Coronavirus

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​In response to the coronavirus (COVID-19) pandemic, we are working with the federal government​​​ to ensure nursing hom​​es, assisted living communities, and intermediate care facilities for indiv​​iduals with intellectual disabilities receive necessary supplies and guidance to prevent the spread ​of this virus.​

Visit this website regularly for the latest information that AHCA/NCAL has to share with long term care providers about COVID-19. 


​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​

How You Can Help Prevent the Spread of COVID-19

 Providers

Please note tha​t skilled nursing providers should consult the guidance put forth by CMS and the CDC, and assisted living communities should consult CDC guidance. Providers should also check their local and state health departments for updates and potentially stricter guidance, but these are general, national prevention and containment tips:

 
Infection Control: Maintain i​nfection control policies and procedures, updated where needed and increase transmission-based precautions.
 
Staff: #GetVaccinated! Regularly wash your hands and use PPE where appropriate. Stay home if you're sick.​ ​
 
Limit Interactions: Implement social distancing within the facility where possible to help prevent the spread of infection.
 
PPE: Regularly review federal and state guidance on appropriate use of masks, gowns, gloves, etc. and maintain your inventory​.
 
Communicate: Report suspected or confirmed cases to authorities. Keep residents, families and staff informed about your developing situation. Prepare for media inquiries.
 
Engagement: Follow government guidelines for safe in-person visitations, keep residents connected with loved ones remotely, and offer meaningful activities adapted for this situation​.


If a staff member shows symptoms of COVID-19: Have them go home immediately. 

If a resident shows symptoms of ​COVID-19​: Implement droplet precaution, and contact the local health department. ​


 Families

Coronavirus (COVID-19) poses a serious threat to older adults (especially 80 years old and older) and those with underlying health conditions. This is why in certain circumstances the federal government and many state governments are restricting visitors to nursing homes and assisted living communities. Adaptations (e.g., limited indoor and outdoor visits) and exceptions on a case-by-case basis (e.g., end-of-life or compassionate care visits) may be made. ​We understand this is difficult, but the safety and wellbeing of your loved one is our top priority.  

Here’s how you can continue to stay in touch with them, and how you can help: 

  • Communicate with your loved ones through alternative ways for the time being, whether by phone, video, social media, or other methods. Ask the facility about ways they can help with this.  
  • Make sure your loved one’s facility has your emergency contact information. The facility may need to communicate with you about any developments regarding your loved one or about the facility as a whole.
    • Many long term care facilities are only permitted to share information about a resident to a designated health representative. Work together as a family unit to share information to keep everyone informed.       
  • If you must come to the facility, coordinate with the staff ahead of time. Learn more about how you can prepare for a visit to a long term care facility
    • They may ask you some questions, take your temperature, have you take a COVID test, and/or make sure you’re wearing proper protective equipment (like a mask) when you arrive. This is to make sure you do not pose as a potential risk to residents and staff.  
    • If you are asked to not enter the building, please understand this is for the safety of your loved one and everyone else in the building. Nursing homes and assisted living communities are following direction from the government to prevent the spread of this virus.  
    • ​If you are permitted in, please wash your hands or use alcohol-based hand sanitizer immediately upon entering and throughout your visit. Wear a mask and any other protective equipment as directed by the facility. Avoid touching your loved ones or other individuals in the building. Again, we know this is difficult, but the virus is very contagious and social distancing is important at this time. ​
  • Do your part to help slow the spread of COVID-19. High community spread is linked to outbreaks in nursing homes. Follow the CDC’s recommendations to protect yourself and others. Get the COVID-19 vaccine, when you are eligible. 
  • ​Warn your loved ones about potential scammers during this crisis and encourage them to be cautious.​

 Residents

Coronavirus (COVID-19) poses a serious threat to older adults (especially 80 years old and older) and those with underlying health conditions. This is why in certain circumstances the federal government and many state governments are restricting visitors to nursing homes and assisted living communities. We understand this is a difficult and stressful time. Those who work in long term care facilities are focused on your safety and wellbeing.  

Here’s how you can continue to stay in touch with your loved ones, and how you can help: 

  • Ask the facility about other ways you can communicate with your loved ones, whether by phone, video or social media.  
  • If you haven't already, get the COVID-19 vaccine. Your facility is working with a pharmacy or state/local officials to offer vaccinations​ and can provide more specific information about how and when this will work. 
  • Follow everyday preventive actions such as: 
    • ​Washing your hands or using alcohol-based hand sanitizers 
    • Covering your cough and sneezes ​
    • Wearing a mask over your nose and mouth 
    • Keeping 6-feet distance from other residents and staff (when possible) 
  • ​Ask other individuals (including staff) to avoid touching you with handshakes, hugs or kisses. Ask them to wash their hands. Do not be shy! It’s okay to remind people.
  • Watch out for potential scammers​ during this crisis. 
  • If you begin to experience difficulty breathing, chills, repeated shaking with chills, muscle pain, headache, sore throat, new loss of taste or smell​, tell a staff member immediately.​

 

 

Guidance for Nursing Home Residents with Acute Respiratory Illness Symptoms Amidst COVID and Flu Viruseshttps://www.ahcancal.org/News-and-Communications/Blog/Pages/Guidance-for-Nursing-Home-Residents-with-Acute-Respiratory-Illness-Symptoms-Amidst-COVID-and-Flu-Viruses.aspxGuidance for Nursing Home Residents with Acute Respiratory Illness Symptoms Amidst COVID and Flu Viruses11/29/2022 5:00:00 AM<p>​<span style="font-size:11pt;">The CDC has updated the guidance on the <a href="https://www.cdc.gov/flu/professionals/diagnosis/testing-management-considerations-nursinghomes.htm" data-feathr-click-track="true" target="_blank">CDC Flu Web page</a> to reflect new guidance on placement and testing. Highlights include: </span></p><div><ol><li><span style="font-size:11pt;">Residents with SARS-CoV-2 and influenza virus co-infection should be placed in a single room or housed with other co-infected residents.  </span></li><li><span style="font-size:11pt;">A negative antigen in symptomatic persons must be confirmed by either a negative result from NAAT or a second negative antigen test collected 48 hours after the first negative test. </span></li></ol></div><div><br></div><div><span style="font-size:11pt;">All of the updates are available to view on the <a href="https://www.cdc.gov/flu/professionals/diagnosis/testing-management-considerations-nursinghomes.htm" data-feathr-click-track="true">CDC website​</a>. </span></div><div><span style="font-size:11pt;"><br></span></div><div><span style="font-size:11pt;">The testing guidance can be adapted for use in Assisted Living communities. ​<br></span></div>The CDC has updated the guidance on the CDC Flu Web page to reflect new guidance on placement and testing.
NSHN Up to Date Vaccination Status: Surveillance Definition Change for LTC Facilitieshttps://www.ahcancal.org/News-and-Communications/Blog/Pages/NSHN-Up-to-Date-Vaccination-Status-Surveillance-Definition-Change-for-LTC-Facilities.aspxNSHN Up to Date Vaccination Status: Surveillance Definition Change for LTC Facilities11/29/2022 5:00:00 AM<p>The CDC held a webinar recently regarding up to date vaccination status. The definition of up to date was updated in September 2022 to indicate: </p><ul><li>Individuals are considered <span style="text-decoration:underline;">up to date</span> with their COVID-19 vaccines during the surveillance period of September 26, 2022 – December 25, 2022 (Quarter 4) for the purpose of NHSN surveillance if they meet <strong style="text-decoration:underline;">ONE</strong> the following criteria: ​<br></li><ul><li>Received a bivalent booster dose OR <br></li><li>Received their last booster dose less than 2 months ago, or <br></li><li>Completed their primary series less than 2 months ago <br></li></ul><li><span style="color:#555555;font-size:14.6667px;background-color:#ffffff;">This definition is the same regardless of immunocompromised status </span>​</li></ul><p></p><p> <span style="font-size:11pt;">As of Septemb</span><span style="font-size:11pt;">er 2, 2022, the original monovalent mRNA vaccines are no longer authorized as a booster dose for people ages 12 years and older. </span></p><p><span style="font-size:11pt;">Beginning September 26, 2022, most individuals should only be counted as up to date if they received an updated bivalent booster dose. If they have not received an updated bivalent booster dose, they <strong>WOULD NOT</strong> be counted in question #5. The CDC recommends revising the report if facilities have reported incorrectly over the last few weeks.  </span></p><p><span style="font-size:11pt;">It is recommende</span><span style="font-size:11pt;">d to utilize the <a href="https://www.cdc.gov/nhsn/ltc/weekly-covid-vac/index.html#anchor_21696" data-feathr-click-track="true" target="_blank">Person-Level (Event-Level) Vaccination Forms</a>. There are resources on the page to provide instructions and templates for reporting, including a one-page <a href="https://www.cdc.gov/nhsn/pdfs/ltc/covidvax/person-level-form-one-pager-508.pdf" data-feathr-click-track="true" target="_blank">overview with links</a>. </span></p><p><span style="font-size:11pt;">The webinar <a href="https://www.cdc.gov/nhsn/pdfs/ltc/covidvax/ltc-vaccination-surveillance-definition-sept-2022-508.pdf" data-feathr-click-track="true">slides​</a> have additional information and reporting scenarios for clarification. </span></p><p><span style="font-size:11pt;">Please make sure you are accurately capturing your up to date residents per the definition above. ​<br></span></p>The CDC held a webinar recently regarding up to date vaccination status.
Refresher Training on Reporting Up to Date Vaccination Status in NHSN for Long-Term Care Facilitieshttps://www.ahcancal.org/News-and-Communications/Blog/Pages/Refresher-Training-on-Reporting-Up-to-Date-Vaccination-Status-in-NHSN-for-Long-Term-Care-Facilities.aspxRefresher Training on Reporting Up to Date Vaccination Status in NHSN for Long-Term Care Facilities11/22/2022 5:00:00 AM<div>​The CDC National Healthcare Safety Network (NHSN) Vaccination Unit is providing a refresher webinar on Tuesday, November 29, 2022, from 1:30 - 2:30 PM Eastern Time to review the up-to-date COVID-19 vaccination definition for long term care facilities reporting data through the COVID-19 Vaccination Modules. The current up-to-date definition incorporates the updated (bivalent) boosters and applies to reporting weeks beginning on September 26, 2022. As a reminder, most individuals who have not yet received an updated (bivalent) booster are no longer considered up-to-date with COVID-19 vaccines and should not be counted in Question #5. <br></div><div><br></div><div>You are invited to a Zoom webinar:  <br></div><div><strong>When: </strong>Tuesday, November 29, 2022 at 1:30 PM Eastern Time (US and Canada)  <br></div><div><strong>Topic:</strong> Refresher Training on Reporting Up to Date Vaccination Status in NHSN for Long-Term Care Facilities  <br></div><div><br></div><div>Register in advance for this webinar <a href="https://cdc.zoomgov.com/webinar/register/WN_FZmCJONqR3yMJna6A4RC3Q" data-feathr-click-track="true" target="_blank">here</a>.  <br></div><div><br></div><div> <span style="font-size:11pt;">After registering, you will receive a confirmation email containing information about joining the webinar.  </span></div><div><br></div>The CDC National Healthcare Safety Network (NHSN) Vaccination Unit is providing a refresher webinar on Tuesday, November 29, 2022, from 1:30 - 2:30 PM Eastern Time.
Nursing Home Industry Reacts to White House COVID-19 Bivalent Booster Campaignhttps://www.ahcancal.org/News-and-Communications/Press-Releases/Pages/Nursing-Home-Industry-Reacts-to-White-House-COVID-19-Bivalent-Booster-Campaign.aspxNursing Home Industry Reacts to White House COVID-19 Bivalent Booster Campaign11/22/2022 5:00:00 AM<p><strong>WASHINGTON, D.C. </strong>– The two largest associations representing America's nursing homes and other long-term care and senior living facilities—the American Health Care Association and National Center for Assisted Living (AHCA/NCAL) and LeadingAge, the association of nonprofit providers of aging services—issued a joint statement today in reaction to the White House announcement of a six-week campaign through the end of the year urging Americans and especially seniors to get their updated COVID-19 vaccine. </p><p>The statement is attributable to AHCA/NCAL President and CEO Mark Parkinson and LeadingAge President and CEO Katie Smith Sloan:</p><p>“Nursing homes have done a remarkable job at vaccinating residents, but we have work to do with the most recent booster. According to the CDC, 43 percent of residents are up to date on their COVID vaccinations, which is nearly four times higher than the dismal 11 percent rate among the general population. </p><p>“We all share the same goal: ensuring the health and wellbeing of older adults. We believe we can continue to increase that booster rate and to do so requires a shared commitment from the government and other health care providers. For example, 90 percent of residents are admitted to nursing homes from hospitals, and very few of those residents are current on their vaccines upon admission. Through collaboration with hospitals, vaccine numbers can be improved. That is why we have proposed an all-hands-on-deck approach, which can be found on LeadingAge's and <a href="/News-and-Communications/Fact-Sheets/Letters/COVID-Booster-Campaign-LTC-Nov2022.pdf" data-feathr-click-track="true" target="_blank">AHCA's</a> websites. </p><p>​“We look forward to working with the Administration, and we will continue our tireless efforts to protect the health of our residents."<br></p><p style="text-align:center;">### </p><p> <br><strong>ABOUT AHCA/NCAL</strong><br>The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) represents more than 14,000 non-profit and proprietary skilled nursing centers, assisted living communities, sub-acute centers and homes for individuals with intellectual and development disabilities. By delivering solutions for quality care, AHCA/NCAL aims to improve the lives of the millions of frail, elderly and individuals with disabilities who receive long term or post-acute care in our member facilities each day. For more information, please visit <a href="/Pages/default.aspx" data-feathr-click-track="true">www.ahcancal.org</a>.<br><strong> </strong><br><b>ABOUT LEADINGAGE<br></b><span style="font-size:11pt;">We repre</span><span style="font-size:11pt;">sent more than 5,000 nonprofit aging services providers and other mission-minded organizations that touch millions of lives every day. Alongside our members and 38 state partners, we use applied research, advocacy, education, and community-building to make America a better place to grow old. Our membership, which now includes the providers of the Visiting Nurse Associations of America, encompasses the continuum of services for people as they age, including those with disabilities. We bring together the most inventive minds in the field to lead and innovate solutions that support older adults wherever they call home. For more information visit </span><a href="http://www.leadingage.org/" data-feathr-click-track="true" target="_blank" style="font-size:11pt;">leadingage.org</a><span style="font-size:11pt;">. </span><span style="font-size:11pt;">​</span></p>

​Guidance & Resources

​By Source


 AHCA/NCAL

Guidance
Emergency Preparedness
Screening

 CDC

Health Care Facility Resources

 CMS

Memos & Guidance
Resources

 Other Federal Agencies

 State & Local


​Guidance & Resources

​By Topic

 Finance & Reimbursement

General
CARES Act Provider Relief Fund
Medicare Advantage and ACOs
Medicaid

 Testing

General
Regulatory Requirements
Rapid Point-of-Care Antigen Tests

 Training Programs

AHCA/NCAL

 Treatments

HHS Office of the Assistant Secretary for Preparedness and Response (ASPR) Resources
FDA Resources

 Vaccines

Education and Promotion

 Workforce

General Resources
Emotional PPE Project