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COVID 19 Updates

2/8/2022

Dear Families and Residents,

Thankfully all of our residents and staff that have been infected have since recovered and are doing well. We currently have one resident on our isolated Covid area.

We strongly recommend that you limit your visits to virtual and window visits for your safety and for the safety of your loved ones. If you do wish to visit in person you must make sure to follow all rules and guidelines posted below.

Visitors must wear a mask when entering the facility and are not to walk around the halls of the facility. All visitors are to go directly to the resident’s room that they are visiting or to the designated visiting area. Please keep in mind that we are still offering video calls. To schedule a video call please contact Bonnie at 732-237-2220 ext. 121

I appreciate your understanding and continued support. We know this is a difficult time for everyone.  We remain focused on keeping our residents and employees safe and will do our best to keep communication flowing as the situation evolves.

Thank you for your understanding!

Michael Drillick, LNHA
Administrator

 

Rules for indoor visits

  • All visitors must get screened prior to visiting.
  • All visitors must get their temperature checked prior to visiting. Anyone with a temp greater than 100.4 is restricted from visiting.
  • Any visitor that is under quarantine either by symptoms or exposure is prohibited from visiting.
  • Every visitor must sign a questionnaire about symptoms and possible exposure.
  • Any visitor that returned from a state that is under the 14-day travel advisory is prohibited from visiting.
  • The front lobby is the designated screening area.
  • Visitors must follow social distancing rules. Floor signs were posted around the building.
  • All visitors must use hand sanitizer before entering the lobby. There is hand sanitizer between the double doors.
  • All visitors entering the building must wear a facial covering and they must keep it on for the duration of the visit.
  • Visitors can have physical contact with the resident that they are visiting only.
  • If a residents roommate is unvaccinated then the visit can not take place in the room.
  • All visitors are advised to monitor for 14 days after their visit for signs and symptoms of COVID-19 and they must contact the facility should they show any signs or symptoms of COVID-19.
  • All visitors must sign a waiver that they will not hold the facility responsible were they to get Covid-19 due to their visit.
  • All visitors are encouraged to get vaccinated. Visitors are encouraged to take a rapid covid test.

 

Please note that we added a phone number where a supervisor can be reached 24/7 (732) 778-7375

 

 

Topic: Corona Virus

COVID-19 Emergency Response Plan/Outbreak

 

Policy:

 

It is the policy of the facility to limit the risk of spread of the Coronavirus Disease (COVID-19) in the event of exposure and to follow CDC and DOH recommendations/guidelines in the event of an outbreak while decreasing the risk of social stigma against any person or group of people. This policy shall continue to change as new guidelines are received and implemented as per CDC and CMS.

The most updated guidelines from CDC, CMS State and/or Local Health departments shall supersede any previous policies and procedures related to COVID-19.

 

Facility Visits: Family Members/Vendors/Volunteers

 

POLICY

Due to increased space and airflow and the reduced risk of transmission, whenever practicable, outdoor visitation remains preferred over indoor visitation. However, per CMS guidance, this facility will allow socially-distanced indoor visitation in all phases to representatives, family members, friends, and significant others when the following criteria has been met:

  1. There is a mechanism in place to collect informed consent from residents/patients and visitors
  2. Sufficient staff is available
  3. There is a mechanism for appointments
  4. Sufficient PPE and cleaning/disinfection supplies are in stock

 

 

 

During these indoor visits – and at all times – this facility will adhere to the core principles of COVID-19 infection prevention.  Any violation of the guidelines outlined in this policy will result in immediate removal from the facility.

 

This facility will not restrict visitation without a reasonable clinical or safety cause consistent with Resident Rights.  Additionally, healthcare workers who are not employees of the facility but provide direct care to the facility’s residents, such as hospice workers, dialysis technicians, laboratory technicians, radiology technicians, social workers, clergy etc., will be permitted to come into the facility as long as they are not subject to a work exclusion due to an exposure to COVID-19 or show signs or symptoms of COVID-19 after being screened.

 

 

PROCEDURE

  1. Representatives will be advised via our established method of communication that indoor visitation by appointment is allowed
    1. Designated personnel will be selected to schedule appointments
    2. All visits will be dependent on availability of indoor space
      1. For residents in a single room, visitation can occur in a resident’s room; if they are is in a shared room, this facility will identify a visitation location that allows for social distancing and for deep cleaning
      2. For residents that shares a room with a fully vaccinated resident, indoor visits can occur in the room if the roommate and the roommate POA gives consent.
    3. No more than two visitors are permitted at one time per resident in a resident room.
    4. For residents that are fully vaccinated physical contact is allowed.
    5. The facility maintains the right to limit the length of any visit, the days on which visits will be permitted, the hours during a day when visits will be permitted, and the number of times during a day or week a resident may be visited

Prior to being allowed to enter the facility, all representatives, family members, friends, and significant others will be screened for COVID-19 (see screening protocols); all visitors will be strongly encouraged to take a rapid covid test.  Any individual unable to pass the screening process and/or not adhering to safe infection control practices will not be permitted to enter the facility/ will be ask to leave.

The option to engage in video conferencing will be offered to all individuals requesting visitations and/or denied visitation.

  1. The facility must receive informed consent from the visitor(s) and the

resident (or representative when resident unable to sign) in writing that

they are aware of the possible dangers of exposure to COVID-19 as a

Result of the visit and they must notify the facility as well as their physician if they experience any signs and symptoms of covid-19 within 14 days of their visits.

  1. A cloth face covering or facemask will be required, (the facility maintains the right to right to require the use of additional forms of personal

protective equipment (PPE), as indicated and available); additionally,

instruction will be provided on:

  1. Hand hygiene and the location of handwashing stations
  2. Proper use of PPE
  • Cough etiquette
  1. Limiting touching surfaces

 

  1. Use of a designated restroom
  2. Except for end-of-life/compassionate care/essential caregiving visits,

physical contact with residents is prohibited unless resident is fully vaccinated

  • Maintaining social distancing with anyone in the facility
  • Movement within the facility will be:
    1. Limited to the resident’s room (if the resident is in a single room) –or-
    2. A designated space that allows for social distancing and deep cleaning if the resident is in a shared room
      1. Transport of the resident to and from a designated space will be safe and orderly and done by a facility staff member
    3. Monitoring for signs and symptoms of COVID-19 for at least 14 days after exiting the facility, and that if symptoms occur to:
      1. Self-isolate at home
      2. Contact their healthcare provider
      3. Immediately notify the facility of the date they were in the facility, the individuals they were in contact with, and the locations within the facility they visited
    4. The sharing of food and beverages will be prohibited during visit.
    5. Once the visitation is over:
      1. PPE will be disposed of following established procedures
      2. Hand hygiene will be required
      3. The area visited will be sanitized
    6. Except in end-of-life/compassionate care situations, resident/patients will NOT be eligible for indoor visitation if they when there’s an outbreak:
      1. Are in a 14-day quarantine period
      2. Are positive for COVID-19 and have not met the criteria for the discontinuation of isolation or symptomatic
      3. Are symptomatic with COVID-19 signs and symptoms

 

Family/Resident/Staff Notification:

 

  1. Text messaging, phone calls, standard mail, facility website and/or any other means of electronic communication shall be the method to inform families, residents, and staff to keep them updated of facility’s status regarding Covid-19.
  2. Inform staff, residents and visitors of any updates and new cases as required via in-services, memos, SmartLinx, website updates, and facility TV
  3. In the event a resident/staff test positive for COVID-19 report will be made to the local and state DOH.

Universal Masking:

 

  1. All residents will be encouraged to wear a mask during care and if they absolutely must be out of their Eg: high risk to fall residents will be in the dayroom at least 6 feet from others, Wandering residents.
  2. Staff shall wear surgical masks on non-resident areas at all times while inside the

 

 

PPE: Specific Use of PPE based on unit—See Cohorting Plan Policy

 

Surveillance-Visitor and Staff Screening:

 

  1. All visitors (vendors, family, non-employees, consultants) entering building will be screened and will complete questionnaire
  2. All staff entering the building will be screened and will complete questionnaire
  3. Receptionist/Screener will take temperatures and provide the questionnaire to ALL visitors, staff and outside
  4. Receptionist/Screener shall prohibit entry and notify the DON/ADON/Designee to screen and assess a temperature of 99.9 or above, cough, sore throat, body aches, fatigue, nausea, vomiting, diarrhea, loss of taste and

 

Surveillance-Resident Active Screening:

 

  1. Residents shall be actively monitored for temperature, vitals and covid-19 related signs and
  2. Residents identified with fever and respiratory symptoms, or any of the other symptoms of Covid-19 will be placed on isolation PUI unit for testing as per MD and treated accordingly based on CDC/CMS
  3. Local and State Health Department will be immediately notified regarding any resident or Staff member that tests positive or is highly suspected to have COVID-19, or if there are any resident or staff
  4. Initiate and update the DOH respiratory illness line list for staff and residents for all experiencing any of the symptoms noted

 

Infection Control:

 

  1. Ensure staff adherence to appropriate PPE per CDC
  2. Follow CDC guidelines regarding the discontinuance of transmission-based precautions isolation precautions-see policy
  3. Provide on-going education of staff regarding the importance of proper hand hygiene, donning and doffing PPE, Covid-19 S/S, CDC updates, types of isolation precautions; use of appropriate PPEs; Infection control guidelines.
  4. Have hand sanitizer, soap, paper towels readily available for staff and resident
  5. Visual Signs/Flyers regarding respiratory etiquette, handwashing, PPE, Covid-19 s/s will be posted throughout the facility, including the facility entrance, unit entrances, nursing stations, time clocks.
  6. Covered trash bins and soiled linen containers available inside resident room by door
  7. Ensure staff are cleared to enter by ensuring staff screening form is completed and
  8. Clean and disinfect frequently touched objects and surfaces using EPA registered products daily as per the CDC
  9. Check CDC website and DOH releases to update policy/protocol as

 

Employees:

 

  1. The Local and State Health Department will be notified immediately regarding any staff member highly suspected or positive for having COVID-19.
  2. Any employee who has symptoms of COVID-19 will be immediately sent home and instructed to call the DON//designee for clearance to return to the
  3. Staff will adhere to appropriate hand hygiene and use PPE appropriately per CDC
  4. Staff will be re-educated regarding importance of proper hand hygiene and PPE
  5. Fact sheets about COVID-19 will be posted throughout the facility
  6. Encourage staff to refrain from work while sick with respiratory illness. Actively encourage sick employees to stay home:
    1. Employees who have symptoms of acute respiratory illness are recommended to stay home and not come to work until they are free of symptoms and screened by the DON/designee for clearance.
    2. During an outbreak / Pandemic = Do not require a healthcare provider’s note for employees who are sick with acute respiratory illness to validate their illness or to return to work, as healthcare provider offices and medical facilities may be extremely busy and not able to provide such documentation in a timely way.
    3. Contact your agency staff to report the same requirements to
  7. Implement a hand shake free environment and refrain from unnecessary
  8. If staff may enter after proper screening, they will be given a surgical mask to keep on over their N95 mask and will be required to wear this PPE the entire time they are in the building. Noncompliance with PPE use will result in disciplinary
  9. Adhere to EEOC
    1. Employers have permission to ask staff the questions on the Covid-19
      1. Document symptoms on appropriate log
    2. Employers will send sick staff members home immediately
      1. This can only be done by administrative team
    3. Employers will take temperatures of ALL staff before entering the building.
    4. Employees will complete questionnaire before entering the
  10. Encourage staff to work on preparedness plans for state directed events that might include closing schools, limiting public transportation or canceling large
  11. Inform staff of any updates as
  12. Employees who are well but who have a sick family member at home with COVID-19 should notify their supervisor and refer to CDC guidance for how to conduct a risk assessment of their potential
  13. In the event an employee test positive for COVID-19, notify the DON/designee
  14. If an employee is confirmed to have COVID-19, employers should inform fellow employees of their possible exposure to COVID-19 in the workplace but maintain confidentiality as required by the Americans with Disabilities Act (ADA).
  15. All sick calls will be directed to the DON/ADON during business hours, Nursing Supervisor/Designee on weekends and off
  16. All department heads and supervisors accepting sick calls will maintain call out
  17. Symptomatic staff members that cannot report to work will be referred to their physician and they will not return until cleared by them and the DON/ADON following the return to work criteria
  18. All screening forms shall be submitted to DON/Designee for daily review and

 

Activities and Psycho Social:

 

  1. Outside activity trips, entertainers, volunteer groups have been
  2. Large activity groups have been Activities will keep the residents in the small group spaced 6 feet apart at their own table in the day room.
  3. Recreation calendar will be updated to provide appropriate activities to
  4. Activity personnel shall provide resident 1:1 visits, and coordinate video chats and phone calls as appropriate

to ensure residents’ psycho-social well-being is continuously addressed during the time of pandemic.

  1. Select activity staff have been trained by speech therapist to assist with feeding those residents on a regular consistency and thin liquids diet during time of Pandemic. May also assist with the distribution of trays
  2. Coordinate visual visits and phone calls for residents to communicate with their families. This will be managed by The Activities Director and The Director of Social
  3. Tablets or the use of Telehealth cart will meet this

 

Dietary:

 

  1. All Communal and dining room activities will be cancelled except for residents who at risk for falls if let unattended in their rooms and residents losing weight.

 

  1. Housekeeping protocols will be followed with increased cleaning schedules as per CDC recommendations, for frequently visited and touched areas in the facility (bed rails, hand rails, door knobs, bathrooms, tables, bed side tables, call light cords, call light buttons, kiosks, keyboards, remote controls).
  2. Housekeeping directors shall perform random checks of staff members to ensure thorough cleaning is taking place and the approved chemicals are being used. Housekeeping shall perform complete cleaning and disinfecting of room after resident is transferred to another
  3. Housekeeping shall utilize EPA approved cleaning
  4. Housekeeping personnel shall wear PPE per specific unit
  5. Outside vendor cleaning company shall continue with scheduled sanitation and extra cleaning. Their personnel are screened prior to entry and wears appropriate PPE per each unit

 

 

 

Admissions/Readmissions:

 

  1. New and readmits shall be tested for covid-19 per MD
  2. Based on resident history, resident shall be placed on Covid unit or PUI
  3. New and readmissions shall be maintained on 14-day quarantine/monitoring regardless of negative test results performed at facility after
  4. Long term care residents that went to hospital and that are fully vaccinated and in a room with a fully vaccinated resident may go back to their old room as long as rapid covid test result is negative. PCR testing will also be

Social Services:

 

  1. Social services/designee shall maintain open communication with family members throughout the pandemic.
  2. Social Services/designee will notify family and residents of alternative ways to communicate with each other with the use of a tablet, phone and video
  3. Social Services may schedule window visits with family members as requested if physical plant of facility safely allows and roommate is also agreeable. Roommate’s curtain should be drawn to provide privacy. Resident window must remain closed and a phone should be used to accomplish verbal
  4. Social Services/designee shall perform room visits as appropriate to address the residents’ psycho-social well-being.

Physician Services:

 

  1. Physicians/Nurse Practitioners that must enter the facility to care for the residents will complete the screening questionnaire, along with a temperature check upon arrival to the
  2. Clinicians shall adhere to unit protocols for the use of PPE and other facility
  3. Physicians shall be notified of Covid + results and obtain orders as
  4. Physicians shall be encouraged to utilize telehealth/telemedicine services to minimize risk for potential exposures.

Nursing:

 

  1. Staff active screening for COVID-19 shall continue to include temperature checks and completing questionnaire every shift when entering the
  2. Unit Managers, Nursing Supervisors will collect, review and submit forms to DON/ADON/Designee.
  3. Active resident screening shall be implemented to include temperature checks and evaluation of respiratory and all Covid-19
  4. Residents identified with any Covid-19 symptoms shall be isolated as per guidelines and treated
  5. New/re-admissions shall be screened and approved by DON/Designee prior to acceptance into
  6. Essential Supplies counts will be counted by the Supply Coordinator at least once a week and sent to Administrator, DON and ADON. All attempts will be made to keep par levels. Supplies will be ordered as needed.
  7. Administrator must be notified if items are unable to be
  8. N95 Masks and Surgical face masks shall be provided for all staff and replaced as
  9. Surgical masks are given to residents and encouraged to wear as
  10. The Nursing department shall continue to follow CDC, CMS and local/State guidelines as

PPE Supply:

 

  1. Facility shall ensure adequate PPE supplies are
  2. PPE audits shall be conducted by central
  3. Isolation carts shall be checked and replenished as
  4. PPE supply room shall be made available for

Therapy:

 

  1. Therapy shall adhere to facility protocols regarding Covid-19.
  2. Exercise mats and equipment shall be cleaned and wiped down with EPA approved disinfectant after each treatment
  3. Dwell time shall be followed as per manufacturer
  4. Rehabilitation equipment shall be stored appropriately in a closet. No linen shall be stored on the
  5. Residents shall be maintained at minimum six feet apart when gym use is appropriate and
  6. Residents shall wear masks while in therapy
  7. Soiled linens shall be placed in a container clearly labeled and picked up by housekeeping department for removal