Effective May 27, 2020 at 11:59 PM, all nursing home facilities (facilities) are subject to the Ohio Department of Health (ODH) Director’s Order and Guidelines. Per the Order and forthcoming Guideline revisions, all facilities must ensure their staff are tested for COVID-19 once every two weeks. The state's Congregate Care Unified Response Team (CCURT) and the Ohio National Guard (ONG) are assisting nursing homes as they work to comply with the Order and Guidelines. 
 
Facilities may meet the requirements of the Order to have all staff tested once every two weeks by participating in state-scheduled and supported testing, or by conducting testing outside of the state's process for scheduling and support.
 
All facilities must verify that they have meet the requirements of the Order and Guidelines on an ongoing basis by submitting a summary of staff testing results for each round of retesting (every 2 weeks) through this survey.
 
This survey should be completed within 14 days of specimen collection for each round of testing. 
Please wait to receive as many results as possible before completing this survey for each round of testing. If you have not received all results by the 14th day after specimen collection, please complete the survey and indicate the number of un-resulted tests when prompted in the results questions. 

Additional information about the requirements to have employees tested once every two weeks and the state of Ohio's support of this testing can be found on Ohio's Nursing Home Testing Website.  

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* 1. Provider Name (Please enter your Facility Name, not a Corporate Name)

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* 2.
Enter the following based on your facility type:
  • Licensed facilities: enter your State of Ohio/ODH License Number (format ####N).
  • Certified Non-Licensed Facilities: enter the last five digits of your Medicare certification number (format 6####). 
  • Non-Certified Non-Licensed Facilities: enter 00000.
Please type your response to this question carefully, as it will be used to match your verification data with your facility's information in our database.

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* 3. Point of Contact Name

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* 4. Point of Contact's Email Address

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* 5. Point of Contact's Phone Number

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