Facility Admission Criteria

Full guidance on admission criteria can be found in the Testing Requirement Document.

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.

 

If there are questions regarding this guidance or if facilities receive direction that does not follow this guidance, please contact residentialstriketeam@state.co.us