Visit this website daily for the latest information that AHCA has to share about COVID-19. As concerns arise with the emerging coronavirus, officially named COVID-19, we are working with our state partners, including Arkansas Department of Health and Arkansas Department of Human Services to ensure nursing centers receive necessary guidance to prevent the spread of this disease.
Questions? Email email@example.com.
ALERT: Requirements for Facilities to Expand Visitation, Activities, and Communal Dining
October 6, 2020
Click here to read full directive for SNFs, ALFs, RCFs, and ICFs. (Updated 10/6/2020)
ALERT: Trump Administration Strengthens COVID-19 Surveillance with New Reporting and Testing Requirements for Nursing Homes, Other Providers
August 25, 2020
Click here to read the CMS press release. See below under 'CMS' for additional information and resources about the new requirements.
ALERT: ADH Guidance for Reducing Spread of COVID-19 in Long-Term Care Facilities
August 4, 2020
- AHCA Letter to Media Partners (Mar. 22, 2020)
- Arkansas Health Care Association Official Statement (Mar. 20, 2020)
- Arkansas Health Care Association Announces Stringent Visitor Limitations (Mar. 14, 2020)
- DPSQA Testing Guidance for Nursing Home Providers (9/11/2020)
- COVID-19 Focused Survey - Infection Control Survey Tool
- Model Competency Checklist for Nursing Assistant Training
- Link to PASRR Guidance and Rule Suspensions
- Link to Guidance for Background Checks for Employees of LTC Facilities During COVID-19 Outbreak
- CMP Grant Application for Communicative Devices
- DHS Rule Suspensions during COVID-19
- Procedures for Determination of Medical Need for Nursing Home Services
- Rule I, concerning the prohibition on admission of applicants with diagnoses of mental illness or developmental disabilities prior to evaluation and approval by the Office of Long-Term Care is suspended.
- Rule II, concerning the requirement to complete a Level 2 assessment within seven (7) to nine (9) workdays for applicants diagnosed with a mental illness or developmental disability under the initial screening is suspended.
- Rules for the Arkansas Long-term Care Facility Nursing Assistant Training Program
- Sections IV, VII(A)(3), and VII(B), are suspended to the extent that they: (1) Require persons acting as nursing assistants to pass an examination, or (2) Prohibit facilities from employing individuals acting as a nursing assistant for more than 120 days unless the individual passes an examination.
- Section IV.B.5 is suspended to the extent that it limits in-class instruction to one (1) instructor for every 24 students.
- Section IV.B.4 is suspended to the extent that it requires 16 hours of non-classroom instruction be completed “in a facility”.
- Use this Model Competency Checklist to document the competency of nursing assistants who are not able to complete their examination within 120 days. This checklist from DHS is based on the current Nursing Assistant Training Program curriculum for all of the knowledge and skills that CNAs would need to have to meet the needs of facility residents under that curriculum.
- Documenting competency is required because even though rules relating to nursing assistant examination requirements have been temporarily suspended during this public health emergency, both state and federal rules still require that all nursing assistants become "competent" after 120 days. This means that facilities must still ensure that nursing assistants are able to demonstrate competency in skills and techniques necessary to care for residents' needs.
- Rules for Conducting Criminal Record Checks for Employees of Long-term Care Facilities
- Section 304 requiring an applicant for employment at a Long-Term Care Facility to provide specific forms and a fingerprint card to law enforcement is suspended.
- Section 304 requiring law enforcement to complete the forms, place the forms in a sealed envelope, and return the forms to the applicant is suspended.
- Procedures for Determination of Medical Need for Nursing Home Services
- COVID-19 Testing Information / Types of Tests
- Requirements for Facilities to Expand Visitation, Activities, and Communal Dining
- ADH Guidance for Reducing Spread of COVID-19 in Long-Term Care Facilities ( Updated August 4, 2020)
- ADH requires a person exposed to COVID-19 to complete a 14-day quarantine period, even though they may have a negative test result during the quarantine period. (May 22, 2020)
- ADH Guidance for Reducing Spread on COVID-19 in LTC Facilities (April 15, 2020)
- ADH Return to Work Guidance for COVID-19 Infected/Exposed Healthcare Personnel
- ADH Guidance for Limiting the Transmission of COVID-19 for LTC Facility (Revised) (Mar. 13, 2020)
- ADH Guidance for Prevention and Management of COVID-19 in LTC Facilities (Mar. 23, 2020)
- Guidelines for Discontinuation of Isolation Precautions in Patients with COVID-19 Infection (Mar. 19, 2020)
- Extended Use and Limited Reuse of Disposable Facemasks, Respirators, and Protective Eyewear (Mar. 19, 2020)
- ADH Nursing Home Infection Prevention Assessment Tool for COVID-19
- On-Demand Webinars Now Available
- Infection Prevention and Control Assessment Tool for LTC Facilities
- Overview of COVID-19
- Health Care Facility Resources
- Resources for Health Care Facilities
- Health Care Infection Control Guidelines
- Strategies for Optimizing Supply of N95 Respirators
- Clinical Care Guidance
- Clinician Outreach and Communication Activity (COCA) Calls & Webinars
- Implementing Home Care of People Not Requiring Hospitalization
- Disposition of Non-Hospitalized Patients with COVID-19
- Prevention Resources
- Reporting Resources
- New Testing Requirements (Effective Sept. 2, 2020)
- Click here to check county positivity rate and testing frequency.
- New Rule
- CMS Testing Requirements: Steps to Get Started - This resource is geared toward providers who are not routinely testing and need to quickly implement a testing program.
- AHCA/NCAL High-Level Summary - CMS New Reporting and Testing Requirements for Nursing Homes
- AHCA/NCAL Analysis and Summary of Additional Provisions in the CMS Interim Final Rule
- AHCA/NCAL Summary of QSO-20-38-NH and QSO-20-37-CLIA-NH - This resource summarizes the QSO memos and the guidance established by CMS for testing and reporting.
- Rapid Point-of-Care Antigen Devices: What SNF's Need to Know
- QSO-20-38-NH - Interim Final Rule, Updated Testing Requirements (8/26/20)
- QSO-20-37-CLIA-NH - Interim Final Rule, Updated Reporting Requirements (8/26/20)
- CMS Press Release - "CMS posts guidance for implementing new testing requirements in nursing homes and labs" (8/26/20)
- CMS Press Release - "Trump Administration Strengthens COVID-19 Surveillance with New Reporting and Testing Requirements for Nursing Homes, Other Providers" (8/25/20)
- Targeted COVID-19 Training for Nursing Homes
- Click HERE to access the training on the CMS Quality, Safety & Education Portal.
- CMS Press Release - "Trump Administration Launches National Training Program to Strengthen Nursing Home Infection Control Practices" (8/25/20)
- FAQs for ICF/IID Facilities (6/10/20)
- COVID Nursing Home Compare Data (6/4/20)
- Nursing Home Data Release FAQs (PDF) (6/4/20)
- Infographic: Nursing Home Reporting Numbers for 5/31/20 (PDF) (6/4/20)
- Posting Nursing Home Inspections (6/4/20)
- Releasing COVID Nursing Home Data (6/4/20)
- COVID-19 Survey Activities, CARES Act Funding, Enhanced Enforcement for Infection Control Deficiencies, and Quality Improvement Activities in Nursing Homes (6/1/20)
- Toolkit for States to Mitigate COVID-19 in Nursing Homes (PDF) UPDATED (6/1/20)
- Nursing Home Reopening Recommendation FAQs (PDF) (5/18/20)
- COVID-19 Focused Survey for Nursing Homes
- May 11th Letter from CMS Administrator, Seema Verma (5/11/20)
- CMS Memo - Interim Final Rule Updating Requirements for Notification of Confirmed and Suspected COVID-19 Cases Among Residents and Staff in Nursing Homes (May 6, 2020) Ref: QSO-20-29-NH (5/6/20)
- Guidance on Notification Requirements of Confirmed and Suspected COVID-19 Cases Among Nursing Home Residents and Staff (5/6/20)
- Accelerated and Advanced Payments Fact Sheet (PDF) UPDATED (4/26/2020)
- Nursing Home Five-Star Quality Rating Updates, Nursing Home Staff Counts, and Frequently Asked Questions (4/24/20)
- New Nursing Home Requirements for Notification of Confirmed COVID-19 Among Residents and Staff (PDF) (4/19/20)
- 2019 Novel Coronavirus (COVID-19) Long-Term Care Facility Transfer Scenarios (PDF) (4/13/20)
- Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19) in Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IIDs) and Psychiatric Residential Treatment Facilities (PRTFs) (4/8/20)
- Guidance for Infection Control and Prevention Concerning Coronavirus Disease 2019 (COVID-19) in Dialysis Facilities UPDATED (4/8/20)
- COVID-19 Long-Term Care Facility Guidance (PDF) (4/3/20)
- Letter requesting hospitals report data in connection with their efforts to fight the 2019 Novel Coronavirus (COVID-19) (PDF) (3/30/20)
- Revised CMS Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19) in Nursing Homes (3/13/20)
- CMS Memo - Prioritization of Survey Activities (Mar. 23, 2020) Ref: QSO-20-20-All (3/23/20)
Department of Labor
Wright Lindsey Jennings Resources
- 4.3.2020 Webinar Slides
- Click here to listen to a recording of the 4.3.2020 webinar
- DOL FFCRA Poster
- Paycheck Protection Program & Other Business Support
- Coronavirus Aid, Relief, and Economic Security Act (CARES Act) Summary
- Question: As an employer, how do I know if my business is under the 500-employee threshold and therefore must provide paid sick leave or expanded family and medical leave?
- You have fewer than 500 employees if, at the time your employee's leave is to be taken, you employ fewer than 500 full-time and part-time employees within the United States, which includes any State of the United States, the District of Columbia, or any Territory or possession of the United States. In making this determination, you should include employees on leave; temporary employees who are jointly employed by you and another employer (regardless of whether the jointly-employed employees are maintained on only your another employer's payroll); and day laborers supplied by a temporary agency (regardless of whether you are the temporary agency or the client firm if there is a continuing employment relationship). Workers who are independent contractors under the Fair Labor Standards Act (FLSA), rather than employees, are not considered employees for purposes of the 500-employee threshold.
- Typically, a corporation (including its separate establishments or divisions) is considered to be a single employer and its employees must each be counted towards the 500-employee threshold. Where a corporation has an ownership interest in another corporation, the two corporations are separate employers unless they are joint employers under the FLSA with respect to certain employees. If two entities are found to be joint employers, all of their common employees must be counted in determining whether paid sick leave must be provided under the Emergency Paid Sick Leave Act and expanded family and medical leave must be provided under the Emergency Family and Medical Leave Expansion Act.
- In general, two or more entities are separate employers unless they meet the integrated employer test under the Family and Medical Leave Act of 1993 (FMLA). If two entities are an integrated employer under the FMLA, then employees of all entities making up the integrated employer will be counted in determining employer coverage for purposes of paid sick leave under the Emergency Paid Sick Leave Act and expanded family and medical leave under the Emergency Family and Medical Leave Expansion Act.
- Assisted Living Notification Guidelines for Confirmed COVID-19 Cases
- Assisted Living Communities: Taking Reasonable Efforts to Prevent COVID-19
- Guidance on Admissions from and Discharges to Hospitals
- Guidance on Communal Dining
- Guidance for Hospice Services
- Guidance for Therapy Personnel
- Guidelines for Residents' Personal Laundry During COVID-19
Well-Being of Residents & Staff
- Activity Director Resources
- Tips for Keeping Residents Engaged
- Well-Being Model Guidance for Residents
- Psychosocial Health Screen of Residents
- Well-Being Tips for Healthcare Workers to Reduce Stress and Improve Self-Care During the COVID-19 Outbreak
- Keeping People Connected: Innovative Methods Using an Infection Prevention & Control Mindset
- Communication Strategies for Keeping Families Up to Date
Visitor / Staff Screenings
- UPDATED: Sample Visitor Screening Form (6/30/2020)
- The CDC has updated their list of symptoms.
- AHCA/NCAL issued a revised screening toolkit that facilities can use.
- Sample daily log for screening personnel (Excel and PDF)
- Sample On-Site Notice on Restricting Visitors - English
- Sample On-Site Notice on Restricting Visitors - Español
- Sample Letter to Residents and Family Members on Restricting Visitors
- When Residents Want to Take an Outing into the Surrounding Community
- Cohorting Residents
- Summary of CMS Reporting Requirements of Confirmed or Suspected Cases
- Sample Letter to Residents & Families - Confirmed Case
- Notification Guidelines for Confirmed COVID-19 Cases in Assisted Living
- Staff Confirmed Case - Reporting to OSHA
- Nebulizer Treatment for COVID-19 Infected Residents with Severe Respiratory Symptoms
- N95 Respirators
- Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (COVID-19)
- Interim Infection Prevention and Control Requirements for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings
- Strategies for Optimizing the Supply of N95 Respirators
- Strategies for Optimizing the Supply of N95 Respirators: Contingency Capacity Strategies
- Checklist for Healthcare Facilities: Strategies for Optimizing the Supply of N95 Respirators during the COVID-19 Response
- When N95 Supplies are Running Low: Personal Protective Equipment and Respiratory Protection (see page 3)
- Recommended Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators in Healthcare Settings
- N95 Mask Course
- This course covers the types of face masks in the healthcare setting, identifies features of N95 masks, and strategies for use of these masks.
- Video: Respirator Fit Testing from OSHA
- Video: How to Use a Filtering Facepiece Respirator
- AHCA Infection Procedures Activated/Visitor Poster
- CDC Infographic: Stop the Spread of Germs
- CDC Infographic: Airborne Precautions (English)
- CDC Infographic: Airborne Precautions (Spanish)
- CDC Infographic: Droplet Precautions (English)
- CDC Infographic: Droplet Precautions (Spanish)
- CDC Infographic: Symptoms of COVID (English)
- CDC Infographic: Symptoms of COVID (Spanish)
- CDC Infographic: Sick with 2019 nCoV Fact Sheet (English)
- CDC Infographic: Sick with 2019 nCoV Fact Sheet (Spanish)
- CDC Infographic: Contact Precautions (English)
- CDC Infographic: Contact Precautions (Spanish)
- PAHO Infographic: Coronavirus Disease 2019
- Pathway Health Resources - COVID-19 Resources including policies & procedures, leadership checklists, preparation and response strategies. Click to Download.
- Ecolab Resources - COVID-19 Cleaning and Disinfection. Click to View.
- Long-Term Care Nursing Homes Telehealth and Telemedicine Tool Kit
- Sample Housekeeping Handout on Cleaning - English
- Sample Housekeeping Handout on Cleaning - Español