AHCA: COVID-19 – Update #3 – March 4

Jackie Pappalardi and Lisa Volk in Clinical & Quality

Below is an update from AHCA/NCAL regarding COVID-19: 

The Centers for Medicare & Medicaid Services (CMS) issued three new Quality, Safety and Oversight memos today about COVID-19 - two apply to nursing homes and a third to hospitals that are listed below. We strongly encourage you to review.

  1. QSO 20-14-Nursing Homes (NH) at https://www.cms.gov/files/document/qso-20-14-nhpdf.pdf
  2. QSO 20-12-ALL at https://www.cms.gov/files/document/qso-20-12-allpdf.pdf-1 
  3. QSO-20-13-Hospitals at https://www.cms.gov/files/document/qso-20-13-hospitalspdf.pdf 

The first memo (QSO 20-14-NH) provide NEW and helpful guidance on: 

  • Screening visitors and who should be restricted; 
  • Screening employees and contractors and who should be asked to stay at home;
  • When patients should be managed in the facility vs sent to the hospital;
  • What to do when transferring residents with suspected COVID-19, and; 
  • What criteria to use in accepting patients from the hospital with COVID-19

The second memo (QSO 20-12-ALL) announces that CMS will re-prioritize surveys to conduct focus surveys about infection control for facilities that have had an infection control deficiency in the past to assure that they are in compliance with the new regulations. Specifically:

  • Surveys of facilities/hospitals that have a history of infection control deficiencies at the immediate jeopardy level in the last three years, and; 
  • Surveys of facilities/hospitals/dialysis centers that have a history of infection control deficiencies at lower levels than immediate jeopardy. 

The Agency also provided a copy of the critical elements pathway in QSO-20-12-ALL that will be used by the surveyors to assess compliance with current regulations. We encourage you to review and use these guidelines in your facility as a self-assessment tool.   

We encourage all members to review closely the State Operating Manual's guidance for F-880 related to infection control and take steps to assure consistent hand washing (or use alcohol hand gels) and contact precautions for residents with respiratory infections.  

The third memo (QSO 20-13-Hospitals) outlines guidance to hospitals on screening visitors, employees and when to admit and discharge residents.  

We strongly recommend facilities review these new guidance and also continue to keep up to date with CDC guidance on CVID-19 at https://www.cdc.gov/coronavirus/2019-ncov/index.html for health professionals and facilities as they continue to update guidance on testing and management of residents with suspected and COVID+ test results.  

Please email COVID19@ahca.org with any questions. 

For additional information and resources on the virus, visit www.ahcancal.org/coronavirus.


Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16