Nursing Home ICAR Guide

Nursing Home ICAR Non-Facilitator Guide

Nursing Home ICAR Section 1: Facility Demographics and Critical Infrastructure

Nursing Home ICAR Frequently Asked Questions

Mom’s vaccinated: when can I visit her nursing home? (CMS graphic)

COVID-19 Preparedness Checklist

UPDATED COVID-19 Focused Survey for Nursing Homes

No Visitors Sign




• AMDA Policy Statement: COVID-19 Testing Strategies Should Be Tailored to the Clinical Situation

• CPR Guidance During the COVID-19 Pandemic

• Testing for Respiratory Illness: COVID-19 Testing Decision Tree



• COVID-19 Resources Catalog for Nursing Homes



• New CDC Data: COVID-19 Vaccination Safe for Pregnant People

• Frequently Asked Questions about COVID-19 Vaccination

• Coronavirus Disease 2019 (COVID-19) Treatment Guidelines

• SARS-CoV-2 Variant Classifications and Definitions

• COVID-19 Treatments and Therapeutics

• COVID-19 Training for Healthcare Professionals

• COVID-19 Data Tracker - Vaccinations

• Long-Term Care Facility Toolkit: Preparing for COVID-19 Vaccination at Your Facility

• Interim Guidance for Routine and Influenza Immunization Services During the COVID-19 Pandemic

• Information for Clinicians on Influenza Virus Testing

• COVID-19 in Nursing Homes and Long-Term Care Facilities

• CDC Activities and Initiatives Supporting the COVID-19 Response and the President’s Plan for Opening America Up Again

• LTCF COVID-19 Module (Reporting)

• Guidance For Cleaning And Disinfecting Public Spaces, Workplaces, Businesses, Schools, and Homes

• Coronavirus (COVID-19)

• Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings

• Guideline for Disinfection and Sterilization in Healthcare Facilities

• Preventing the Spread of COVID-19 in Retirement Communities and Independent Living Facilities (Interim Guidance)

• ICD-10-CM Official Coding Guidelines for COVID-19 April 1, 2020 -September 30, 2020

• Interim Guidelines for Collecting, Handling, and Testing Clinical Specimens from Persons for Coronavirus Disease 2019 (COVID-19)



• Admin Info: 21-08-ALL: Fiscal Year (FY) 2020 State Performance Standards System (SPSS) Findings, FY 2021 SPSS Guidance, and FY 2019 Results

• QSO-20-38-NH (REVISED 09/10/2021): Interim Final Rule (IFC), CMS-3401-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency related to Long-Term Care (LTC) Facility Testing Requirements

• QSO-21-19-NH: Interim Final Rule - COVID-19 Vaccine Immunization Requirements for Residents and Staff

• QSO-21-17-NH: Updates to Long-Term Care (LTC) Emergency Regulatory Waivers issued in response to COVID-19

• CMS Nursing Home Resource Center

• COVID-19 Vaccine Policies & Guidance

• CMS-9912-IFC 2:Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency

• QSO-20-41-ALL: Guidance related to the Emergency Preparedness Testing Exercise Requirements- Coronavirus Disease 2019 (COVID-19)

• QSO-21-03-Hospitals/CAHs: Interim Final Rule (IFC), CMS-3401-IFC; Requirements and Enforcement Process for Reporting of COVID-19 Data Elements for Hospitals and Critical Access Hospitals

• QSO-20-39-NH Nursing Home Visitation - COVID-19

• QSO-20-38-NH: Interim Final Rule (IFC), CMS-3401-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency related to Long-Term Care (LTC) Facility Testing Requirements and Revised COVID19 Focused Survey Tool

• QSO-20-37-CLIA, NH: Interim Final Rule (IFC), CMS-3401-IFC, Updating Requirements for Reporting of SARS-CoV-2 Test Results by Clinical Laboratory Improvement Amendments of 1988 (CLIA) Laboratories, and Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency

• QSO-20-35-ALL: Enforcement Cases Held during the Prioritization Period and Revised Survey Prioritization

• QSO 20-34-NH: Changes to Staffing Information and Quality Measures Posted on the Nursing Home Compare Website and Five Star Quality Rating System due to the COVID19 Public Health Emergency• QSO 20-32-NH: Release of COVID-19 Nursing Home Data

• Quality Improvement Organizations (QIO) COVID-19 Resources

• Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes 

• QSO-20-31-All: COVID-19 Survey Activities, CARES Act Funding, Enhanced Enforcement for Infection Control deficiencies, and Quality Improvement Activities in Nursing Homes

• QSO-20-30-NH_Nursing Home Reopening Recommendations for State and Local Officials

• COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers – Updated May 11, 2020

• QSO-20-29-NH… Interim Final Rule Updating Requirements for Notification of Confirmed and Suspected COVID-19 Cases Among Residents and Staff in Nursing Homes

• CMS Second Interim Final Rule with Comment (COVID-19 PHE) – Federal Register Posting May 8, 2020

• Trump Administration Issues Second Round of Sweeping Changes to Support U. S. Healthcare System During COVID-19 Pandemic

• CMS COVID-19 Podcasts and Transcripts

• FACT SHEET: Expansion of the accelerated and advance payments program for providers and suppliers during COVID-19 emergency

• TRACIE Novel Coronavirus Resources


• Trump Administration Launches New Toolkit to Help States Navigate COVID-19 Health Workforce Challenges


• New and Expanded Flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) During the COVID-19 Public Health Emergency (PHE)

• 1135 Waiver Request Information

• COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers

• Medicaid State Plan Amendments

• Coronavirus Waivers & Flexibilities

• Dear Clinician Letter April 7, 2020

• COVID-19 Long-Term Care Facility Guidance

• QSO-20-25-NH…2019 Novel Coronavirus (COVID-19) Long-Term Care Facility Transfer Scenarios

• COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers

• QSO-20-14-NH…Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19) in Nursing Homes (REVISED)

• Emergency Preparedness for Every Emergency

• OPENING UP AMERICA AGAIN - CMS Recommendations Re-opening Facilities to Provide Non-emergent Non-COVID-19 Healthcare: Phase I

• CMS News Alert - April 16, 2020

• If you have questions, your MACs may have more information

• QSO-20-26-NH…Upcoming Requirements for Notification of Confirmed COVID-19 (or COVID19 Persons under Investigation) Among Residents and Staff in Nursing Homes



• CDC COVID-19 Vaccine Rollout Recommendations

• COVID-19 Vaccine Emergency Use Authorization (EUA) Fact Sheets for Recipients and Caregivers

• COVID-19 Vaccine Handling Toolkit: Operational Considerations for Healthcare Practitioners (USP)

• Frequently Asked Questions about COVID-19 Vaccination (CDC)

• Post Vaccine Considerations for Residents (CDC)

• COVID-19 Vaccine Resource (CVS Health/Omnicare)

• Healthcare Professionals: Preparing for COVID-19 Vaccination (CDC)

• COVID-19 Vaccine (CMS)



• List N Tool: COVID-19 Disinfectants



• Respiratory Protection Guidance for the Employers of Those Working in Nursing Homes, Assisted Living, and Other Long-Term Care Facilities During the COVID-19 Pandemic

• COVID-19 Guidance for Nursing Home and Long-Term Care Facility Workers

• Guidance on Preparing Workplaces for COVID-19

• Enforcement Guidance on Decontamination of Filtering Facepiece Respirators in Healthcare During the Coronavirus Disease 2019 (COVID-19) Pandemic

• OSHA COVID-19 News and Updates



• Medical Device Shortages During the COVID-19 Public Health Emergency

• Personal Protective Equipment (PPE) Burn Rate Calculator

• Position Statement on Preventing Injury with N95 Masks

• Protecting Facial Skin Under PPE N95 Face Masks

• Enforcement Guidance for Respiratory Protection and the N95 Shortage Due to the Coronavirus Disease 2019 (COVID-19) Pandemic

• Sequence for Putting On/Removing Personal Protective Equipment (PPE)

• Decontamination and Reuse of Filtering Facepiece Respirators

• Joint Commission Statement on Use of Face Masks Brought From Home

• Strategies to Optimize the Supply of PPE and Equipment

• COVID-19…Key Standards (OSHA/)




• Telehealth Services

• Long-Term Care Nursing Homes Telehealth and Telemedicine Tool Kit

• Medicare Telemedicine Health Care Provider Fact Sheet

• Medicare Telehealth Frequently Asked Questions (FAQs)


WHO (World Health Organization)

• WHO Clinical Management of COVID-19: Interim Guidance, version 1.3