The Michigan Department of Health and Human Services has issued orders essentially reinstating restrictions on long term care facilities and other facilities due to coronavirus. The residential care order has three major components: notice requirements regarding cases, limitations on visitations and limitations on communal dining. Contact the local health department in the facility’s jurisdiction to report the presence of a confirmed COVID-19 positive employee or resident. The order continues restrictions on visitation to residential care facilities, which include nursing homes, homes for the aged, adult foster care, assisted living, independent living, and SUD residential facilities. The community dining rules apply for the first time to independent living, hospice facilities and SUD residential facilities.