{"id":"SEC-04-001","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, Quality, Safety \u0026 Oversight Group","authority":"42 U.S.C. 1395i-3, 1396r; 42 C.F.R. part 483 (conditions of participation; 483.10(f)(4), 483.80); survey and enforcement under 42 C.F.R. part 488","instrument":"QSO-20-14-NH (REVISED)","title":"Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19) in nursing homes (REVISED)","dateIssued":"2020-03-09","effective":"2020-03-13","end":"Visitation provisions superseded by QSO-20-39-NH (Sept. 17, 2020); memorandum expired Mar. 28, 2023","startDate":"2020-03-13","endDate":"2020-09-17","quarters":["2020Q2","2020Q3"],"types":["HC","GATH","EMP"],"addressees":["State Survey Agency Directors","all Medicare and Medicaid nursing homes"],"clause":"Facilities should restrict visitation of all visitors and non-essential health care personnel, except for certain compassionate care situations, such as an end-of-life situation.... Cancel communal dining and all group activities, such as internal and external group activities.... Actively screen residents and staff for fever and respiratory symptoms. (Revised text as read; the nationwide restriction is recited in QSO-20-39-NH: \u0027In March of 2020, CMS issued memorandum QSO 20-14-NH providing guidance to facilities on restricting visitation of all visitors and non-essential healthcare personnel, except for certain compassionate care situations.\u0027)","enforcement":"F-tag 563 (42 C.F.R. 483.10(f)(4)); F880 infection control; civil money penalties and termination under part 488","functions":["VS visitation closed","DN communal dining and group activities cancelled","RS admissions screening and cohorting","IN entry of non-essential health care personnel barred","IC universal screening","CB residents\u0027 access to families"],"notes":"The nationwide floor for every State\u0027s nursing homes from March 13, 2020; the State orders in the regime table supplemented it. The cms.gov copy read carries an expiration banner (Mar. 28, 2023) and the revised text.","sourceUrl":"https://www.cms.gov/files/document/qso-20-14-nh-revised.pdf","snapshot":"","fileExists":true,"fileBytes":411686,"grade":"primary","character":"","description":"","collection":"SEC-04","url":"/library/SEC-04-001","exhibitUrl":"/exhibit/SEC-04-001","citation":"Centers for Medicare \u0026 Medicaid Services, Quality, Safety \u0026 Oversight Group, QSO-20-14-NH (REVISED) (Mar. 9, 2020) (Ex. SEC-04-001)","stateName":"","related":["SEC-04-GM-004","SEC-04-010"]}