January 21, 2022
To our residents, their families and loved ones,
Please carefully read our new mandatory requirements for all indoor and outdoor visitors which will go into effective immediately.
Indoor and In-Room Visitation, including Communal Dining Note: This updates the guidance on Indoor and In-Room Visitation in PIN 21-40-ASC, dated August 27, 2021, and the guidance on Communal Dining in PIN 21-49-ASC, dated November 17, 2021, insofar as they now change the vaccination and testing requirements.
• Licensees shall allow indoor visitation, including communal dining and in-room visitation, at all times and for all residents regardless of vaccination status of the resident, if
(1) the visitor is fully vaccinated, have had all recommended booster doses based on the table below and provide evidence of a negative COVID-19 test within one day of visitation for antigen tests, and within two days of visitation for Polymerase Chain Reaction (PCR) tests; OR
(2) permit only outdoor visitation for those that do not meet all the aforementioned requirements in this section. Staff must screen visitors and the visitor must be asymptomatic, and staff should clean and disinfect surfaces.
· Note: For visitors who visit for multiple consecutive days in ASC facilities, proof of negative test is only required every third day (meaning testing is only required on day one, day 4, and day 7, and so on).
· Visitors of residents under quarantine should be provided PPE (i.e., gloves, gown, eye protection and N95 respirator) and instructed in an N95 respirator seal check.
· For residents in isolation, the licensee should provide and require the visitor wear PPE recommended for facility staff as specified in PIN 21-12-ASC. A visitor of a resident under isolation does not need N95 respirator fit testing but should be instructed on how to perform a seal check. Important! People are considered fully vaccinated for COVID-19 two weeks or more after they have received the second dose in a 2-dose series (Pfizer-BioNTech or Moderna or vaccine authorized by the World Health Organization), or two weeks or more after they have received a single-dose vaccine (Johnson and Johnson [J&J]/Janssen). PIN 22-04-ASC Page Five Outdoor Visitation
· Note: This updates the guidance on Outdoor Visitation in PIN 21-40-ASC, dated August 27, 2021, insofar as it now adds testing requirements for visitors who are unvaccinated, incompletely vaccinated, or booster-eligible and have not received their booster dose.
Outdoor visits pose a lower risk of transmission due to increased space and airflow; therefore, any outdoor visitation is preferred and should be held whenever practicable.
Visitors who are unvaccinated, incompletely vaccinated, or booster-eligible and have not yet received their booster dose are eligible only for outdoor visitation if they can show documentation of a negative COVID-19 test where the specimen collection occurred within one (1) day of visitation for antigen tests, and within two (2) days of visitation for PCR tests or, and for which test results are available at the time of entry to the facility.
At all times when visitation is restricted under this waiver, licensees must allow for outdoor visits (see “Note” above) on the facility premises if weather permits and where the visitor wears a well-fitting face mask (a surgical mask or respirator), there is at least six (6) feet or more physical distancing from facility staff and other residents and visitors that are not part of their group at all times during the visit, staff screen visitors, and staff clean and disinfect surfaces.
Mask Requirements for Visitors Who are Unvaccinated, Incompletely Vaccinated, or Booster-Eligible and Have Not Yet Received Their Booster Dose Visitors who are unvaccinated, incompletely vaccinated, or booster-eligible and have not yet received their booster dose must meet the following masking requirements:
• Indoor visitors and visitors eligible for outdoor visitation must wear a well-fitting face mask (a surgical mask or respirator) at all times during the visitation and physically distance themselves from facility staff and other residents and visitors that are not part of their group at all times during the visit.
Important! If a resident is not able to leave their room or otherwise meet with visitors outdoors, the visitation may take place indoors, even for visitors who cannot provide vaccine verification or a negative test. These visits, however, cannot take place in common areas, or in the resident’s room if the roommate is present, and the visitor must wear a well-fitted mask with good filtration (N95, KF94, KN95, or surgical masks are preferred over cloth face coverings) and the resident must wear a well-fitting face mask at all times and physically distance.
Virtual Visitation Note: This updates the guidance on Virtual Visitation in PIN 21-40-ASC, dated August 27, 2021, insofar as it now adds new requirements to applicable licensees for the provision of internet access and videoconferencing to clients or residents. PIN 22-04-ASC Page Six At all times, licensees must allow and provide assistance in arranging for alternative communication for visitors such as phone calls, video calls, and online communications.
As of January 1, 2022, licensees that have internet access must provide at least one internet accessible device, such as a computer, smart phone, tablet or other device that: supports real-time interactive applications; is equipped with videoconferencing technology, including camera and microphone functions; and is dedicated for client or resident use. The device must be available in a manner that allows a client or resident to access it for discussion of personal or confidential information with a reasonable level of personal privacy and made available in a manner that permits shared access among all clients or residents in the facility during reasonable hours. All shared internet access devices should be disinfected between uses. For more information about this requirement, please see PIN 21-52-ASC.
Any visitors not willing to comply with these new orders will be asked to leave the facility.
All indoor visitors will be given a clearance badge that indicates the visitor was screened before entering the building. Any visitor not seen with this badge will be asked to go downstairs to the front desk and screen immediately.
Your understanding and cooperation in this matter is greatly appreciated.