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Ex. SEC-04-GM-004 Organizer notice Primary source read

Organizer notice

Communal dining in Medicare- and Medicaid-certified nursing homes (DN)

Every certified nursing home (15,600 facilities; 1.3 million residents) · Every facility, ALL (Organizer)

The COVID Project

The record

Jurisdiction
Every facility, ALL
Level
Organizer
Issued
2020-03-13 Mar. 13, 2020
In force
Mar. 13, 2020 (the notice's date)
Quarters
2020 Q2
Functions reached
  • DN
  • RS
  • WF
  • CB
  • MK
  • VS
  • IN
  • OF
  • HR
  • HC
  • SC
Collection
Home Care, Nursing and Senior Living SEC-04

Operative words

Cancelling all group activities and communal dining

The organizer's notice

Communal dining in Medicare- and Medicaid-certified nursing homes (DN)

Notes

2020: Cancelled nationwide from March 13, 2020 by federal directive ('Cancelling all group activities and communal dining', CMS release of Mar. 13, 2020; QSO-20-14-NH REVISED); permitted again only in phases under QSO-20-30-NH (May 18, 2020: 'Communal dining limited (for COVID-19 negative or asymptomatic residents only)') and QSO-20-39-NH (Sept. 17, 2020: 'Residents 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)'). 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).