Weekly Aging Services Letter

July 28, 2021

To our Residents, Patients and Family Members:

We are seeing an increase in the Duval County positivity rate for the past couple weeks, which means we will be testing twice a week at Bartram Crossing and University Crossing. It also means we must remain vigilant. Continue to wear a mask, stay at least 6 feet apart, avoid crowds, and wash your hands often.

OSHA Guidelines

OSHA has published COVID19-Emergency Temporary Standards. These standards require healthcare settings to have a COVID19 plan in place by July 6. Fortunately, since the federal standards for Skilled Nursing, Long Term care and Assisted Living are so comprehensive and inclusive, we are in compliance with these temporary standards. These standards include social distancing, screening for COVID19, physical barriers, and employee exposure notification / reporting. Our existing COVID policies and procedures have these important employee protection components incorporated.

Vaccination Update

If you have any questions about vaccine distribution, please contact the Department of Health for more information. For a list of vaccination sites in Florida please visit the website: https://floridahealthcovid19.gov/covid-19-vaccines-in-florida/

CMS is committed to continually taking critical steps to ensure America’s healthcare facilities continue to respond effectively to the Coronavirus Disease 2019 (COVID-19). On May 11, 2021, CMS published an interim final rule. This rule establishes Long-Term Care (LTC) Facility Vaccine Immunization Requirements for Residents and Staff. This includes new requirements for educating residents or resident representatives and staff regarding the benefits and potential side effects associated with the COVID-19 vaccine, and offering the vaccine. Please open link below for our COVID-19 vaccine education letter: https://brooksrehab.org/wp-content/uploads/2021/05/Education-for-families-and-residents-COVID-19-Vaccine-1.pdf

Visitation Guidelines

The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention (CDC) updated nursing home guidance on visitation. With roughly 80% of residents and 55% of staff fully vaccinated, they have approved visitation unless nursing homes fall into these COVID-19 categories:

  • County positivity rate is greater than 10% and less than 70% of residents vaccinated
  • There are confirmed resident infections
  • There are residents in quarantine

Visitation falls into 2 categories for all our locations:

  1. General Visitation
  2. Compassionate Visitation (A positive COVID-19 case is identified within the facility)
  • Bartram Lakes and Green House 400 are under general visitation. Bartram Crossing is under compassionate visitation because positivity rate is over 10%. Green House 300 and University Crossing are under compassionate visitation because they had a positive COVID-19 case in the last 14 days.
  • We will be limiting visitation to 2 visitors at this time at our Aging Services sites Bartram Lakes, Green Houses, Bartram Crossing and University Crossing.
  • Visitation is seven days a week from 8 a.m. – 8 p.m.
  • For after-hours visitation, call facility prior to arriving for procedures.
  • COVID-19 positivity rate is high we encourage visits to be brief based on resident care needs.
  • Visitors must remain in the patient/resident’s room throughout the visit and wear a face mask at all times. If visitors are found without a mask, visiting privileges can be suspended and you will be required to leave.
  • Visitors will no longer need to schedule visits in advance. We encourage visitors to call before they arrive to ensure their loved ones are not in Therapy. You can call the therapy gym or facility to inquire about their therapy schedule.
  • Based on the positivity rate this week we will be limiting visitation time to one hour and capacity in our buildings. Facilitators will be responsible for limiting and monitoring the visitors in our building at all times to comply with safety and regulatory guidelines.


Testing frequency for Bartram Crossing and University Crossing 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 July 16 through July 22, 2021 is 25.82%. Based on the current positivity rate we will be testing staff twice a week at Bartram Crossing and University Crossing. Green Houses will be testing staff and Elders once a week. If we have a positive staff in any of our buildings we will then test all our residents. The governor’s order does not require weekly testing at assisted living facilities however based on our positivity rate we will be testing weekly.

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 departments. If you have any additional questions, please contact Andy Andre, Wes Marsh or Stephanie Hoover directly.

We are committed to keeping your loved ones safe and keeping you informed.


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