The California Department of Health has issued an All Facilities Letter providing updated guidance for nursing homes and other healthcare facilities during seasonal surges and the COVID-19 pandemic. The letter outlines new procedures for admission and readmission of skilled nursing facility (SNF) residents, emphasizing collaboration with local public health departments and hospital discharge planners. It also includes updated guidance based on residents' vaccination status, with testing and quarantine no longer required for fully vaccinated residents without recent close contact with a COVID-19 case. Unvaccinated or partially vaccinated residents should be tested and quarantined as appropriate. The letter also provides recommendations for resident placement, cohorting, and limitations on new admissions during outbreaks. Facilities experiencing difficulties in transitioning residents are encouraged to contact their local health department or the CDPH Healthcare-Associated Infections Program for guidance.

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