COVID-19 cases are rising dramatically. Starting December 3:

Multnomah County falls into the “Extreme Risk” category based on the Governor’s new health and safety framework. Many restrictions remain in place.

Get guidance on activities under the new framework.

Visitation restrictions

While Multnomah County is in the Extreme Risk category, indoor visits at Long Term Care Facilities are prohibited.

The Oregon Department of Human Services has restricted visits to licensed long-term care facilities. Essential medical and emergency personnel, and visitors to residents who are in the end of life, are permitted.

As of July 13, long-term care facilities may offer outdoor visitations with proper safeguards.

The all-visitor restrictions apply to:

  • Nursing facilities
  • Assisting living facilities
  • Residential care facilities
  • Adult foster homes
  • Group homes for people with intellectual and developmental disabilities


Prepare your facility

  • Activate your emergency preparedness and operations teams to develop a Continuity of Operations Plan.

  • Identify dedicated employees to care for COVID-19 patients and provide infection control training. CDC Infection prevention practices guidance.

  • Consider what your facility would require to maintain critical operations.

  • Cross-train personnel to perform essential functions.

Personal protective equipment

Ensure correct use of personal protective equipment (PPE):

  • Place a trash can near the exit inside all residents' rooms for easy PPE discarding.

  • Post signs outside any ill resident’s room that clearly describe the type of precautions needed.

  • Make PPE such as facemasks, eye protection, gowns and gloves, available immediately outside the resident’s room.


A facility must implement COVID-19 testing of all residents, facility staff and associated staff within 72 hours of identification of a new case of COVID-19 in either a resident, facility staff or associated staff. [OAR chapter 411, division 060]

Hand hygiene

  • Provide alcohol-based hand rub in every resident room and employee area.

  • Make tissues and trash bins available.

  • Ensure all sinks are stocked with soap and paper towels.

  • Remind employees to clean their hands according to CDC guidelines.

Caring for residents

Monitor residents for fever and respiratory symptoms:

  • Restrict residents with cough, shortness of breath or difficulty breathing, muscle aches, headache, chills, or fever to their rooms. See CDC’s list of COVID-19 symptoms

  • Residents who must leave the room for medically necessary procedures should wear a medical mask or face covering (if tolerated).

  • For care of residents with undiagnosed respiratory infection, use Standard, Contact, and Droplet Precautions along with eye protection unless the suspected diagnosis requires Airborne Precautions.