Long-Term Care Facilities Guidance for Long-Term Care Providers and Facilities Managers and staff of long-term care settings, including skilled nursing facilities, adult care homes, family care homes, mental health group homes, and intermediate care facilities for individuals with intellectual disabilities, should review the resources and guidance to ensure they have the latest information in how to prepare and respond to a possible COVID-19 outbreak. Review Guidance Visiting Long-Term Care Facilities NCDHHS is updating its visitation guidance for long-term care facilities to allow for in-person, indoor or outdoor, visitation in most circumstances. The change aligns with new guidance released this week from the Centers of Medicare and Medicaid Services and the Centers for Disease Control and Prevention and reflects rapidly improving trends in long-term care facilities. In addition to updating its guidance, the department is rescinding Secretarial Order 6: Visitation for Long-term Care Facilities. While outdoor visitation is best when possible, indoor visitation is now allowed for all residents, regardless of vaccination status, except for a few circumstances when visitation should be limited due to a high risk of COVID-19 transmission in a particular facility. It is recommended that unvaccinated residents who wish to become vaccinated should not start indoor visitation until they have been fully vaccinated. Additionally, new long-term care residents will not be required to quarantine if they are fully vaccinated and have not had close contact with someone with COVID-19 in the previous 14 days. Fully vaccinated and non-immunocompromised health care providers with higher risk exposures who are asymptomatic also do not need to be restricted from work. Keeping Long-Term Care Facilities Safe North Carolina took early and aggressive actions to protect residents of long-terms care facilities. Read this fact sheet to learn more about how NCDHHS is supporting our long-term care facilities. All workers in long term care (LTC) facilities, including skilled nursing facilities, adult care homes, family care homes, mental health group homes, and intermediate care facilities for individuals with intellectual disabilities, must wear surgical masks while in the facility, as long as surgical mask supplies are available.