For long-term care facilities

The Springfield-Greene County Health Department has worked closely alongside the Missouri Department of Health and Senior Services (DHSS) and with local long-term care facilities to assist with testing, secure Personal Protective Equipment (PPE) and to provide guidance on best practices for disease prevention and containment in an institutional setting.

While it is ultimately DHSS that has the regulatory authority, responsibility and oversight of communicable disease containment in long-term care setting, local public health departments are a partner in serving as a liaison to support the state’s disease prevention strategy. This strategy includes facility-wide testing of staff and residents after a positive test of either a resident or staff, and repeated testing until there are no additional cases.

Long-term care facilities are required to report a positive case among staff or residents to DHSS within 24 hours so guidance can be provided on comprehensive testing, isolation and quarantine instructions, personal protective equipment and staffing. State guidance for long-term care facilities can be found here.

  1. Residents
  2. Administrators
  3. Visitors, Vendors, and Caregivers


  • Get vaccinated.
  • Wash hands often with soap and water for at least 20 seconds.
  • Avoid touching your eyes, nose, or mouth with unwashed hands.
  • Avoid close contact with people who are sick.
  • Clean and disinfect objects and surfaces.
  • Stay away from others when sick. 
  • Cover mouth and nose with a tissue when coughing or sneezing then throw the tissue in the trash and wash hands.

In long-term care facilities, it is particularly important that we prevent the spread of any viruses within the facility, as well as, coming into the facility from outside family, friends, visitors and vendors. It is important that we take every precaution to protect you. As prevention measures, care facilities are implementing recommendations to limit visitors to facilities. Facilities are also screening visitors to asses current illness. These measures are being put into place to protect you because older adults with underlying medical conditions are especially at risk.