{"id":"SEC-04-002","kind":"order","level":"sector-regulator","jurisdiction":"United States (Medicare- and Medicaid-certified nursing homes)","state":"","metro":"","industry":"04","agency":"","eco":"","issuer":"Centers for Medicare \u0026 Medicaid Services, Survey and Certification Group","authority":"42 C.F.R. 483.10(f)(4) (resident right to visitors subject to reasonable clinical and safety restrictions); 483.80","instrument":"QSO-20-39-NH","title":"Nursing Home Visitation - COVID-19","dateIssued":"2020-09-17","effective":"2020-09-17","end":"Revised Mar. 10, 2021, Apr. 27, 2021 (Ex. SEC-04-003), Nov. 12, 2021 (Ex. SEC-04-077); expired May 1, 2023","startDate":"2020-09-17","endDate":"2021-03-10","quarters":["2020Q3","2020Q4","2021Q1"],"types":["HC","GATH","EMP"],"addressees":["State Survey Agency Directors","nursing homes"],"clause":"This memorandum supersedes and replaces previously issued guidance and recommendations regarding visitation.... fully open and unrestricted visitation posed a clinical health and safety risk to other residents during this PHE, and therefore, it was reasonable to place limits on visitation.... Outdoor visitation is preferred... Facilities should allow indoor visitation... [only where] there has been no new onset of COVID-19 cases in the last 14 days and the facility is not currently conducting outbreak testing;... county positivity rate... Compassionate care visits... Core principles of COVID-19 infection prevention [screening, hand hygiene, face covering, physical distancing, cleaning].","enforcement":"F563; F880; part 488 remedies","functions":["VS visitation conditional on county positivity and 14 days without cases","DN group activities under core principles","RS outbreak testing status controls admissions and visits","IN entry screening","CB"],"notes":"Original Sept. 17, 2020 text preserved by the Wayback Machine (the live cms.gov file is the 2023 revision).","sourceUrl":"https://www.cms.gov/files/document/qso-20-39-nh.pdf","snapshot":"http://web.archive.org/web/20200925041441/https://www.cms.gov/files/document/qso-20-39-nh.pdf","fileExists":true,"fileBytes":129590,"grade":"primary","character":"","description":"","collection":"SEC-04","url":"/library/SEC-04-002","exhibitUrl":"/exhibit/SEC-04-002","citation":"Centers for Medicare \u0026 Medicaid Services, Survey and Certification Group, QSO-20-39-NH (Sept. 17, 2020) (Ex. SEC-04-002)","stateName":"","related":["SEC-04-003","SEC-04-077","SEC-04-GM-004","SEC-04-001","SEC-04-005"]}