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Ex. SEC-04-001 Order Primary source read

QSO-20-14-NH (REVISED)

Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19) in nursing homes (REVISED)

Centers for Medicare & Medicaid Services, Quality, Safety & Oversight Group · United States (Medicare- and Medicaid-certified nursing homes) (Sector regulator)

The COVID Project

The record

Jurisdiction
United States (Medicare- and Medicaid-certified nursing homes)
Level
Sector regulator
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
Issued
2020-03-09 Mar. 9, 2020
Effective
2020-03-13
End
Visitation provisions superseded by QSO-20-39-NH (Sept. 17, 2020); memorandum expired Mar. 28, 2023 (read as 2020-09-17)
In force
Mar. 13, 2020 to Sept. 17, 2020
Quarters
2020 Q22020 Q3
Limitation types
Gathering capHealth care ordersWorkplace rules
Addressees
  • State Survey Agency Directors
  • all Medicare and Medicaid nursing homes
Functions reached
  • 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' access to families
Collection
Home Care, Nursing and Senior Living SEC-04

Operative words

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: 'In 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.')

Enforcement

F-tag 563 (42 C.F.R. 483.10(f)(4)); F880 infection control; civil money penalties and termination under part 488

Notes

The nationwide floor for every State's 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.

Retrieval note

Current cms.gov copy of the revised memorandum, carrying the original date.