The CDC has issued a stronger recommendation on COVID-19 boosters stating that individuals who are immunocompromised and those 50 and older should receive a second booster dose at least four months after their first COVID-19 booster. Adults ages 18 years or older are considered up to date “immediately after getting all boosters recommended for you.”

The May 19 statement from the agency changed the language about second boosters from “may receive” to “should receive”

As a reminder, in accordance with the May 2021 interim final rule on COVID-19 vaccination and immunization for residents and staff, facilities should educate both groups on the benefits of the vaccine and boosters, including second boosters, and to offer vaccination or access to vaccines as necessary.

At this time, CMS has not updated the vaccine requirements for nursing facility staff. That rule does not address first or second booster doses, however, the rule does require nursing facilities to track the status of individuals receiving boosters, which would extend to second booster doses.

Up to Date Status

Individuals aged 50 and older are now required to have a second booster in order to be considered up to date with COVID-19 vaccination. Review your policies and procedures related to source control for residents and staff, resident quarantine after admission, close contact exposure, staff work restriction after high-risk exposure, and staff routine testing based on community transmission levels.