MDHHS Reminds Michiganders of Long-Term Care Facility Visitation Guidance Before Holidays

Long Term Care Guidance

Ahead of the holidays, the Michigan Department of Health and Human Services, or MDHHS, is reminding Michiganders about long-term care visitation guidance.

The guidance allows family and friends of individuals in long-term care facilities to visit, but also protects residents from the coronavirus.

The MDHHS states that they have updated their guidance based on recent changes to Centers for Medicaid and Medicare (CMS) recommendations.

According to CMS, if a visitor, resident or their representative is aware of the risks associated with visitation, and the visit happens in a manner that does not place other residents at risk, the resident must be allowed to receive visitors as he or she chooses.

The MDHHS says that previous public health precautions were designed to prevent visitors from introducing the coronavirus into long-term care facilities, but the risks of coronavirus transmission related to visitation is low.

They say this is especially when, “core principles of infection prevention are observed and in settings where vaccination rates are high.”

According to the MDHHS, about 84% of individuals in long-term care facilities across the state are fully vaccinated.

“Long-term care residents receive physical, emotional and spiritual support by visiting with their family and friends, particularly during the holiday season,” said Elizabeth Hertel, MDHHS director. “Our updated guidance provides key steps to take to make these visits as safe and fulfilling as possible.”

“In these incredibly challenging times we are grateful for the opportunity to give thanks. This Thanksgiving residents and their loved ones will have the opportunity to connect and be together,” stated HCAM President/CEO Melissa Samuel. “COVID cases remain at a very high level, and it is critical family and friends follow all current precautions to protect all residents and staff when visiting Michigan’s skilled nursing facilities.

Additional updates to CMS guidance can be found below:

  • Visitors who have a positive viral test for COVID-19, symptoms of COVID-19, or currently meet the criteria for quarantine, should NOT enter the facility.
  •  Outdoor visits are preferred during times of warmer weather when the resident or visitor is not fully vaccinated.
  • Facilities must allow indoor visitation at all times and for all residents.
    • While it is safer for visitors not to enter the facility during an outbreak investigation, visitors must still be allowed in the facility.
  • While not recommended, residents who are on transmission-based precautions or quarantine may receive visitors, especially if alternative methods of visitation such as phone call, window or virtual visitation are not conducive for visitation.
  • Facilities can no longer limit the frequency and length of visits for residents, the number of visitors or require advance scheduling of visits.
  • Masking
    • If the resident and all their visitor(s) are fully vaccinated and the resident is not moderately or severely immunocompromised, they may choose not to wear face coverings or masks.
    •  If the nursing home’s county COVID-19 community level of transmission is substantial to high, all residents and visitors, regardless of vaccination status, should wear face coverings or masks and physically distance.
    • MDHHS has issued a Public Health Advisory that recommends everyone over the age of 2 should wear a face mask at indoor gatherings regardless of their vaccination status. In addition, establishments should implement a policy to ensure that all persons entering or seeking services, including employees, wear a mask. This face mask advisory remains in effect until further notice.
  • Compassionate care visits are allowed at all times.
  • Residents may also choose to have physical touch based on their preferences and needs.
  • Failure to facilitate visitation would constitute a potential violation and a facility would be subject to citation and enforcement actions.

Additionally, according to the MDHHS, visitor testing is not required to visit, but testing is recommended.

They say facilities in Michigan counties with substantial or high levels of community transmission are encouraged to offer testing to visitors onsite or encourage visitors to have covid testing done two to three days before coming to the long-term care facility.

Categories: Coronavirus