COVID-19 Cases Declining Rapidly in North Carolina Long-Term Care Settings

News, Press Release
long-term care

RALEIGH — New COVID-19 cases in North Carolina long-term care facilities have declined rapidly in the last several weeks. Case rates are down over 15-fold in skilled nursing facilities, adult care homes and other licensed facilities since the peak of transmission in January 2021. Given the rapid decline in new cases, most facilities currently meet criteria to resume indoor visitation while continuing to follow infection prevention recommendations.

The rapid declines in case numbers can be attributed to early vaccination prioritization for residents and staff of long-term care facilities and decreasing community transmission. More than 205,000 vaccines have been administered to long-term care staff and residents, and vaccinations through the federal long-term care partnership for COVID-19 vaccinations will continue into March.

“Protecting our residents and staff in long-term care has been a top priority in our pandemic response efforts and seeing cases decrease in these settings is heartening,” said NC Department of Health and Human Services Secretary Mandy K. Cohen, M.D. “I know it has a been a long, difficult year for residents and families, but those measures saved lives and are now allowing us to resume safe, indoor visitation. While we need to continue infection prevention practices, this decrease is also a positive sign of the impact vaccinations have in our communities.”

The declining number of cases in long-term care settings means many facilities can resume indoor visitation. While facilities may conduct visits at any time for residents with compassionate care needs, federal and state guidelines have additional criteria for facilities to resume indoor visitation, which include following infection prevention practices and having no new cases of COVID-19 in the last 14 days. Medicare certified skilled-nursing facilities must meet additional criteria required by the Centers for Medicare and Medicaid Services.

Since the start of the pandemic, NCDHHS’s response has focused on a five-point strategy for long-term care facilities including prevention, staffing, testing, outbreak management and oversight. The state has created regional infection prevention teams to support facilities; provided personal protective equipment; helped fill staffing shortages; provided infection prevention and control training, provided targeted funding; mandated testing; and completed on-site infection control inspections of North Carolina’s more than 400 nursing homes.

To continue to reduce community transmission of COVID-19, North Carolinians should continue to practice the three Ws — Wait, Wear Wash — and, when they become eligible for the vaccine, get vaccinated.

NCDHHS expands measures to prevent COVID-19 in long-term care facilities

Community, Health
long-term care facilities

RALEIGH, N.C. – The North Carolina Department of Health and Human Services is taking further action to prevent and respond to COVID-19 outbreaks in long-term care facilities. All long-term care facilities in the state will receive personal protective equipment (PPE) packs of needed supplies, and facilities will receive a limited increased rate for some Medicaid services to support infection prevention and management.

“We have a team dedicated to supporting our long-term care facilities as they protect our aging family members and loved ones who require round-the-clock care and the staff who care for them,” said NCDHHS Secretary Mandy Cohen, M.D. “We want to help them do all that they can because once an outbreak occurs in a congregate living setting, it can be difficult to prevent the spread of the virus.”

PPE packs will go to more than 3,000 state-licensed long-term care facilities and include a fourteen-day supply of face shields, procedure masks, gloves and shoe covers. Adult care homes, family care homes, nursing homes, intermediate care facilities for individuals with intellectual disabilities and mental health facilities will receive supplies. NCDHHS is partnering with North Carolina Emergency Management and the National Guard to deliver the packs at local distribution centers.

In addition to the PPE distribution, NCDHHS is providing a time-limited Medicaid rate increase for nursing facility services such as skilled nursing and rehabilitation services. The increase is intended to support strengthening infection prevention and management capacities with technical support from NCDHHS. The increase will also apply to personal care assistance and home health services to help providers who support people being able to stay at home where there is less risk to exposure.

NCDHHS also released updated testing guidance to clinicians that recommends testing people who live in or have regular contact with high-risk settings such as long-term care facilities.

These actions build on earlier measures North Carolina has taken to protect residents and staff in long-term facilities. Previous actions include:

  • Issuing Executive Order 130, which codified public health and safety requirements for nursing homes, including requiring staff to wear surgical masks, screenings for all staff and residents for signs and symptoms of COVID-19 daily and closing communal areas.
  • Conducting remote infection prevention and control consultation with skilled nursing and other long-term facilities across the state through a partnership with the Centers for Disease Control and Prevention and the North Carolina Statewide Program for Infection Control and Epidemiology.
  • Providing targeted funding to support nursing homes and adult care homes to provide the more intensive care needed for residents with COVID-19 and limit the spread of the virus to other residents and staff.
  • Providing a toolkit to support long-term care facilities in preparing for and responding to COVID-19 outbreaks in their facility. The toolkit contains an infection control assessment, infection staffing worksheet, infection prevention educational resources and other tools.
  • Helping to fill staffing shortages in long-term care facilities and other health care facilities through a partnership with East Carolina University School of Nursing to match Registered Nurses and Certified Nursing Assistants with facilities, particularly long-term care facilities, that are seeking to urgently hire staff for temporary, part-time or full-time roles. Interested health care employees can register at nc.readyop.com/fs/4cjq/697b.
  • Implementing several temporary regulatory changes to assist providers in caring for their residents during the COVID-19 pandemic, including adopting an emergency rule granting reciprocity to nurse aides certified in other states to work as nurse aides in North Carolina, and allowing facilities to exceed the number of licensed beds if needed to provide temporary shelter and services to adequately care for residents with COVID-19.
  • Providing virtual trainings for more than 2,000 staff working in long-term care sites. Trainings are available online at www.ncahec.net/covid-19/webinars.

For NCDHHS and CDC guidance for long-term care facilities visit covid19.ncdhhs.gov/guidance#long-term-care-facilities. A list of congregate care settings with outbreaks is available on the NCDHHS COVID-19 Dashboard.

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