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.

USAging is celebrating 50 years as the national organization that represents Area Agencies on Aging (AAAs) and Title VI Native American Aging Programs. As part of the 50th anniversary, USAging has launched a new public awareness campaign— Area Agencies on Aging: Helping You Live Long and Stay Strong . The goal of this campaign is to make the public aware of AAAs as a vital community resource and to educate consumers about the range of important services that AAAs offer to older adults, people with disabilities and caregivers. There are more than 600 AAAs serving every community across the country ready to help them to age well where most want—at home and in their community. All people hope to enjoy a long and healthy life—but many find that they need a little help as they go through the aging journey. “Research has shown that two-thirds of older adults will need some support to age well at home,” said USAging CEO Sandy Markwood. “But people often don’t know about AAA services or seek them out until they are in crisis—thereby missing the opportunity to connect to the range of services that are available to help them age well.” Services Provided by AAAs For Older Adults: Home-delivered and congregate meals: Nutritious meals at home or in group settings. In-home support: Assistance with daily tasks like bathing, cleaning and dressing. Transportation: Rides to medical appointments, stores and community activities. Health and wellness programs: Fall prevention, chronic disease management fitness classes. Benefits counseling: Help understanding and enrolling in Medicare, Medicaid and more. For Caregivers: Respite care: Short-term relief to prevent burnout. Training and support: Educational tools and support groups for caregivers. Information and referral : Guidance to local programs, services and community resources. “By 2035, older adults are expected to outnumber children under age 18 for the first time in the history of this country,” said Markwood. “By 2040, a full 22 percent of the American population will be 65 years or older. Currently, there are more than 53 million unpaid family caregivers in the United States. There has never been a more crucial time for people to learn about AAAs and the services that are available to them to help them live long and stay strong.” For more information, visit www.usaging.org/livelongstaystrong or connect with your local AAA by contacting the Eldercare Locator at 1-800-677-1116 or eldercare.acl.gov .

Throughout May, the Area Agency on Aging of East Texas (AAA) will join organizations nationwide in celebrating Older Americans Month (OAM). This month-long observance honors the contributions of seniors in our communities. To mark the occasion, AAA will host and collaborate with local organizations for four special celebration events across East Texas, held at senior centers and community hubs. These events will highlight the importance of connection and the role strong relationships play in maintaining a vibrant, healthy senior population. OAM is a national initiative led by the Administration for Community Living. This year’s theme, “Flip the Script on Aging,” challenges outdated perceptions and encourages a fresh perspective on aging. It promotes a shift in how society talks about, understands, and supports older adults, empowering communities to embrace aging in a more positive and inclusive way. Join Us for These Community Celebrations! The following OAM events are open to the public and will feature food, entertainment, door prizes, and valuable information about services available to East Texas seniors: 📅 May 7 – Henderson Community Building, 302 Fair Park, Henderson | 10:00 AM - 1:00 PM 📅 May 15 – First United Methodist Church, 225 Lovers Ln, Athens | 9:30 AM - 2:00 PM 📅 May 16 – Jefferson Senior Center, 111 W. Broadway, Jefferson | 9:00 AM - 12:30 PM 📅 May 21 – Harrison County Agrilife Extension Office, 2005 Warren Drive, Marshall | 9:00 AM - 12:00 PM The AAA advocates for seniors and provides essential services, including benefits counseling, case management, health education, nutrition programs, referrals, and Ombudsman support for those in assisted living. These services promote independence and dignity, helping seniors remain in their communities. For event inquiries, call (903) 218-6500.