As Florida’s Assisted Living Facilities prepare for what may be an extended national response to Coronavirus-19 (COVID-19), they are leveraging the preparatory work from their required Comprehensive Emergency Management Plans and existing Infection Prevention and Control procedures.

4/30/2020: The Re-Open Florida Task Force released its full report to the Governor. Download a copy here.

4/23/2020: FSLA Calls for Important Clarification About List of Facilities

Tallahassee, Fla. – The Florida Senior Living Association (FSLA) today thanked Governor DeSantis for prioritizing the health and welfare of residents in long-term care facilities and urged state regulators to further clarify what information is included in the published list of long-term care facilities affected by COVID-19. The list is currently described as representing COVID-19 positive reports in staff or residents from long-term care facilities in Florida. However, the list also includes long-term care facilities that have been included in contact tracing investigations. Read more.

4/18/2020:  DOH Releases Facility List: Clarity Requested
Governor DeSantis released the names of the communities with positive COVID-19 results. Click here to review a copy of the list and to watch the Governor’s press conference. We have been in touch with the Governor’s Office, the Agency for Health Care Administration, and the Department of Health to request clarification to the list. Please let us know as soon as possible if you believe your facility has been included on this list by mistake.

Assisted Living Communities may contact with questions.

Members of the media working on a deadline may contact Sandi Poreda at 850-766-1906 /

Florida DOH Aging and Vulnerable Populations Call

UPDATED Thursdays from 4:15 p.m. – 4:45 p.m. Eastern Time

This is a weekly conference call hosted by the Florida Department of Health to disseminate the most up-to-date information regarding COVID-19. All residential facilities that provide care and support to aging and vulnerable populations are invited to participate on the call. There will be an opportunity for questions as time permits.

Call In Number: 866-951-1151
Participant Code: 8484844#

Lines are limited; dial in early.

Emergency Status System (ESS)

UPDATED 5/13/2020 – The event tab labeled “Add’l Info” has been updated. The ESS will now require entry of fields related to the testing of facility employees and the facility’s ability to test. This is critical to complete each day to assist with arrangement of testing.

Additional questions have been added to the ESS. AHCA has updated the Long Term Care Facility Additional Info Entry – Questions Guidance for these questions. 

4/25/2020 – The event tab labeled “Add’l Info” has been updated. The ESS will now require entry of fields related to the facility being COVID-19 free. Facilities must answer all questions daily by 10 AM ET. 

Pursuant to Governor Ron Desantis’ Executive Order 20-51 and at the direction of State Surgeon General Rivkees, regarding Novel Coronavirus (COVID-19), the Agency for Health Care Administration has opened the event “COVID-19 Monitoring” in the Emergency Status System to monitor nursing home and assisted living facility census, inventory, needs, and other related information statewide. 

All nursing homes and assisted living facilities:

  • Ensure the “Facility Contacts” section is up-to-date. 
  • Please report Current Resident Census and available beds in your facility daily by 10 AM ET until further notice.
  • A new event tab labeled “Add’l Info” should be updated now and then daily by 10 AM ET until further notice.
    • Questions on this screen may vary so be sure to read carefully each time you go to enter info.
    • You may view previous responses by using the “History” table at the bottom of this screen.
  • All needs requests should be submitted to your local Emergency Operations Center:
  • For reporting purposes, update the “Resource Needs” event tab in ESS as well.
  • Include the mission number(s) assigned by your local Emergency Operations Center.

If needed, click the following link to access instructions for entering facility data for events (see pages 1-4 of the document “How to Locate and Enter Event Information” under the Details column):  

If you require additional assistance with ESS, please contact your AHCA licensing unit during normal business hours:

  • Long Term Care Services Unit at 850-412-4303
  • Assisted Living Unit at 850-412-4304

emergency rules re: ACCESS & testing

UPDATE May 22, 2020: The Department of Health has shared the following documents to assist with testing in long-term care facilities:

  1. Instructional materials that will help the Facility Administrator complete the Laboratory Orders for all residents to be tested and how to receive residents’ results when ready. LTC Testing Flyer – LTC Facility Administration (Patient Registration) | IMT LTC Testing Flyer – LTC Facility Administration (Patient Registration)
  2. Instructional materials that should be provided to all of employees. Each employee will create an account to create their one-time Laboratory Order. This account will also be where results are reported back. Employees are to provide results of testing to their employer. Employee Registration
  3. A flyer with general information on how to conduct this testing. How to Conduct Testing in the LTC Facility
  4. A handout with information on how to reach the DOH dedicated call center for Nursing Home and Assisted Living Facility testing performed at Northwest Pathology. Lab Results Call Center

May 20, 2020: Q&A for Emergency Rules

May 10, 2020: The Florida Agency for Health Care Administration has issued two Emergency Rules related to COVID-19 testing at long-term care facilities.

To prevent the spread of COVID-19 at long-term care and residential facilities, the Agency for Health Care Administration issued Emergency Rule 59AER20-2 and Emergency Rule 59AER20-3.

These rules require nursing homes and assisted living facilities to grant access to the Florida Department of Health (DOH) or an authorized agent for the purposes of infection control and prevention and mandate COVID-19 testing of facility staff, including off-duty staff, by DOH or an authorized agent.

Agency resources related to COVID-19 can be accessed on the Agency’s COVID-19 alerts for facilities and Medicaid providers website:

Facility Transfers

These tools are intended to document an individual’s medical status related to COVID-19 to help facilitate communication between skilled nursing facilities and hospitals during patient transfers and admissions.

UPDATED 5/5/2020

Emergency Rule Alert: Hospital COVID-19 Testing Requirements for Long-term Care Facility Residents
Emergency Rule 59AER20-1 (including rule documentation)
Emergency Rule Q&A (5/12/2020)

All hospitalized patients should be assessed for COVID-19 prior to transfer to a post-acute care facility. This tool should be used to document an individual’s medical status related to COVID-19 and to facilitate communication between the hospital and the receiving facility during patient transfers. This document must be signed-off by the physician, APRN, or PA who completes the clinical assessment.

UPDATED Hospital to Post-Acute Care Facility Transfer (last modified 3/16/2020)

It is critical for all Post-Acute and Behavioral Health Facilities to notify EMS and hospital emergency departments PRIOR TO TRANSFER of the Resident/Patient’s COVID-19 status. This tool should be used to document the Resident/Patient’s current clinical and COVID-19 status.

UPDATED SNF to Hospital Transfer Form (last modified 3/20/2020)

Transfer Communication Tool (last modified 3/10/2020)

Executive / Emergency Orders

Complete List of all COVID-19 Orders:

Emergency Order 20-123 – Full Phase I: Safe. Smart. Step-by-Step. Plan for Florida’s Recovery (5/18/2020)
Emergency Order 20-120 – Begins Phase 1 of reopening for Palm Beach County (5/11/2020)
AHCA Emergency Rule 59AER20-2 – Mandatory Entry and Testing for Assisted Living Facilities (5/10/2020)
AHCA Emergency Rule 59AER20-3 – Mandatory Entry for Testing and Infection Control for Nursing Homes (5/10/2020)
Executive Order 20-114 – Extends the declared state of emergency for an additional 60 days (5/8/2020)
DOH Renewal of Declaration of Public Health Emergency COVID-19 (4/30/2020)
Executive Order 20-112 – Describes Phase 1 of reopening the state (4/30/2020)
DOH Emergency Order 20-04 – Extends EO 20-02 through May 8, 2020 (4/15/2020)
Executive Order 20-92 – Amends Executive Order 20-91 re: Essential Services and Activities During COVID-19 Emergency (4/1/2020)
Executive 20-91 – Clarifies that EO 20-90 supersedes any conflicting official action or order issued by local officials. (4/1/2020)
DOH Emergency Order 20-004 – Allows authorized health care practitioners with clear and active licenses in the state of Florida may use audio-only telephone calls in providing health care services to existing patients; allows physicians and other appropriate medical staff to renew prescriptions for controlled substances treating specific conditions without the need to conduct a physical examination of the patient. These practitioners may substitute telehealth services for the physical examination; allows Volunteer Health Care Provider Program providers to provide health care services under the Volunteer Health Care Provider Program. (3/31/2020)
Executive Order 20-91 – Issues a statewide stay-at-home order, limiting personal movements and  interactions outside of peoples’ homes to only those necessary to obtain or provide essential services or conduct essential activities. (4/1/2020)
Executive Order 20-89 – Instructs Miami-Dade County, Broward County, Palm Beach County
and Monroe County to restrict public access to businesses and facilities deemed non-essential
pursuant to the guidelines. (3/31/2020)
Executive Order 20-86 – Imposes a 14-day self isolation period on anyone who enters the State of Florida from an area with substantial community spread, including Louisiana; directs people who have traveled from an area with substantial community spread to inform any individual in Florida with whom they have had direct physical contact in the past 21 days; establishes highway checkpoints for people and vehicles entering the State of Florida and requires those people to provide information about their origin of their travel and the address at which they will self-isolate. (3/27/2020)
Executive Order 20-83 – Directs the Department of Health to issue public health advisories urging anyone over the age of 65 and anyone with a serious underlying medical condition that places them at a high risk of severe illness from COVID-19 to stay home and to take any other measures necessary to limit their risk of exposure to COVID-19; directs the Department of Health to issue a public health advisory against all social or recreational gatherings of 10 or more people; and directs the Department of Health to issue a public health advisory urging people who can work remotely  to do so. (3/24/2020)
Executive Order 20-82 – Adds a penalty of a second-degree misdemeanor to violation of Executive Order 20-80; requires the person to inform any person they have been in contact with in the past 21 days that they have traveled from an area of substantial community spread; requires any law enforcement officer who interacts with someone in violation of the order to report it. (3/24/2020)
Executive Order 20-80 – Imposes a 14-day self-isolation order on anyone traveling to Florida from an area with substantial community spread, including New York, Connecticut and New Jersey, to begin upon their arrival in Florida. (3/23/2020)
DOH Emergency Order 20-003 – Extends renewal deadline for any professional license issued by the Department or a Department board or council to May 31, 2020; allows state licensing boards to conduct licensure approval and denial hearings, and some disciplinary hearings, through teleconferencing or other technological means; allows some training for licensure to be done via supervised remote live videoconferencing; expands telehealth options for 30 days; allows licensed/certified EMTs and paramedics to provide basic or advanced life support in an acute care setting at a licensed hospital. (3/21/2020)
Executive Order 20-72 – Suspends non-essential elective medical procedures (3/20/2020)
Executive Order 20-71 – Suspends the sale of alcoholic beverages for on-premises consumption; allows vendors to continue to sell alcoholic beverages for off-premises consumption; suspends on-premises food consumption for customers for all restaurants and food establishments; allows continued sales for delivery or take-out; and closes gyms and fitness centers, excluding specified hotels, residential buildings, etc. (3/20/2020)
Executive Order 20-70 – Closes on-premises services for restaurants, bars, etc., with seating for more than 10 people in Broward and Palm Beach Counties; exempts grocery stores, pharmacies, gas stations, etc. (3/20/2020)
CFO Directive 20-02 – Ensures that hospitals and medical facilities can safely erect temporary medical facilities and gives temporary health facilities first priority for fire safety inspections and certification to facilitate rapid expansion of Florida’s inpatient bed capacity, if needed. (3/19/2020)
Executive Order 20-68 – Suspends for 30 days the sale of alcoholic beverages for consumption on premises by establishments that derive more than 50% of their gross revenue from the sale of alcoholic beverages. (3/17/2020)
DEM Emergency Order 20-006 – Implements a 30-day ban on visits to nursing centers, assisted living facilities and adult group homes throughout the state. Exceptions may be made for compassionate cases, based on new guidance from the Centers for Disease Control and Prevention (CDC). (3/15/2020)
FLHSMV Emergency Order 20-52 (3/14/2020)
DEM Emergency Order 20-005 – Implements a 30-day ban on visits to nursing centers, assisted living facilities and adult group homes in Broward County. (3/13/2020)
FDOT Emergency Order 20-52 (3/13/2020)
FDOT Memo re: Emergency Road Use Permit (3/13/2020)
DEM Emergency Order 20-002 – Implements limits on who can visit nursing centers, assisted living facilities and adult group homes. (3/11/2020)
Executive Order 20-52 – Declares a state of emergency in Florida (3/9/2020)
Executive Order 20-51 – Declares a public health emergency in Florida (3/1/2020)

DOH and AHCA: COVID-19 Update

DOH: Health Care Coalitions in Florida

County Health Departments: Reporting Possible Infectious Outbreaks

Florida DOH: COVID-19 Statistics

COVID-19 Call Center – 8am-8pm EST

DEO: Business Damage Assessment Survey


Please note: This list may be partial or may not reflect the most up-to-date information. Additional information is available on AHCA’s website.


2020 Preseason Letter


AHCA’s ESS: Reporting Updates – LTC Facilities


Emergency Rules Requiring Staff COVID-19 Testing at Long-term Care Facilities


Emergency Rule Alert: Hospital COVID-19 Testing Requirements for Long-term Care Facility Residents
Emergency Rule 59AER20-1 (including rule documentation)


Coordination of Long Term Care Facility COVID-19 Testing


AHCA’s ESS: Reporting Updates – LTC Facilities


Long-term Care and Residential Facility Notification Requirement Reminder
Trainings Available Through the CDC for Health Care Providers


Visitor Restriction Emergency Order Remains in Place


Statewide Hospital Bed Capacity Dashboard


Updated ESS Info for Nursing Home and Assisted Living Providers


Health Care Provider Background Screening
AHCA Emergency Order 20-001
COVID-19 Facility Site Visit


COVID-19 Testing of Asymptomatic Staff and Residents


Be Aware of Current Hospital and Physician COVID-19 Testing Criteria for Elderly and Medically Vulnerable Individuals
Guidance for Senior Living Communities (Independent Living)
Summoning Local Law Enforcement to Facilities


UPDATED SNF to Hospital Transfer Form
Guidance and Clarification on Division of Emergency Management (DEM) Emergency Order No. 20-006


Hospital and Physician COVID-19 Testing Criteria for Elderly and Medically Frail
COVID-19 Transfer Communication Tool (posted 3/11/2020)
Employee Screening Tool


Visitor Screening Tool
DOH: Health Care Professional Travel Letter


Medicaid Coverage of Services During the State of Emergency Related to COVID-19
Employee Criteria Not Met Log
Visitor Criteria Not Met Log
COVID-19 Emergency Requisition Request Form


Emergency Order Visitation Limits at Residential, Skilled Nursing and Long-term Care Facilities Emergency Status System Activation and Reporting


Novel Coronavirus Update for Health Care Facilities and Providers


COVID-19 Facility Visitor Screening Toolkit


Emergency Order 20-002 Re: Prohibiting Certain Individuals from Visiting Facilities


Executive Order 20-52: Emergency Management-COVID-19 Public Health Emergency
CDC Infection Prevention and Control Guidelines


New ICD-10-CM code for the 2019 Novel Coronavirus (COVID-19
ICD-10-CM Official Coding Guidelines – Supplement Coding encounters related to COVID-19 Coronavirus Outbreak


Information for Healthcare Facilities Concerning 2019 Novel Coronavirus Illness


Detection and Reporting of 2019 Novel Coronavirus (2019-nCoV)


florida Resources

DOH: Clinical Screening Tool for Identifying Persons Under Investigation with COVID-19 (5/11/2020)

EOG: FAQs for EXECUTIVE ORDER 20-91 – Essential Services and Activities during COVID-19

DEM: Essential Services List

DOH: Assessment of LTC Facility Guidance – Overview of what local Emergency Management Services Teams review during their Needs Assessment visits of ALFs.  (4/1/20)

DOEA – Elder Needs Index Maps (4/1/2020)
DOEA – 2018 County Profiles (4/1/2020)
FDACS – Food Supply Chain Worker Safety (3/31/2020)
The Agency for Health Care Administration (AHCA) has approved skilled facilities’ (Chapter 400 F.S.) ability to temporarily allow Personal Care Attendants (PCA) to perform resident care procedures currently delivered by Certified Nursing Assistants (CNA). (3/28/2020)

DOEA: Coronavirus Tips for Caregivers (3/30/2020)

DOH: Livescan Vendor Service Providers

DOH: COVID-19 Call Center Script (3/20/2020)
DOH: Health Care Professional Travel Letter (3/17/2020) / Sample Facility Letter (3/24/2020)

AHCA: COVID-19 Resources for Facilities and Medicaid Providers

DOH: State of Florida Interactive Data and Surveillance Map

DOH and AHCA: COVID-19 Update

DOH: Health Care Coalitions in Florida

County Health Departments: Reporting Possible Infectious Outbreaks

Florida DOH: COVID-19 Statistics

COVID-19 Call Center – 8am-8pm EST

DEO: Business Damage Assessment Survey

National Resources

FEMA: Eligible Emergency Protective Measures

CMS: COVID-19 Long-Term Care Facility Guidance (4/2/20)

The Centers for Medicare and Medicaid Services concluded their site visits with revised recommendations to Long-Term Care Facilities.

Senior Medicare Patrol: Tips for Protecting Yourself and Medicare (3/25/2020)

FEMA: Coronavirus (COVID-19) Pandemic: Emergency Medical Care (3/20/2020)

CDC: Preparing for COVID-19: Long-term Care Facilities, Nursing Homes 

CDC: Florida Community Mitigation

CDC: Preventing the Spread of COVID-19 in Retirement Communities and Independent Living Facilities (Interim Guidance)

CDC: Interim Guidance for Health Care Personnel Returning to Work with Confirmed or Suspected COVID-19

CDC: Guidance on PPE

Federal Motor Carrier Safety Administration: Emergency Declaration 2020-002

U.S. Centers for Disease Control (CDC): Coronavirus Disease (COVID-19)

The nation’s portal for COVID-19 information for health care professionals and the general public.

Johns Hopkins CSSE: Coronavirus COVID-19 Global Cases 

U.S. Environmental Protection Agency:  Cleaning:  Disinfectants for Use Against SARS-CoV-2

U.S. Centers for Disease Control: Print Resources

CDC: Respiratory Surveillance Line List

CDC: Nursing Home and Assisted Living Infection Prevention Training


FSLA Infection Control Regulatory Overview (Members Only)

Last month, members received the FSLA Infection Control Regulatory Overview in the Assisted Living Administrative Rule Review (2/6). The Overview summarizes infection control actions for which Assisted Living Communities are responsible. If you missed your copy, contact staff at with Infection Control Overview in the Subject.

Argentum: Coronavirus Preparation and Response Toolkit

Argentum: Sample Messaging for Media, Staff and Family (members only)

American Health Care Association: Sample Letter for Resident and Families

vendor information

FSLA will provide updates from our industry partners and vendors; however, this information is accurate as of the time of its posting. This situation is very fluid, and we recommend reaching out to vendors directly for up-to-date information.

FSLA does not endorse or guarantee any product or service listed here; this is meant to be informational only.

March 17, 2020 – ASAP Lab Corp

ASAP Labs is a PCR Molecular Lab that is local to Florida and currently has the COVID-19 and Respiratory NexGen Testing.
Testing Registration Form
Lab Respiratory NGS Requisition Form
New Lab Account Form

March 17, 2020 – Care Purchasing Services

CPS is committed to our clients and their supply needs. We will provide updates during the COVID-19 outbreak as they are received from our distribution partners who provide supplies identified to help prevent the spread of COVID-19 and as provided with the items listed below. Inventories have and will continue to be fluid. Our distributor partners are providing CPS regular updates as they relate to inventory changes (PPE/cleaning/disinfectants) and other supplies impacted as a result of the manufacturing shutdowns in China. Read more.