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Rules Relaxed For Long-Term Care Home Residents

New Directive Enables Day Trip and Overnight Absences to Resume

Long-term care residents can once again leave their residences for short-stay and temporary absences.

Following the advice of the Chief Medical Officer of Health, effective immediately, residents can spend time away from their long-term care homes for day trips or overnight absences. For ‘short-stay’ absences — those that do not include an overnight stay — homes must provide residents with a medical mask to be worn at all times when outside of the home, if tolerated, and remind them of the importance of public health measures, including physical distancing. When they return, residents must be actively screened but are not required to be tested or to self-isolate.

Residents may also leave for ‘temporary’ absences of one or more nights. Temporary absences will be at the discretion of the home and decided on a case-by-case basis based on safety factors like the risk associated with the absence (e.g., for a family weekend vs. a large gathering) and ability of the home to help residents self-isolate upon return. For the protection of their neighbours, residents who leave on a temporary absence will be required to self-isolate for 14 days when they return to the home. If a home makes the decision to deny a temporary absence request, they must communicate their rationale in writing

An updated policy for visits to long-term care homes will be released next week. This and other direction on safety in long-term care homes will continue to be updated as Ontario’s experience with COVID-19 evolves, and the government will continue to make every effort to support the safety and emotional wellbeing of residents.

Examples of short-stay absences include visits to see family or run errands. They can also include outpatient medical visits or emergency room visits that extend over a single night, but where the person is not admitted as an in-patient.Temporary absences are at the discretion of the homes, who will approve on a case-by-case basis based on such factors as: local COVID-19 transmission and activity; the risk associated with the resident’s planned activities while away from the home; the resident’s ability to comply with health measures; and the ability of the home to support residents’ 14-day self-isolation periods when they return.

Following a temporary absence for a hospital stay, residents can return to a long-term care home if: the home is not in outbreak; the resident has tested negative for COVID-19, or confirmed infected and cleared; the home can support the resident through 14 days of self-isolation; and the resident returns to a room shared with no more than one other resident.

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