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.
6/3/2020: FSLA is offering a FREE two-part webinar on COVID-19 Early Identification and Rapid Response in Assisted Living Facilities.
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 firstname.lastname@example.org with questions.
Members of the media working on a deadline may contact Sandi Poreda at 850-766-1906 / email@example.com.
11/20/2020: AHCA Guidance Letter – As the holiday season approaches, the Center for Medicaid and Medicare Services (CMS) has released a Holiday Leave Recommendation Letter to help keep Long Term Care facilities, residents, and their families safe for the upcoming holidays. These recommendations are addressed to nursing homes but are appropriate for assisted living facilities and other long term care facilities. Additionally, the Centers for Disease Control and Prevention (CDC) has created a webpage on holiday celebrations, which has more suggestions for preventing the spread of COVID-19. Please continue to follow the guidance provided by the Florida Department of Health and the CDC to keep our facilities, residents, and their families safe this holiday season and beyond.
Emergency Status System (ESS)
NEWEST 12/1/2020: AHCA’s ESS: Daily Long Term Care Facilities Reporting Update
11/18/2020: Long Term Care Facilities Update
6/30/2020: AHCA’s ESS: Reporting Updates – Nursing Homes and Assisted Living Providers: Effective June 30, 2020 the event tab labeled “Add’l Info” has been updated. The ESS will now require entry of fields related to your facility’s Curative testing status. Please answer all that apply to your facility and be sure to answer the remaining questions daily by 10 AM ET. The Long Term Care Facility Additional Info Entry – Questions Guidance has been created to provide additional guidance for reporting correctly.
5/28/2020: The event tab labeled “Add’l Info” has been updated. The ESS will now require entry of fields related to the transfer of residents and the testing of employees and residents. The Long Term Care Facility Additional Info Entry – Questions Guidance has been updated to provide additional guidance for reporting correctly.
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): http://ahca.myflorida.com/
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
NEWEST 11/4/2020: AHCA FAQs: Long-Term Care Facility Visitation Expectations
10/22/2020: DEM 20-11 – Florida Division of Emergency Management Issues Emergency Order to amend visitation restrictions in long-term care facilities.
9/4/2020: AHCA Visitation Q&A
9/1/2020: DEM 20-009 – Emergency Order to Lift Visitation Restrictions in Nursing Homes, Assisted Living Facilities and Other Long-Term Care Facilities.
In August, Governor Ron DeSantis launched Florida’s Task Force on the Safe and Limited Re-Opening of Long-Term Care Facilities. Members of the task force will work together to develop guidelines on how to safely allow family members to visit their loved ones in Florida’s long-term care facilities where visitation has been prohibited since March due to the COVID-19 pandemic. FSLA’s Gail Matillo was named as a member of the Task Force. Read more.
Meeting documents are available online at https://www.flgov.com/covid-19/.
Summaries of each meeting are also available:
emergency rules re: ACCESS, testing & Vaccinations
NEWEST 12/1/2020: AHCA Emergency Rule 59AER20-14 – Mandatory Entry to Conduct Voluntary COVID-19 Vaccinations of Assisted Living Facility Staff and Residents
8/5/2020: The Agency for Health Care Administration issued Emergency Rule 59AER20-8 which replaces the previous Emergency Rule 59AER20-6 and more closely aligns the Hospital Screening requirements with the Centers for Disease Control guidance related to the Discontinuation of Transmission-Based Precautions.
7/16/2020: Long-term Care Testing Clarification – To prevent the spread of COVID-19 at long-term care and residential facilities, the Agency for Health Care Administration issued Emergency Rule 59AER20-6. This rule replaces the previous Emergency Rule 59AER20-01 and provides further clarity to hospitals and long-term care facilities about clinical decision making during the discharge of residents.
6/23/2020: Information related to the mandatory COVID-19 testing for nursing home and assisted living facility staff logistics
6/16/2020: To further prevent the spread of COVID-19 at Florida nursing homes and assisted living facilities, the Agency for Health Care Administration issued Emergency Rule 59AER20-4 and Emergency Rule 59AER20-5. These rules require nursing home and assisted living facility staff to be tested for COVID-19 every two weeks with testing resources provided by the state and submit the test results to their employer/facility. The facility must keep copies of all staff testing documentation on site.
Agency resources related to COVID-19 can be accessed on the Agency’s COVID-19 alerts for facilities and Medicaid providers website: http://ahca.
5/22/2020: The Department of Health has shared the following documents to assist with testing in long-term care facilities:
- 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)
- 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
- A flyer with general information on how to conduct this testing. How to Conduct Testing in the LTC Facility
- 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
5/20/2020: Q&A for Emergency Rules
5/10/2020: The Florida Agency for Health Care Administration has issued two Emergency Rules related to COVID-19 testing at long-term care facilities.
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: http://ahca.myflorida.com/covid-19_alerts.shtml.
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.
9/15/2020: COVID Isolation Facility Update – Based on the dramatic decrease in positivity among residents and staff in long-term care facilities, the significant reduction in the number of individuals hospitalized for COVID-19, and increased hospital capacity, the Agency has initiated a process to phase out the role of and to end the agreements with the State-supported COVID-19 isolation facilities.
8/12/2020: Hospital to Post-Acute Care Facility Transfer – COVID-19 Assessment: Updated to reflect the CDC’s changes to the bifurcated symptom-based strategy and the Agency’s emergency rule 59AER20-8 of August 5.
7/20/2020: AHCA Alert: Long-Term Care Facilities Transfers and Testing Updates
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.
5/12/2020: Emergency Rule Q&A
5/6/2020: Emergency Rule 59AER20-1 (including rule documentation)
5/5/2020: Emergency Rule Alert: Hospital COVID-19 Testing Requirements for Long-term Care Facility Residents
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.
Executive / Emergency Orders
Complete List of all COVID-19 Orders: https://www.flgov.com/covid-19/
12/1/2020: AHCA Emergency Rule 59AER20-14 – Mandatory Entry to Conduct Voluntary COVID-19 Vaccinations of Assisted Living Facility Staff and Residents
11/24/2020: Executive Order 20-297 – Extending Executive Order 20-244: Phase 3; Right to Work; Business Certainty; Suspension of Fines
11/2/2020: AHCA Emergency Rule 59AER20-12 – Mandatory entry and testing for assisted living facilities
11/2/2020: AHCA Emergency Rule 59AER20-11 – Updates directions for hospitals re: discharge of long-term care facility residents who were COVID-positive
9/1/2020: DEM Emergency Order 20-009 – Lifts restrictions for visitation to nursing homes, assisted living facilities ALFs, adult family-care homes, adult group homes and other long-term care facilities.
8/14/2020: DOH Emergency Order 20-112 – Allows certain health care professionals to reactivate their licenses in response to the public health emergency; allows certain health care students to use mannequins or simulated patients in learning environments; suspends the requirement for a skills demonstration to completed a CNA training program; and extends some licensure renewal dates.
8/5/2020: AHCA Emergency Rule 59AER20-8 – Replaces the previous Emergency Rule 59AER20-6 and more closely aligns the Hospital Screening requirements with the Centers for Disease Control guidance related to the Discontinuation of Transmission-Based Precautions.
7/21/2020: DOH Public Health Advisory – Recommends the use of face coverings; limits the size of gatherings to 10 or fewer people; encourages vulnerable populations to stay home.
7/7/2020: Executive Order 20-166 – Extends the state of emergency declared in Executive Order 20-52, as extended by Executive Order 20-114, for 60 days.
7/1/2020: DOH Emergency Order 20-011 – This Emergency Order extends Emergency Orders 20-001 and 20-002 which were set to expire. It also includes a new statutory waiver for section 456.023 in Section 3.
6/22/2020: DOH Public Health Advisory – Updates Advisory issues March 25, 2020; encourages vulnerable populations to limit personal interactions outside of their homes; encourages all citizens to wear face coverings in situations where social distancing is not possible, unless certain restrictions apply as defined by the CDC; and encourages people to avoid gatherings of 50 people or more.
6/16/2020: AHCA Emergency Rule 59AER20-4 – Requires assisted living facility staff to be tested for COVID-19 every two weeks
6/3/2020: Executive Order 20-139 – Phase 2: Safe. Smart. Step-by-Step. Plan for Florida’s Recovery
6/3/2020: Phase 2: Safe. Smart. Step-by-Step. Plan for Florida’s Recovery
5/18/2020: Emergency Order 20-123 – Full Phase I: Safe. Smart. Step-by-Step. Plan for Florida’s Recovery
5/11/2020: Emergency Order 20-120 – Begins Phase 1 of reopening for Palm Beach County
5/10/2020: 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
5/8/2020: Executive Order 20-114 – Extends the declared state of emergency for an additional 60 days
4/30/2020: DOH Renewal of Declaration of Public Health Emergency COVID-19
4/30/2020: Executive Order 20-112 – Describes Phase 1 of reopening the state
4/15/2020: DOH Emergency Order 20-04 – Extends EO 20-02 through May 8, 2020
4/1/2020: 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.
3/31/2020: 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.
4/1/2020: 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.
3/31/2020: 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.
3/27/2020: 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.
3/24/2020: 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.
3/23/2020: 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.
3/21/2020: 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.
3/20/2020: 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.
3/19/2020: 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.
3/17/2020: 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.
3/15/2020: 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.
3/14/2020: FLHSMV Emergency Order 20-52
3/13/2020: 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
3/11/2020: DEM Emergency Order 20-002 – Implements limits on who can visit nursing centers, assisted living facilities and adult group homes.
3/9/2020: Executive Order 20-52 – Declares a state of emergency in Florida
3/1/2020: Executive Order 20-51 – Declares a public health emergency in Florida
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.
12/1/2020: AHCA Emergency Rule 59AER20-14 – Mandatory Entry to Conduct Voluntary COVID-19 Vaccinations of Assisted Living Facility Staff and Residents
11/18/2020: Long Term Care Facilities Update
9/15/2020: COVID Isolation Facility Update
7/16/2020: Long-term Care Testing Clarification
5/29/2020: AHCA Hurricane Prep Plan
5/18/2020: 2020 Preseason Letter
5/5/2020: Emergency Rule 59AER20-1 (including rule documentation)
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
3/20/2020: SNF to Hospital Transfer Form
3/18/2020: Employee Screening Tool
3/17/2020: Visitor Screening Tool
3/17/2020: DOH: Health Care Professional Travel Letter
3/16/2020: Employee Criteria Not Met Log
3/16/2020: Visitor Criteria Not Met Log
3/16/2020: COVID-19 Emergency Requisition Request Form
3/12/2020: COVID-19 Facility Visitor Screening Toolkit
3/11/2020: COVID-19 Transfer Communication Tool
FSLA EMAIL ALERTS
9/28/2020: COVID-10 Update 55
9/21/2020: COVID-10 Update 54
9/18/2020: COVID-10 Update 53
9/14/2020: COVID-10 Update 52
9/8/2020: COVID-10 Update 51
9/4/2020: COVID-10 Update 50
9/2/2020: COVID-10 Update 49
9/1/2020: COVID-10 Update 48
8/27/2020: COVID-10 Update 45
8/19/2020: COVID-10 Update 44
8/7/2020: COVID-19 Update 43
7/23/2020: COVID-19 Update 42
7/16/2020: COVID-19 Update 41
7/8/2020: COVID-19 Update 40
7/7/2020: COVID-19 Update 39
7/2/2020: COVID-19 Update 38
7/2/2020: COVID-19 Update 37
6/27/2020: COVID-19 Update 36
6/27/2020: COVID-19 Update 35
6/16/2020: COVID-19 Update 34
6/12/2020: COVID-19 Update 33
5/29/2020: COVID-19 Update 32
5/25/2020: COVID-19 Update 31
5/19/2020: COVID-19 Update 30
5/15/2020: COVID-19 Update 29
5/12/2020: COVID-19 Update 28
5/10/2020: COVID-19 Update 27
5/4/2020: COVID-19 Update 24
4/27/2020: COVID-19 Update 23
4/24/2020: COVID-19 Update 22
4/18/2020: DOH Releases List: Clarity Requested
4/18/2020: COVID-19 Update 21
4/14/2020: COVID-19 Update 20
4/10/2020: COVID-19 Update 19
4/9/2020: COVID-19 Update 18
4/6/2020: COVID-19 Update 17
4/3/2020: COVID-19 Update 16
4/1/2020: COVID-19 Update 15
4/1/2020: COVID-19 Update 14
3/28/2020: COVID-19 Update 13
3/27/2020: COVID-19 Update 12
3/26/2020: COVID-19 Update 11
3/24/2020: COVID-19 Update 10
3/22/2020: COVID-19 Update 8
3/20/2020: COVID-19 Update 7
3/19/2020: COVID-19 Update 6
3/19/2020: COVID-19 Update 5
3/18/2020: COVID-19 Update 4
3/18/2020: COVID-19 Update 3
3/16/2020: COVID-19 Update 2
3/15/2020: COVID-19 Update 1
3/13/2020: All Florida Schools Closed Until March 30
3/13/2020: Governor Suspends All Visitations in Broward County Communities
3/11/2020: Emergency Order Suspends Visitors in ALFs
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: Coronavirus Tips for Caregivers (3/30/2020)
DOH and AHCA: COVID-19 Update
County Health Departments: Reporting Possible Infectious Outbreaks
Florida DOH: COVID-19 Statistics
COVID-19 Call Center – 8am-8pm EST
CDC: Overview of Testing for SARS-CoV-2 (COVID-19) (8/24/20)
CDC: COVID-19 Guidance for Shared or Congregate Housing (4/27/20)
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: 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
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 firstname.lastname@example.org with Infection Control Overview in the Subject.
Argentum: Sample Messaging for Media, Staff and Family (members only)
American Health Care Association: Sample Letter for Resident and Families