Policy Recommendations Regarding Skilled Nursing Facility Management of Coronavirus 19 (COVID-19): Lessons from New York State

J Am Med Dir Assoc. 2020 Jul;21(7):888-892. doi: 10.1016/j.jamda.2020.05.058. Epub 2020 Jun 2.


To provide policy recommendations for managing Coronavirus 19 (COVID-19) in skilled nursing facilities, a group of certified medical directors from several facilities in New York state with experience managing the disease used e-mail, phone, and video conferencing to develop consensus recommendations. The resulting document provides recommendations on screening, protection of staff, screening of residents, management of Coronavirus 19 positive and presumed positive cases, communication during an outbreak, management of admissions and readmissions, and providing emotional support for staff. These consensus guidelines have been endorsed by the Executive Board of the New York Medical Directors Association and the Board of the Metropolitan Area Geriatrics Society.

Keywords: COVID-19; epidemic; post-acute/ long-term care; public policy; skilled nursing facility.

Publication types

  • Multicenter Study

MeSH terms

  • Aged
  • Communicable Diseases, Emerging / epidemiology
  • Communicable Diseases, Emerging / therapy*
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / therapy
  • Disease Management
  • Female
  • Hospitalization / statistics & numerical data
  • Humans
  • Long-Term Care / organization & administration*
  • Male
  • Middle Aged
  • New York
  • Pandemics / statistics & numerical data
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / therapy
  • Policy Making
  • Practice Guidelines as Topic*
  • Public Policy / legislation & jurisprudence
  • Skilled Nursing Facilities / organization & administration*
  • Subacute Care / organization & administration*

Supplementary concepts

  • COVID-19