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COVID-19

Greetings to the family members, friends, and loved ones of our residents. Thank you for your continued understanding and support of the restriction on visitors due to the pandemic. We are continuing to do whatever we can as a facility to keep your loved one safe. Even with all of the precautions that we have initiated and maintained since March of this year, unfortunately a staff member did test positive for COVID-19. This staff member is recovering at home at this time. Residents were not directly exposed, as this person does not do direct care with residents. We have talked to Nebraska ICAP and public health and they both agree that the residents are very low risk for exposure related to this staff member testing positive. No other staff members have tested positive.

What we have done as a facility related to this isolated case is:

Increased resident symptom monitoring from two to three times a day. What this means is that your loved one will be checked for any signs or symptoms of COVID-19. If they have any symptoms, staff will immediately report the concern to DON or ADON, who will then notify public health of the symptom and to get the resident tested. We also have procedures in place to immediately place this person on isolation status.

Housekeeping has increased cleaning routines of highly touched surfaces.

Nurse management has been doing PPE (personal protective equipment) audits to ensure that all staff are wearing PPE appropriately and will continue to do these audits.

6/12/2020 Update: We have a staff member that has tested positive for COVID-19. This person is asymptomatic and is quarantined at home at this time. There have been no close contacts identified at the facility, which means that no staff or residents have been exposed by this staff person. The facility remains a “yellow” zone at this time. We are continuing to have contact with the local health authorities as well as ICAP Nebraska (infection control experts) to ensure that we are doing everything we can to ensure your loved one is safe. We have no residents that are positive for COVID-19. We continue to have no visitation at this time. Please check the website for any updates regarding COVID-19, including when visitation can be started again. We do not have a projected date at this time for when visitation will be started again.

6/26/2020 We are pleased to announce that there are still no resident cases of COVID-19. Plans for Phase 2 (which includes outside visits using social distancing for about 20 minutes at a time with no more than 2 visitors at a time. Resident and visitors have to wear masks for the entire visit) are continuing to be finalized at this time. Angie spoke to ICAP Nebraska (infection control experts) today, and they do not advise that we come off of yellow zone at this time. To be able to move on to Phase 2, the facility needs to be off of yellow zone. We are using extreme caution with everything due to Scotts Bluff County being in the top 5 hot spots for COVID-19 in Nebraska. We do take the care of your loved ones seriously. Remember, if you would like to do a Zoom call with your loved one to call the facility, as we would be happy to help you schedule this with one of our staff members. Window visits (closed window) are also allowed. We would be happy to assist your loved one with a phone call during window visits. Please continue to check our website for continued updates.

7/13/2020 Update on baseline testing for COVID-19. We have completed 234 tests. So far, we have NO positive results and 221 negative results. We hope to have all of the results in the next 24-48 hours so we can take the facility from yellow zone and move to phase II.

7/15/2020 Update: Unfortunately, we had a staff member that tested positive. No residents have been identified as direct contacts of this staff member. Per guidance of Nebraska ICAP, we will continue with yellow zone at this time. After further guidance is received from Nebraska ICAP, we will update the website.

7/17/2020 A resident tested positive on 7/16/2020. This resident has had no direct exposure to any nursing home residents. We completed some testing related to staff member that came back positive earlier this week. 1 staff member has come back positive. This staff member does not do direct care with residents.

9/23/2020 Unfortunately a staff member has tested positive using a rapid test. PCR testing gave negative results. Per epidemiologist Dr. Ashrat, we are going to be in yellow zone until testing of residents and staff is completed. This means that the facility will be starting back over with the Phasing guidelines. Outdoor visits will be cancelled until further notice. CLOSED window visits are acceptable at this time if the resident is in a bed by the window. Please call social services if you would like to set up a Zoom call with your loved one. We will continue to keep you posted.

10/1/2020 A staff member tested positive using a rapid test. Staff member is getting a PCR test for confirmation as to whether or not it is a true positive case or not. Facility remains in yellow zone at this time. We will continue to test staff and residents every 3-7 days per CMS regulations until there are no more positive cases. We will continue to test staff per CMS guidelines related to county positivity rate. No residents have been identified as an exposure to this staff member. This staff member is not a direct care giver.

10/12/2020 A staff member tested positive using a rapid test. Staff member is getting a PCR test for confirmation as to whether or not it is a true positive case or not. Facility remains in yellow zone at this time. We will continue to test staff and residents every 3-7 days per CMS regulations until there are no more positive cases. We will continue to test staff per CMS guidelines related to county positivity rate. No visitors at this time.

10/22/2020

To Our Residents and Family Members:

We want to remain transparent and provide you with an update on the situation at Monument Rehabilitation & Care Center regarding the novel coronavirus or COVID-19, including the number confirmed cases as well as efforts we are undertaking. The safety and well-being of our residents is our top priority. We are doing what we can to limit the spread of COVID-19 within our facility.

Since May 8, 2020 (when the federal government issued reporting requirements), and despite our continued vigilant efforts to combat the coronavirus from the beginning of the pandemic, the facility identified the first case on 6/12/2020. The Facility has had 16 confirmed cases of COVID-19.

As of 10/22/2020, the Facility has:

  • 3 residents and 13 staff members with confirmed COVID-19.
  • 0 residents and 8 staff members that have recovered from COVID-19.
  • 196 residents and staff have tested negative for COVID-19.
  • It has been 0 days since a new resident or staff member has tested positive.

Monument Rehabilitation & Care Center is staying in very close communication with local and state health officials to ensure we are taking all the appropriate steps under current circumstances. When a resident’s test result is positive, we notify residents and their representative(s) of their condition and implement protocols for their care and treatment.

In addition, the Facility follows guidance from the Centers for Disease Control and Prevention (CDC), the Center for Medicare and Medicaid Services (CMS), Local and State Department of Health, including return to work criteria for staff who tested positive and other measures related to Covid-19 such as:

  • Enhancing infection control measures and staff education
  • Monitoring resident status and screening all staff for COVID-19 symptoms
  • Restricting visitation and entry into the building by non-essential personnel
  • Collecting Rapid Antigen and/or PCR Tests for staff and residents to immediately identify COVID-19 infection based on current protocols and Department of Health recommendations
  • Postponing communal activities and Maintaining social distancing guidelines
  • Adhering to strict infection control core principles
  • Cohorting residents appropriately per CDC guidelines
  • Wearing appropriate and required PPE while caring for residents with confirmed Covid-19 infection or Persons Under Investigation (PUI)
  • Cleaning and disinfecting with EPA approved agents all frequently touched surfaces routinely and as needed
  • Using telehealth for virtual physician/nurse practitioner encounters

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 know you are concerned about your loved one, but it is crucial that we restrict visitation to reduce the spread of this virus to others. We will contact you directly if your loved one is suspected or diagnosed with COVID-19.

In addition, this letter may also serve as notification that it may be necessary to transfer your loved one to another room temporarily so the facility can appropriately cohort residents with Covid-19 and mitigate the spread of infection.

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. Please contact the facility at 308-635-2019 to reach the Activities Director or Social Worker who will schedule a virtual visit or phone call with your loved one.

We need your help to combat COVID-19. Please visit the CDC website (www.cdc.gov/coronavirus) to learn how you can help prevent the spread in our area, since spiking cases in the community also increases the chance the virus will affect other residents and your loved one.

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 officials continue to learn more about this virus.

Of note, the Nebraska Department of Health has visited and surveyed our Facility with a focus on our Infection Control protocols and Covid-19 preparedness plans. The unannounced visit from the department of health revealed no deficient practices despite the presence of Covid-19 in the facility.

We know that you may have questions and we encourage you to contact our center. Please call us at 308-635-2019, email us at awahl@monumentrehab.com or jcoffman@monumentrehab.com if you have any questions, comments, or concerns. Please continue to visit our website at www.monumentrehab.com/covid-19/ for the most recent updates on Covid-19.

Sincerely,

Angie Wahl RN, DON

Jennifer Coffman, Administrator

10/23/2020 We have had a cluster of 3 or more identified positive cases within a 72 hour time period.  Identified staff members are at home and recovering.  Our residents that are positive are remaining in the facility at this time and being cared for by our dedicated staff members on an enclosed unit.

As of 10/23/2020, the Facility has:

  • 10 residents and 14 staff members with confirmed COVID-19.
  • 0 residents and 9 staff members that have recovered from COVID-19.
  • It has been 0 days since a new resident or staff member has tested positive.

10/26/2020 The facility has had several more staff members and residents test positive for COVID-19 using the Abbott cards.  Staff are at home recovering and residents are recovering at the facility.  We will continue to keep you updated of any other findings.  We are continuing to work with ICAP Nebraska on this situation at the facility to ensure we are doing everything we can to stop the spread of this virus.  Thank you for your continued support of your loved one and our staff.

10/27/2020 We have had more residents test positive for COVID-19.  We are continuing to do what we can to limit the spread around the building.

10/30/2020 We have had more residents and staff test positive for COVID-19.  Our staff continue to work diligently at cleaning and sanitizing frequently touched surfaces as well as providing the best care possible to our residents.

11/3/2020 We did have more staff and residents test positive for COVID-19.  Facility continues to work with local Community Health and ICAP Nebraska to mitigate the spread of COVID-19 in the facility.  Facility continues to monitor staff and residents for signs and symptoms of COVID-19 as well as at least twice weekly testing.  Every effort continues to frequently sanitize commonly touched surfaces.

As of 11/3/2020, the Facility has:

  • 63residents and 41 staff members with confirmed COVID-19.
  • 3 residents and 5 staff members that have recovered from COVID-19.
  •  residents and staff have tested negative for COVID-19.
  • It has been 0 days since a new resident or staff member has tested positive.

11/4/2020 Since the update yesterday, we have had 5 staff members and no residents test positive.  Our nursing administration team is completing a final review of resident information, as we have several residents who have recovered from COVID-19.  As we have final updates, we will update our website.  We will also work on timely notifications of family members on resident recoveries.

We have several staff members returning over the next few days who have recovered as well.  Please continue to keep our residents and staff in your thoughts and prayers as we fight this invisible enemy together.  Our team has really really pulled together over the last few weeks to ensure that resident needs have been met.  Our next round of resident testing is on 11/5/2020 and staff will be tested on 11/6/2020.

11/8/2020 One resident and one staff member tested positive today.

11/9/2020 2 Residents and 3 staff members tested positive today.

As of 11/10/2020, the Facility has:

  • 72 residents and 60 staff members with confirmed COVID-19.
  • 40 residents and 30 staff members that have recovered from COVID-19.
  • It has been 0 days since a new resident or staff member has tested positive.
  • 2 staff members and 0 residents tested positive today (11/10/2020).  Numbers have been updated to reflect this status.

11/12/2020 1 staff member and 0 Residents tested positive for COVID-19 today.

As of 11/15/2020, the Facility has:

  • 72 residents and 61 staff members with confirmed COVID-19.
  • 59 residents and 38 staff members that have recovered from COVID-19.
  • It has been 3 days since a new resident or staff member has tested positive.

As of 11/16/2020, the Facility has:

  • 72 residents and 62 staff members with confirmed COVID-19.
  • 60 residents and 46 staff members that have recovered from COVID-19.
  • It has been 0 days since a new resident or staff member has tested positive.  We did have a staff member test positive today.

As of 11/18/2020, the Facility has:

  • 72 residents and 62 staff members with confirmed COVID-19.
  • 60 residents and 49 staff members that have recovered from COVID-19.
  • It has been days since a new resident or staff member has tested positive.

As of 11/19/2020, the Facility has:

  • 72 residents and 62 staff members with confirmed COVID-19.
  • 60 residents and 51 staff members that have recovered from COVID-19.
  • It has beendays since a new resident or staff member has tested positive.

 

As of 11/24/2020, the Facility has:

    • 72 residents and 63 staff members with confirmed COVID-19.
    • 62 residents and 59 staff members that have recovered from COVID-19.
    • It has been 0 days since a new resident or staff member has tested positive, as we did have a staff member test positive today.  Prior to this, the last date for a staff member or resident to test positive was 11/16/2020.