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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 October 20, 2020 Q&A Webinar replay

COVID-19 June 25, 2020 Q&A Webinar replay

COVID-19 May 5, 2020 Q&A Webinar replay

COVID-19 March 26, 2020 Q&A Webinar replay 

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

Administration Resources

  • 3-Day Stay and Benefit-Period Waivers for Medicare (Released 3/17/21)
    Downloadable AHCA/NCAL waivers on 3-day stays and benefit-periods for Medicare Part A SNF PPS.
  • Admissions From Hospital CDC Guidance Toolkit v1 (Released 1/27/21)
    Guidance on when to discontinue transmission-based precautions when admitting patients from hospitals.
  • 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 (April 2020)
    AHA created a summary of adjustments to cardiopulmonary resuscitation (CPR) algorithms in patients with suspected or confirmed coronavirus disease 2019 (COVID-19).
  • AHCA/NCAL Presentation: Reopening Dining: Are we there yet? (Posted 2/23/21)
    Discuss current CMS guidance on communal dining, Identify conditions and steps to gradually open dining service, Discuss best practices used in various dining setting
  • AHCA/NCAL Statement on Phase 3 COVID-19 Provider Relief Funding Payments (Released 12/16/20)
    AHCA/NCAL CEO Mark Parkinson speaks on Provider Relief Funding.
  • AHCA/NCAL Updated Guidance for Emergency Preparedness (Released 4/14/2021)
    A summary from AHCA of the recent CMS QSO memo updating the State Operations Manual (SOM) Appendix Z that outlines emergency preparedness (EP) requirements.
  • AHRQ Competency Check vs. Observational Audit v1 (Posted 6/15/21)
    This document explains the difference between the competency check you complete to meet education and regulatory compliance for your nursing home and the observational audits that you complete as part of the ongoing Quality Assurance Performance Improvement (QAPI) process.
  • AHRQ Observational Audits (Posted 4/21/21)
    Infection prevention is the vital first line of defense against COVID-19. Observational audits are the best way to understand if your staff fully comply with infection prevention practices because audit observations are made while staff perform their usual duties. Auditing allows you to obtain accurate compliance rates and identify process failures, such as a step in the handwashing process that some staff miss. These are the data points you need for an effective Quality Assurance and Performance Improvement (QAPI) project.

Other Helpful COVID Information

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)

Angie's Blog

End of Life Resources

  • Advance Care Planning - COVID-19 (Posted 9/8/21)
    Advance care planning is a process of documenting your health care service wishes for your health care team so that in the event you are no longer capable of making independent choices, your care preferences will be respected. Advance care planning is important for residents, families and health care providers as it assists in avoiding crisis-based decisions and avoids unwanted treatments.
  • Advance Care Planning from MLN (Posted 6/24/21)
    Voluntary ACP is a face-to-face service between a Medicare physician (or other qualified health care professional) and a patient to discuss the patient’s health care wishes if they become unable to make decisions about their care.
  • 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)
  • FEMA – Funeral Assistance FAQs (Posted 4/29/21)
    Questions and answers regarding FEMA funeral assistance related to COVID-19
  • 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)

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Infection Control and Testing Resources

  • 6 Steps for Safe & Effective Disinfectant Use (Posted 3/4/21)
    6 Step infographic from the EPA on safe disinfectant use.
  • 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)
  • 5 Moments for Hand Hygiene (Posted 3/2/21)
    The World Health Organization has put together a helpful infographic to remind Health Care Workers when they should practice hand hygiene.
  • 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 CDC Guidance (Released 1/27/21)
    Examples of commonly performed medical procedures that are considered aerosol-generating and are more likely to generate higher concentrations of infectious respiratory aerosols.
  • 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

PPE Resources

  • 3M Counterfeit Surgical Respirator Model Notification
    There have been increasing reports of fraud related to three 3M surgical respirator models. 3M had put out a notification to help evaluate respirators by considering some common signs of counterfeit.
  • AHRQ Personal Protective Equipment (PPE) COVID-19 Observational Audit Data Tracking Tool (Posted 6/11/21(
    The Personal Protective Equipment (PPE) COVID-19 Observational Audit Data Tracking Tool helps facilities efficiently collect, record, analyze, review, and act on observational audit data to improve compliance with the steps in donning and removing PPE.
  • AHRQ COVID-19 Observational Audit Data Tracking Tool and User Guide (Posted 7/15/21)
    The Personal Protective Equipment COVID-19 Observational Audit Data Tracking Tool and User Guide help nursing homes identify performance patterns and target improvement more readily with an analytic tool to compile personal protective equipment (PPE) audit data.
  • AHRQ USER GUIDE: Personal Protective Equipment (PPE) COVID-19 Observational Audit Data Tracking Tool (Posted 6/11/21)
    This user guide provides step-by-step instructions for nursing home staff to use the Personal Protective Equipment (PPE) COVID-19 Observational Audit Data Tracking Tool to efficiently collect, record, analyze, review, and act on observational audit data to improve compliance with the steps in donning and removing PPE.
  • Capacity Strategies N95 CDC Update v1 (Updated 12/20/20)
    Decisions to implement contingency and crisis strategies are based upon these assumptions
  • CDC Guidance for FFR Respirators v1 (Released 1/25/21)
    Limited FFR reuse refers to the practice of using the same N95 FFR or other filtering facepiece respirator for multiple encounters with patients but removing it (doffing) after each encounter. Decontamination is a process to reduce the number of pathogens on used FFRs before reusing them. It is used to limit the risk of self-contamination. Decontamination and subsequent reuse of FFRs should only be practiced where FFR shortages exist.
  • CDC Guidance on Mask Types - Posted 2/23/21
    There are many types of masks you can use to protect yourself and others from getting and spreading COVID-19. When choosing a mask, choose one that fits snugly. Learn more about how to choose a mask that fits well and offers the best protection.
  • CDC Surgical Masks & N95 Respirator - Understand the Difference
    Infographic outlining the differences between the two
  • CDC Updates: Strategies for Optimizing Supply of N95 Respirators – September 16, 2021
    Updates for For Contingency Capacity Strategies, and Crisis Capacity Strategies
  • Community Use of Cloth Masks Information v1 (Released 1/8/21)
    The CDC recommends community use of masks, specifically non-valved, multi-layer, cloth masks to prevent transmission of SARS-CoV-2.

Regulatory Resources

  • CMS COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers (Posted 6/11/21)
    The Administration is taking aggressive actions and exercising regulatory flexibilities to help healthcare providers contain the spread of 2019 Novel Coronavirus Disease (COVID-19). CMS is empowered to take proactive steps through 1135 waivers as well as, where applicable, authority granted under section 1812(f) of the Social Security Act (the Act) and rapidly expand the Administration’s aggressive efforts against COVID-19. As a result, the following blanket waivers are in effect, with a retroactive effective date of March 1, 2020 through the end of the emergency declaration.
  • CMS HCBS Fraud Oversight Letter (Posted 7/21/21)
    Letter from the U.S. Senate Special Committee on Aging to CMS: After decades of funding rebalancing, there are still no generally accepted quality measures for HCBS. It remains impossible to compare states’ Medicaid HCBS along quality measures in a scorecard, such as CMS compiles for other Medicaid elements. Last year, the U.S. Department of Health and Human Services’ (HHS) Office of the Inspector General (OIG) noted its programmatic oversight work “consistently demonstrates that patients and programs may be vulnerable to fraud and abuse in home and community-based settings. Moreover, home-based services may not meet quality of care requirements.” Effective solutions to improve quality of care and prevent fraud in Medicaid HCBS are imperative to ensure that older Americans can age at home.
  • CMS Letter SMD# 21-003 v1 (Posted 6/3/21)
    The purpose of this letter is to provide guidance to states on the implementation of section 9817 of the ARP, as well as to describe opportunities for states to strengthen the HCBS system in response to the COVID-19 Public Health Emergency (PHE), increase access to HCBS for Medicaid beneficiaries, adequately protect the HCBS workforce, safeguard financial stability for HCBS providers, and accelerate long-term services and supports (LTSS) reform under section 9817 of the ARP.
  • CMS Memo QSO-21-17-NH v1 (Posted 6/3/21)
    CMS continues to review the need for existing waivers issued in response to the Public Health Emergency (PHE). Over the course of the PHE, nursing homes have developed policies or other practices that we believe mitigates the need for certain waivers. Therefore, CMS is announcing it is ending: *The emergency blanket waivers related to notification of Resident Room or roommate changes, and Transfer and Discharge notification requirements; *The emergency blanket waiver for certain care planning requirements for residents transferred or discharged for cohorting purposes. *The emergency blanket waiver of the timeframe requirements for completing and transmitting resident assessment information (Minimum Data Set(MDS). • CMS is providing clarification and recommendations for Nurse Aide Training and Competency Evaluation Programs (NATCEPs)
  • CONNECT for Health Act of 2021 Summary v1
    The CONNECT for Health Act of 2021 promotes higher quality of care, increased access to care, and reduced spending in Medicare through the expansion of telehealth services.
  • 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.
  • Medical Record Maintenance & Access Requirements v1 (Posted 6/3/21)
    This fact sheet educates Medicare physicians, nonphysician practitioners, hospitals, other providers, and suppliers on the updated regulations at 42 Code of Federal Regulations (CFR) Section 424.516(f). It gives information on updated documentation maintenance and access requirements for billing services to Medicare patients. It also tells you how long to keep the documentation and who is responsible for providing access.
  • 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.

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)
  • Talking Points on Visitation after Vaccination from AMDA (Posted 2/18/21)
    As we welcome the long-awaited COVID-19 vaccines and continue to educate residents and staff about the many benefits of vaccination against this deadly virus, we understand that the expected next step will be to reopen facilities to visitors who are longing to hug their loved ones again. However, reopening facilities to visitors will not be a “one size fits all” policy, and most importantly, we still need more scientific data regarding whether getting the vaccine prevents or significantly decreases transmission of the SARS-CoV-2 virus to others, or simply prevents the person who is vaccinated from becoming sick with COVID-19. Communicating these ideas to residents and family members may be difficult, but an honest and open discussion about this now is important as patience is running low and many expected that the doors would be opened and visits resumed soon after vaccination of residents and staff was complete.

Social Services/Activities Resources

  • Addressing Social Isolation for Older Adults During the COVID-19 Crisis (Posted 4/7/21)
    ADvancing States took action during the novel coronavirus (COVID-19) crisis to assist state aging and disability agencies in responding to, and meeting the needs of, facility residents and an older adult population sheltering at home. This resource was created through one-on-one conversations with states and a call for ideas in the Friday Update, a weekly email reaching over 15,000 aging and disability professionals. This resource is intended to assist states and others with creative and thoughtful approaches to social isolation and loneliness in older adults, and to also facilitate sharing and learning across states. It is our hope this collection of ideas and actions across states and organizations will reduce social isolation for some of the country’s most vulnerable older adults during the COVID-19 crisis.
  • 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)
  • CDC MMWR Restaurant Dining Masks (Published 3/22/21)
    The CDC Morbidity and Mortality Weekly Report from March 5, 2021 regarding state-issued mask mandates and allowing on-premises restaurant dining.
  • Choosing Safer Activities v3 (Posted 6/3/21)
    If you are fully vaccinated, you can start doing many things that you had stopped doing because of the pandemic. When choosing safer activities, consider how COVID-19 is spreading in your community, the number of people participating in the activity, and the location of the activity. Outdoor visits and activities are safer than indoor activities, and fully vaccinated people can participate in some indoor events safely, without much risk. If you haven’t been vaccinated yet, find a vaccine.
  • 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!
  • Key Components to Reopening Dining v1 (Released 3/9/21)
    While adhering to the core principles of COVID-19 infection prevention, communal activities and dining may occur. Residents may eat in the same room with social distancing (i.e., a limited number of people at each table and with at least six feet between each person). Facilities should consider additional limitations based on the status of COVID-19 infections in the facility.

Staffing Resources

  • ASPR TRACIE Mini Modules to Relieve Stress For Healthcare Workers Responding to COVID-19 (Posted 5/5/21)
    One continuous knowledge gap identified during this time has been the need for information for front-line healthcare and social services workers to use prior to and during a disaster such as the COVID-19 pandemic to recognize and reduce their stress levels and maintain resilience. These mini-modules are designed for healthcare workers in all settings, but primarily hospital-based providers, staff, and leaders.
  • 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)
  • Coping with Stress Home Stretch v1 (Posted 6/3/21)
    The COVID-19 pandemic has had a major effect on our lives. Many of us are facing challenges that can be stressful, overwhelming, and cause strong emotions in adults and children. Public health actions, such as social distancing, are necessary to reduce the spread of COVID-19, but they can make us feel isolated and lonely and can increase stress and anxiety. Learning to cope with stress in a healthy way will make you, the people you care about, and those around you become more resilient.
  • 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)
  • FAQs EEOC Hiring Vaccinations v1
    Under the ADA, prior to making a conditional job offer to an applicant, disability-related inquiries and medical exams are generally prohibited. They are permitted between the time of the offer and when the applicant begins work, provided they are required for everyone in the same job category.

Vaccines and Treatments Resources

  • Adverse Events Reported After COVID-19 Vaccination (Released 3/9/21)
    CDC and FDA scientists have evaluated reports from people who experienced a type of severe allergic reaction, anaphylaxis, after getting a COVID-19 vaccine. Anaphylaxis after COVID-19 vaccination is rare and occurred in approximately 2 to 5 people per million vaccinated in the United States based on events reported to VAERS. This kind of allergic reaction almost always occurs within 30 minutes after vaccination. Fortunately, vaccination providers have medicines available to effectively and immediately treat patients who experience anaphylaxis following vaccination.
  • AHCA/NCAL COVID-19 Facility Vaccine Clinic Checklist v1 (Created 12/14/20)
    AHCA/NCAL has created the checklist for use when administering vaccines.
  • AMDA Letter To Families COVID Vaccine (Released 12/23/20)
    The Society for Post-Acute and Long-Term Care Medicine have provided a letter that facilities can use to inform families about the safety of the COVID-19 vaccines.
  • AMDA - Q&A about the COVID-19 Vaccine for PALTC Patients Family Member and Staff Dec 1, 2020
    The Society for Post-Acute and Long-Term Care Medicine has released a Q&A about the COVID-19 vaccine.
  • ASPR TRACIE Planning Considerations for Monoclonal Antibody Administration (posted 8/11/21)
    Tip sheet from TRACIE updated February 10, 2021.
  • Assessment and Testing - Evaluating and Caring for Patients with Post-COVID Conditions: Interim Guidance (Posted 7/15/21)
    Before ordering laboratory testing for post-COVID conditions, the goals of testing should be clear to the healthcare professional and to the patient. Laboratory testing should be guided by the patient history, physical examination, and clinical findings.
  • Bamlanivimab EUA for COVID-19 v1 (Released 1/5/21)
    The investigational neutralizing IgG1 monoclonal antibody bamlanivimab (LY-CoV555; Lilly) has been granted an FDA Emergency Use Authorization (EUA) for treatment of recently diagnosed mild to moderate COVID-19 in patients who are ≥12 years old, weigh at least 40 kg, and are at high risk for progressing to severe disease and/or hospitalization. Eligibility for patients considered high risk.
  • Booster Checklist Provided by JAMA (Posted 9/22/21)
    Checklist for preparation for booster immunization in PALTC
  • CDC Advisory Committee on Immunization Practices v1 (Released 12/9/20)
    The Advisory Committee on Immunization Practices (ACIP) is a group of medical and public health experts that develops recommendations on how to use vaccines to control diseases in the United States. This document answers questions about the ACIP such as how it makes decisions about vaccine recommendations, what the ACIP considers in the vaccine recommendation process, and where you can find their vaccine recommendations.
  • CDC Considerations for Additional mRNA Vaccine (Posted 8/25/21)
    On August 13, 2021, ACIP met and reviewed the data for use of an additional dose of mRNA COVID-19 vaccine for immunocompromised people within the Evidence to Recommendation Framework. ACIP made an interim recommendation for use of an additional dose of Pfizer-BioNTech COVID-19 vaccine (for persons aged ≥ 12 years) or Moderna COVID-19 vaccine (for persons aged ≥ 18 years) after an initial 2-dose primary mRNA COVID-19 vaccine series for moderately to severely immunocompromised people.

Visitors Resources

  • AHRQ Webinar: Strengthening Families as They Reunite in Uncertain Times
    The pandemic has impacted everyone but perhaps none more than people living in long-term care and their families and friends. Our journey of recovery from this unprecedented global pandemic will involve a unique combination of trauma-informed care and disaster relief. On this webinar, we discussed the principles and interventions of moving forward while supporting ourselves and our families. We talked specifically about visitation in long-term care; as facilities transition to in-person visitation, reconnection with loved ones may present challenges.
  • CDC Guidance – Visitation – Post-Acute Care Including Nursing Homes (3/16/21)
    During the pandemic, guidance from the Centers for Medicare and Medicaid Services (CMS) has limited (except for compassionate care situations) indoor visitation for residents in post-acute care facilities when the COVID-19 county positivity rate is >10% or when there is an outbreak occurring in the facility. Relaxing current restrictions on indoor visitation might increase the risk for transmission of SARS-CoV-2 in post-acute care facilities. However, vaccination of residents and HCP can mitigate some of these risks, and expanding visitation has substantial benefits to residents.
  • CMS Letter on Revised Guidance For Nursing Home Visitation (Posted 3/22/21)
    CMS recommends continuing to take precautions to reduce the risk of transmission of COVID-19, however, remains vitally important
  • CMS Memo on New Guidance for Visitation in Nursing Homes (Posted 3/22/21)
    Visitation Guidance: CMS is issuing new guidance for visitation in nursing homes during the COVID-19 PHE, including the impact of COVID-19 vaccination.
  • 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)
  • Core Principles of Indoor Visitation v1 (Released 11/16/20)
    Infographics/Signage with reminders of the core principles of Indoor Visitation
  • Core Principles of Indoor Visitation - Spanish v1 (Released 11/23/20)
    Infographics/Signage with reminders of the core principles of Indoor Visitation (Spanish version)
  • Interim Guidance for Communal Activities and Visitation (Released 3/18/21)
    Recommendations for communal activities and visitation in post-acute and long-term care facilities from The Society For Post-Acute And Long-Term Care Medicine.
  • Living in or Visiting Retirement Communities or Independent Living Facilities CDC v1 (Posted 6/3/21)
    Retirement communities and independent living facilities are residential or shared housing communities that are usually age-restricted (e.g., aged 55 and older) with residents who are partially or fully retired and can generally care for themselves without regular nursing or other routine medical assistance. Many people living in retirement communities and independent living facilities are at higher risk for severe illness from COVID-19 because: *Risk increased with age, and/or *They may have underlying health conditions such as heart disease, diabetes, or lung disease. They also may be at higher risk of getting and spreading the virus that causes COVID-19 because of retirement community and independent living facility characteristics, such as frequent social activities, dining facilities and communal spaces, community activities, and shared transportation.

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.