This COVID-19 screening checklist helps healthcare and assisted living facilities assess visitors and employees for symptoms and exposure before entry. It follows CMS and CDC guidance for restricting non-essential personnel and includes prompts for hand hygiene, symptom checks (fever, sore throat, cough, shortness of breath), temperature screening for employees, exposure history, and entry restrictions. It also reminds permitted visitors to wear a facemask and limit movement within the facility. The checklist is informational and not a substitute for medical advice, diagnosis, or treatment.
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