    A policy & procedure that follows CDC and CMS guidelines and best practices for outdoor visitation.
  • Outdoor Visitation Reopening Policy & Procedure - Spanish v1 (Released 8/24/20)
    A policy & procedure that follows CDC and CMS guidelines and best practices for outdoor visitation. (Spanish version)
  • Reopening Group Activities v1 (Released 8/18/20)
    A policy & procedure that follows CDC and CMS guidelines regarding reopening and group activities.
  • Reopening Group Activities - Spanish v1 (Released 8/24/20)
    A policy & procedure that follows CDC and CMS guidelines regarding reopening and group activities. (Spanish version)

Social Services/Activities Resources

  • Beauty and Care of Residents v1 (Released 4/9/20)
    Here are some helpful suggestions to implement at your facility to assist in pampering your residents during this challenging time
  • Beauty and Care of Residents - Spanish v1 (Released 4/14/20)
    Here are some helpful suggestions to implement at your facility to assist in pampering your residents during this challenging time (Spanish version)
  • Dementia Activities Toolkit v1 (Released 8/4/20)
    Just like those of us without dementia, residents living with dementia have different personality types. We've put together a toolkit of activities based on personality type. You can try these to keep your residents active and engaged.
  • Dementia Activities Toolkit - Spanish v1 (Released 8/4/20)
    Just like those of us without dementia, residents living with dementia have different personality types. We've put together a toolkit of activities based on personality type. You can try these to keep your residents active and engaged. (Spanish version)
  • Hair Salons and Services Guidelines during COVID-19 v1 (Released 10/28/20)
    When it is determined by state and local health departments that beautician and barber services may resume, this center will provide these services following the guidelines from the CDC and state and local health departments.
  • Heart-to-Heart Engagement Recipe Book v1
    We've reached out to our members and collected the best ideas for the engagement of our residents during isolation. We've put them all together in a "recipe" book that you can follow!
  • Individualized Dementia Care Activities v1 (Released 4/9/20)
    Activity ideas for residents with dementia based on their personality type.
  • Individualized Dementia Care Activities - Spanish v1 (Released 4/14/20)
    Activity ideas for residents with dementia based on their personality type. (Spanish version)

Staffing Resources

  • Asymptomatic Employees Algorithm v1 (Updated 4/14/20)
    Process for dealing with asymptomatic staff who may be exposed to coronavirus
  • Asymptomatic Employees Algorithm - Spanish v1 (Updated 4/14/20)
    Process for dealing with asymptomatic staff who may be exposed to coronavirus. (Spanish version)
  • COVID-19 Staffing Considerations v1 (Released 5/20/20)
    Here are some staff considerations during the COVID-19 pandemic:
  • Employee Safety and Rights: HIPAA/ADA v1 - (Released 4/21/20)
    Guidance to help employers seek information about an employee’s health that would typically be limited by the ADA, in order to help prevent the spread of COVID-19.
  • Employee Safety and Rights: HIPAA/ADA - Spanish v1 (Released 4/21/20)
    Guidance to help employers seek information about an employee’s health that would typically be limited by the ADA, in order to help prevent the spread of COVID-19. (Spanish version)
  • Employee Sign In Sign Out Log & Policy v7 (Revised 7/23/20)
    Policy for screening anyone who enters the facility, plus an employee sign-in log.
  • Employee Sign In Sign Out Log & Policy - Spanish v7 (Revised 7/23/20)
    Policy for screening anyone who enters the facility, plus an employee sign-in log. (Spanish version)
  • Household Plan of Action Infographic v1 (Released 5/20/20)
    It's important to follow safety guidelines, not just in our work environment but at home too. Here are some guidelines we can share with our family members.
  • Isolation After Community Exposure v1 (Updated 4/22/20)
    When to start and end home isolation for healthcare providers and public health officials managing persons with coronavirus disease 2019 (COVID-19)
  • Isolation After Community Exposure - Spanish v1 (Updated 4/22/20)
    When to start and end home isolation for healthcare providers and public health officials managing persons with coronavirus disease 2019 (COVID-19) (Spanish version)

Visitors Resources

  • Connecting While Social Distancing v1 (Released 4/1/20)
    With the spread of the coronavirus, facilities must also devote time to ensure that their residents do not succumb to the negative effects of social isolation. With this in mind, staff may consider adopting the following practices to encourage communication with residents’ family and friends.
  • Connecting While Social Distancing - Spanish v1 (Released 4/6/20)
    With the spread of the coronavirus, facilities must also devote time to ensure that their residents do not succumb to the negative effects of social isolation. With this in mind, staff may consider adopting the following practices to encourage communication with residents’ family and friends. (Spanish version)
  • Visitor Informed Consent & Assumption of Risk v2 (Revised 7/14/20)
    Policy and acknowledgment form to inform visitors of the potential exposure and accept that they knowingly assume the risk of COVID-19 exposure
  • Visitor Informed Consent & Assumption of Risk - Spanish v2 (Revised 7/15/20)
    Policy and acknowledgment form to inform visitors of the potential exposure and accept that they knowingly assume the risk of COVID-19 exposure. (Spanish version)
  • Visitor Notice for Door v2 (Updated 6/15/20)
    Notification to post of your facility's door notifying visitors of isolation practices.
  • Visitor Notice for Door - Spanish v2 (Updated 6/23/20)
    Notification to post of your facility's door notifying visitors of isolation practices. (Spanish version)
  • Visitor Recommendations v1 (Released 3/17/20)
    CMS is recommending only those needed to provide care and keep the building operating should be admitted to a facility at this time. All others and anyone with fever or respiratory symptoms should be excluded.
  • Visitor Recommendations - Spanish v1 (Released 3/18/20)
    CMS is recommending only those needed to provide care and keep the building operating should be admitted to a facility at this time. All others and anyone with fever or respiratory symptoms should be excluded. (Spanish version)
  • Visitor Sign In Sign Out Log & Policy v8 (Revised 7/23/20)
    Policy for screening anyone who enters the facility, plus a visitor sign in log.
  • Visitor Sign In Sign Out Log & Policy - Spanish v8 (Revised 7/23/20)
    Policy for screening anyone who enters the facility, plus a visitor sign in log. (Spanish version)