HHSC to Allow Limited Visitation at Nursing Facilities and Long-Term Care Facilities
Texas Health & Human Services • August 6, 2020
State Enhances Certain Emergency Safety Rules
The Texas Health and Human Services Commission (HHSC) today announced limited visitation rules for nursing facilities and long-term care facilities. HHSC is also issuing enhanced emergency rules requiring additional actions by nursing facilities to mitigate the spread of COVID-19.
“This is a rapidly evolving situation and we are constantly assessing what actions are necessary to keep residents and staff safe in these facilities,” said Phil Wilson, Executive Commissioner, Texas HHSC. “By following these procedures and rules, facilities can more effectively prevent the spread of COVID-19 and help us achieve our shared goal of reuniting residents with their families and friends.”
“Access to family and loved ones is an important part of every resident’s health and well-being, which is why this policy shift is a move in the right direction for some of our most fragile Texans,” said Sen. Lois Kolkhorst (SD-18), Chair, Senate Committee on Health and Human Services.
“Today’s announcement is a critical first step for every person in a long-term care facility and their loved ones,” said Rep. James Frank (HD-69), Chair, Texas House Committee on Human Services. “This decision underscores that state leaders recognize the need to balance the emotional and physical health impacts of isolation against the serious dangers that COVID poses to these vulnerable Texans.”
Nursing Facilities
For the health and safety of facility residents and staff, public visitation is limited to outdoor visits only. Physical contact between residents and visitors is not permitted. Additional conditions a facility must meet to conduct limited outdoor visitation include:
- No confirmed positive COVID-19 cases in staff in the last 14 days.
- No active positive cases in residents.
- Any facility previously experiencing an outbreak that has fully recovered must be adequately staffed and following adequate infection control procedures.
- Facility staff are being tested for COVID-19 weekly.
Long-Term Care Facilities (except Nursing Facilities)
Limited indoor and outdoor visitation procedures are allowed. Physical contact between residents and visitors is not permitted. Additional conditions a facility must meet to conduct limited visitation include:
- No confirmed COVID-19 positive staff in last 14 days.
- No active positive cases in residents.
- Adequate staffing to facilitate visitation in compliance with infection control requirements.
- Use of plexiglass as a safety barrier for indoor visitation to prevent spread of COVID-19.
Emergency Rule Enhancements
Enhanced emergency rules for nursing facilities include:
- Each facility must have a COVID-19 response plan that includes designated staff to work with cohorts of residents who have tested positive for COVID-19, and staff should not change designation from one day to another, unless required to maintain adequate staffing for a cohort.
- All nursing facilities must screen all residents, staff, and people who come to the facility in accordance with specified criteria, and each resident must be screened at least three times a day for signs or symptoms of COVID-19.
- Each facility must have plans for obtaining and maintaining a two-week supply of personal protective equipment and resident recovery plans for continuing care when a resident recovers from COVID-19.
The full emergency rules will be posted on the HHSC COVID-19 provider web page.
The latest guidance for nursing facilities is posted here. Texas HHSC continues to investigate all long-term care facilities in the state that report one or more positive case of COVID-19, as well as coordinate closely with local, state, and federal health authorities.
For more information about how HHSC is helping Texans affected by COVID-19, visit the HHSC website.
Throughout May, the Area Agency on Aging of East Texas (AAA) will join organizations across the nation in celebrating Older Americans Month (OAM), led by the Administration for Community Living, honoring the important contributions of older adults in our communities. This year’s theme, “Champion Your Health,” encourages older adults to focus on the steps they can take to support their physical, mental, and emotional well-being, while highlighting the resources and community connections that help people age well. In recognition of Older Americans Month, AAA will host three special events at community locations across East Texas to celebrate older adults and share information about programs and services available to seniors and caregivers. Throughout the month of May, the Area Agency on Aging will also participate in additional events that promote the mental and physical health of our communities and recognize the many contributions older Americans have made, and continue to make, across the country. As the United States marks its 250th anniversary this year, Older Americans Month also offers an opportunity to reflect on the generations of older adults whose service, leadership, and life experiences have helped shape our nation, our state, and our local communities. “Older Americans Month is an important time to recognize the lasting contributions of older adults and the many ways they strengthen our communities,” said Adrian Cornejo, ETCOG’s Director of the Area Agency on Aging. “This year’s theme, Champion Your Health, reminds us of the importance of supporting healthy aging by connecting older East Texans with resources, services, and opportunities that help them live well and remain engaged.” The following OAM celebration events are free and open to the public and will feature information on services and supports available to East Texas seniors: Friday, May 15 10:00 AM – 1:00 PM First Christian Church 1920 Beaumont St. Jacksonville, Texas 75766 Wednesday, May 20 9:00 AM – 12:00 PM Marshall Convention Center 2501 E. End Blvd S. Marshall, Texas 75672 Thursday, May 21 10:00 AM – 4:00 PM First Methodist Church of Athens 225 Lovers Lane Athens, Texas 75751 The AAA is the region’s leader in advocacy and services for older adults, providing support such as information and referral, benefits counseling, case management, health education classes, senior nutrition, and the Ombudsman program for people living in nursing and assisted living facilities. These services help older individuals live independent, meaningful, and dignified lives in their homes and communities for as long as possible. For questions about the events, contact the Area Agency on Aging of East Texas at (903) 218-6500.
The East Texas Area Agency on Aging (ETAAA), a program of the East Texas Council of Governments (ETCOG), is inviting the public to review and comment on our 2027 to 2029 Area Plan. ETAAA serves as the Area Agency on Aging for Planning and Service Area 4, a fourteen-county region in East Texas. The Area Plan outlines our strategy to strengthen the Aging Services Network and address the needs of people age 60 and older, family caregivers, and individuals with disabilities. It also guides how we plan, coordinate, and oversee services supported by the Older Americans Act and other state and local initiatives. Our mission is to serve as the region’s leader in advocating for and delivering services that enable older adults to live independently, with dignity and purpose, in their homes and communities. Our vision, “Age Well, Live Well, ” reflects a person-centered approach focused on better choices, improved health, and access to nutritious food. We call it “Serving One Senior at a Time.” The 2027–2029 Area Plan is guided by a needs assessment incorporating data, service trends, and stakeholder input. Key priority needs include access to home- and community-based services, caregiver support, transportation, nutrition and food security, social isolation, healthcare access and chronic disease management, and improved service coordination and system navigation. How to share your input Public comments will be accepted through April 26, 2026 . Submit comments by mail or email: Mail: Area Agency on Aging, 3800 Stone Road, Kilgore, TX 75662 Email: Colleen.Halliburton@etcog.org
