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General Indoor Visitation Policy and Procedure


  • Walk in appointments are accepted M-F 9AM-6pm and Sat/Sun 10am-4pm. Please note, no appointments will be accepted after 6pm on M-F or after 4pm on the weekends.
  • Once you are checked in, there are NO time constraints on your visit.
  • A negative COVID test is NOT required to visit.
  • No more than two visitors at a time.
  • Visitors must check in at the front and have temperature taken before they are able to enter
  • Visitors must check out before leaving
  • Visitors may not move freely throughout the facility
  • Visitors must practice social distancing between all other residents and staff members
  • Visitors must sign the attestation to remain in compliance with visitation policy and procedure.
  • Visitors must wear an approved face mask at all times- surgical, N95 or KN95 masks are permitted
    • If I a resident is in quarantine for COVID Unknown or COVID Positive status, the Essential Caregiver must wear all appropriate PPE, as provided by the Facility.
  • Visitors must self-monitor for signs and symptoms of COVID-19 and not participate if they have signs and symptoms or are positive for COVID-19
  • Hand hygiene must be completed before and after every visit
  • Visitors must sign an attestation form that they have received and understand proper infection control policies, including donning and doffing PPE.
  • Visits may occur in the residents room, however if the resident has a roommate, the curtain must be drawn and the visitor must maintain social distancing from all other residents.
  • If any of the above policies and procedures are violated during the visit, visitation will be immediately terminated and you will be escorted out of the facility.
  • Residents must wear a facemask or face covering over both the mouth and nose (if tolerated) throughout the visit, unless the resident removes the facemask to eat or drink; A fully-vaccinated resident wearing a well-fitting face covering or facemask may choose to have physical contact with their visitor during an indoor visit. Otherwise, physical contact between a resident and a visitor participating in an indoor visit is prohibited.


I, ______________________________­­­­­­____ have read and understand the Essential Caregiver Visitation Policy and Procedure. I agree to comply with all written policies and procedures in order to reduce the risk of spread of COVID-19.


Additionally, I have been trained on infection control best practices, donning and doffing of all personal protective equipment. I agree to comply with all usage of appropriate PPE, given COVID-19 status of the individual resident I am visiting.



_________________________________                   ________________
            Essential Caregiver                                                            Date


_________________________________                   ________________
            Facility Representative                                                     Date


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Essential Caregiver Visitation Policy and Procedure


  • Walk in appointments are accepted M-F 9AM-6pm and Sat/Sun 10am-4pm. Please note, no appointments will be accepted after 6pm on M-F or after 4pm on the weekends.
  • Once you are checked in, there are NO time constraints on your visit.
  • A negative COVID test is NO LONGER REQUIRED to visit.
  • BOTH caregivers may visit on the same day and at the same time.
  • Visitors must check in at the front and have temperature taken before they are able to enter
  • Visitors must check out before leaving
  • Visitors may not move throughout the facility
  • Essential Caregivers may have physical contact with the residents
  • Essential Caregivers must practice social distancing between all other residents and staff members
  • Visitors must sign the attestation to remain in compliance with visitation policy and procedure.
  • Essential Caregivers must wear an approved face mask at all times- surgical, N95 or KN95 masks are permitted
    • If I a resident is in quarantine for COVID Unknown or COVID Positive status, the Essential Caregiver must wear all appropriate PPE, as provided by the Facility.
  • Essential Caregivers must self-monitor for signs and symptoms of COVID-19 and not participate if they have signs and symptoms or are positive for COVID-19
  • Hand hygiene must be completed before and after every visit
  • Essential Visitors must sign an attestation form that they have received and understand proper infection control policies, including donning and doffing PPE.
  • Designation of Essential Caregivers may be changed once per month, given 24 hour notice to the facility.
  • Visits may occur in the residents room, however if the resident has a roommate, the curtain must be drawn and the visitor must maintain social distancing from all other residents.
  • If any of the above policies and procedures are violated during the visit, visitation will be immediately terminated and you will be escorted out of the facility.


I, ______________________________­­­­­­____ have read and understand the Essential Caregiver Visitation Policy and Procedure. I agree to comply with all written policies and procedures in order to reduce the risk of spread of COVID-19.


Additionally, I have been trained on infection control best practices, donning and doffing of all personal protective equipment. I agree to comply with all usage of appropriate PPE, given COVID-19 status of the individual resident I am visiting.



_________________________________                   ________________
            Essential Caregiver                                                            Date


_________________________________                   ________________
            Facility Representative                                                     Date


PRINT FORM