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.
The Marshall-Harrison County Health District invites community members to attend the next Building Healthy Futures class, Navigating Aging, on Thursday, July 30, at 1:00 p.m. at the Harrison County AgriLife Extension Office (2005 Warren Drive, Marshall, Texas). Presented by the Area Agency on Aging of East Texas, this free educational class is designed to introduce older adults, caregivers, and family members to valuable programs and resources that support healthy, independent living. Participants will learn about the Area Agency on Aging's evidence-based intervention programs, which are designed to promote wellness, prevent falls, manage chronic health conditions, and improve overall quality of life. Attendees will also enjoy a nutritious snack provided during the class. In addition to the presentation, the Area Agency on Aging will conduct a brief community survey to gather input on the types of aging-related classes and services residents would like to see offered in Marshall and Harrison County. Community feedback will help shape future educational opportunities to better meet local needs. "Building Healthy Futures is about connecting our community with trusted resources that support health and well-being at every stage of life," said Jennifer Hancock, Executive Director of the Marshall-Harrison County Health District. "We're excited to partner with the Area Agency on Aging of East Texas to learn more about the classes and services they offer." The class is free and open to the public. Registration is recommended by visiting mhchd.org or by contacting the Marshall-Harrison County Health District at 903-938-8338.
Each May, the Administration for Community Living leads the nation’s observance of Older Americans Month, and this year’s theme was “Champion Your Health.” In recognition of the month, the Area Agency on Aging of East Texas hosted three community events in Jacksonville, Marshall, and Athens, bringing together older adults, caregivers, staff, volunteers, and community partners to celebrate healthy aging and support older adults’ independence. More than 420 people attended the three events, where they received information and heard from experts on senior services, exercise programs, fraud and scams, and ways to take an active role in managing their health. Activities included on-site health screenings, evidence-based activity demonstrations, a Dementia Live demonstration, and the TxDOT Car Fit Program for Seniors. At some events, local officials also read proclamations recognizing May as Older Americans Month, including Cherokee County Judge Chris Davis, who presented the proclamation in Jacksonville. “We encourage older East Texans and their caregivers to connect with our agency to learn more about the resources and services available to help them live independently and remain active in their communities,” said Adrian Cornejo, ETCOG’s Director of the Area Agency on Aging. Special thanks to all event partners, sponsors, volunteers, AAA staff, and participants who helped make these Older Americans Month events a success!
