HHSC Updates Visitation Rules for Long-Term Care Facilities
Texas Health and Human Services • March 23, 2021
The Texas Health and Human Services Commission
is expanding visitation statewide in nursing facilities and other long-term care settings, effective today. Per federal guidance issued March 10 by the Centers for Medicare and Medicaid Services, fully vaccinated nursing facility residents are now allowed close, in-person visits with family members and friends who are not designated essential caregivers, as long as proper safeguards are in place.
“Safely visiting with family and friends is vital to the mental health and well-being of long-term care residents,” said Victoria Ford, HHS chief policy and regulatory officer. “We are so pleased these new rules will allow residents to enjoy in-person visits with a wider circle of loved ones.”
For nursing facilities, these updated visitation rules give providers additional flexibilities in accordance with the new federal guidelines.
While continuing to follow all protocols to mitigate the spread of COVID-19, including the wearing of face masks, Texas nursing facilities can now permit:
- close/personal contact during any visitation for fully vaccinated residents.
- outdoor visitation at all facilities, even when the facility has an outbreak.
- up to two essential caregivers at the same time to visit a resident with any COVID-19 status.
- all visitation without time limits, while adhering to infection prevention and control measures.
- end-of-life visits for all residents regardless of their COVID-19 status in all nursing facilities, with an expanded definition of end-of-life visits that now includes all residents receiving hospice services; residents at or near the end of life, with or without hospice services; and residents whose prognosis does not indicate recovery.
Nursing facilities no longer need to:
- request general visitation approval from HHSC.
- monitor visits or escort visitors to and from the visitation area.
- limit indoor visitation to areas with a plexiglass barrier or booth.
- require documentation of a negative COVID-19 test result for essential caregiver or salon services visitors.
- In addition to nursing facilities, HHSC expanded visitation allowed in assisted living facilities, intermediate care facilities, and Home and Community-based Services providers. The new rules also remove certain administrative requirements for providers, such as the rules to have staff monitor certain visits and escort visitors to and from a visiting area.
For more information about how HHSC is helping Texans affected by COVID-19, visit the HHS 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 – 2:00 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
