• State Update

HHSC Update: LTC Regulatory NF COVID-19 Response Plan


The purpose of this document is to provide nursing facilities (NFs) with response guidance in the event of a positive COVID-19 case associated with the facility (v3.3 7/30/20). Sections with revisions from the prior version are indicated in red text within the linked document.

THCA has broken down some sections of this response plan linked below.

Below are contents included in this Response Plan:


  • Attachment 1 - Immediate Response Guidelines

  • Attachment 2 - SPICE Graphic

  • Attachment 3 - Interim Guidance for Prevention, Management, and Reporting of Coronavirus Disease 2019 (COVID-19) Outbreaks in LongTerm Care Facilities

  • Attachment 4 - Comprehensive Mitigation Plan

  • Attachment 5 - Infographic Facility Actions for COVID-19 Response

  • Attachment 6 - DSHS Healthcare Personnel Return to Work Strategies (Updated May 5, 2020)

  • Attachment 7 - Discontinuation of Transmission-Based Precautions and Disposition of Residents with COVID-19

  • Attachment 8 - CDC Guidance - Optimization of Facemasks Infographic and Do's and Don'ts for Facemask Use Infographic

  • Attachment 9 - PPE Donning and Doffing Infographic

  • Attachment 10 - User Seal Check - Infographic

  • Attachment 11 - RA-QRF Deployment Process

  • Attachment 12 - RA-QRF Testing and Notification

  • Attachment 13 - Three Key Factors Required for a Respirator to be Effective - Infographic

  • Attachment 14 - Isolation Unit

  • Attachment 15 - Symptom Monitoring Log

  • Attachment 16 - Tracking Line List

Read the full Response Plan Here:


Note - confirm the version number and revision date in red text on the first page. If it does not reflect the most current version noted above, clear your browser cookies and try accessing the file again.