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Guidance: ALR's, Group Homes, ICF's (less than 13 residents)

  • Public Health Order 20-20
  • Indoor & Outdoor Visitation Guidelines
  • Small Facility Checklist
  • Testing Document
  • Handbook
  • Outbreak/Admission

    • Testing of all facility residents and staff that have not previously tested positive for COVID-19 in the last 3 months must be initiated. Residents and staff that have recovered from COVID-19 during the last 3 months and are asymptomatic, do not need to be tested or quarantined unless they develop symptoms of COVID-19 and another cause is identified. Residents or staff that have recovered greater than 3 months ago, must participate in outbreak testing and isolation and quarantine in consultation with public health.   

      • Repeat testing:

        • Tier 1 Facility:

          • Facilities that identify no additional cases, or only staff cases during the initial round of outbreak testing. Facility admissions, communal dining and group activities may continue at this level. 

        • Tier 2 Facility: 

          • Facility moves to a Tier 2 status if one or more new resident cases are identified during the initial round of outbreak testing (In addition to positive cases that initiated outbreak testing). Facilities in Tier 2 must: Stop all facility admissions, communal dining and group activities; participate in facility-wide outbreak testing every 3 days unless otherwise directed by CDPHE; participate in an infection prevention consult call and virtual assessment. 

          • When the facility has one round of testing that identifies no new resident cases, the facility moves to resolving status. 

        • Tier 3 Facility:

          • Tier 2 facilities that meet any of the following criteria will move to a Tier 3 status: 

            • COVID-19 transmission outside of the initial unit/pod/neighborhood or,

            • Greater than 10% of resident population impacted or,

            • COVID-19 transmission that continues in a resident population for > 4 weeks or CDPHE/LPHA discretion. 

          • Tier 3 facilities must: Stop all facility admissions, communal dining and group activities; participate in facility-wide outbreak testing every 3 days unless otherwise directed by CDPHE; participate in an infection prevention consult call and virtual assessment if not already completed in Tier 2; provide a daily update via phone or email update to the CDPHE infection prevention team.  

          • When the facility has one round of testing that identifies no new resident cases, the facility moves to resolving status.

        • Resolving Status:  

          • Facilities in a resolving status have had at least 1 round of facility-wide testing that identified no new resident COVID-19 infections. Facilities in resolving status transition to a once weekly testing schedule. Weekly testing must continue until no new cases of COVID-19 infection are identified for a period of at least 14 days since the most recent positive result. Facilities in resolving status may resume communal dining and group activities. 

          • Admissions to the facility may resume once the facility is in resolving status and has met the requirements for a COVID-19 neighborhood or when the outbreak is resolved, whichever is sooner.