Recommendations for long-term care facilities
This webpage provides up-to-date resources to assist long-term care facilities in their response to the COVID-19 outbreak.
Long-term care facilities are at high risk for severe COVID-19 outbreaks due to their congregate nature and vulnerable population (e.g., older adults with multiple co-morbidities). They play a critical role in the COVID-19 response.
State of Washington has launched a phone hotline for questions about long-term care facilities; call 888-856-5691 (open 6 a.m. to 10 p.m. daily).
Letters to the administrators of long-term care facilities, from Health Officer, Dr. Jeff Duchin:
- COVID-19 testing protocol for residents and staff of LTCFs (Updated 4/23/2020)
Public Health recommends long-term care facilities take all potential steps to identify infections early. This includes, when possible, testing all residents and staff on a voluntary basis even before a case has been confirmed in the facility in order to identify unrecognized cases and facilitate disease control measures. Read the full letter of recommendations.
- All deaths in residents of licensed LTCFs to be reported (Updated 4/27/2020)
In order to identify the extent of the COVID-19 pandemic in Seattle and King County, Public Health is requesting that all deaths in residents of licensed long-term care facilities be reported to the King County Medical Examiner’s Office (MEO) to determine if post-mortem COVID-19 testing is indicated. Read the full letter for MEO’s reporting process.
- Updated nursing home assessment tool, DOH
- Additional Guidance for Facilities with cases of COVID-19 or sustained transmission in the community, CDC
- Long Term Care Call to Action letter, WA State Dept. of Health
- Additional LTCF guidance materials, WA State Dept. of Health
- Preparing for COVID-19: Long Term Care Facilities, Nursing Homes, CDC
- COVID-19 Testing Handbook for Assisted Living Facilities (PDF)
- Healthcare Personnel Symptom Monitoring form (PDF)
- Signs and Symptoms of COVID-19 in the Elderly (PDF)
- Testing priority guidance, WA State Dept. of Health
Report to Public Health promptly when either:
- COVID-19 is diagnosed in a resident or staff member or
- More than one resident or staff member in the facility develop COVID-19 like illness in a 14 day period. To report concerns about a case, cluster, or outbreak, please use this form.
- PPE Burn rate calculator, CDC
- Conserving PPE, CDC
- Conserving PPE, FDA
- Guidance for PPE Conservation and alternatives when PPE is unavailable, PHSKC
- PPE competency checklist, NC SPICE
- Standard precautions and PPE checklist, CDC
How to request PPE
- Request PPE through DSHS, DSHS
- Guidance regarding admission of COVID-19 positive residents, WA State Dept. of Health
- COVID-19 in a Long-Term Care Facility — King County, Washington, February 27–March 9, 2020
- Asymptomatic and Presymptomatic SARS-CoV-2 Infections in Residents of a Long-Term Care Skilled Nursing Facility — King County, Washington, March