Social Distancing Plan

Facilities must implement all applicable measures listed below, and be prepared to explain why any measure that is not implemented is inapplicable to the facility.

Measures to Keep Protect Residents

Increase spacing so beds are at least 3-6 feet apart

Arrange beds so that individuals lay head-to-toe (or toe-to-toe), or use neutral barriers (foot lockers, curtains) to create barriers between beds

Move residents with symptoms into separate rooms with closed doors, and provide a separate bathroom if possible

Avoid housing older adults or people with underlying medical conditions in the same room as people with symptoms

Stagger mealtimes to reduce crowding in shared eating facilities

Stagger the schedule for use of common/shared kitchens

Create a staggered bathing schedule to reduce the amount of people using the facilities at the same time

Implement procedures to identify and update at least weekly the mental health resources (for example providers, pharmacies) that are available.

Prepare for cancellation of congregate day programs (schools, day care, senior day programs, and other day programs) and cancel them when directed to do so.

Reduce activities that congregate many residents at once such as “house meetings” and opt for smaller group activities

Reduce external visitors to the home apart from essential visits

Consider preparing Anticipatory Care Plans and discussing them with residents

Describe other measures:

Measures to Protect Employee Health

Ensure staff are aware of sick leave policies and are encouraged to stay home if they have CLI:
– Feeling feverish or having a measured fever (greater than or equal to 100.4
Fahrenheit); OR
– A new (within the last 7 days) cough; OR
– New shortness of breath; OR
– New sore throat

Require health screenings for all nursing home workers each day when they enter the facility

Require workers to wear surgical masks at all times to guard against any potential asymptomatic spread

Everyone who can carry out their work duties from home has been directed to do so

All employees have been told not to come to work if sick

Symptom checks are being conducted before employees may enter the work space

All desks or individual work stations have been re-adjusted to be at least six feet apart

Reduce unnecessary assembly of staff (e.g., large meetings where information can be communicated by written guidance)

Where appropriate, opt for conference calls instead of in-person meetings

Plan for staffing challenges

Instruct cleaning staff to avoid “hugging” laundry before washing it to avoid self-contamination and wash
their hands with soap and water or an alcohol-based hand sanitizer immediately after handling
infected laundry

Copies of this plan have been sent to employees

Measures to Improve Sanitation

Hand sanitizer, soap and water, or effective disinfectant is available to the public at or near the entrance of the facility, and anywhere else inside the facility or immediately outside where people have direct interactions

If feasible, enhance ventilation in common areas such as waiting areas, TV rooms and reading rooms.

Disinfecting all high-contact surfaces frequently

Describe other measures

Communication

Provide signages at designated entrance points to inform people that they should: avoid entering the facility if they have a cough or fever; maintain a minimum 6-feet distance from one another; and not shake hands or engage in any unnecessary physical contact.

Post a copy of the Social Distancing Protocol at the designated entrance points

Display posters within the facility promoting proper hand washing

Consider using bulletin boards, signs, posters, brochures, emails, phone, mailbox, or sliding information under someone’s door

Contact Person

You may contact the following person with any questions or comments about this plan.

Name

Contact Number

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.