cdc guidelines for assisted living facilities after vaccination cdc guidelines for assisted living facilities after vaccination

Facilities can also assess the unique risks of their setting and the populations they serve and use enhanced COVID-19 prevention strategies, described below, to help reduce the impact of COVID-19. Given the predominance of women of child-bearing potential among the healthcare workforce, a substantial number of HCP are estimated to be pregnant or breastfeeding at any given time. Guidance for Infection Control and Prevention for Nursing Facilities: Revised Guidance- March 9, 2020. Cookies used to make website functionality more relevant to you. Communicate information about patients with suspected, probable, or confirmed influenza to appropriate healthcare personnel before transferring them to other departments. Spread of influenza can occur between and among residents, healthcare personnel and visitors. It is estimated that 1 to 3 million serious infections occur every year in: CDC is committed to keeping long term care patients safe from infections. Healthcare personnel who have occupational exposures can be counseled about the early signs and symptoms of influenza and advised to contact their health-care provider immediately for evaluation and possible early initiation of antiviral treatment if clinical signs or symptoms develop. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Remove the facemask when leaving the residents room and dispose of the facemask in a waste container. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Cookies used to make website functionality more relevant to you. Consent/assent for vaccination should be obtained from the resident or their medical proxy and documented in the residents chart per standard practice. You can review and change the way we collect information below. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Thank you for taking the time to confirm your preferences. C. Indoor Visitation Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. However, the CDC recommends that any resident who must leave the community wear a facemask for the duration of their outing. Follow the Centers of Disease Control and Prevention (CDC) Department of Health (DOH) and local health jurisdictions . Many LTC providers have identified strategies and partnerships to obtain and administer COVID-19 vaccines for residents and staff. As part of Standard Precautions, eye protection should be worn if splashes or sprays are anticipated (e.g., the resident is coughing or sneezing). Persons whose need for antiviral chemoprophylaxis is attributed to potential exposure to a person with laboratory-confirmed influenza should receive oral oseltamivir or inhaled zanamivir. Monitor healthcare personnel absenteeism due to respiratory symptoms and exclude those with influenza-like symptoms from work until at least 24 hours after they no longer have a fever. Facilities can also assess the unique risks of their setting and the populations they serve and use enhanced COVID-19 prevention strategies, described below, to help reduce the impact of COVID-19. COVID-19 Vaccines for Long-term Care Residents, Safe, Easy, Free, and Nearby COVID-19 Vaccination, Centers for Disease Control and Prevention. Influenza Surveillance Report (FluView), Previous Forecasts for the 2021-2022 Season, Tools to Prepare Your Practice for Flu Season, Multiplex Assays Authorized for Simultaneous Detection of Influenza Viruses and SARS-CoV-2, Information on Collection of Respiratory Specimens for Influenza Virus Testing, Information for Clinicians on Rapid Diagnostic Testing for Influenza, Algorithm: Interpreting Influenza Testing Results When Influenza is Circulating, Algorithm: Interpreting Influenza Testing Results When Influenza is NOT Circulating, Guide: Influenza Diagnostic Testing in Closed Setting Outbreaks, Guidance: Standard-Based Electronic Laboratory Reporting, Guidance: Antiviral and Obstetric Health Care, Guidance: Outbreak Management in Long-Term Care Facilities, Guidance: Use of Mask to Control Influenza Transmission, Guidance: Prevention & Control in Peri- and Postpartum Settings, U.S. Department of Health & Human Services, Infection Prevention and Control Measures, Influenza-related illness and death, especially among people at increased risk for severe influenza complications. Assisted living facilities: facility providing help with activities of daily living. Effect of antiviral prophylaxis on influenza outbreaks in aged care facilities in three local health districts in New South Wales, Australia, 2014. Older adults and other long-term care residents, including those who are medically fragile and those with neurological or neurocognitive conditions, may manifest atypical signs and symptoms of influenza virus infection (e.g., behavior change), and may not have fever. In some cases, facilities may choose to apply Standard Precautions and Droplet Precautions for longer periods based on clinical judgment, such as in the case of young children or severely immunocompromised residents, who may shed influenza virus for longer periods of time. Staggering delivery of vaccine to HCP in the facility so that personnel from a single department or unit are not all vaccinated at the same time. Below are resources to support nursing homes, assisted living facilities, and adult day services with new requirements for visitation, testing, vaccination, and service delivery. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. The following influenza tests are recommended: molecular assays, including rapid molecular assays, other molecular tests, or reverse transcription polymerase chain reaction (RT-PCR). Check where your state stands on nursing home and long-term care visitors. If you live or work in a Long-term Care (LTC) setting, you can help protect yourself and the people around you by staying up to date with a your COVID-19 vaccines, including boosters as soon as possible. Outbreaks of 2009 Pandemic Influenza A (H1N1) Among Long-Term Care Facility Residents Three States, 2009. You will be subject to the destination website's privacy policy when you follow the link. C) For adult patients with suspected community-acquired pneumonia who do not require hospitalization, see antibiotic treatment recommendations from the American Thoracic Society-Infectious Diseases Society of America Adult Community-acquired Pneumonia Guidelines.13 Information about influenza testing is available at: https://www.cdc.gov/flu/professionals/diagnosis/index.htm. Please see Antiviral Drugs: Information for Healthcare Professionals for the current summary of recommendations for clinical practice regarding the use of influenza antiviral medications. Thank you for taking the time to confirm your preferences. CDC twenty four seven. A)Obtain respiratory specimens for influenza and SARS-CoV-2 testing2. An emphasis on close monitoring and early initiation of antiviral treatment is an alternative to chemoprophylaxis in managing certain persons who have had a suspected exposure to influenza virus. Determine if influenza virus is the causative agent by performing influenza testing on upper respiratory tract specimens (i.e., nasopharyngeal swab, nasal swabs, nasopharyngeal or nasal aspirates, or combined nasal and throat swabs) of ill residents with recent onset of signs and symptoms suggestive of influenza or acute respiratory illness. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Cookies used to make website functionality more relevant to you. CDC twenty four seven. When should a facility choose to implement quarantine? J Hosp Infect 2008; 68:837. If resident movement or transport is necessary, have the resident wear a facemask (e.g., surgical or procedure mask), if possible. This is at the providers discretion; written consent is not required by federal law for COVID-19 vaccination in the United States (U.S.). Examples of standard precautions include: Droplet Precautions are intended to prevent transmission of pathogens spread through close respiratory or mucous membrane contact with respiratory secretions. Residents (or their medical proxies) get a. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Use of oseltamivir during influenza outbreaks in Ontario nursing homes, 19992000. The local public health and state health departments should be notified of every suspected or confirmed influenza outbreak in a long-term care facility, especially if a resident develops influenza while on or after receiving antiviral chemoprophylaxis. If available, multiplex nucleic acid detection assay for SARS-CoV-2, influenza A and B viruses can be performed onsite, or at an offsite clinical laboratory.3, Two different specimens may need to be collected if a multiplex nucleic acid detection assay including both influenza viruses and SARS-CoV-2 is unavailable.2,3, B) Test for SARS-CoV-2 by nucleic acid detection4OR by SARS-CoV-2 antigen detection assay.5,6, Because antigen detection assays have lower sensitivity than nucleic acid detection assaysfor detecting SARS-CoV-2 in upper respiratory tract specimens, a negative SARS-CoV-2 antigen detection assay resultin a symptomatic persondoes not exclude SARS-CoV-2 infection and should be confirmed by either a negative result from a SARS-CoV-2 nucleic acid detection assay or a second negative antigen test result on an upper respiratory tract specimen collected 48 hours after the first negative testresult. Adhere to CDC guidelines for use of PPE and refer to CDC instructions for properly donning ( video) and doffing ( video) PPE. 03, 2023: The CDC has listed three Connecticut CountiesLitchfield, Middlesex and New Haven Countiesin the Medium/Yellow category as part of its weekly COVID-19 Community Levels update. DHHS Guidance on Masking for Assisted-Living Facilities NEW 7/14/2021 Guidance on Communal Dining/Group Activities for NF and AL Nursing Home Visitation - COVID-19 from CMS Essential Caregiver Guidance for Long-Term Care Facilities Licensure Unit, Office of Outpatient and In-Home Care Services Guidance Hospital Acquired Infections and Multi-Drug Resistant Organisms in LTC (HAI/MDRO) Communicating the MDRO status of patients between healthcare facilities continues to be an issue in Orange County. Long term care facilities provide a variety of services, both medical and personal care, to people who are unable to live independently. Bush KA, McAnulty J, McPhie K, et al; Southern New South Wales Public Health Unit. The facility should encourage all individuals to be up to date with all recommended COVID-19 vaccine doses, based upon the latest recommendations. Testing Cookies used to make website functionality more relevant to you. Skilled nursing facilities should be prioritized among LTCFs as they provide care to the most medically vulnerable residents. Residents often live in their own room or apartment within a building or group of buildings. CMS and CDC continue to provide guidance for nursing homes and other long-term care . Oseltamivir prophylaxis in controlling influenza outbreak in nursing homes: a comparison between three different approaches. Isolation and quarantine housing is available for patients who have or who were exposed to COVID-19. These residents should continue to be cared for using all recommended PPE for the care of a resident with SARS-CoV-2 infection.1. Making nursing homes better places to live, work, and visit. Older adults and other long-term care residents, including those who are medically fragile and those with neurological or neurocognitive conditions, may manifest atypical signs and symptoms of influenza virus infection (e.g., behavior change), and may not have fever (https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciy866/5251935). Long-Term Care Facilities & Assisted Living Guidance for long-term care facilities including visitation guidance, infection prevention and control measures, and outbreak management. Intern Med 2002; 41:36670. CDC's guidance titled Prevention Strategies for Seasonal Influenza in Healthcare Settings contains details on the prevention strategies for all healthcare settings. Long-term care facilities are expected to adhere to the infection prevention and control standards, quarantine requirements, and testing . All information these cookies collect is aggregated and therefore anonymous. Monto AS, Rotthoff J, Teich E, et al. Learn more about COVID-19 Vaccine Access in Long-Term Care Settings. Murti M, Fung CK, Chan K, Bigham M. Duration of influenza outbreaks in long-term care facilities after antiviral prophylaxis initiation: Fraser Health, British Columbia, 2014-2017. However, in settings where the initial vaccine supply is insufficient to vaccinate residents of all LTCFs, sub-prioritization of vaccine doses may be necessary. Additionally, all staff should wear a face covering at all times. G) Encourage residents and HCP to remain up to date with recommended COVID-19 vaccine doses. Saving Lives, Protecting People, symptoms of influenza and COVID-19 are similar, healthcare-associated infection program in your state health department, National Institutes of Health COVID-19 Treatment Guidelines Panel, latest recommendations on treatment of nonhospitalized persons with mild-to-moderate COVID-19, Therapeutic Management of Nonhospitalized Adults With COVID-19, Medicare Monoclonal Antibody COVID-19 Infusion Program Instruction, https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html, https://www.cdc.gov/coronavirus/2019-nCoV/lab/guidelines-clinical-specimens.html, https://www.cdc.gov/flu/professionals/diagnosis/table-flu-covid19-detection.html, https://www.fda.gov/medical-devices/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medical-devices/vitro-diagnostics-euas#individual-molecular, https://www.fda.gov/medical-devices/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medical-devices/vitro-diagnostics-euas#individual-antigenhttps://www.fda.gov/medical-devices/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medical-devices/vitro-diagnostics-euas#individual-antigen, https://www.cdc.gov/flu/professionals/diagnosis/table-nucleic-acid-detection.html, https://www.cdc.gov/flu/professionals/diagnosis/table-ridt.html, https://www.cdc.gov/infectioncontrol/guidelines/isolation/appendix/type-duration-precautions.html, https://academic.oup.com/cid/article/68/6/895/5369363, https://www.cdc.gov/flu/professionals/antivirals/summary-clinicians.htm, https://www.cdc.gov/flu/highrisk/index.htm, https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html, https://www.covid19treatmentguidelines.nih.gov/special-populations/influenza/, https://www.atsjournals.org/doi/10.1164/rccm.201908-1581ST, https://www.cdc.gov/flu/professionals/infectioncontrol/ltc-facility-guidance.htm, Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases (NCIRD), Reconstruction of the 1918 Influenza Pandemic Virus, 2022-2023 Preliminary In-Season Burden Estimate, Who is at Higher Risk of Flu Complications, Flu and COVID-19 Vaccine Coadministration, Who Should & Who Should NOT Get Vaccinated, Live Attenuated Influenza Vaccine (LAIV)/Nasal Spray Vaccine, Selecting Viruses for the Seasonal Influenza Vaccine, Flu Vaccine and People with Egg Allergies, Frequently Asked Questions on Vaccine Supply, Historical Reference of Vaccine Doses Distributed, Investigating Respiratory Viruses in the Acutely Ill (IVY), Respiratory Virus Transmission Network (RVTN), Randomized Assessment of Influenza Vaccine Efficacy Network (RAIVEN), Hospitalized Adult Influenza Vaccine Effectiveness Network (HAIVEN), How Vaccine Effectiveness and Efficacy are Measured, What People with a Staph Infection Should Know about Flu, Resources for Hosting a Vaccination Clinic, Overview of Influenza Surveillance in the United States, Influenza Hospitalization Surveillance Network (FluSurv-NET), Weekly U.S. They help us to know which pages are the most and least popular and see how visitors move around the site. Please also refer to the Infectious Diseases Society of America (IDSA) 2018 Update on Diagnosis, Treatment, Chemoprophylaxis, and Institutional Outbreak Management of Seasonal Influenza. Standard Precautions are intended to be applied to the care of all patients in all healthcare settings, regardless of the suspected or confirmed presence of an infectious agent. Conduct daily active surveillance until at least 1 week after the last laboratory-confirmed influenza case was identified. People are protected best from COVID-19 when they stay up to date with recommended COVID-19 vaccines, including boosters. assisted living communities). The new. COVID-19 Long-Term Care Facility Guidance . Thank you for taking the time to confirm your preferences. According to requirements, each resident is to be vaccinated unless contraindicated medically, the resident or legal representative refuses vaccination, or the vaccine is not available because of shortage. Residents who receive a COVID-19 vaccine (or their medical proxy) also receive a fact sheet before vaccination. Amantadine and rimantadine areNOTrecommended for use because of high levels of antiviral resistance to these drugs among circulating influenza A viruses. All information these cookies collect is aggregated and therefore anonymous. It should be noted that some long-term care residents may have difficulty using the inhaler device for zanamivir. van der Sande MA, Meijer A, Sen-Kerpiclik F, et al. All information these cookies collect is aggregated and therefore anonymous. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. (c) "Assisted living facility" means an unlicensed establishment that offers community-based residential care for at least three unrelated adults who are either over the age of 65 or need assistance with activities of daily living (ADLs), including personal, supportive, and intermittent health-related services available 24-hours a day. Considerations might include: Further considerations on the management of post-COVID-19 vaccination symptoms among healthcare personnel is under development. Use of oseltamivir during an outbreak of influenza A in a long-term care facility in Taiwan. Based on greater reactogenicity observed following the second vaccine dose in phase I/II clinical trials, staggering considerations may be more important following the second dose. A health department may be able to arrange an on-site vaccination clinic on their behalf. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Specific recommendations are highlighted below. Flyers to Promote Vaccination (CDC): [All Our Tools] . The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention (CDC), issued updated guidance today for nursing homes to safely expand visitation options during the COVID-19 pandemic public health emergency (PHE). In the setting of an influenza outbreak, empiric antiviral treatment should be given as soon as possible to residents with suspected influenza without waiting for influenza testing results, especially if results will not be available on the day of specimen collection. These cookies may also be used for advertising purposes by these third parties. Healthcare personnel, and visitors who are identified with any illness symptoms should be excluded from the facility until their illness has resolved. The Centers for Disease Control and Prevention on May 13 loosened indoor mask-wearing guidance for fully vaccinated people after previously easing restrictions in outdoor settings. People are protected best from COVID-19 when they stay up to date with recommended COVID-19 vaccines, including boosters. CDC Guidance for Influenza Outbreak Management in Long-Term Care and Post-Acute Care Facilities . Quality Improvement Organizationsexternal icon. COVID-19 vaccines are safeand effectiveespecially against becoming seriously ill, being hospitalized and dyingand very important for older adults. MMWR 2011:60(RR07);1-45, Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization PracticesUnited States, 202223 Influenza Season [523 KB, 32 pages], Seasonal Influenza Vaccination Resources for Health Professionals, Interim Guidance for Routine and Influenza Immunization Services During the COVID-19 Pandemic, Clinical Practice Guidelines by the Infectious Diseases Society of America: 2018 Update on Diagnosis, Treatment, Chemoprophylaxis, and Institutional Outbreak Management of Seasonal Influenza, Influenza Antiviral Medications: Summary for Clinicians, Information for Clinicians on Influenza Virus Testing, Influenza virus testing in investigational outbreaks in institutional or other closed settings, Information on Rapid Molecular Assays, RT-PCR, and other Molecular Assays for Diagnosis of Influenza Virus Infection, Healthcare-associated infections and long-term care settings, Prevention Strategies for Seasonal Influenza in Healthcare Settings, CDC. Residential Care Facilities must allow outdoor visits for all residents, regardless of vaccination status, under written policies and implementation plans that include all of the following restrictions and minimum requirements. D) SARS-CoV-2 post-exposure prophylaxis considerations, For recommendations on post-exposure prophylaxis following close exposure to a person with SARS-CoV-2 infection, visit the latest recommendations from the NIH COVID-19 Treatment Guidelines Panel. If unable to move a resident, he or she could remain in the current room with measures in place to reduce transmission to roommates (e.g., optimizing ventilation, antiviral chemoprophylaxis). Infection prevention and-control measures are especially important for patients who are immunocompromised to reduce the risk for transmission of oseltamivir-resistant viruses. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Antiviral prophylaxis in the management of an influenza outbreak in an aged care facility. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Visitation Guidance: CMS is issuing new guidance for visitation in nursing homes during the COVID-19 PHE. You can review and change the way we collect information below. Limit visitation and exclude ill persons from visiting the facility via posted notices. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Persons receiving antiviral chemoprophylaxis should not receive live attenuated influenza virus vaccine (LAIV), and persons receiving LAIV should not receive antiviral treatment or chemoprophylaxis until 14 days after LAIV administration. Resident and staff vaccination data from assisted living and other LTC settings may be monitored by your state. Childs A, Zullo AR, Joyce NR et al. B. Pursuant to the CDPH Guidance for Vaccine Records Guidelines & Standards, only the following modes may be used as proof of vaccination: 1. Thus, coordination between state and local health officials and healthcare administrators is needed to ensure vaccine access to HCP not affiliated with hospitals. Use of antiviral drugs for chemoprophylaxis of influenza is a key component of influenza outbreak control in institutions that house residents at higher risk of influenza complications. Although vaccination by the end of October is recommended, influenza vaccine administered in December or later, even if influenza activity has already begun, is likely to be beneficial in the majority of influenza seasons because the duration of the season is variable, and influenza activity might not occur in certain communities until February or March. Treating and preventing influenza in aged care facilities: a cluster randomised controlled trial. CDC Releases Updates to COVID-19 Infection Prevention and Control Guidance Bringing Relief. If unable to move a resident, he or she could remain in the current room with measures in place to reduce transmission to roommates (e.g., optimizing ventilation). Since the release of the last Order, millions of vaccinations have since been administered to residential care facility residents and staff, and these vaccines have been shown to help prevent COVID-19 infection. This latest guidance comes as more . Residents often live in their own room or apartment within a building or group of buildings. Fact sheets, guidelines, reports, and resources, Fact sheet, patient safety and other information, Checklists, fact sheet, toolkits, and additional links, Specialized training and resources for nursing home staff, How facilities are keeping residents safe from infections, State-developed resources and information, The Core Elements of Antibiotic Stewardship for Nursing Homes, The Department of Health and Human Services has developed a strategy to address infections in Long-term Care Facilities in Phase 3 of the National Action Plan to Prevent Health Care-Associated Infections: Road Map to Eliminationexternal icon. People who are moderately or severely immunocompromised have different recommendations for COVID-19 vaccines. These cookies may also be used for advertising purposes by these third parties. In addition to monitoring their COVID-19 Community Levels, facilities can consider factors that would indicate heightened risk, including the following: In addition to implementing the recommended prevention steps at each COVID-19 Community Level, congregate settings can consider adopting any of the following enhanced prevention strategies: To receive email updates about COVID-19, enter your email address: We take your privacy seriously. BMC Geriatr. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Commun Dis Intell Q Rep 2004; 28:396400. CDC. CMS COVID-19 Waivers and Flexibilities for Providers include: Physicians and Other Clinicians Hospitals and CAHs (including Swing Beds, DPUs), ASCs and CMHCs Teaching Hospitals, Teaching Physicians and Medical Residents Long Term Care Facilities (Skilled Nursing Facilities and/or Nursing Facilities) Home Health Agencies Hospice CDPH recognizes the importance that visitation and social . If a fully vaccinated person decides to attend an event or large gathering, the CDC says, they should. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. ACIP recommends that HCP be prioritized in the earliest phase of COVID-19 vaccination. They help us to know which pages are the most and least popular and see how visitors move around the site. More information is available, Recommendations for Fully Vaccinated People, Children and teens ages 6 months-17 years, different recommendations for COVID-19 vaccines, Older adults and people with certain health conditions, stay up to date with all recommended COVID-19 vaccines, What to Expect after Your COVID-19 Vaccine, Frequently Asked Questions about COVID-19 Vaccination, Information about Medicare and COVID-19 Vaccine, Talking with Patients about COVID-19 Vaccination, National Center for Immunization and Respiratory Diseases (NCIRD), Possibility of COVID-19 Illness after Vaccination, Investigating Long-Term Effects of Myocarditis, How and Why CDC Measures Vaccine Effectiveness, Monitoring COVID-19 Cases, Hospitalizations, and Deaths by Vaccination Status, Monitoring COVID-19 Vaccine Effectiveness, U.S. Department of Health & Human Services. More information is available, Travel requirements to enter the United States are changing, starting November 8, 2021. Implementation of Standard Precautions constitutes the primary strategy for the prevention of healthcare-associated transmission of infectious agents among patients and healthcare personnel. Merritt T, Hope K, Butler M, et al. The Advisory Committee on Immunization Practices (ACIP) recommends that when a COVID-19 vaccine is authorized by the Food and Drug Administration (FDA) and recommended by ACIP, vaccination in the initial phase of the COVID-19 vaccination program (Phase 1a) should be offered to both 1) health care personnel (HCP) and 2) residents of long term care facilities (LTCF). These Precautions are part of the overall infection control strategy to protect against influenza in healthcare settings and should be used along with other infection control measures, such as isolation or cohorting of ill residents, screening employees and visitors for illness, furloughing ill healthcare personnel, and discouraging ill visitors from entering the facility. Nursing homes are required by the Centers for Medicare and Medicaid Services (CMS) to monitor weekly COVID-19 vaccination data for residents and healthcare personnel through. Use the response checklist (updated 4/29/2022) to get started: LA-HAN Update on the Availability of the State and Commercial COVID-19 Testing. The latest CDC antiviral recommendations are available on CDCs influenza antiviral drugs page for health professionals. CDC twenty four seven. *Note: Fully vaccinated refers to a person who is 2 weeks following receipt of the second dose in a 2- dose series, or 2 weeks following receipt of one dose of a single- dose vaccine, per the CDC's Public Health Recommendations for Vaccinated Persons.