It looks like you have an older browser that is not supported by this site. Please click here to update.

IDH Issues Updated Visitation Guidelines – 14-Day Quarantine Required for All Excursions - IHCA

It looks like you have an older browser that is not supported by this site. Please click here to update.

Article Open to All

IDH Issues Updated Visitation Guidelines – 14-Day Quarantine Required for All Excursions

Posted Nov 14, 20203 min Read

Back

On November 13, 2020, the Indiana Department of Health issued updated Visitation Guidelines for all long-term care facilities, including comprehensive care facilities and residential care facilities (licensed assisted living communities).  The updated Visitation Guidelines can be found here.

As a result of widespread community outbreaks of COVID-19, IDH strongly recommends against residents leaving facilities for excursions, weddings, and funerals at this time.  Under the updated Visitation Guidelines, residents who do leave the facility for excursions or other external events should be placed in quarantine (transmission-based precautions) for 14 days upon return.  If a resident has a roommate, the resident would be moved to an observation room upon return, if one is available, for 14 days.  The updated Visitation Guidelines do not require a 14-day quarantine upon return from an excursion or other external event if the resident had been diagnosed with and recovered from COVID-19 within the past 90 days, meaning the resident met the CDC’s criteria for Discontinuation of Transmission-Based Precautions following a COVID-19 diagnosis.

These updated Visitation Guidelines regarding excursions are in addition to IDH’s Holiday Guidance, which encourages families and friends to visit loved ones in their long-term care facility, rather than residents of long-term care facilities leaving for holiday gatherings.  For IHCA/INCAL’s summary on IDH’s Holiday Guidance, please click here.

Similar to IDH’s Holiday Guidance, long-term care facilities are encouraged to communicate with families and representatives as soon as possible regarding the updated Visitation Guidelines and the requirement of 14-day quarantine following excursions or other external events, in addition to holiday gatherings.  Based upon the recommendations for residents upon return, long-term care facilities should consider the following:

  • Review your facility’s bed hold policy as soon as possible to determine if any changes are necessary.
  • Determine the number of rooms that could be available for returning residents to complete their 14-day quarantine.
  • Nursing facilities interested in making structural changes to accommodate additional observation rooms should review the following Waiver, and licensed assisted living communities interested in making structural changes to accommodate additional observation rooms should review the following Waiver.
  • When residents do leave for excursions or other external events, set clear expectations with families regarding whether a room may or may not be available upon the resident’s return.  If a room is not expected to be available, the facility should prepare a safe discharge notice and organize necessary treatments, medications, equipment, and any applicable instructions.  Discharge notices must be provided as soon as practicable (the applicable Waiver for nursing facilities can be found here, and the applicable Waiver for licensed assisted living communities can be found here here).
  • Communicate with families when observation rooms become available.
  • Plan for additional PPE being required with more residents being placed in observation upon return.

The remainder of the Visitation Guidelines remains unchanged from the previous version, which incorporated IDH’s updated Infection Control Guidance Standard Operating Procedure.