TITLE: Visitation During COVID-19

Policy: During the COVID-19 pandemic Rocky Knoll will allow visitation for residents by visitors and non-essential healthcare personnel through different means based on facility structure and resident’s needs. The visitation will be person-centered, considering the resident’s physical, mental and psychosocial wellbeing and supporting their quality of life. Visitation will be held in accordance with current CMS directives and CDC recommendations, or as directed by state government.

Definitions:

“Fully Vaccinated” refers to a person who is ≥2 weeks following receipt of the second dose in a 2-dose series, or ≥ 2 weeks following receipt of one dose of a single dose vaccine.

“Unvaccinated” refers to a person who does not fit the definition of “fully vaccinated” including people whose vaccination status is not known.

Procedure:

  1. 1. The Infection Preventionist will monitor the status of the COVID-19 situation through CDC website and local/state health departments, and will keep facility leadership informed of current directives and recommendations and the need for restricting visitation if indicated.
  2. 2. The facility will communicate the visitation policy through multiple methods including signage in facility at the A1, B5 and C1 entrances, letters, recorded messages and/or on the website.
  3. 3. In person visitation can occur safely based on these core principles of COVID-19 infection prevention:
  4. 5. Indoor visitation will be conducted in a manner that reduces the risk of COVID-19 transmission based on the following guidelines:
    1. a. The facility will allow indoor visitation at all times and for all residents (regardless of vaccination status), except for a few circumstances when visitation should be limited solely to compassionate care situations due to a high risk of COVID-19 transmission. These scenarios include:
      1. i. Unvaccinated residents, if the facility’s COVID-19 county positivity rate is >10% and <70% of residents in the facility are fully vaccinated
      2. ii. Vaccinated and unvaccinated residents with SARS-CoV-2 infection until they have met the criteria to discontinue Transmission-Based Precautions; or
      3. iii. Vaccinated and unvaccinated residents in quarantine until they have met criteria for release from quarantine
        1. Screening of all who enter the facility for signs and symptoms of COVID-19 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. Visitors will be restricted from entry, regardless of their vaccination status, if they have: current SARS-CoV-2 infection; any current COVID-19 signs or symptoms; or have had prolonged close contact with someone with SARS-CoV-2 infection in the prior 14 days or have otherwise met criteria for quarantine (per CDC or Public Health).
        3. Both Visitor and Resident must complete appropriate hand hygiene before and after the visit and before and after any contact.
        4. Both Visitor and Resident must use a well-fitting face mask for the entire visit. Rocky Knoll may determine that less or additional Personal Protective Equipment (PPE) is needed based upon CMS/CDC guidance, local public health guidance, county positivity rate, or facility outbreak status.
        5. Social distancing of at least 6 feet between persons and limiting interaction with others in the facility (exceptions below for vaccinated residents).
        6. Instructional signage throughout the facility and proper visitor education on COVID-19 signs and symptoms, infection control precautions, and or other applicable facility practices.
        7. Cleaning and disinfecting high touched surfaces in the facility often and designated visitation areas after each visit.
        8. Appropriate use of PPE
        9. Effective cohorting of residents such as separate areas dedicated for COVID-19 care
        10. Resident and staff testing conducted as required per current CMS guidance.
        11. Physical barriers such as a Plexiglass structure may be used to reduce risk of transmission during visits as determined necessary by the Infection Preventionist.
      1. Visitor(s) are able to escort residents (who are not on quarantine or isolation) outside for visitation. Outdoor visits are noted to be the safest method for visitation even if the resident and all visitors are vaccinated against COVID-19. Visitors are to check in with the front desk staff or designee about outdoor visit availability and procedures.
      1. 8. This policy may be revised as COVID-19 infection control and visitation guidance continues to evolve.

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