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Guidance for Visitation and Quarantine in Long
Term Care Facilities

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Quarantine

  • Residents leaving the facility for less than 24 hours: quarantine is not recommended for vaccinated or unvaccinated residents (unless there is prolonged close contact with someone with SARS-CoV-2 infection). Residents are encouraged to adhere to the 3 W’s.

  • For unvaccinated residents that leave the facility for ≥ 24 hours: quarantine is recommended when they return.

  • For vaccinated residents that leave the facility for ≥ 24 hours: quarantine is not recommended unless they have had prolonged close contact with someone with SARS-CoV-2 infection while they were outside the facility. An exception to this would be if residents have “traveled”. CDC travel guidance states that individuals who have traveled should quarantine for 14 days after travel (regardless of vaccination status) if they will be having contact with individuals at increased risk for severe illness.

  • Fully vaccinated residents being admitted to a LTCF no longer require quarantine as long as they have not been in prolonged close contact with someone with SARS-CoV-2 infection in the prior 14 days.

  • Fully vaccinated residents in LTCFs should continue to quarantine following prolonged close contact with someone with SARS-CoV-2 infection in the prior 14 days.

o Although not preferred, facilities could consider waiving quarantine for fully vaccinated residents following prolonged close contact with someone with SARS-CoV-2 infection as a strategy to address critical issues (e.g., lack of space, staff, or PPE to safely care for exposed patients or residents) when other options are unsuccessful or unavailable. These decisions could be made in consultation with public health officials and infection control experts.

• Fully vaccinated staff with higher-risk exposures who are asymptomatic do not need to be restricted from work for 14 days following their exposure. Work restrictions for the following fully vaccinated staff with higher-risk exposures should still be considered for staff who have underlying immunocompromising conditions (e.g., organ transplantation, cancer treatment), which might impact level of protection provided by the COVID-19 vaccine.

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