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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.

Report to Public Health promptly when either:

  1. COVID-19 is diagnosed in a resident or staff member or
  2. 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.