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Thousands pledge to break Joe Exotic out of Fort Worth prison in Facebook event Skilled nursing facilities must close common areas, require employees to wear face masks, and test residents and employees daily when Cooper 's new executive order takes effect at 5 p .m . Monday. The state already has restricted visitation at nursing homes , except for family members with a dying loved one . The rules do not apply to continuing care retirement communities, adult homes and assisted-living centers, but they are being encouraged to also follow them . Local news has never been more important Subscribe for unlimited digital access to the news that matters to your community. "We know that transmission of a virus in a nursing home or skilled nursing facility can pass very quickly among the residents , and we need to take a lot of preventive measures to try to prevent the virus from being introduced into these types of settings ," Cooper said. The N . C . Department of Health and Human Services as of Friday afternoon had reported over 3 ,900 coronavirus cases and 74 deaths across the state . There were 23 outbreaks reported in nursing homes as of Friday, including one in Durham County and two in Orange County. Another four outbreaks were reported in residential care facilities , which are not included in the executive order. The state defines an outbreak as two or more positive test results . One of the latest outbreaks was reported soon after the governor 's announcement in Chatham County, where The Laurels of Chatham, a 140 -bed skilled nursing and rehabilitation center, had four people test positive for COVID -19 . Then Thursday night, Wake County announced its first outbreak in a long-term care setting after two nurses and two patients tested positive at Wellington Rehabilitation and Healthcare in Knightdale .