{"id":"SEC-04-GM-004","kind":"meeting","level":"organizer","jurisdiction":"Every facility, ALL","state":"","metro":"","industry":"04","agency":"","eco":"","issuer":"Every certified nursing home (15,600 facilities; 1.3 million residents)","authority":"","instrument":"Organizer notice","title":"Communal dining in Medicare- and Medicaid-certified nursing homes (DN)","dateIssued":"2020-03-13","effective":"","end":"","startDate":"2020-03-13","endDate":"","quarters":["2020Q2"],"types":[],"addressees":[],"clause":"Cancelling all group activities and communal dining","enforcement":"","functions":["DN","RS","WF","CB","MK","VS","IN","OF","HR","HC","SC"],"notes":"2020: Cancelled nationwide from March 13, 2020 by federal directive (\u0027Cancelling all group activities and communal dining\u0027, CMS release of Mar. 13, 2020; QSO-20-14-NH REVISED); permitted again only in phases under QSO-20-30-NH (May 18, 2020: \u0027Communal dining limited (for COVID-19 negative or asymptomatic residents only)\u0027) and QSO-20-39-NH (Sept. 17, 2020: \u0027Residents may eat in the same room with social distancing (e.g., limited number of people at each table and with at least six feet between each person)\u0027). 2021: Permitted under the core principles of QSO-20-39-NH REVISED (Mar. 10 and Apr. 27, 2021) with distancing and cohorting; suspended again for residents in quarantine or in outbreak testing under 42 C.F.R. 483.80(h); State phase directives (e.g., New Jersey ED 20-026 Phase 0 to 3) layered on top through Q3 2021. Usual dates: Daily. Scale: NCHS: 15,600 nursing homes, 1.7 million certified beds. Venue orders 2020: SEC-04-001, SEC-04-GM-004, SEC-04-012, SEC-04-002, SEC-04-043, SEC-04-004. Venue orders 2021: SEC-04-003, SEC-04-004, SEC-04-043, SEC-04-073. Also cancelled by this notice: Group activities, entertainment, outings and internal or external group programs in nursing homes (bingo, exercise, music, worship, resident outings) (Every facility, ALL; usual dates Daily; venue orders 2020: SEC-04-001, SEC-04-GM-004, SEC-04-012, SEC-04-002, SEC-04-075, SEC-04-040; venue orders 2021: SEC-04-003, SEC-04-075, SEC-04-076). Also cancelled by this notice: Family visits, visitation hours and holiday gatherings in nursing homes, assisted living communities and ICF/IIDs (VS) (Every facility, ALL; usual dates Daily; peaks at holidays; venue orders 2020: SEC-04-001, SEC-04-GM-004, SEC-04-040, SEC-04-062, SEC-04-072, SEC-04-041, SEC-04-075, SEC-04-068, SEC-04-039, SEC-04-060, SEC-04-047, SEC-04-013, SEC-04-002; venue orders 2021: SEC-04-003, SEC-04-016, SEC-04-075, CA-032, SEC-01-060). Also cancelled by this notice: Resident councils and family councils (42 C.F.R. 483.10(f)(5)-(6)) and care-plan conferences with families (Every facility, ALL; usual dates Monthly (councils); quarterly (care-plan conferences); venue orders 2020: SEC-04-001, SEC-04-GM-004, SEC-04-002; venue orders 2021: SEC-04-003). Also cancelled by this notice: Worship services, clergy visits, chaplaincy and religious programs inside nursing homes, assisted living and hospice inpatient units (Every facility, ALL; usual dates Weekly; venue orders 2020: SEC-04-001, SEC-04-GM-004, SEC-04-002; venue orders 2021: SEC-04-003). Also cancelled by this notice: Volunteer programs in nursing homes and hospices (hospice volunteers must furnish at least 5 percent of patient-care hours under 42 C.F.R. 418.78(e)) (Every facility and patient home, ALL; usual dates Continuous; venue orders 2020: SEC-04-GM-004, SEC-04-015, SEC-04-004; venue orders 2021: SEC-04-015, SEC-04-025, SEC-04-004, SEC-04-073). Also cancelled by this notice: In-facility salon, barber and beautician services and other non-essential personnel visits (podiatry, entertainers, vendors) (Every facility, ALL; usual dates Weekly; venue orders 2020: SEC-04-GM-004, SEC-04-001, SEC-04-012, SEC-04-002, OH-008; venue orders 2021: SEC-04-003, SEC-04-004). Also cancelled by this notice: Prospective-resident tours, open houses, move-in events, marketing luncheons and community events held on the premises of assisted living and skilled nursing communities (MK, CB) (Every community, ALL; usual dates Weekly; move-in season spring and summer; venue orders 2020: SEC-04-GM-004, SEC-04-001, SEC-04-040, SEC-04-039, SEC-04-060, SEC-04-075, SEC-04-043; venue orders 2021: SEC-04-003, SEC-04-043, CA-032). Also cancelled by this notice: In-person liaison visits to hospital discharge planners, case managers, physicians and skilled nursing facilities; lunch-and-learn in-services at referral sources (IN, MK) (Every hospital and facility, ALL; usual dates Daily; venue orders 2020: SEC-01-006, SEC-04-001, SEC-04-GM-004, SEC-04-040, SEC-04-068, FL-008, OH-004; venue orders 2021: SEC-04-003, CA-032, SEC-01-060).","sourceUrl":"https://www.cms.gov/newsroom/press-releases/cms-announces-new-measures-protect-nursing-home-residents-covid-19","snapshot":"","fileExists":true,"fileBytes":127641,"grade":"primary","character":"","description":"Communal dining in Medicare- and Medicaid-certified nursing homes (DN)","collection":"SEC-04","url":"/library/SEC-04-GM-004","exhibitUrl":"/exhibit/SEC-04-GM-004","citation":"Every certified nursing home (15,600 facilities; 1.3 million residents), Organizer notice (Mar. 13, 2020) (Ex. SEC-04-GM-004)","stateName":"","related":["SEC-04-001","SEC-04-012","SEC-04-002","SEC-04-043","SEC-04-004","SEC-04-003","SEC-04-073","SEC-04-075","SEC-04-040","SEC-04-076","SEC-04-062","SEC-04-072"]}