Five Takeaways On Nursing Home Visitations

Health News Florida

by Christine Sexton

Aug 30, 2020

A ban on visitation at Florida’s 4,000 long-term care facilities expires in early September, and Gov. Ron DeSantis is poised to reopen doors to residents’ family members and friends who have been unable to visit because of the coronavirus pandemic. 

DeSantis will consider recommendations finalized Wednesday by the Task Force on the Safe and Limited Re-Opening of Long Term Care Facilities.

The governor appointed the panel, made up of Agency for Health Care Administration Secretary Mary Mayhew, state Surgeon General Scott Rivkees, Department of Elder Affairs Secretary Richard Prudom, Florida Health Care Association Executive Director Emmett Reed, Florida Senior Living Association President and CEO Gail Matillo and Jacksonville resident Mary Daniel, who has gained national notoriety for working as a dishwasher at a memory-care facility so she can see her husband.

Here are five takeaways about the panel’s deliberations and recommendations:

MASKS ON ALL THE TIME: While DeSantis has refused to require Floridians to wear face masks during the pandemic, there’s no disagreement about whether masks should be mandated in long-term care facilities. Under the recommendations, “essential” caregivers, who assist with daily living activities such as eating, bathing and grooming, would have access to residents’ rooms and would be required to wear the same personal protective equipment donned by health-care workers. Members of the general public would have more-limited visitation rights and wouldn’t be allowed into facilities without wearing masks and agreeing to adhere to social distancing requirements.

HUMAN TOUCH: Most of the task force’s visitation recommendations track guidelines that the federal government already had issued, causing advocacy groups such as AARP Florida and Families For Better Care to ask, “Why now?” But the task force recommended that emotional support, which includes touching and hugging, should be added to a list of daily-living activities that “essential” caregivers might provide. That would put Florida in a unique position, said Rivkees, who argued against its inclusion. In a rare glimpse of public disagreement, Mayhew countered: “Dr. Rivkees, we’ve got a lot of people in our nursing homes and assisted living facilities who are suffering from significant depression.”

TESTING: The panel altered a recommendation that would have allowed nursing homes to require visitors to be tested for COVID-19 before entering buildings. The change was championed by Rivkees, who said rapid point-of-care tests are suggested for use on symptomatic people only. He said those people wouldn’t make it past screening practices, including temperature checks, at the front doors of facilities. The recommendation was altered to make clear that facilities’ use of testing “must be based on current CDC and FDA guidance,” referring to the federal Centers for Disease Control and Prevention and the Food and Drug Administration.


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