Critical Step 2

Identify Infections Early

  • Actively screen all residents every shift for signs and symptoms of COVID-19; if symptomatic, immediately isolate, test, and implement appropriate Transmission-Based Precautions.
    • Older adults with COVID-19 may not show typical symptoms such as fever or respiratory symptoms. Atypical symptoms may include new or worsening malaise, new dizziness, or diarrhea. Identification of these symptoms should prompt isolation and further evaluation for COVID-19.
  • ​​Actively screen all staff pre-shift and mid-shift for signs and symptoms of COVID-19; if symptomatic, immediately exclude from work.
  • Test all previously negative staff on a weekly basis.
  • Test all symptomatic and/or exposed residents as soon as possible. Additionally, if your facility has had a staff or nursing home-onset resident case within the past 28 days, test all previously negative residents on a weekly basis until 28 days have elapsed since the specimen collection date for the most recent case.
  • Notify the Chicago Department of Public Health (CDPH) if these occur:
    • Clusters of respiratory infection
    • Individuals with suspected or confirmed COVID-19

Tools & Resources


COVID-19 Reporting

For COVID-19 Long-Term Care Guidance And Support:


How To Report COVID-19 Cases To CDPH:

Both individual lab-confirmed cases and clusters are reportable conditions. Providers must report all positive cases into INEDSS or, if your facility does not have access to INEDSS, via the COVID-19 Online Case Report Form (a confidential online survey powered by IDPH REDCap).

All facilities must submit a weekly COVID-19 Facility Summary Report, capturing all known residents and staff with confirmed COVID-19 infections to date along with any currently symptomatic residents or staff. This report is due each Thursdays by 12 p.m. and can be submitted using the CDPH Facility Summary Report Upload Site.

We also ask that any potential reinfections (e.g., new positive results >90 days after the original infection) be reported through the optional SARS-CoV-2 Reinfection Case Investigation Form.

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