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Interim COVID-19 Reopening of Visitation
Date Implemented: 09/17/20 Date Reviewed/ Revised:  

09/17/20, 11/2/20

Reviewed/ Revised By:  

Background:

CMS understands that Nursing Home residents derive value from the physical, emotional and spiritual support they received through visitation from family and friends. In light of this, CMS has revised and released the guidance dated September 17, 2020 regarding visitation during the COVID-19 Public Health Emergency.

Policy:

Hopkins Center for Rehabilitation and Healthcare will allow visitation of all visitors, essential and non-essential health care personnel through different means based on facility structure and residents’ needs, such as resident rooms, dedicated visitation spaces, outdoors, and for circumstances beyond compassionate care situations. The visitation will consider the resident’s physical, mental, and psychosocial well-being, be person-centered, and support their quality of life.  Exceptions will be in accordance with current CMS directives and CDC recommendations, or as directed by state government (whichever is more stringent).

Policy Explanation and Compliance Guidelines:

  1. The Infection Preventionist/Coordinator will monitor the status of the COVID-19 situation through the CDC website and local/state health department, and will keep facility leadership informed of current directives/ recommendations and the need for restricting visitation if indicated.
  2. The facility will communicate this visitation policy through multiple channels. Examples include signage, calls, letters, social media posts, emails, and recorded messages for receiving calls.
  3. Non-essential staff, as designated in emergency preparedness plans, will be notified through routine and emergency communication procedures for staff.
  4. The core principles of COVID-19 infection prevention will be adhered to and as follows:
  5. Screening of all who enter the facility for signs and symptoms of COVID-19 (e.g., temperature checks, questions or observations about signs or symptoms), and denial of entry of those with signs or symptoms. Additionally, screening (questionnaires and temperature check) is mandatory, and any visitor who refuses to be screened will be denied visitation.
  • These screens will be made accessible and immediately available to the Department of

          Health upon request. The screen will have the following documentation:

  1. First and last name of the visitor:
  2. Physical street address of the visitor:

         iii. Daytime and evening telephone number:

  1. Date and time of visit
  2. Email address

         vi Documentation that the individual was cleared for visitation following the screening,

             Listing the temperature and questions filled out.

 

  1. Hand hygiene will be conducted with the preferred use of alcohol-based hand rub.
  2. A face covering or mask, covering the mouth and nose, will be worn at all times.
  3. Social distancing at least six feet between persons will be observed.
  4. Instructional signage throughout the facility and proper visitor education on COVID-19 signs and symptoms, infection control precautions, and other applicable facility practices will be conducted.
  5. Cleaning and disinfection of highly touched surfaces in the facility and in designated visitation areas after each visit will be performed.
  6. Staff will adhere to the appropriate use of personal protective equipment (PPE).
  7. The facility will utilize effective strategies of cohorting residents (e.g., separate areas dedicated to COVID-19 care).
  8. The facility will conduct resident and staff testing as per current CMS guidance.
  9. Physical barriers (e.g., clear Plexiglass dividers, curtains) will be used to ensure privacy and reduced risk of transmission during in-person visits.
  10. Visitors who are unable to adhere to these principles of COVID-19 infection prevention will not be permitted to visit or will be asked to leave.
  11. Visitors are encourage if feasible to be tested on their own prior coming to the facility within 2-3 days with proof of negative COVID19 test results and the date of the test.

 

  1. Outdoor visitation will be conducted in a manner that reduces the risk of COVID-19 transmission as follows:
  2. Visits will be held outdoors whenever practicable and will be facilitated routinely barring weather conditions, a resident’s health status or the facility’s outbreak status.
  3. Facility patio will be use as the designated space to conduct outdoor visitation whenever the weather permits.
  4. The facility will have no more than two (2) visitors per resident and no more than nine (9) total no. of individuals of simultaneous visits occurring at the same time and will limit visits to 20 minutes.
  5. Recreation staff will bring the residents on wheelchair to the patio where he/she can meet her family and friends in a 20 minutes visit.
  6. Visitors will be wearing a facemask or face covering, and simultaneously maintaining social distance of at least 6 feet. Floor markings will be placed in appropriate areas to ensure social distancing. Hopkins Center will have a staff member assigned to specific areas to monitor and ensure that all safety measures are in place, and core principles of Covid 19 infection prevention are continuously observed by residents and visitors.
  7. After each visit all areas will be cleaned and disinfected after each and every visit using an EPA approved disinfectant.
  1. Indoor visitation will be conducted in a manner that reduces the risk of COVID-19 transmission based on the following guidelines:
  1. The facility has no new onset of COVID-19 cases in the last 14 days and is not currently conducting outbreak testing.
  2. Visitors will adhere to the core principles and staff will monitor those who have difficulty adhering to the core principles. If visitors cannot adhere to the principles, then they will not be permitted to visit or will be asked to leave.
  3. The facility will have no more than two (2) visitors per resident and no more than nine (9) of simultaneous visits occurring at the same time and will limit visits to 20 minutes.
  4. The facility will ensure that visitors are to be maintained at the designated visitation area.
  5. The facility will utilize their county positivity rate as a determinate in conducting indoor visitation.
  6. Low (<5%) = Visitation will occur according to the core principles of COVID-19 infection prevention and facility policies (beyond compassionate care visits).
  7. Medium (5%-10%) = Visitation will occur according to the core principles of COVID-19 infection prevention and facility policies (beyond compassionate care visits).
  • High (10%) = Visitation will only occur for compassionate care situations according to the core principles of COVID-19 infection prevention and facility policies.

 

  1. Criteria/ facility protocol in regards to the reopening is subject to change in accordance with the most current CMS directives and CDC recommendations, or as directed by state government (whichever is more stringent).
  2.  Residents on transmission-based precautions for COVID-19 will be restricted to virtual visits, through windows or in-person for compassionate care situations until the transmission-based precaution is no longer required.
  3. For residents who are bedbound visits will be conducted in the room with a limit of two (2) visitors in a 20 minutes visit.
  4. Bedbound resident who shares a room with another resident will be placed in a designated area of visitation where privacy will be maintained.
  5. Scheduled in house visit will be from Monday – Friday based on the assigned time and area of visitation that was agreed upon by family members and Social Service Director that strictly complies to the core principles of COVID-19 infection prevention.
  6. Special considerations:
    1. Health care workers: Healthcare workers will be allowed to come into the facility as long as they meet current CDC guidelines for health care workers. Screening for fever and respiratory symptoms apply in accordance with surveillance procedures.
    2. All staff including individuals who provide services under arrangement as well as volunteers should adhere to the core of COVID19 infection prevention and must comply with COVID19 testing requirements. Negative test results are collected by Infection Control Nurse/designee as part of the employee surveillance.
    3. Surveyors: Screening for fever and respiratory symptoms along with requesting hand hygiene apply. Inform them of facility policy regarding standard and transmission-based precautions.
    4. Ombudsman: In-person access may be limited due to infection control concerns and/or transmission of COVID-19, but may not be limited without reasonable cause. The core principles of infection prevention will be adhered to by the ombudsman and if in-person access is not advisable, the facility will arrange for alternative communication with the ombudsman.
    5. Representatives of protection and advocacy systems, as designated by the state, will be allowed access to the residents both formally and informally, by telephone, mail and in person.
    6. Criteria/ facility protocol for reopening is subject to change in accordance with the most current CMS directives and CDC recommendations, or as directed by state government (whichever is more stringent).
  7. Visitors are encouraged to monitor for signs and symptoms of respiratory illness and report to the facility if symptoms are evident within 14 days after visiting the facility.
  8. Resident-to-resident visitation:
  9. Communal activities and dining may occur while adhering to the core principles of COVID-19 infection prevention (e.g., limited number of people at a table, at least six feet of distance between residents).
  10. Resident dining schedule will be based on the assigned bed number of the resident( as applicable).
  11. Monday- room 250-259 three meals dining

      Tuesday- room 260-269 three meals dining

                  Note: During the days that they are not in the dining room, residents will be eating in their room.

  1. Remind residents to practice social distancing, perform frequent hand hygiene, and wear a mask or face covering.
  2. Restrict non-affected residents from entering rooms of residents suspected/confirmed to have COVID-19.
  3. Cleaning and disinfection of therapeutic recreations supplies, laminated bingo cards etc.. and the areas of activities will be performed after each resident use
  4. Criteria/ facility protocol for communal activities is subject to change in accordance with the most current CMS directives and CDC recommendations, or as directed by state government (whichever is more stringent).

 

 

Reference:

Centers for Medicare & Medicaid Services.  QSO-20-39-NH: Nursing Home Visitation – COVID-19.

Resident and Family Communication Plan Weekly Update

Notification to Residents, Representatives, and Family Members

Date: 11/27/2020

To Our Residents and Family Members:

In compliance with Governor Andrew Cuomo directives and  Department of Health’s guidance, Hopkins Center for Rehabilitation and Healthcare, will post on a weekly basis all residents to date, who have infections and the number of deaths.

Week of November 27, 2020 Hopkins Center for Rehabilitation and Healthcare has:

 9 residents with infections

2 resident deaths.

We know that you may have questions and we encourage you to contact our center. Please call us at 718- 694 -6700, or check our website at www.hopkinscenter.com  for daily and or weekly updates.

Stay well and safe.

Sincerely, 

Susan Rice                                                                                                  

Administrator,

Hopkins Center for Rehabilitation and Healthcare

 

HOPKINS CENTER FOR REHABILITATION AND HEALTHCARE

New Positive Employee Confirmed Cases

Notification to Residents, Representatives, and Family Members

Date: 11/28/2020

 

To Our Residents and Family Members:

We want to inform you t that at Hopkins Center for Rehabilitation and Healthcare, to date, 11/28/2020 has 0 new case of positive COVID-19 amongst our residents and  1 new  case of employee. The no. of staff reported to have new onset respiratory symptoms [new set of three or more staff) within a 72-hours is/ are_0_  The no. of residents reported to have new onset respiratory symptoms [new set of three or more residents) within a 72-hours is/ are _0_

The safety and wellbeing of our residents is our top priority. We are doing what we can to limit the spread of COVID-19 within Hopkins Center for Rehabilitation and Healthcare including staying in very close communication with local and state health officials to ensure we are taking all the appropriate steps under current circumstances.

We are taking steps based on guidance from the Centers for Disease Control and Prevention (CDC) and the Center for Medicare and Medicaid Services (CMS) to reduce the spread and impact of COVID-19, such as:

  • Enhanced infection control precautions (Currently, continuous implementation of transmission based precautionary measures on the 2nd and 5th floor thru October 23rd 2020)
  • Screening residents, staff, and essential visitors for expanded list of symptoms
  • Restricting visitation and entry of people to the building
  • Testing of residents and staff for COVID-19 based on current protocols and availability of tests
  • Postponing communal activities
  • Enhanced disinfection of resident’s rooms, treatment/ care/work areas and other offices.
  • Provision of hand sanitizers and PPEs.
  • Periodic rein servicing of staff/ personnel on proper infection control practice.

Due to government privacy requirements, we cannot divulge specific information about the individuals who have confirmed or suspected COVID-19, unless they are your family member and you have the necessary permissions to receive such information. We will contact you directly if your loved one is suspected or diagnosed with COVID-19.

We also understand that connecting with family members is incredibly important to our residents. Family members are encouraged to connect with their loved ones through video chat, calling, texting, or on social media. Should you need any assistance on this matter, you may reach Ms. Marina Filipyev, social worker director  at 718- 694 -6700

 (Extension 739) or email address: MFilipyev @ hopkinscenter.com

 

This is a difficult time for everyone. We will continue to provide you with updates. Please know that we are adhering to guidelines from the local and state health departments, which continue to evolve as we learn more about this virus.  For more information regarding CDC guidelines we encourage you to visit the CDC website at www.cdc.gov

We know that you may have questions and we encourage you to contact our center. Please call us at 718- 694 -6700, or check our website at www.hopkinscenter.com

Stay well and safe.

 

Sincerely, 

 

Susan Rice                                                                                                                                           

Administrator,

Hopkins Center for Rehabilitation and Healthcare

 

 

 

October 26, 2020

 

To All Hopkin Center Families and Friends:

 

I hope all of our families and friends are well and hopefully we have gotten through the worse of the pandemic. On behalf of Hopkins Center, we would like to give a heartfelt thank you to all our families for your letters of support, your phone calls and words of encouragement urging us to continue on, and the goodies you have been providing to the staff. You have no idea how much those small sentiments were appreciated during the most difficult time our industry has ever encountered.

As you all know Nursing Homes have been authorized to begin the reopening process provided that, they meet specific CDC/DOH /CMS criteria. As soon as Hopkins Center meets these criteria, we will immediately share this information with you. The facility is currently working painstakingly towards the process.

 At this point in time, it looks like Hopkins Center will begin the reopening process on November 2, 2020 with the approval of the Department of Health.  Meanwhile, we will continually use alternate method(s) to visitation – you may continue to reach out to Ms. Brigida Pirraglia, HCRHC concierge at 929-326-1051 and Marina Filipyev, social worker director  at 718 694-6700 - ext. 739, or at her e -mail address at -MFilipyev @ hopkinscenter.com.

I have attached a policy and procedure on re-opening,  visitor’s  and  Covid -19/influenza  fact sheets  to this website. Please refer to the policy and procedure for the specific arrangements for visitation when we reopen. Be reminded that this is in compliance with all the Federal and State guidelines for skilled nursing facilities to follow. 

Please continue to check our web site for the most updated information:

Hopkinscenter.com

Hopkins Center Administration would like to thank all of our families and friends for their patience while we work to maintain a safe environment for all our residents, families and employees, and continue to endeavor to meet the challenges set forth by the CVID 19 Pandemic.

We are looking forward to seeing all of our Hopkins Center Families soon.

 

Be Well,

Susan Rice