Updated November 23, 2022

    Tri-County COVID-19 Toolkit for Long Term Care Facilities (1.84 MB) is a step-by-step guide for how to respond to COVID-19 in your facility. Covers guidance and recommendations for:

    • infection prevention and control
    • reporting COVID cases
    • resident quarantine and isolation
    • staff work exclusion and exposures
    • investigating exposures
    • COVID-19 testing 

    The toolkit incorporates recent updates from CDC and CMS.

      Additional resources

      These resources were developed by Multnomah, Washington, and Clackamas counties for use by long-term care facilities. 

      Aerosol Contact Precautions Sign (562.69 KB) 

      Aerosol Generating Procedures (AGPs) (815.03 KB)

      Break Room Safety (528.48 KB)

      Cleaning and Disinfection (553.4 KB)

      Creating a COVID-19 Cohort (619.43 KB)

      Cohorting- Creating a Modified COVID-19 Cohort (442.56 KB) When a complete COVID-19 cohort is not an option, consider modified measures.

      Donning and Doffing PPE (621.4 KB)

      Eye Protection (884.04 KB)

      Hand Hygiene (589.14 KB)

      Holiday Visitation, Preparation, and Management (816.5 KB)

      Improving Indoor Air Quality (531.5 KB) Use simple measures to decrease germs in the air along with recommendations for HVAC, portable air filters, and fan use.

      Isolation Gowns (827.36 KB)

      KN95 Masks (463.04 KB)

      Linen and Laundry (523.57 KB) 

      Managing Supplies (457.14 KB)

      Monitoring Residents for Symptoms (462.07 KB)

      Monitoring Staff for Symptoms (476.49 KB)

      N95 Respirators (907.57 KB) Prepare and protect staff and residents with proper selection of NIOSH approved N95s as well as training, use, and maintaining an ample supply.

      PAPR Respirators (459.39 KB)

      PPE Use for COVID-19 (480.24 KB) Refer to tables for PPE recommendations based on COVID-19 and outbreak status, community transmission levels, and aerosol generating procedures (AGPs).

      Resident Management (443.19 KB)

      Shared Resident Rooms (508.52 KB)

      Social Distancing in Community Settings (459.81 KB)

      Transmission-Based Precautions (806.35 KB) Identify residents who may be infectious and place them in the proper isolation precautions with appropriate signage, PPE, and management of transportation and equipment.

      Visitation - Making Visitation Safer (656.26 KB)


      ODHS Provider Alerts 

      ODHS COVID-19 Information for Long-Term Care Facilities  


      More resources