Visitation Guidelines – Updated 4/8/2022

Policy for Resident Visitations

Overview 

  • CMS recently issued an emergency regulation that requires visitors to be allowed back in long term care
  • CDPH recently issued an AFL that requires visitors to be allowed back in long term care
  • Facilities may restrict visitation at any time with reasonable clinical or safety cause.
  • Facilities are also required to follow local public health guidance.

General Visitation Guidance

Any visitor entering the facility, regardless of their vaccination status, must adhere to the following:

  1. All visitors, regardless of their vaccination status, must be screened for fever and COVID-19 symptoms and/or exposure within the prior 14 days to another person with COVID-19; if a visitor has COVID-19 symptoms or has been in close contact with a confirmed positive case, they must reschedule their visit, regardless of their vaccination status.
  2. All visitors, regardless of their vaccination status, must wear a well-fitting face mask (medical masks, also called surgical masks, or double masking is recommended) and perform hand hygiene upon entry and in all common areas in the facility.
  3. If personal protective equipment (PPE) is required for contact with the resident due to quarantine or COVID-19 positive isolation status (including fully vaccinated visitors), it must be donned and doffed according to instruction by HCP.
  4. All visitors, regardless of their vaccination status, must follow physical distancing guidelines and maintain at least 6 feet distance from other visitors from different households, as well as from facility staff and other residents.
  5. Facilities should limit visitor movement in the facility, regardless of the visitor’s vaccination status; for example, visitors should not walk around the hallways of the facility and should go directly to and from the resident’s room or designated visitation area.

Any visitor entering the facility, who are unvaccinated or partially vaccinated, must adhere to the following:

  1. Must show documentation of a negative SARS-CoV-2 test that occurred within 72 hours before each indoor visit.

Any visitor entering the facility, who are fully vaccinated, must adhere to the following:

  1. Provide proof of full vaccination status, the following items may be used as proof of vaccination:
    1. COVID-19 Vaccination Record Card (issued by the Department of Health and Human Services Centers for Disease Control & Prevention or WHO Yellow Card) which includes name of person vaccinated, type of vaccine provided, and date last dose administered), OR
    2. a photo of a Vaccination Record Card as a separate document; OR
    3. a photo of the client’s Vaccination Record Card stored on a phone or electronic device, OR
    4. documentation of COVID-19 vaccination from a healthcare provider.

Outdoor Visitation

  1. Outdoor visits between fully vaccinated residents and fully vaccinated visitors may be conducted without face masks and physical distancing and include physical contact (e.g., hugs, holding hands) while in designated spaces for visitation that maintain 6-ft distancing between the visitor and facility staff and other residents they are not visiting; otherwise, visits between residents or visitors that are unvaccinated or incompletely vaccinated should be conducted with well-fitting face masks during the visit and maintain 6-ft physical distancing.

Indoor in-room visitation shall meet the following conditions:

Facilities shall allow indoor in-room visitation for:

  1. All residents, including unvaccinated, partially vaccinated, and fully vaccinated residents (e.g., individual residents who are more than 2 weeks following receipt of the second dose in a 2-dose series, or more than 2 weeks following receipt of one dose of a single-dose vaccine), in “green” (unexposed or recovered) or “yellow” (exposed or observation status) areas, regardless of the county.

Indoor in-room visitation shall meet the following conditions:

  1. Facilities must verify vaccination status or document evidence of a negative test of the visitor within 72 hours of the indoor visit.
  2. Indoor visits must be conducted with both the resident and visitor wearing a well-fitting face mask. If both the resident and visitor are fully vaccinated, they do not need to physically distance and can include physical contact (e.g., hugs, holding hands) but must wear a well-fitting face mask while in the resident’s room; otherwise, unvaccinated, or incompletely vaccinated visitors and residents must wear well-fitting face masks and maintain 6-ft physical distancing during their visit.
  3. Visits for residents who share a room should be conducted in a separate indoor space or with the roommate not present in the room (if possible), regardless of the roommate’s vaccination status.
  4. Visitors should be provided personal protective equipment (gloves, gown, eye protection and N95 respirator) and instructed in a N95 respirator seal check for visitation of residents in yellow (exposed or observation status) areas.

Family care Visit and information of Resident’s Representative

  1. The facility will send out notification of any new positive cases within 24 hours of receipt.
  2. The facility will review all residents and determine who is an acceptable recipient of the information of COVID-19 result.
  3. This determination will be made during the Interdisciplinary Team (IDT) meeting.
  4. Family Visits will coincide COVID-19 infection prevention best practices.
  5. If possible, these visits will allow for those on transmission-based precautions.
  6. Family visits should be always allowed, regardless of a resident’s vaccination status, the county’s COVID-19 positivity rate, or an outbreak.

Compassionate Care Visits

  1. Compassionate care situations do not exclusively refer to end of life situations.
  2. The facility will review all residents and determine who is an acceptable recipient of compassionate care visits.
  3. This determination will be made during the Interdisciplinary Team (IDT) meeting.
  4. Visits will coincide with COVID-19 infection prevention best practices.
  5. If possible, these visits will allow for those on transmission-based precautions.
  6. Compassionate care visits, and visits required under federal disability rights law, should be always allowed, regardless of a resident’s vaccination status, the county’s COVID-19 positivity rate, or an outbreak.

COVID-19 Infection Prevention Best Practices

  1. Screening of all who enter the facility for signs and symptoms of COVID-19 (e.g., temperature checks, questions about and observations of signs or symptoms), and denial of entry of those with signs or symptoms or those who have had close contact with someone with COVID-19 infection in the prior 14 days (regardless of the visitor’s vaccination status).
  2. Hand hygiene (use of alcohol-based hand rub is preferred).
  3. Face covering or mask (covering mouth and nose);
  4. Social distancing at least six feet between persons.
  5. Instructional signage throughout the facility and proper visitor education on COVID19 signs and symptoms, infection control precautions, other applicable facility practices (e.g., use of face covering or mask, specified entries, exits and routes to designated areas, hand hygiene).
  6. Cleaning and disinfecting high frequency touched surfaces in the facility often, and designated visitation areas after each visit.
  7. Appropriate staff use of Personal Protective Equipment (PPE).
  8. Effective cohorting of residents.

Resident and staff testing conducted as required at 42 CFR § 483.80(h).

Click here to download a PDF of our Visitation Guidelines.

Contact Us

The Shores Post-Acute
2828 Meadow Lark Drive
San Diego, CA 92123
tel - 858-277-6460