Weekly Aging Services Letter

January 13, 2020

To our Residents, Patients and Family Members:

Thank you for your support and patience as we continue to be flexible and responsive to regulations concerning nursing homes and assisted living facilities. We understand how challenging this has been for our residents, guests and family members. We are committed to keeping your loved ones safe and to keeping you informed.

As a reminder COVID-19 cases, hospitalizations, and deaths across the United States are rising. We need everyone to be extra vigilant to slow the spread of COVID-19. Wear a mask, stay at least 6 feet apart, avoid crowds, and wash your hands often. The more steps you take, the more you are protected against COVID-19. View Cases in the U.S. and your state on the data tracker.

We are hopeful that the COVID-19 vaccine will help us win this fight against the virus and we can all get back to enjoying time with family and friends.

Vaccination Update

We’ve had short-term residents and families inquiring about the vaccination. At this time, we are reviewing short- term residents on a case-by-case basis. If your loved one is interested in being vaccinated, please contact the administrator at each facility for more information.

Bartram Crossing and University Crossing continue to administer vaccines to our long-term care residents. Bartram Crossing residents and staff that received COVID-19 vaccine Dose 1 on 12/29/20 or 12/30/20, will be able to receive Dose 2 on 1/19/21 or 1/20/21. For residents and staff that did not receive the vaccine previously, there is an opportunity to receive Dose 1 on 1/19/21 and 1/20/21. The final COVID-19 vaccination clinic will be 2/9/21 for Dose 2 only.
University Crossing residents and staff that received COVID-19 vaccine Dose 1 on 1/6 will be able to receive Dose 2 on 1/27. For residents and staff that did not receive the vaccine previously, there is an opportunity to receive Dose 1 on 1/27. The final COVID-19 vaccination clinic will be 2/17 for Dose 2 only.

For Bartram Lakes and Green House residents, we have been given the following dates and times for on-site vaccine distribution: 1st clinic: 1/22/21, 10-4pm; 2nd clinic: 2/12/21, 10-4pm and 3rd clinic: 3/5/21, 10-1pm.

For additional information on the COVID-19 vaccine, please review these resources:

Visitation

Please note that the visiting hours for all of our Aging Services facilities begin at 10:30 am. If you arrive for a visit before that time, you will be asked to wait.

As a reminder for all locations:

  • The Bartram campus and University Crossing are allowing compassionate caregivers only. You can access the latest Division of Emergency Management order through this link to the updated emergency order. In this order, you will find the latest visitation requirements. Compassionate care visitors provide support, including emotional support, to help residents deal with difficult transition or loss, upsetting events, end-of- life situations, significant changes (such as recent admission to the facility), the need for assistance, cueing or encouraging with eating or drinking, or emotional distress or decline.
  • Visitation hours are 10:30 a.m. – 6 p.m. every day.
  • We strongly encourage all visitors to call the facility before arriving to ask about visitation status, if the patient/resident is on contact isolation and when they are scheduled to be in therapy that day. We will also be able to give you a general idea about building capacity.

Testing

We are testing all staff and all residents at University Crossing and Bartram Crossing on a weekly basis. This is determined by the county’s COVID-19 positivity rate and positive cases as calculated by CMS on a rolling average basis. Our latest weekly COVID-19 positivity rate for Duval County from Jan. 2, 2021 through Jan 9, 2021 is 14.5%. The governor’s order does not require weekly testing at assisted living facilities. We are, however, offering testing to individuals if they had direct contact with someone with COVID-19.

We also want to remind you that our weekly communications along with a schedule of our monthly activities and our menus are available on the Bartram Crossing, Bartram Lakes and University Crossing websites. We also encourage you to follow our social media channels for photos and information. Brooks Rehabilitation is on Facebook, Instagram, Twitter and YouTube. Bartram Lakes is also on Facebook.

Safety continues to be our number one priority. Please know that we are strictly adhering to all directions from the local and state health department to keep your loved one safe. If you have any additional questions, please contact Andy Andre, Wes Marsh or Stephanie Hoover directly.

Sincerely,

Doug Baer, President and CEO
Trevor Paris, MD, Chief Medical Officer
Maria Interiano, VP Aging Services, (904) 730-1814
Andy Andre, Administrator, University Crossing, (904) 345-8320 Wes Marsh, Administrator, Bartram Crossing, (904) 528-3020
Stephanie Hoover, Administrator, Bartram Lakes and Green Houses, (904) 528-3515

Visitation Guidelines for Skilled Nursing, Assisted Living and Memory Care

Per the state’s Emergency Order, limited visitation is allowed under certain criteria and is determined by the length of time since the facility last had a COVID-19 positive patient, resident or staff member.

The following applies at all locations:

  • Visitation will be permitted seven days a week from 10:30 a.m. – 7 p.m. with the last guests entering by 6 p.m.
  • Families will no longer need to schedule visits in advance. You will be able to make a walk-in appointment as you arrive. However, facilitators will be responsible for limiting and monitoring the visitors in our building at all times to comply with safety and regulatory guidelines.
  • Facilitators at the main entrance of each facility will know how many visitors are in each area at any given time. If you arrive when your loved one’s neighborhood is at capacity, you will be asked to wait in your car until someone leaves that neighborhood. We will notify you by phone or text as soon as it’s possible to enter, which may be up to one hour later.
  • We strongly encourage all visitors to call the facility before arriving to ask about visitation status (are we under general or compassionate visitation regulations), if the patient/resident is on contact isolation and when they are scheduled to be in therapy that day. We will also be able to give you a general idea about building capacity.
  • Visits will be limited to one hour per day to allow as many families to see their loved ones as possible. Visitors will be scheduled for one hour when they arrive on site.
  • Visitors must remain in the patient/resident’s room throughout the visit and wear a face mask at all times. If you are found without a mask, your visiting privileges can be suspended and you will be required to leave.
  • If a patient/resident is under contact isolation, they will not be permitted to have visitors.
  • If it is your first time visiting the facility, you will be required to complete safety training when you arrive. You can review the video in advance of your visit by clicking here.
  • Therapy schedules will take priority over visitation. If you arrive when your loved one is scheduled for therapy, that therapy will still take place as planned. If the therapist determines it is in the best interest of your loved one, he or she may be able to conduct therapy in the patient’s room.
  • While visiting, please do not attempt to assist your loved one with transfers (to/from bed, chair, toilet, etc.) without assistance from a staff member.

In addition, each facility will be required to comply with the following guidelines determined by the length of time since the facility last had a COVID-19 positive patient, resident or staff member.

Compassionate Care Visitors

If a facility has had a COVID-19 positive patient, resident or staff member within the past 14 days, the Emergency Order ONLY allows for a visit from a Compassionate Care Visitor. Essential Caregivers have been removed. This is the latest update from the FDEM Emergency Order 20-011, 10-22-2020. See the link for more details.

Compassionate care visitors provide support, including emotional support, to help residents deal with difficult transition or loss, upsetting events, end-of-life situations, significant changes (such as recent admission to the facility), the need for assistance, cueing or encouraging with eating or drinking, or emotional distress or decline.

Compassionate care visitors may be allowed entry into facilities on a limited basis for these specific purposes.

  • Compassionate care visitors must be designated in advance. Two per patient/resident can be designated.
  • Once a compassionate caregiver has visited the resident in person, they cannot be removed from the list and replaced with someone else. You can have up to 5 designates compassionate caregivers but only two can visit at the same time.
  • Residents/Patients can designate up to 5 visitors but no more than 2 visitors at the same time.
  • Visits will be scheduled for one hour per day to allow as many families to see their loved ones as possible.
  • Visitors must complete training when they arrive the first time (this is included in the one-hour visit)
  • Visitors must have surgical masks and any other PPE required by the CDC (Brooks will provide this for each visitor)
  • Visitors are NOT required to have a negative COVID-19 test before visiting
  • If a patient/resident is in quarantine for COVID-19, or on contact isolation for any reason, they are not allowed to have in-person visitors.

General Visitation

  • Once there are no new COVID-19 cases in the facility for 14 days, general visitation may begin.
  • Each patient/resident or his or her representative may designate up to five (5) general visitors.
  • A resident may be visited by no more than two (2) general visitors at a time.
  • Visits will be limited to one hour to allow as many families to see their loved ones as possible. Visitors will be scheduled for one hour when they arrive on site.

General visitors must also:

  • Wear a face mask at all times and perform proper hand hygiene;
  • Sign a consent form noting understanding of the facility’s visitation and infection prevention and control policies;
  • Comply with facility-provided COVID-19 testing, if offered;
  • Visit in a resident’s room or other facility-designated area; and
  • Maintain social distance of at least six feet with staff and residents, and limit movement in the facility.

At any point, a facility may shift between allowing Compassionate caregivers to General Visitation and vice versa, depending on the time since the last COVID-19 case. Each facility will know on any given day which type of visitation is allowed.