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New entry requirements set for long-term care and retirement homes

Though COVID-19 cases in long-term care homes have fallen steadily over the past months, evolving global evidence around the Omicron variant, has caused the province to change COVID-19 policies in long-term care homes.

Effective immediately, all general visitors to a long-term care home will need to be fully vaccinated to enter. In addition, the ministry will be directing all long-term care homes to increase infection prevention and control (IPAC) audits.

The following measures at long-term care homes will also go into effect at 12:01 a.m. on Friday, Dec. 17, 2021:

– Testing of all staff, students, volunteers, and caregivers, regardless of vaccination status, at least twice a week prior to entry into the home as part of enhanced active screening practices.
– Requiring a negative test upon entry to a long-term care home for all visitors and support workers who provide essential services to a resident or to the facility, unless they had a negative test the day before.
– Requiring caregivers to be fully vaccinated, unless they have a valid medical exemption or are attending to a resident in a palliative end-of-life situation.

Caregivers will be required to have a first dose by Dec. 20 and all required doses to be considered fully vaccinated by Feb. 21, 2022. In the interim, designated caregivers who are not fully vaccinated would need to restrict their visit to the resident’s room.

– Limiting indoor visits to a maximum of two people per resident at a time and outdoor visits, where feasible, to a maximum total of four people per resident at a time.
– Cohorting of residents for higher-risk activities, such as singing and dancing, and discouraging large social activities. This is in addition to the cohorting of residents during meal times, which is currently occurring.
– Limiting social day trips to only residents who are fully vaccinated and requiring those residents who leave the home for social reasons to be actively screened upon their return to the home and if they had a known exposure to a case, isolated and tested using a PCR test. All residents, regardless of vaccination status, can continue to leave the home for essential reasons, such as medical appointments.
– Suspending overnight absences for social purposes regardless of residents’ vaccination status. Residents who wish to leave the home overnight for social purposes or due to COVID-19 may be temporarily discharged and need to follow the re-admission protocol to return at a later date.

To further protect retirement home residents and staff from the spread of COVID-19 and the Omicron variant, Ontario is also enhancing its COVID-19 policies in retirement homes effective Dec. 22, including:

– Requiring rapid antigen testing for staff, volunteers, contractors and essential caregivers, regardless of vaccination status, two times per week prior to entry into the home as part of enhanced active screening practices.
– Requiring rapid antigen testing for general visitors and support workers entering a retirement home, regardless of vaccination status.
– Strongly encouraging retirement homes to restrict general visitors to only those who are fully vaccinated and implementing additional requirements for essential visitors and general visitors who are not fully vaccinated when entering a retirement home.
– Limiting the number of visitors and group sizes for social activities and events.
– Implementing additional testing and isolation requirements for residents when they return from an overnight absence.
– Instructing retirement homes to increase IPAC audits.

“As we continue to learn more about the Omicron variant and see its impacts on other jurisdictions around the world, it is critical we provide those at greatest risk from COVID-19 in our congregate care settings with an extra layer of protection against this new enemy,” said Dr. Kieran Moore, Chief Medical Officer of Health. “By strengthening public health measures in these settings, we can ensure our most vulnerable are kept safe and shielded from the threats posed by Omicron and other variants of concern.”

As of Nov. 30, 2021, data shows that 99 per cent of long-term care staff, students and volunteers are fully vaccinated. In addition, more than 86 per cent of eligible long-term care home residents had received three doses of the vaccine.
As of Nov. 26, 2021, data from the Retirement Homes Regulatory Authority shows that 86 per cent of the retirement homes sector declared that 90 per cent or more of their staff have been fully vaccinated.
As of Dec. 10, 2021, data from the Ministry of Health shows that more than 83 per cent of eligible retirement home residents have received three doses of a COVID-19 vaccine.

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