Hood River County Public Health Officer Dr. Christopher Van Tilburg announced Thursday that all skilled nursing facilities will have a no-visitor policy except for unusual circumstances as approved by the medical director of the facility.  Under the order, all residents of long-term living homes and facilities including but not limited to group homes, retirement homes, assisted living facilities, and other living situation of more than ten people that are not immediate or extended family members shall employ strict social distancing measures as outlined by Oregon Governor Kate Brown.  That will include limiting groups in indoor public areas to five or less, keeping 6 feet apart, taking meals separately or six feet apart, limiting visitors to two per resident preferably in non-public areas, avoiding all physical contact, limiting entrance and exits to one at a time, six feet apart, and avoiding all indoor public areas as much as possible.  Van Tilburg acknowledged the move is a hardship, but is necessary to protect health care workers and group living facility employees.