2019 Novel Coronavirus (COVID-19)

COVID-19 Recommendations:

Long-Term Care Facilities

Updated 3/26/2020

For up to date information on COVID-19 visit

Special Notice:

Healthcare operations, such as long-term care facilities, are essential functions and not included in stay-at -home orders. This guidance is intended to provide recommendations for this specific industry. This guidance is updated frequently so please check back for the most recent recommendations. For the full stay-at-home order click here. 

Latest Update March 26, 2020

Key Points:

Instructions for patients diagnosed with COVID-19 and their close contacts

Due to the rising number of confirmed COVID-19 cases in Colorado, CDPHE is asking that clinicians provide the current guidance on isolation to patients at the time of their diagnosis with COVID-19, including those with likely COVID-19 who will not be tested, to ensure that timely recommendations are provided to reduce spread of disease. Isolation recommendations:

Patients who are healthcare workers

New CDC Guidance

CDC continues to add and update guidance documents. A few new documents to highlight include the following:

March 15, 2020

Key Points:

Recommendations for facilities now that there are cases in Mesa County and before there are cases in your facility:

Review CDC’s COVID-19 Preparedness Checklist for Nursing Homes and other Long-Term Care Settings:

Educate Residents, Healthcare Personnel, and Visitors

Provide Supplies for Recommended Infection Prevention and Control Practices

Environmental cleaning and disinfection

Consider New Policies and Procedures for Visitors

Review and Revise Interactions with Outside Personnel

Expanded CMS visitation limitation definitions:

COVID-19 Case Evaluation and Management Guidance:

Who should be evaluated as a suspect case:

*Close contact definition:

a) being within approximately 6 feet (2 meters) of a COVID-19 case for a prolonged period of time; close contact can occur while caring for, living with, visiting, or sharing a healthcare waiting area or room with a COVID-19 case

– or –

b) having direct contact with infectious secretions of a COVID-19 case (e.g., being coughed on)

If a suspect case is identified:

  1. Promptly identify a suspect case,
  2. Isolate them in a private room with a closed door and limit staff interaction,
  3. Consult with the case’s healthcare provider.

Evaluate and manage healthcare personnel with symptoms of respiratory illness:

Evaluate and Manage Residents with Symptoms of Respiratory Infection:

Management of Confirmed COVID-19 Patient in Your Facility:

When should long-term care facilities consider transferring a resident with suspected or confirmed infection with COVID-19 to a hospital?

When should a long-term care facility accept a resident who was diagnosed with COVID-19 from a hospital? 

Obtain Accurate Information

In rapidly changing health events and outbreaks such as COVID-19, there can be large amounts of incorrect or partially correct information that can add to stress and confusion. Providing current, accurate, and frequent updates can help reduce stress and fear.

Get the most up-to-date and accurate information from:

Guidance adapted from Colorado Department of Health and Environment, Centers for Disease Control and Prevention, and Centers for Medicare and Medicaid, Colorado Department of Human Services, and World Health Organization