Provincial Long-Term Care Home COVID-19 Outbreak Standard Operating Procedures

General Information
Labs, Testing & Screening


  • This guideline outlines standard operating procedures to support LTC Homes with preparedness planning, case identification, and implementation of their outbreak plan, to prevent and manage an outbreak, and aligns with Directive #3 for Long-Term Care Homes under the Long-Term Care Homes Act, 2007.
  • This guide is not intended to replace formal Ministry, public health or other relevant direction, guidance or statutory requirements.


  • Ready–to-implement Outbreak Management Plans (e.g., staffing contingency plan, including surge capacity)
    • Proactive ongoing screening and monitoring of residents, staff, and essential caregivers to identify COVID-19 RISK** (e.g., daily screening, weekly/bi-weekly testing strategy, as per Ministry directive and policy)
    • Robust training and auditing on IPAC protocols, including cohort contingency planning, and access to personal protective equipment
    • Established communication systems with families and local partners
    • Vigilant resident monitoring by the medical director, physicians/nurse practitioners, and staff for early identification of COVID-19 sign/symptoms
    • Established partnerships at the local level (hospital, Ontario Health Region, public health, and ministry)
    • Readiness that if ONE resident/staff is identified with COVID-19 RISK**, Outbreak Management Standard Operating Procedures are initiated 

DISCLAIMER: This document has been reviewed by Ontario Health West staff. While staff has provided its summary and interpretation of key action items, every health service provider remains responsible for ensuring their own understanding of the document and actions items, next steps and/or accountabilities outlined in the document.

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