November 11th, 2021


CMS has updated their visitation guidance. Below are the highlighted changes:


  • We must allow indoor visitation at all times and for all residents, regardless of isolation status

  • We cannot limit the frequency, length of visits, OR number of visitors a resident may have at a time (as long as social distancing can be applied)


  • However, we must still enforce mask use for visitors and must limit large group gatherings


  • Visitors cannot wander hallways or other common areas – they must either meet in the resident’s room or in a designated location where social distancing can apply


  • If a resident’s roommate is unvaccinated or immunocompromised (regardless of vaccination status), visits should not be conducted in the resident’s room, if possible.


  • If the nursing home’s county COVID-19 community level of transmission is substantial to high (which we are at this time), all residents and visitors, regardless of vaccination status, should wear face coverings or masks and

physically distance, at all times.


  • In areas of low to moderate transmission (we are NOT at this time), the safest practice is for residents and visitors to wear face coverings or masks and physically distance, particularly if either of them is at increased risk for severe disease or are unvaccinated. If the resident and all their visitor(s) are fully vaccinated and the resident is not moderately or severely immunocompromised, they may choose not to wear face coverings or masks and to have physical contact. Visitors should wear face coverings or masks when around other residents or healthcare personnel, regardless of vaccination status.


  • While not recommended, residents who are on transmission-based precautions (TBP) or quarantine can still receive visitors. In these cases, visits should occur in the resident’s room and the resident should wear a well-fitting facemask (if tolerated). Before visiting residents, who are on TBP or quarantine, visitors should be made aware of the potential risk of visiting and precautions necessary in order to visit the resident. Visitors should adhere to the core principles of infection prevention. Facilities may offer well-fitting facemasks or other appropriate PPE, if available; however, facilities are not required to provide PPE for visitors.