Residential and long-term care centre (CHSLD)

A person can always say where they would like to go. However, during the pandemic, the facility will prioritize access based on the person’s needs and the availability of places.

If the facility selected is not the one the person wanted to go to, a resident who is in a transitional CHSLD may be transferred to the CHSLD of their choice provided that neither CHSLD has an outbreak (cold CHSLD) and the CHSLDs are located in territories where the alert level is level 1 (green) or 2 (yellow).

Families can bring food, personal care products, gifts, and other belongings. However in regions at alert level 4 (red) or if there is a COVID-19 outbreak in the CHSLD, they must be delivered to reception so the packaging or container can be properly disinfected and quarantined for 24 hours before being delivered to the patient.

Families can wash residents’ clothing off site if they wish except if the resident is in preventive isolation or if there is an outbreak at the CHSLD.

Residents are allowed to leave the CHSLD to go to a medical appointment. Indeed, protecting their health also means maintaining their usual medical follow-ups and consulting when necessary.

When they return to the CHSLD, the required infection prevention and control measures will be taken.

The measures differ depending on the alert level and whether or not there is an outbreak in the facility. See the Measures in force in your region or municipality page to obtain information about your faciltity.

Residents can leave the CHSLD alone, supervised, or accompanied by one or two informal or family caregivers to go to a restaurant, drugstore, or shop, depending on their condition and the guidelines for the general public based on the different alert levels.

See the page on measures in force in your region or municipality for information about your facility.

In the event of preventive isolation, outings are no longer allowed, with exceptions under certain conditions.

All employees and anyone in contact with the residents (informal or family caregivers, volunteers, etc.) must be checked for COVID-19 symptoms upon their arrival. If they have symptoms, they must go home immediately. They must also be trained and be sure to comply with basic infection prevention and control practices, and must correctly use recommended personal protection equipment to avoid spreading the virus.

It is strongly recommended that employees work in a single CHSLD and be assigned to a single unit to avoid spreading the virus to other units.

If a resident has symptoms of COVID-19, they are separated from other residents and infection prevention and control measures are increased. The resident’s health is monitored constantly by the healthcare team and must be tested based on their specific situation.

Hair care services provided in a room specifically set aside for such purpose are permitted in the CHSLD except in the case of a COVID-19 outbreak. Residents in preventive isolation are not allowed to receive hair care services at the CHSLD during this time.

If there is no room set aside for hair care services, hair dressers can offer their services in regions under yellow and orange alert under certain conditions; for example they must take infection prevention and control (IPC) training and receive help with applying IPC measures.

An informal or family caregiver can help a CHSLD resident if they comply with the infection prevention and control measures.

The number of informal or family caregivers permitted to visit a resident at a time varies based on the alert level in the region. See the page on measures in force in your region or municipality for information about your facility.

Informal or family caregivers, visitors, or other people from outside the CHSLD who do not follow the instructions despite having received the information and help in applying the IPC measures may be denied access to the CHSLD.

Gifts (flowers, food, clothes, etc.) can be delivered to residents at a CHSLD.

However, depending on the maximum alert level or if there is a COVID-19 outbreak at the CHSLD, gifts must be left at reception to ensure they are properly disinfected and quarantined for 24 hours before being delivered to the resident.

Flowers, like any other gift, must be wrapped and left at the entrance.

It’s a good idea to plan for a delay of up to 24 hours, depending on the type of gift, before it is delivered to your loved one.

Volunteers who help with activities to prevent deconditioning are permitted in CHSLDs under certain conditions, such as provided they are trained in infection prevention and control measures.

Family doctors and specialists

Regardless of why you need a medical consultation, if you have flu-like symptoms, gastroenteritis or symptoms of COVID‑19, evaluate the symptoms on Québec.ca/decisioncovid19 or call 1-877-644-4545 right away and comply with the directives that you are given.

If you do not have flu-like symptoms, gastroenteritis or symptoms of COVID‑19, you can always consult if you need to by, contacting your family doctor, medical clinic or family medicine group (FMG) to make an appointment for a consultation over the telephone or in person. If you are unable to reach your medical clinic or are not registered with a family doctor, you can call Info‑Santé 811 to speak to a nurse, get advice about what to do and be referred, if necessary, to the appropriate resource.

People who have a chronic disease (e.g., diabetes, cardiovascular disease, hypertension, degenerative disease, etc.), cancer or any other disease or condition that requires regular health follow-up are, in particular, encouraged to have these follow-ups and go to their medical appointments.

Yes, the RAMQ will from now on cover health services provided by correspondence or by means of telecommunications. This coverage includes, for example, a telephone consultation with a physician.

Caregivers

Due to the pandemic, many informal caregivers find that their everyday life has been disrupted. You may be wondering what the best way to support your loved one is. You have to solve practical problems, provide moral support, perhaps help them out financially too.

Please read the Public Health Recommendations for Informal Caregivers This hyperlink will open in a new window. brochure. It provides information about how you can:

  • take care of yourself;
  • create a support network that is adapted to the situation so that you can maintain your health and quality of life;
  • stay connected with your loved ones despite physical distancing measures and visitor restrictions in some facilities;
  • make the best possible decisions for your health and your loved ones’ health during the coronavirus disease (COVID‑19) pandemic;
  • get referred to appropriate resources for your situation.

In addition, caregiver Support Helpline counsellors are there to listen to you, answer your questions and, if necessary, refer you to programs and resources that can help you in your everyday life. Do not hesitate to call them at 1‑855‑852‑7784 or to visit the Caregiver Support This hyperlink will open in a new window. website.

You are allowed to accompany someone who is blind or visually impaired. To keep safe, you must follow the Basic health instructions and, if you cannot maintain a physical distance of 2 metres, wearing a mask is strongly recommended.

To prepare yourself properly for your first visit, we suggest your read the webpage Informal and family caregivers during the coronavirus disease (COVID‑19) pandemic which was created to assist you.

It contains information and video clips that will be useful for:

  • preparing for your first visit, since it is highly likely that the facility you visited before the COVID‑19 pandemic has changed significantly;
  • checking if you meet the criteria for determining that an informal caregiver is authorized to provide support in a facility;
  • letting you know what is involved and what risks are associated with going into your loved one’s facility so that you can make a voluntary and informed decision;
  • learning about the safety guidelines and hygiene and protective measures you will have to follow;
  • practical advice that will make your visit more enjoyable, such as eating and drinking well before you visit your loved one, since it might be difficult to do so once you have put the protective equipment on;
  • advice that you can read and, if necessary, follow to protect your psychological health and continue distance socializing with your loved one;
  • learning how to deal with grief during the pandemic if you have had the misfortune to lose a loved one.

You can also read and print out the Information sheet for informal and family caregivers whose loved one is institutionalized This hyperlink will open in a new window.. It describes the infection prevention and protective measures that you will have to follow and links that you might find very helpful.

No. If someone in your home has symptoms or is self-isolating, you cannot visit your loved one even if you do not have symptoms of COVID‑19. It is important to follow this instruction to keep everyone safe. During the COVID‑19 pandemic, there might be very serious consequences for the residents, including your loved one.

Private seniors’ residences (RPA)

The measures differ depending on the alert level and whether or not there is an outbreak in the facility. See the Measures in force in your region or municipality page to obtain information about your faciltity.

Food and other items (flowers, clothing, etc.) can be delivered to an RPA under certain conditions.

However, if there is a COVID-19 outbreak in the RPA, the gifts must be left at reception, and staff are in charge of delivering them to the resident.  

The measures differ depending on the alert level and whether or not there is an outbreak in the facility. See the page on measures in force in your region or municipality for information about your faciltity.

The measures differ depending on the alert level and whether or not there is an outbreak in the facility. See the page on measures in force in your region or municipality for information about your facility.

You can move a loved one out of a RPA where cases of COVID‑19 have been reported out and care for them in your own home for an extended period.

However, it is recommended that infection prevention and control measures in your area be put in place to minimize the risk of contamination. See the page on measures in force in your region or municipality for information about your facility.

If any of the following situations apply to your loved one who lives in a RPA or to a member of your household, you will not, temporarily, be able to have your loved one stay with you:

  • The person who lives in the RPA or one of the people in the household where they would be staying has one or more symptoms of COVID‑19 (unusual cough, fever, difficulty breathing, sudden loss of sense of smell without a stuffy nose, with or without loss of sense of taste);
  • The person who lives in the RPA or one of the people in the household where they would be staying has specifically been told to self-isolate by public health.

In these situations, you will have to wait until the person is allowed to end their self-isolation.

When they return to their RPA, all infection prevention and control measures must be rigorously applied.

They might also have to undergo a period of self-isolation, depending on the health rules in place.

Under no circumstances can the RPA refuse to allow a resident to return to their rental unit (apartment, private room).

Visits to rental units in RPAs are allowed provided the infection protection and control measures for territories at alert level 1 (green) and 2 (yellow) are observed. However, when the territory is at alert level 3 (orange), virtual visits should be encouraged and the frequency of in-person visits limited.

Visits are not recommended at alert level 4 (red). However, if visits must take place, only the future resident and an informal caregiver may be present. The RPA must also implement all the infection prevention and control measures.

If there is a COVID-19 outbreak in the RPA, visits in person must be temporarily suspended, except for emergencies.

Residences are not allowed to charge for meal delivery during the pandemic.

Yes, but movers are required to follow procedures in relation to COVID‑19. The number of movers is limited to two. One or two family members should be on hand to welcome and guide them.

No, moving is allowed. The following preventive measures must be taken:

  • The basic health instruction must be followed at all times by everyone involved in the move.
  • Movers or family and friends who are helping with the move must not have symptoms of COVID-19.
  • The number of movers or family members and friends helping with the move is limited to two.
  • The movers, the resident, and their loved ones must only travel from the entrance directly to the rental unit (apartment or room).
  • When the movers have finished, only two people are permitted to stay in the unit to set up the essentials for the resident and to ensure that the space is safe. Light work can be done, in particular cleaning and painting.
  • Surfaces that may have been touched by the movers must be cleaned with the usual disinfectant products.

However, a new resident with suspected or confirmed COVID-19 are still not allowed to be admitted to a RPA that does not already have COVID-19 cases.

A new resident who moves into an RPA may have to undergo a period of isolation, depending on specific conditions.