Dear Family and Designated Representative,
We are writing you at this time to provide you with an update on COVID-19 in the facility. Today, we have identified an asymptomatic resident who tested positive for COVID-19. The Home is in the process of conducting contract tracing. As per facility’s protocol, all residents and personnel on the affected unit will be quarantined.
We will continue to test all residents weekly for at least 14 days and until there are no new cases of COVID-19. As per our COVID-19 testing protocol, we will continue ongoing testing of all residents and staff.
As per new Department of Health guidance received yesterday, effective next week, we will be testing all personnel twice a week.
As per NYSDOH guidelines, visitations must be cancelled until at least 14 days of no new onset of COVID-19.
As previously communicated, please contact Denise Luis-Herrera, Director of Recreation, if you wish to schedule a virtual visit with your loved ones.
Please be assured that we will continue to follow our robust infection control policies, the NYSDOH and CDC guidance to ensure the prevention of the virus and mitigate the risks of transmission.
Please stay safe and please visit the Centers for Disease Control website at https://www.cdc.gov/coronavirus/2019-nCoV/index.html for more information on the prevention and control of COVID-19.
If you have any questions, or concerns, please do not hesitate to contact, Julia Joachim, Director of Social Work, at firstname.lastname@example.org or Denise Luis Herrera at email@example.com or anyone of the team.
Important Note: Please submit visitation requests before 3pm (Monday-Friday). Visitation requests made after 3pm for the next business day, will not be honored.
Effective July 20th 2020, the Home the allowed visitation to family members, designated representatives, and members of the Ombudsman Program as indicated in the July 10th, Health Advisory. As per the revised Department of Health, Health Advisory of September 15th and September 17th 2020, effective September 24th, 2020, the number of visitors must not exceed ten percent (10%) of the resident census at any time and only two visitors will be allowed (contingent upon space availability) will be permitted at any one time.
Members of the long-term care ombudsman program are permitted to visit under the following conditions:
Adequate staff are present to allow for personnel to help with the transition of residents, monitoring of visitation, and cleaning and disinfecting areas used for visitation after each visit using an EPA-approved disinfectant.
The facility will maintain signage regarding facemask utilization and hand hygiene, and applicable floor markings to cue social distancing delineations.
All visitors (including members of the long-term care ombudsman program) must present a verified negative test result within the last 7 days and visitation will be refused if the individual (s) fails to present such negative test result, exhibits any COVID-19 symptoms, or does not pass screening questions. End-of-life and compassionate care visits are not subject to a verified negative test result but are subject to all other COVID-19 screening requirements.
All Visitors, staff, contractors, physicians, and members of the long-term care ombudsman program who enter the building will be screened to determine exposure to COVID-19 positive or potentially positive individuals. Screening questions include physical symptoms associated with COVID-19 infection as defined by the Centers for Disease Control, (CDC).
Temperatures are taken and documented for all individuals entering the building. This screening procedure was effective March 6, 2020. Documentation of screening will be maintained onsite in an electronic format and available upon the Department of Health requests as per NYSDOH guidelines. All visitors must provide their first and last name, physical (street) address of the visitor; daytime and evening telephone number; date and time of visit; email address if available.
Visitors screened for signs and symptoms of COVID-19 prior to resident access and visitation will be refused if the individual (s) exhibits any COVID symptoms or do not pass the screening questions. Screening will consist of both temperature checks and asking screening questions to assess potential exposure to COVID-19 which shall include the questions regarding international or travel to other states designated under the Commissioner’s travel advisory.
Visitors must wear a face mask or face covering which covers both the nose and mouth at all times when on the premises of the Home. The Home will provide a mask to any visitor who lacks an acceptable face covering. Visitors are not permitted to touch, kiss, and or hug residents.
Visitors must wash their hands in the lobby once they have been cleared to visit.
Visitors must maintain social distancing of a minimum of six (6) feet, except when assisting with wheelchair mobility.
Alcohol-based hand sanitizer will be available upon entering the Home and in the designated spaces for visitation.
As of August 17th, 2020, visiting hours are: Mondays, Wednesdays and Thursdays from 9:30 am to 11:30 am and Tuesdays and Fridays from 2:00 pm to 4:00 pm. There will be no visitation on holidays and weekends. The facility may allow for indoor visitation under certain circumstances in an inside, well ventilated space with no more than ten (10) individuals who are appropriately socially distanced and wear a facemask or face covering while in the presence of others. The facility has designated the great room on the 2nd floor for indoor visitation to be used during inclement weather, provided it meets the above visitation criteria for indoor visitation.
The Director of Social Work and the Director of Recreation and or their designees will coordinate all requests for visitation.
Visitation must be scheduled in advance of the visit. Visitation schedule will be strictly adhered to in order to accommodate all other scheduled visitation. If a visitor is unable to make the visit at the scheduled time, they need to re-schedule. Unscheduled visitation will not be permitted. Visitors must arrive on time for their appointment. A 10-minute grace period will be permitted, after 10 minutes, the visit may need to be rescheduled.
The patio/garden is the designated space for visitation. During inclement weather, the great room is the designated space for indoor visitation, provided the facility meets all requirements for indoor visitation. Last minute cancellation may be necessary. Notification to the families and designated representatives will be made via an email and on the facility’s website.
Residents will be notified via the in-house channel and via one-to-one visits, telephone calls or an overhead announcement.
Visitors are strictly prohibited in residents’ rooms, care areas, residents’ units or any other areas in the facility, except under certain limited circumstances such as residents receiving end of life care.
Eating and or drinking is not permitted. Care packages must be left at the front desk and care packages procedures will be followed.
Visitors may only use the restrooms in the lobby across from the front desk.
Visitors under the age of 18 are permitted to visit if accompanied by an adult 18 years of age or older.
A member of the Recreation team, will escort the visitor (s) from the lobby to the designated visitation space. The Recreation staff will transport the resident to the designated visitation space.
The facility will proactively notify residents and family members of information pertaining to this policy.
An interdisciplinary team, will meet to review compliance with the visitation program and to address any issues and concerns. The team comprised of the Director of Social Work, Director of Nursing, Medical Director, Director of Recreation, Director of Plant Operations, and Director of Housekeeping will meet monthly or as needed.
The Facility reserves the right to modify this policy as circumstances change and in compliance with directives from the Department of Health and the Governor’s office.
A copy of this policy will be posted on the Home’s website and will be broadcasted via email.
The facility reserves the right to refuse any visitor who is under the influence, disruptive or presents a danger to any resident and or staff.
All non-essential personnel as outlined in the September 15th Health Advisory, second section, #7 , will be subject to the same infection control requirements as staff, contractors, vendors, physicians, including but limited to testing for COVID-19 with the same frequency as for staff; screening, wearing a mask, performing hand hygiene, maintain social distancing.
If any visitor fails to adhere to the protocol, he/she/they will be prohibited from visiting for the duration of the Covid-19 state declared public health emergency.
The following ongoing guidance from the Department of Health and the Center for Medicare & Medicaid Services served as the basis for temporarily revising the facility’s visitation policy during this pandemic:
- DAL NH 20-04 COVID-19 Guidance for Nursing Homes March 6, 2020
- CMS QSO-20-14 NH March 9, 2020
- DAL NH 20-04 COVID-19 Guidance for Nursing Homes revised
- CMS QSO-20-14 NH March 13, 2020 revised
- DOH Health Advisory: March 13th, 2020, COVID-19 _ Effective immediately – suspend all visitation except where medically necessary.
- DAL: DHCBS 20-08 March 14, 2020
- Health Advisory: Skilled Nursing Visitation-July 10th, 2020
- Health Advisory-March 13th, 2020, July 10th, 2020-COVID-19 cases in Nursing Homes and Adult Care facilities
- Health Advisory: Skilled Nursing Facility Visitation-September 15th 2020-Effective September 17th 2020.
- Health Advisory: Skilled Nursing Facility Visitation-September 17th, 2020, effective September 17th, 2020.
- CMS QSO-20-39-NH September 17th, 2020