Cancel all indoor group activities and communal dining.
Enforce social distancing among residents.
Do not allow quarantined, exposed, symptomatic, or COIVD+ residents (unless convalescent) to participate in outdoor visitation programs.
Ensure all residents wear a cloth face covering for source control whenever they leave their room or are around others, including whenever they leave the facility for essential medical appointments.
Ensure all staff wear a facemask for source control while in the facility.
Cloth face coverings are not considered personal protective equipment (PPE) because their capability to protect healthcare personnel (HCP) is unknown. Cloth face coverings should NOT be worn instead of a respirator or facemask. Staff should wear FDA-approved surgical or procedure masks.
If COVID-19 is identified in the facility, restrict all residents to their rooms as much as possible and have HCP wear all recommended PPE for care of all residents (regardless of symptoms) facility-wide. This includes: a facemask or N95 respirator, eye protection (preferably a face shield), gloves, and gown (when indicated). HCP should be trained on PPE use including putting it on and taking it off.
When a case is identified, public health can help inform decisions about testing asymptomatic residents on the unit or in the facility.
This approach is recommended because of the high risk of unrecognized infection among residents. Recent experience suggests that a substantial proportion of residents could have COVID-19 without reporting symptoms or before symptoms develop.
If COVID-19 cases are identified at the facility, contact/droplet precautions should be implemented for all residents. LTCF staff must be provided with the personal protective equipment (PPE) needed to keep themselves and the residents safe, including gloves, gowns, facemasks, and eye protection.
LTCFs should be cleaned and disinfected according to CDC guidance using hospital-grade disinfectants. The Environmental Protection Agency has provided a list of products (called List N) to use against SARS-CoV-2.
Cleaning and Disinfection Guidelines: English | Spanishcourtesy of King County, WA
Guidelines and best practices for preventing COVID-19
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).