Risk at Long-Term Facilities

Throughout the COVID-19 pandemic, among those facing the highest risk are individuals living in long-term care facilities (LTC). As cases, hospitalizations and deaths have decreased and vaccinations have increased, DHSS’ Division of Health Care Quality has worked with the LTC facilities to resume indoor visitation at eligible facilities and to verify that all facilities have strong screening, infection and isolation measures in place. In addition, the Division of Public Health asks LTCs with questions or concerns to email DPH_PAC@delaware.gov or call 1-866-408-1899, press ext. 2.


Order of the Department of Health and Social Services

The Department of Health and Social Services has broad authority over long term care facilities and is responsible for overseeing the health and welfare of residents. This order was approved on October 27, 2021. 

Governor’s Order on Long-Term Care Facilities

Facilities serving older adults, including skilled nursing facilities, assisted-living facilities, hospice providers, and rehabilitation facilities with older patients must follow the guidelines in the Public Health Emergency Declarations.


All skilled and intermediate nursing care facilities assisted living facilities and rest residential facilities must use the Centers for Medicare and Medicaid Services (CMS) guidance to govern visitation.  The CMS guidance can be found at:  QSO-20-39-NH REVISED (cms.gov)


CDC Guidance: Infection Control: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) | CDC

Mixed Dosing

Governor Announces Universal Testing in Long-Term Care Facilities

Staff at long-term care facilities are required to be tested by the testing guidance set forth by the Division of Public Health (DPH).

DPH provided facilities with tests, testing supplies, training, and support for the universal testing program to protect the most vulnerable Delawareans. Expanding COVID-19 testing capacity for vulnerable populations is a requirement of federal guidance for economic reopening.

Public health experts at DPH will support clinicians at long-term care facilities with the new testing program. DPH will provide guidance on testing of symptomatic and asymptomatic persons and the interpretation of results.  DPH will also provide recommendations to protect residents and staff based on results, including transmission-based precautions, isolation, and patient and staff management strategies.


More Provider and Long-Term Care Facility Resources

Get More COVID Data

For more data on Delaware COVID cases, testing and outcomes, including demographic breakdowns, go to My Healthy Community