High Important Alert

Jackie Pappalardi Nancy Leveille Amy Kennedy in Clinical & Quality

NYSHFA/NYSCAL wants to immediately alert all nursing home and assisted living facilities of the importance of using strict infection control practices. Across the state, NYSDOH is entering buildings conducting unannounced Focused Infection Control surveys looking at staff compliance to infection control practices. Facilities have been receiving Immediate Jeopardy citations for staff not correctly using PPE, especially for not demonstrating correct donning and doffing of gowns. 

As we have been reinforcing with you since the beginning, DOCUMENT all actions related to COVID-19 and infection control in your building for staff education, requesting PPE and other needed supplies from your OEM, supervision and auditing of staff actions and communication with staff, residents and next of kin on COVID-19 illness and deaths. 

Make sure all staff can verbalize the positive infection control actions going on in your building to prevent the spread of infection. 

NYSHFA/NYSCAL is recommending taking immediate actions to ensure your compliance, which include:

  • Provide all staff with ongoing, daily education and training on the principles of infection control: why it is important to wash hands, avoid cross contamination between residents, reinforce the correct use of face masks and gowns.
  • Keep staff informed on observing, reporting and documenting signs and symptoms of COVID-19, changes in policies and why you are doing them. All staff screening for each shift is documented and available upon request.
  • Conduct daily huddles with supervision and monitoring staff for good infection control practices with immediate correction of poor practices. Implement peer review audits to assist each other. Reinforce positive actions. Document findings.
  • Conduct daily rounds to ensure correct signage is posted, hand sanitizers are full, laundry is covered and transported correctly.
  • Set up an organized method (i.e. binder or computer folder) to capture your documentation on specific actions which highlight your preparedness, utilize the attached CMS Focused Infection Control checklist as your guide. Demonstrate the current implementation of the Infection Control Plan in your building, how you are monitoring practices using Line Lists and tracking data and documenting the information daily on HERDS.
  • For your protection, document all requests and communications with NYSDOH, Epidemiology, Public Health, Coroner’s Office and OSHA. 

Resources here:


If you have any questions, please reach out to NYSHFA/NYSCAL immediately:


Stephen B. Hanse, Esq.
President & CEO
518-462-4800 x11

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

Nancy Leveille, RN, MS
Director, Special Projects and Educational Development
518-462-4800 x20

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Amy Kennedy
Executive Director, NYSCAL
518-462-4800 x17