Facilities Restricting Physicians and Physician Extenders and EMS Screening

This statement from NC DHHS in the recent visitation guidance:

“Please note that state surveyors and local county DSS staff in their regulatory capacities are NOT visitors. The law authorizes both agencies to inspect adult care homes and family care homes at any time. However, survey staff are expected to adhere to the facility’s screening processes and infection control measures in place at each facility.”

...only applies to surveyors and DSS staff in their regulatory capacities; however, no one should be refusing entry for medical providers (physicians, physician assistants, nurse practitioners, mental health professionals, podiatrists, and home health agency personnel) to assess and care for residents. Obviously, these providers should be subject to the same rigorous screening as any other visitor or surveyor. Quarantine or “no visitor” policies must not be applied to clinicians visiting a facility to provide medical care.

Frail elderly patients are at significantly greater risk from one of their chronic medical problems getting seriously out of control vs the risk of exposure to COVID-19. This is another reason why medical providers need to provide regular, proactive care to their multimorbid patients.

Again, attending physicians and physician extenders must adhere to your facility’s screening processes and infection control measures!

On a similar note, EMS personnel entering your facility must also go through your screening procedures! They are not exempt!


North Carolina Assisted Living Association


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