• Restrict access to visitors.

• Make online methods of face-to face communication and phone calls available.

• Facility staff should be restricted from international travel and should be monitored if they have traveled out of the country in the last 14 days.

• Staff should be monitored if they have been in contact with someone who is under investigation for COVID-19

• Staff should be monitored if they are showing any signs of respiratory infection such as fever, cough or sore throat.

• Any staff member who has these signs or symptoms should not go to work. Any staff that develop these signs or symptoms on the job should immediately stop working, put on a face mask, and self-isolate at home.

• Staff who develop these signs and symptoms should inform the infection preventionist and contact their local health department for next steps.

• Nursing homes should increase availability of alcohol-based hand sanitizers, tissues, no-touch receptacles for disposal, and face masks at entrances, waiting rooms, and resident check-ins.

• Signage should be increased for vigilant infection prevention.

• Properly clean, disinfect, and limit sharing of medical equipment between residents and areas of the facility.