The Centers for Medicare & Medicaid Services (CMS) has issued a revised memorandum providing recommendations for nursing home reopening. The updated guidance is in line with other recently issued memos, including QSO-20-38-NH (Nursing Home Testing) and QSO-20-39-NH Revised (Nursing Home Visitation-COVID-19). The recommendations cover criteria for relaxing certain restrictions and mitigating the risk of resurgence, visitation and service considerations, and restoration of survey activities. Nursing homes should not advance through any phases of reopening or relax any restrictions until all residents and staff have received a baseline test, and appropriate actions are taken based on the results. States should survey nursing homes that experienced a significant COVID-19 outbreak prior to reopening to ensure adequate prevention of transmission.

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