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Changes in Federal and State Policies on Visitation Restrictions in Nursing Homes During the COVID-19 Pandemic.


ABSTRACT: Visitation restrictions in nursing homes were a major policy intervention in response to the COVID-19 pandemic. This study conducted a systematic review of the changes in federal and state visitation policies. After the federal recommendations restricting all visitors and non-essential healthcare personnel, 31 states implemented state-wide indoor visitation bans in March and April of 2020. Federal guidance changed in September 2020 and again after the introduction of COVID-19 vaccines in early 2021. State visitation bans were lifted from 6/15/2020 to 11/2/2020, lasting an average of 163 days. When lifting bans, most states required that nursing homes have no resident COVID-19 cases and implement mitigation measures during the visit. Resident COVID-19 infection rates decreased by an average of 7.2 cases per 10,000 residents per week in the six weeks before state bans were lifted (p = .003). Large variations in state bans call for more consistent policy implementation in a future pandemic.

SUBMITTER: Xu H 

PROVIDER: S-EPMC12353094 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature

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Changes in Federal and State Policies on Visitation Restrictions in Nursing Homes During the COVID-19 Pandemic.

Xu Huiwen H   Bowblis John R JR   Li Shuang S   Heston-Mullins Jennifer J   Kuo Yong-Fang YF   Goodwin James S JS  

Journal of applied gerontology : the official journal of the Southern Gerontological Society 20250328 12


Visitation restrictions in nursing homes were a major policy intervention in response to the COVID-19 pandemic. This study conducted a systematic review of the changes in federal and state visitation policies. After the federal recommendations restricting all visitors and non-essential healthcare personnel, 31 states implemented state-wide indoor visitation bans in March and April of 2020. Federal guidance changed in September 2020 and again after the introduction of COVID-19 vaccines in early 2  ...[more]

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