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.

The Area Agency on Aging of East Texas is partnering with First Christian Church in Jacksonville to offer a free Benefits & Estate Planning Presentation for Seniors and Caregivers. The informative workshop will be held Thursday, September 17, from 10 a.m. to noon at the First Christian Church Sanctuary, 1920 Beaumont Street in Jacksonville. Presented by Paul Zambie, Managing Attorney with Texas Legal Services Center, the session will help attendees better understand legal and planning issues that can affect older adults and their families. Topics will include wills and trusts, deeds, transfer-on-death deeds, long-term care Medicaid, Medicaid estate recovery, and senior services. This free presentation is designed to give seniors and caregivers practical information to help prepare for life’s challenges and make informed decisions about the future. For more information, contact the Area Agency on Aging of East Texas at 903-218-6500 or 1-800-442-8845.



