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Contact the King County COVID-19 Call Center at 206-477-3977. Staff are available weekdays, 8 a.m. to 5 p.m. (closed on holidays). Isolation and quarantine requests can be made during that time.

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).

Quick Links

  1. Long-term care facilities should report any confirmed or suspected COVID-19 cases that occur in their facility. To report a confirmed or suspected COVID-19 case, please submit a REDCap High Risk Settings Report online or call our Call Center at 206-477-3977 (open daily from 8:00 a.m. to 5:00 p.m.).
  2. Guidance on what to do if you discover a COVID-19 case in your facility, Washington State Department of Health
  3. See the Long-term care facilities toolkit, with guidance for facilities that identify a positive COVID-19 case.
  4. You can also see additional guidance on what to do if you discover a COVID-19 case in your facility from the Washington State Department of Health.
  5. Notes:
    • COVID-19-related deaths are reportable to Public Health.
    • The current definition of a COVID-19 outbreak at a long-term care facility or supported living agency is: one facility-acquired COVID-19 positive infection in a resident or client.
  1. Test to Treat in Long-Term Care Facilities
  2. Testing locations in King County:
    Free testing sites in King County are open to anyone regardless of immigration or insurance status. Priority testing is given to those with symptoms or immediate risk for COVID-19. Advance appointment recommended. Test results may take up to 72 hours and are not guaranteed.
  3. Outbreak Testing:
    See the Long-term care facilities toolkit, with guidance for facilities that identify a positive COVID-19 case.
  4. Test Kits:
    We encourage facilities to request COVID-19 test kits from their commercial lab, acute care partner or other vendors. If you have a contract with a commercial lab, but they are unable to provide test kits, you may order from the county on our resource page. Note, this resource provides only test kits and does not include a provider order for the lab test or a lab to process the specimen.
  5. Physician orders:
    It is important to partner with individuals' primary care providers, another health system, or a contracted provider to obtain lab orders if your facility does not have a medical director. It is advised you make arrangements for provision of COVID-19 standing orders for all staff and residents as future testing will likely be an ongoing need for the foreseeable future. PHSKC is not currently providing full-facility standing orders.
  6. Information on clinical specimens, CDC
  7. Interpretation of Antigen tests, CDC
  1. Infection Control Assessment and Response (ICAR):
    Effective infection control is critical to preventing communicable diseases and stopping the transmission of COVID-19 in your facility. King County has an Infection Preventionist (IP) who is available to consult with you about your facility's infection control practices. To request an ICAR, call our main line to speak with an investigator 206-296-4774.
  2. Healthcare-Associated Infections (HAI), WA State Dept. of Health.
  3. Infection Prevention Resources for Healthcare Facilities, WA State Dept. of Health
  4. Infection Control Resource, WA State Dept. of Health
  5. Infection Control Resources, CDC
  6. Infection Control Audit Tools:

Appropriate PPE should be worn by all healthcare workers, residents and visitors (if tolerated) regardless of vaccination status.

  1. How to request PPE from King County:
    To request PPE from Public Health, visit our emergency resource page. Upload the PPE request form, fill out the items you are requesting and email to the form to
  2. How to put on and remove PPE safely:
  3. Strategies for optimizing PPE use
  4. Transmission-based precaution signs:
  5. WA State Dept. of Health PPE Chart
  6. Fit testing resources:
  7. Employer responsibilities related to PPE and respirators, WA State Dept. of Health and Labor & Industries

Please refer to the guidance below:

  1. Admission Guidance, CDC
  2. Admission Guidance, WA State Dept. of Health
  1. Overall Safe Start visitation guidance, WA State Dept. of Social and Health Services
  2. Outdoor Equipment Support, WA State Dept. of Social and Health Services
  3. Visitor Log template, WA State Dept. of Health
  4. Visitor signage, WA State Dept. of Health
  5. Guidance for Daily COVID -19 Symptom Screening for Staff and Guests, WA State Dept. of Health
  6. Guidance for outdoor visitation, WA State Dept. of Health