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.
Medicare Open Enrollment runs from October 15 until December 7, and people with Medicare will have more coverage options to consider. Plan costs and covered benefits have changed, so our Area Agency on Aging of East Texas (AAA) is offering benefits counseling assistance to encourage Medicare recipients to review their coverage choices and decide on the options that best fit their health needs. The changes Medicare recipients can make during Open Enrollment include: Joining a new Medicare Advantage Plan or Part D prescription drug plan Switching from Original Medicare to a Medicare Advantage Plan Switching from a Medicare Advantage Plan to Original Medicare (with or without a Part D plan) “Medicare Open Enrollment allows you the opportunity to review your healthcare plan and check on your financial well-being, which could also help save costs and coverage,” says AAA Benefits Counselor Nellie Spencer. “Call us and talk to an unbiased, qualified Benefits Counselor. We are also your State Health Insurance Assistance Program (SHIP) and available free of charge to go over your options.” For assistance, please call the Area Agency on Aging at 1-800-442-8845 to speak to a qualified benefits counselor. Appointments can be made over the phone, in a virtual meeting, or in person. Local Open Enrollment presentations: Benefits counselors will also be available for appointments at these community events during the Open Enrollment period. To reserve your spot, call the Area Agency on Aging at 1-800-442-8845. Walk-ins will be accepted. Palestine Resource Center for Independent Living, 421 Avenue A, Palestine, TX Date: Tuesday, November 4th Time: 9:00 am-3:00 pm George Washington Carver Community Center, 2303 Holland St., Marshall, TX Date: Thursday, November 6th Time: 10:00 am-2:00 pm Mt. Zion C.M.E. Church, 104 State Hwy. 64, Ben Wheeler, TX Date: Thursday, November 13th Time: 1:00 pm-3:30 pm First Christian Church, 1920 Beaumont St., Jacksonville, TX Date: Thursday, November 20th Time: 9:00 am-12:00 pm Be on alert for these Medicare Open Enrollment scams: There are no "limited time offers." Medicare or a health plan calls and wants to send you a new health card for $299. You receive a call about a refund from last year's premiums or your drug plan cost. An agent tries to sign you up for a plan that you don't need, isn't right for you, or doesn't even exist. Watch out for fake RX cards offering significant discounts with little or no benefits. You receive a call offering significant discounts on a new health insurance plan. Agents can NOT cold call you. Tips on how to stop fraud during Open Enrollment: If it's "too good to be true," it probably is. Don't trust all the ads you see on TV. Review the plan BEFORE you join. Even if you're not switching, review your current plan to ensure it covers your doctors. Medicare will never call or visit. Medicare will only send information via postal mail service. Guard your Medicare card and number like a credit card. Don't give out your Medicare number except to your doctor or other providers. Don't let someone push you into making a fast decision. If you receive a call, especially from a number you do not recognize or anyone requesting personal information, hang up immediately. Know your health care options. Get help from your family, the Medicare website, or your local State Health Insurance Assistance Program (SHIP), which for East Texas is the AAA. No health care plan is allowed to cold call. Medicare plans can be viewed and compared at www.medicare.gov .
The East Texas Council of Governments (ETCOG) is pleased to announce the appointment of Adrian Cornejo as the new Director of the Area Agency on Aging of East Texas (AAA). In this role, Cornejo will lead efforts to develop and coordinate services that support the health, independence, and quality of life of older adults across ETCOG’s fourteen-county region. Cornejo brings a strong background in healthcare leadership and military service. He most recently worked as an Account Manager for Humana’s Institutional Special Needs Plan program, where he partnered with skilled nursing facilities to improve care coordination, leading to a 20% reduction in hospital readmissions. Earlier in his career, Cornejo served in the United States Navy for nearly two decades, rising to the rank of Senior Chief Petty Officer and managing budgets exceeding $550 million while leading more than 350 Sailors and Marines. “Adrian’s leadership experience in both healthcare and the military has equipped him with the skills and dedication needed to serve East Texas seniors,” said ETCOG Executive Director David Cleveland. “His background in building partnerships and his deep commitment to public service make him a tremendous asset to our team.” Cornejo shared his enthusiasm for his new role, saying, “It is an honor to join ETCOG and to serve the seniors of East Texas. My goal is to build on the strong foundation already in place at the Area Agency on Aging and continue to expand access to services that help older adults and their families live with dignity and independence.” The AAA is administered through ETCOG and is part of a nationwide network created through the Older Americans Act of 1965. It provides a wide range of services, including information and referral, benefits counseling, case management, health education, senior nutrition programs, housing repair, caregiver support, and Ombudsman advocacy for individuals in long-term care facilities. These programs are designed to help older residents remain active and independent in their homes and communities for as long as possible.
