If unvaccinated residents are dining in a communal area (e.g., dining room) ALL residents should use source control when not eating and unvaccinated patients/residents should continue to remain at least 6 feet from others.
EXAMPLE: If 1 of 30 residents dining in a communal area is not vaccinated, then everyone should mask and socially distance.
When the federal guidelines call for applying a county positivity rate, Kentucky providers should apply the relevant county incidence rate shown on the Kentucky Long-Term Care Facility COVID-19 County Indicator Map, available here LTCCountyMapLatest.pdf (ky.gov) and updated on the 1st and 3rdThursday of each month).
Quarantine should not be necessary – regardless of vaccination status – after an Essential Off-Site Medical Appointment unless there is known exposure to a COVID-19 case or a specific, serious breach in core infection prevention and control practices is suspected.
While the guidance discourages off-site travel for any purpose other than an Essential Medical Appointment, facilities should educate residents who take off-site social excursions about potential risks.
Admission, Discharge and Transfer
This updated LTCAdmissionDischargeXferGuidanceMemo.pdf (ky.gov)addresses new admissions and re-admissions. Ideally, fully vaccinated newly admitted residents should not enter a quarantine area. If space does not allow for this, the provider should assure the resident can effectively
Avoid individuals that are currently in quarantine
Limit time in communal areas in the quarantine area
Follow source control protocols while receiving services