- QSEP Training Link - (Quality, Safety & Education Portal) - This is the CMS training site for surveyors. Facility staff can complete courses of interest by signing in as “I am a Provider.”
Provider Guidance
CMS
Policy and Memos to State and Regions - Location of all QSO memos. Includes various topics including COVID, Infection Control, and other long-term care guidance.
QSO-23-02-ALL (10/26/22) |
Staff Vaccination and Regulatory Compliance. This memorandum replaces memoranda QSO 22-07-ALL Revised, and QSO 22-09-ALL Revised, and QSO 22-11-ALL Revised to consolidate the information into a single memorandum. The guidance in this memorandum applies to all states. |
| QSO-22-25 -CLIA-Rescinded (10/07/22) | 10/07/22 CMS Rescinds December 7, 2020, Enforcement Discretion for the Use of SARS-CoV-2 Tests on Asymptomatic Individuals Outside of the Test’s Instructions for Use (RESCINDED) |
| QSO-22-08-NH (01/07/22) | 01/07/22 Nursing Home Staff Turnover and Weekend Staffing Levels to be reported on Care Compare. |
| QSO-22-04-ALL (12/02/21) | CMS suspended activities related to the implementation and enforcement of the vaccination mandate for staff working in Medicare or Medicaid certified facilities due to court-ordered injunctions in place prohibiting enforcement of this provision. |
| QSO-22-02-ALL (11/12/21) | Steps to assist State Survey Agencies in addressing the backlog of complaint and recertification surveys and increasing oversight in nursing homes to allow a more focused review of quality-of-life and quality-of-care concerns. |
| QSO-21-14-ICF/IID-PRTF-Revised (06/03/21) | Provides guidance on ways an ICF/IID and PRTF can more safely facilitate in-person visitation and address the psychosocial needs of clients/residents. |
| QSO-21-19-NH (05/11/21) |
Interim Final Rule New requirements for educating residents or resident representatives and staff regarding the benefits and potential side effects associated with the COVID-19 vaccine, and offering the vaccine. LTC facilities must report COVID-19 vaccine and therapeutics treatment information to NHSN. CMS will post the new information reported to the NHSN on CMS’s COVID-19 Nursing Home Data website. |
| QSO-21-17-NH (04/08/21) |
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QSO-20-39-NH Revised (09/23/22) Nursing Home Visitation FAQs (09/23/22) |
Visitation Revised Nursing Home Visitation - COVID-19 (REVISED) |
QSO-20-38-NH Revised (Revised 09/23/22) |
Interim Final Rule (IFC) CMS-3401-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency related to Long-Term Care (LTC) Facility Testing Requirements |
| QSO-20-37-CLIA (08/26/20) | Updated Reporting Requirements |
| QSO-20-35-ALL (08/17/20) | Enforcement Cases Held during the Prioritization Period and Revised Survey Prioritization |
| QSO-20-30-NH (05/17/20) | Reopening |
| QSO-20-29-NH (05/06/20) | NH Interim Final Rule Updating for Notification of Confirmed or Suspected COVID-19 Cases of Residents & Staff in NH, REVISED Survey Tools, NEW Ftags-F884 & F885, FAQ |
| QSO-20-28-NH (04/24/20) | Five Star Rating System Updates, NH Staff Counts, FAQ |
| QSO-20-26-NH (04/19/20) | Upcoming Requirements for Notification of Confirmed COVID-19 (or COVID-19 Persons under Investigation) Among Residents and Staff in NH |
| QSO-20-25-NH (04/13/20) | Novel Coronavirus (COVID-19) LTC Transfer Scenarios |
| COVID-19 Long-Term Care Facility Guidance (04/02/20) | Guidance on PPE, screening and cohorting – (04/02/20) |
| QSO-20-23- (03/30/20) ICF.IID&PRTF | Guidelines for Limiting the Transmission of COVID-19 in ICF/IIDs & PRTFs, Blanket Waivers, Combining Residents, Staffing, Visitors, Transferring & Admitting |
| QSO-20-20- (03/20/20) All-Survey Prioritization Final | Complaint, Targeted Infection Control & Self-Assessment |
| QSO-20-14-NH (03/13/20) Revised | Guidance for Infection Control & Prevention of Coronavirus2019 (COVID-19) in NH (Revised) including: Revised Visitation, Limiting Transmission of COVID-19 for NH, Dining, Activities, PPE |
| COVID-19 Focused Survey for Nursing Homes (08/25/20) | The tool used by surveyors for COVID-19 focused surveys in nursing homes. |
| COVID-19 Non-Long Term (ICF/IID) Care Focused Survey (03/20/20) | The tool used by surveyors for COVID-19 focused surveys in facilities other than nursing homes. |
| Infection Prevention Control and Immunization (F880) | The pathway tool used by surveyors for investigating infection control issues. |
- Head-to-Toe Infection Prevention Toolkit (H2T) - After reaching CMP website, scroll to Downloads for link. Provides a mix of educational materials and tools to help bedside staff deliver person-centered care. Much of the information will be relayed through images and graphics to meet the needs of different types of learners. The toolkit focuses on ease of implementation to help direct care staff apply practices which will reduce infections into their daily routines.
CDC
| COVID-19 Strategies and Resources | (10/5/20) The COVID-19 Healthcare Resilience Working Group, a partnership with the U.S. Department of Health & Human Services, the U.S. Department of Homeland Security and other federal agencies, developed strategies and resources for post-acute and long-term care (PALTC) facilities. |
| NHSN (National Healthcare Safety Network) | Long Term Care Facilities COVID-19 Module in NHSN CMS announced facilities are required to report COVID-19 information to the CDC and families through this site. |
| Infection Control Guidance for Healthcare Professionals about Coronavirus (COVID-19) | Provides links to Infection Control, PPE, Hand hygiene, Discontinuing Transmission-based precautions, Post-Mortem Guidance |
| Interim Infection Prevention & Control Recommendation for Patients with Confirmed Coronavirus Disease 2019 in Healthcare Settings | Provides guidance with PPE, cohorting, screening staff and visitors, and environment |
- PPE Sequence
- Strategies for Optimizing the Supply of PPE
- Preparing for COVID-19: Long term Care Facilities
- PPE Usage Grid - (09/17/20)
- Procurement of PPE - (09/11/20)
- Long Term Care Facility Staff PPE Usage Grid - (07/01/20)
- Donning and Doffing PPE Video - (04/15/2020) – Instruction on donning and doffing PPE.
- N95 Mask Fit Testing Resources – A list of resources who provide fit testing for N95 masks.
- List of Long Term Care Task Force Leads/Local Emergency Response Coordinators (LERCs) (April 2, 2020)
- Transfer Form - This Inter-facility Infection Control Patient Transfer form can assist in fostering communication during transitions of care. This tool can be modified and adapted by facilities and other quality improvement groups engaged in patient safety activities.
- Nursing Home Infection Preventionist Training Course - This is the required training for the position of the Infection Preventionist in nursing homes. It includes training on infection surveillance, isolation precautions, outbreaks and much more.
- Preparing for COVID-19 in Nursing Homes
- Performing Facility-wide SARS-CoV-2 Testing in Nursing Homes
- Considerations for Memory Care Units in Long-term Care Facilities
- Responding to Coronavirus (COVID-19) in Nursing Homes
- Testing for Coronavirus (COVID-19) in Nursing Homes
- Infection Prevention and Control Assessment Tool for Nursing Homes Preparing for COVID-19
- Coronavirus - Home page for information related to COVID-19. It contains pages related to numerous COVID-19 topics
- How to Protect Yourself
- Resources for Clinics and Health Care Facilities
- Current Emergencies & Waivers - Information and waivers related to COVID-19
- Long Term Care Sample Letter - This fillable sample letter can be used to communicate with residents and family members the steps being taken to mitigate the spread of COVID-19 within the facility.
State of Oklahoma
- Letter to Federal & State Facilities
- Letter to State Facilities
- Governor Stitt’s Executive Order 2021-11 - Governor Kevin Stitt signed Executive Order 2021-11 to withdraw and rescind the COVID-19 State of Emergency effective Tuesday, May 4.
- Renewal deadlines for all expiring occupational and professional licenses, certificates, permits, or registrations are extended.
- They remain valid until fourteen (14) days following the withdrawal or termination of Executive Order 2020-07, and its amendments.
- Provisional approval of a license without fingerprinting is valid until fourteen (14) days following the withdrawal or termination of the Executive Order.
- OSDH 310 Chapter 2 Emergency Rules Final Preamble: Executive Order 2020-13 allows for the promulgation of emergency rules by State agencies to address the public health emergency. License Renewal Emergency Rule Summary provides an overview of the executive order and includes the following key points and more:
- Attorney General’s Press Release and Letter to Nursing Homes: In a letter to nursing homes and assisted living facilities, Attorney General Mike Hunter informed facilities that it is illegal to require residents to sign over their stimulus check to the facility. Click here to read the full press release and letter.
- Governor’s Executive Order Regarding COVID-19: Provides a list of all executive orders issued by Governor Stitt during the COVID-19 public health emergency.
- Head-to-Toe Infection Prevention Toolkit (H2T) - After reaching CMP website, scroll to Downloads for link. Provides a mix of educational materials and tools to help bedside staff deliver person-centered care. Much of the information will be relayed through images and graphics to meet the needs of different types of learners. The toolkit focuses on ease of implementation to help direct care staff apply practices which will reduce infections into their daily routines.
OSDH
OK Health Alert Network 325 (09/24/20): Updated: Hospital Discharge to Long Term Care Facilities Guidance
Infection Control Assessment and Response for COVID-19 in Long Term Care (04/15/20) – PowerPoint
Hospital Discharge to LTC Guidance - (04/23/2020) - Guidance for resident admissions following a hospital discharge.
Cohorting Video - (04/15/2020)
Employee Self Check (03/17/20)- An employee self-check temperature guide with log
- Covid-19 Nursing Home Surveillance Checklist - A facility self-check assessment for COVID-19 mitigation readiness
| State Incident Report Form 283 | This form is used for facility reported incidents to the OSDH, including COVID-19 positive or suspected residents or staff. |
| 2020 Stop COVID Visitor Sign | Visitor screening poster for facility use at entrances. |
| 2020 Stop The Spread Sign | English – Infection Prevention Practices Poster |
| 2020 Stop The Spread Sign | Spanish – Infection Prevention Practices Poster |
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See links below:
If facility is in outbreak follow the Standards of Care for Infection Prevention and Control as well as facility policy and procedures. |
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Link to CDC updates:
If facility is in outbreak follow the Standards of Care for Infection Prevention and Control as well as facility policy and procedures. |
| CLIA FAQs and List of Reference Labs | (10-13-20) CLIA FAQ resource and list of Labs for nursing homes. |
| COVID-19 Variant Testing Guidance |
(07/27/21) Guidance for facilities desiring COVID-19 Variant Testing. |
| Long Term Care Test Reporting Requirements | (09/11/20) A list of state and federal COVID-19 Testing Reporting requirements for Long Term Care |
| Model Reporting Package | (07/02/20) This packet has been developed to simplify and combine all information required to be provided to OSDH to meet the requirements specified in Oklahoma's Phased Reopening in Long-Term Care Facilities under Infection Preventionist, which applies to all provider types. We have provided online fillable forms for your convenience: Infection Preventionist Information, IPC Risk Assessment, Monitoring Plan, and Phase Notification. |
| Commissioner’s Memo Scope and Authority of Long-Term Care Task Forces | (04/30/20) Commissioner’s guidance on task forces. The task forces operate under the powers and duties of the Commissioner of Health at Title 63 O.S. 1-106(B)(1) and Chapter 521, Control and Treatment of Communicable Disease, of Title 310 of the Oklahoma Administrative Code. Includes a list of Regional Medical Response System Coordinators and Long Term Care Task Force Leads. |
| Nurse Aide Registry | Guidance for Certified Nurse Aides, Activities Director and Social Services, Feeding Assistants |
| Training Exception Application for Waiver and Testing | Instructions How to become certified following the Emergency Waiver |
