Austin and Travis County health officials updated their orders for nursing homes and long-term care facilities on Monday, a day after publicly identifying several clusters of coronavirus cases among those types of care centers.

The new order stipulates:

• If there is a confirmed case of the coronavirus in a facility, then all patients, staff and next of kin must be notified.

• Facilities must restrict receiving new patients into that facility or any returning patients to the facility until it has been cleared by Austin Public Health.

• Facilities must make all clinical staff, nonclinical staff and contractors available for testing, if requested.

If an outbreak occurs at a facility, a strike team of personnel and equipment may be deployed until the outbreak is controlled, according to the order.

Austin health officials identified and are investigating nine clusters of Travis County coronavirus cases, eight of which are at senior living communities or long-term care centers, officials said. The facilities have been closed to visitors for some time now, city spokesperson Emily Tuttle said.

One of the facilities is in North Austin, two are in Central Austin, two are in South Austin, one is in Southeast Austin, and two are in Southwest Austin.

The city will not be identifying the eight senior living centers to protect patient identity, officials said Sunday, saying that identifying where the eight clusters are would not mitigate the public health threat to the community.

"With significant community spread of COVID-19, these facilities pose no increased risk of infection for those outside of them," the city said in a statement.

Health officials define a cluster as a single location with three or more positive cases of COVID-19, the disease linked to the coronavirus.

The ninth cluster was discovered last week was at the Salvation Army shelter in downtown Austin.

Of the 26 people in Travis County who had died from COVID-19 as of Monday, 15 of them were residents of senior living communities, the city said.

In total, 67 Travis County nursing home staffers and 96 residents had tested positive for the illness, officials said.

Health officials on Tuesday reported a total of 1,233 known cases and 27 deaths in Travis County.

The updated order also requires anyone entering such a facility to wear a surgical face mask or cloth face covering, if surgical masks are unavailable. All employees and contractors who require contact with residents within 6 feet must wear personal protective equipment.

The updated order also says that only visitors providing critical assistance should be permitted into the facility, and the facility may not admit anyone with a temperature of 99.6 degrees or above.

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