RESIDENT SCREENING 

• PMMA – Denise Abdallah -- PMMA built questions into their EMR; these are reviewed daily. O2 saturation, temp, new onset of cough, sore throat, shortness of breath.  
• Asbury Park – Norm F. -- They are taking resident temperatures every eight hours. 
• Bethesda Home – Kelli Kidd -- Right now, we are screening each resident on Day Shift and Evening Shift. We take their Temperature, Oxygen Saturation, Ask/Assess if they have any Shortness of Breath, Ask/Assess if they have a New Onset of Cough and Ask/Assess if they have any other Respiratory Symptoms. All these questions are asked on both shifts.  

STAFF/VISITOR SCREENING 

• Moundridge Manor – Travis B.  -- We have a dedicated staff entrance where all employees (or other allowed healthcare workers such as hospice) are expected to self-screen after performing hand hygiene. The screening is a one-page form and temperature check.   
• Asbury Park – Norm F.  -- Everyone that enters our buildings is screened according to CDC guidelines to include a temperature and are asked to mask while in the building. This includes vendors, providers and chaplains. 
• PMMA – Denise Abdallah -- Utilizing the same check for staff as visitors but have a spreadsheet over daily sheets. 

Organizing Staff: 

• Asbury Park – Norm F. -- Direct care staff are working in one designated neighborhood as much as possible.  
• Evergreen Community of Johnson County - Belinda V. -- Evergreen is offering current staff members extra hours even if it means paying them for over time. So far many staff are doing it.  

• Evergreen Community of Johnson County - Belinda V. -- Staff members who work in multiple organizations have been identified through the screening process. There is a question in the screening to identify these staff members and where they have been. These employees communicate directly with the infection control nurse.  

Monitoring Sick Staff: 

• Asbury Park – Norm F. -- We are keeping track of every employee that calls out sick no matter the reason, requiring them to touch base with their provider and sending a form to their provider to fill out prior to them coming back to work indicating limitations if any.  We are following up with them daily to track their symptoms. 

COMMUNICATING WITH THE TEAM 

• Moundridge Manor – Shared by Travis B. -- As far as staff communications, we use an online platform—Alert Media—that is serving us well. This system allows us to broadcast messages instantly via text, email, and/or voice. The system allows for one way communication from us to the employee but can also handle two way communication where we can have the employees acknowledge the message or we can put in custom options for answers (such as pressing 1 for _________, 2 for ________, etc). I like the acknowledgement feature as I can then run a report that shows exactly who received the message along with the time for documentation purposes. 

One shortfall we have ran into is that we don’t have an email address for all employees in the system—it can be difficult to communicate a complicated message in an abbreviated text message. The way we found around this was to write up the message we want to send out in a letter format and then save it as a PDF in Google Drive. We then create a shareable link to that Google Drive file and use Alert Media to send that link out in a text message. For the technologically challenged among us, we do maintain some paper copies of the information we’ve sent out by the time clock. Another way that Alert Media has helped us as leadership during this time is that it is extremely simple to set up a conference call—I don’t believe we had used that feature prior to this time. 

Early on, we also started a “COVID-19 Communication Board” near the employee entrance. On this board, we post the daily updates from KDHE (or we were up until they changed their format). The McPherson County Health Department is also sending a daily update of cases in the county and other applicable information—I’ve been posting this as well. The Board then gets used for random other notices and reminders that aren’t necessarily urgent enough to send out on Alert Media. (As a side note, I’m sure we are in for a shock when we get our next Alert Media bill as I’m guessing we are far exceeding our contracted usage—but we will deal with that later; the communication is more important at this point!) 

• Good Samaritan Society - shared by Crystal P.  -- We are also doing huddles with each shift and letting staff know any changes, so they are informed when residents ask questions.  

• Villa St. Francis - shared by Rodney W. -- The next 2 weeks are going to be extremely hard in the Kansas City area, we are expecting to see a big increase in the number of COVID-19 patients. Several local long-term-care facilities are already experiencing COVID-19 outbreaks. We are taking additional proactive steps to protect the health of our residents:

• FACE MASK - CDC is recommending that everyone wear a cloth mask in public. Everyone must wear a mask while in the facility.

• FIRE DOORS - We have closed all fire doors in the building – this will serve as a physical barrier for all of us, to remind us to limit our movements from one area to another.

• No residents are to go past any fire door.
• Staff should not go past 2 fire doors from their work area (if you or your staff need to move through more than 2 fire doors frequently, then we need to review all options to see what adjustments or additional training we can provide to decrease the risk of spreading germs from one area to another)
• Every time you open and pass through a closed door or fire door, you must perform thorough hand hygiene, using soap and water, or hand sanitizer.

Vendors/partners – We are temporarily restricting entry to resident areas for all vendors and partners, including hospice providers, therapy services, or anyone who is not performing an essential resident care service.

800/hospice suites - we are utilizing the 800/hospice suites for residents who are at risk due to sudden significant change in condition, that might potentially require transfer in/out of the facility, or increased visitations from other healthcare providers/vendors and/or family members. Anyone working there must wear a N95 Mask and follow strict infection control precautions.

Resident Areas – Only go to a resident area if you are providing essential service to a resident. 

Facility Map – Attached is a facility Map with marked Fire Doors.

MAIL DISTRIBUTION 

• Asbury Park- shared by Janet F.  We are doing it differently in each part of campus. In the Green House homes, we actually have a bag for each house.  The houses are called so they can have their outgoing mail ready at the door and someone takes the bag of mail to the house each day.  At that time, they gather the outgoing mail from the house and bring it back to the main building for distribution, mailing etc. 

In Nelson Hall (our traditional building) we do something similar.  There is one person designated that comes and picks up the mail and delivers it to everyone in that building. This is our unit secretary that needs to come and deliver orders etc for charts.  While she is here, she grabs the mail for everyone else in her building.  We set up a bag with folders in it for each person she picks up and delivers for.  I know she has worked something out with them on where/when to grab their outgoing mail to bring over to this building for distribution, mailing etc. 

To be honest, where it is much harder is on the weekend when some of these “regular” folks are not here.  Someone else has to be assigned to do that. 

Communication with Residents and Families  

• Good Samaritan Society Parsons- Shared by Crystal P -- With residents when things change, I try and write a letter and go to every room and hand them out. That way if they have any questions, I can answer them as I go. With families- At first, I was writing letters, but the info changed by the time they got the letters.  We called each family asked for email addresses and told them to watch for a weekly email to keep them informed of what was going on. 
• Logan Manor Letter to Family Members – Shared by Teresa M.  

Logan Manor Community Health,108 South Adams, Logan, KS 67646, 785-689-4201 

Reason We are Restricting Individuals from Entering our Building  

The current COVID-19 outbreak situation means that it is critical that we take every precaution possible.  We must prevent this virus from entering our center.  Protecting our residents’ health and safety is our top priority.  

The CDC has done a careful review of the death rate in the elderly, especially those with dementia or chronic diseases. Experts are recommending we take action to limit individuals from entering our building and to ensure sick employees stay home.   

Early data shows that: 

There is a risk that people who appear healthy will enter nursing homes and infect residents. Studies of past viral epidemics where recommending prevention was delayed were not effective. These studies show that the sooner we limit interactions with each other and wash your hands frequently virus spreads more slowly.    

These facts have led many to recommend severe limitations on visitors. This describes why we have taken this action now.   

We hope this explains to you why we are asking people to limit their visits. This may prevent you from physically seeing your family member or friend.  Our residents’ health and safety are our top concern. We are committed to doing everything we can to protect them.  

Please feel free to contact Logan Manor with any questions. Please make sure we have your latest contact information.  Thank you for supporting these efforts.   

Sincerely,  Teresa McComb, Administrator Logan Manor Community Health  

• Logan Manor Letter for Newspaper  

Greetings to all Logan Manor families!  

I want to give a quick update on a couple things. The first thing is concerning the new building project. I am sure everyone has heard about the project that is going to be a 36 bed nursing home in a household style connected to an elementary school. We are working hard to raise money in the community, we have sent letters to Alumni asking for donation. We will continue to raise funds with the goal of raising 1.2 million dollars locally. The next step will be to go to state as well as national foundations to request the remaining funds needed. If you are interested in donating money to the project you can reach out to me and I can let you know how you are able to donate. You can also go to our new website www.loganlifecenter.com to receive updated information as well as an opportunity to donate online.  

I would like to address some concerns that I have heard second hand in the community as well. I have heard that some people think that there will not be an opportunity for Medicaid residents to remain in the Logan Manor as we transition to the new facility. This is not true! The mission of Logan Manor is to serve the community and offer the best healthcare possible. We pride ourselves on serving the community as best we can. This means that we will continue to accept and care for residents who have Medicaid as a payor source. Nobody will be kicked out of the nursing home because of their payor source. Our main members served are Logan residents and this will continue to be the case. We will always accept residents if we are able to meet their needs.  

I would also like to give an update on our current status of operating with COVID 19. We have been mandated by CMS to keep residents in their rooms and we are not allowed to have any communal dining or group activities. This has been a major adjustment for both staff members and residents, but I have been very proud of everyone for embracing the changes and making the best out of a hard situation. We have been providing meals in rooms and are working hard to figure out the best way to get food to residents while it was hot while meeting dietary needs and resident choices. After a couple weeks of meals served in this fashion, we are getting the hang of things and are coming up with improvements every day. We have also worked hard to ensure that residents aren’t feeling isolated. We have provided many activities in the hallways with the residents sitting in their doorways and have watched staff members line dance, we play hallway bingo, we have sung karaoke and many other fun things. We are also trying to offer activities in the resident rooms to keep them busy. While isolated to rooms we do not want residents to have a decrease in strength or mobility, so we work hard to ensure that we are getting up and walking in the hallways one at a time. We are also allowing residents to continue to use the NuStep one at a time so that they keep their strength up. If you have any ideas for activities let me or Autumn know, and we will incorporate it onto our calendar. You can see what we are up to by checking out our Facebook page Logan Manor Community Health.  

We are not sure when the quarantine will end but we ask that everyone does their part by staying at home to prevent the further spread of COVID 19. When you can come and visit again, we will let all families know! If you would like to facetime with a family member, we can set something up. The easiest time to do this would be during the week between 8 and 4. We appreciate your understanding and cooperation during this time.