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Southeastern Veterans’ Center 

Implementation Plan for Reopening
In Accordance with the Pennsylvania Department of Health’s
Interim Guidance for Skilled Nursing Facilities During COVID-19

FACILITY INFORMATION
This section contains the name and location of the facility along with contact information for an individual designated by the facility. That individual does not have to be the Nursing Home Administrator but should be someone available to respond to questions regarding the Implementation Plan.
1. FACILITY NAME

Southeastern Veterans’ Center
2. STREET ADDRESS

1 Veterans Drive
3. CITY

Spring City
4. ZIP CODE

19475
5. NAME OF FACILITY CONTACT PERSON

Barbara Raymond, Acting Commandant
6. PHONE NUMBER OF CONTACT PERSON

610-948-2400

DATE AND STEP OF REOPENING
The facility will identify the date upon which all prerequisites will be met for reopening and entering Phase Alpha.  Those facilities that experienced a significant COVID-19 outbreak will identify the date the Department of Health survey was conducted (that is required prior to reopening).
7. DATE THE FACILITY WILL ENTER REOPENING

10/1/2020
8. SELECT THE PHASE AT WHICH THE FACILITY WILL ENTER REOPENING – EITHER PHASE ALPHA OR PHASE BRAVO (CHECK ONLY ONE) (All PVHs WILL BEGIN THE REOPENING IN PHASE ALPHA)

☒  Phase Alpha  

The facility must meet all the Prerequisites, including the baseline universal test for COVID-19 administered to staff and residents (in accordance with the June 8, 2020, Order of the Secretary of Health)

☐  Phase Bravo

The facility must meet all the Prerequisites, including the baseline universal test for COVID-19 administered to staff and residents (in accordance with the June 8, 2020, Order of the Secretary of Health)

AND

Have the absence of any new facility onset of COVID-19 cases for 14 consecutive days since baseline COVID-19 testing


9. HAS THE FACILITY EXPERIENCED A SIGNIFICANT COVID-19 OUTBREAK? (IF NO, SKIP TO #11)

Yes
10. DATE THE FACILITY WAS SURVEYED BY THE DEPARTMENT OF HEALTH TO ENSURE THE FACILITY IS ADEQUATELY PREVENTING TRANSMISSION OF COVID-19

6/1/2020

STRATEGY FOR TESTING, COHORTING, PERSONAL PROTECTIVE EQUIPMENT, AND STAFFING
To ensure the facility has taken appropriate measures to protect residents and staff, descriptions of those strategies are required in this section (prerequisites to reopening).
11. Date range for the baseline Universal Test administered to staff and residents (between May 24, 2020 and July 24, 2020 in accordance with the June 8, 2020, Order of the Secretary of Heatlh.   

6/13/2020 to 6/19/2020
12. DESCRIBE THE CAPACITY TO ADMINISTER COVID-19 DIAGNOSTIC TESTS TO ALL RESIDENTS SHOWING SYMPTOMS OF COVID-19 AND TO DO SO WITH 24 HOURS

SEVC has the clinical staff to conduct COVID-19 testing. SEVC obtains supplies for COVID-19 testing supplies through their contract with Quest Diagnostic. Additionally, SEVC will work with the Philadelphia VA Medical Center for additional support and testing capacity. Finally, if needed, SEVC would utilize the Pennsylvania Department of Health (DOH) emergency assistance via the DOH testing program by contacting the resource account at: ra-dhcovidtesting@pa.gov 
13. DESCRIBE THE CAPACITY TO ADMINISTER COVID-19 DIAGNOSTIC TESTS TO ALL RESIDENTS AND STAFF IF THE FACILITY EXPERIENCES AN OUTBREAK

SEVC’s complement of clinical staff is more than adequate to conduct the testing. SEVC obtains testing supplies through their contract with Quest Diagnostic. Additionally, SEVC will work with the Philadelphia VA Medical Center for additional support and testing capacity. Finally, if needed, SEVC would utilize the Pennslvania Department of Health (DOH) emergency assistance via the DOH testing program by contacting the resource account at: ra-dhcovidtesting@pa.gov 
14. DESCRIBE THE CAPACITY TO ADMINISTER COVID-19 DIAGNOSTIC TESTS TO ALL STAFF, INCLUDING ASYMPTOMATIC STAFF

SEVC has the needed clinical staff to conduct the testing. SEVC obtains supplies for testing via a contract with Quest Diagnostic. Additionally, SEVC will work with the Philadelphia VA Medical Center for additional support and testing capacity. Finally, if needed, SEVC would utilize the Pennsylvania Department of Health (DOH) emergency assistance via the DOH testing program by contacting the resource account at: ra-dhcovidtesting@pa.gov 
15. DESCRIBE THE PROCEDURE FOR ADDRESSING NEEDED TESTING OF NON-ESSENTIAL STAFF AND VOLUNTEERS

All SEVC staff are designated essential and were tested during the baseline testing. The capacity to test volunteers and contractors can be met through the contract with Quest Diagnostic, when volunteers are permitted to resume volunteer work on campus as per the Bureau of Veterans Homes (BVH) Reopening Plan. Contractors are screened and assessed on an “as needed” basis for required testing.
16. DESCRIBE THE PROCEDURE FOR ADDRESSING RESIDENTS OR STAFF THAT DECLINE OR ARE UNABLE TO BE TESTED

Residents who decline testing &/or are unable to be tested and have potential exposure and/or are experiencing symptoms will be moved/transferred and remain in a YELLOW Zone for at least 14 days after symptoms subside. Staff who refuse or are unable to be tested will not be permitted to work until the facility has received a negative COVID-19 test result. If the employee failed the SEVC screening tool and/or has been symptomatic, they must be symptom-free for at least 14 days and whenever possible have a negative COVID19 test result prior to return to work.
17. DESCRIBE THE PLAN TO COHORT OR ISOLATE RESIDENTS DIAGNOSED WITH COVID-19 IN ACCORDANCE WITH PA-HAN-509 PURSUANT TO SECTION 1 OF THE INTERIM GUIDANCE FOR SKILLED NURSING FACILITIES DURING COVID-19.

The facility will use the Red-Yellow-Green Unit/Zone model, defined as follows: 

Red Zone: Residents with positive COVID-19 test and still within the parameters for transmission-based precautions

Yellow Zone: Residents with a negative COVID-19 test who remain asymptomatic but are within 14 days of possible exposure.  Residents refusing test and/or unable to test.  Residents with symptoms awaiting test results. 

Green Zone: Units or areas with residents in the facility who tested negative and are thought to be unexposed to COVID-19
18. DESCRIBE THE CURRENT CACHE OF PERSONAL PROTECTIVE EQUIPMENT (PPE) AND THE PLAN TO ENSURE AN ADEQUATE SUPPLY OF PPE FOR STAFF (BASED ON THE TYPE OF CARE EXPECTED TO BE PROVIDED)

SEVC maintains a supply of PPE that is more than adequate to provide the required levels of protection for the residents and staff. A daily procurement report is issued from SEVC to BVH to demonstrate our current supplies and project potential usage.
19. DESCRIBE THE CURRENT STAFFING STATUS AND THE PLAN TO ENSURE NO STAFFING SHORTAGES 

The facility will utilize voluntary overtime, double-time, dual employees, temporary nurse aides and mandatory overtime as needed. The facility has increased its complement of some essential employees and will continue hiring efforts.
20. DESCRIBE THE PLAN TO HALT ALL REOPENING FACILITIES IF THE COUNTY IN WHICH THE FACILITY IS LOCATED IS REVERTED TO A RED PHASE OF THE GOVERNOR’S REOPENING PLAN

The BVH Phased Reopening Plan states: “If a county in which SEVC is located moves into the Red Phase, the home must return to the most stringent Red Phase restrictions based on DOH guidance.


SCREENING PROTOCOLS
In each block below, describe the screening protocol to be used including where screening occurs, method of determining symptoms and possible exposure, and action taken if screening reveals possible virus.
21. RESIDENTS
 
Resident Screening: Each resident will have their temperature obtained and documented at least daily for the duration of the COVID-19 pandemic, or until directed otherwise per BVH and DOH guidelines. Should a resident present with signs or symptoms of COVID-19, the following protocol will be followed: The RNS will be notified by the charge nurse & report to the unit to ensure all equipment is on hand and proper utilization of PPE protocol is reviewed with the staff. The Medical Provider will be notified and informed of the resident’s signs and symptoms, to include current temperature, oxygen saturation levels, lung sounds, any known disease processes that may be attributing to their current status, etc. (The Respiratory SBAR is available as a guide.) The Medical Provider will also be made aware of any resident roommates. Provider will order a COVID-19 swab if warranted. The resident and any roommates will be moved to a Yellow Zone or if private room/bath will be isolated in their room, their room becoming a Yellow Zone.  Resident/s, Responsible Party/s as well as any new roommate/s will be notifed of the room move/s.  Each resident moving to the Yellow Zone will be provided their own room when available. Residents will be cohorted with other residents in the YELLOW ZONES or RED ZONES only if necessary, due to room availability.  Licensed Nurse or other properly trained personnel will obtain a specimen utilizing a QUEST/other contracted lab PCR culturette via nasopharyngeal swab in the resident’s room, donning full PPE, including N-95 mask. A nursing staff member will retrieve a PPE cart and biohazard waste & linen bins for outside the resident’s room or anteroom. Proper signage for Contact Isolation and Droplet Precautions, as well as donning and doffing signage will be hung. All residents on YELLOW or RED ZONES will be monitored for s/sx of COVID-19 and have a respiratory observation, temperature, and pulse ox documented each shift. Documentation regarding s/sx, procedures initiated, orders obtained, responsible party notification, will be completed in the Medical Record.  Appropriate notifications will be completed of positive or negative results, including Provider/s, Responsible Party/s and Resident/s.  Unless otherwise necessary for the health, welfare, safety and security of other residents, consistent staffing will be maintained within YELLOW and RED ZONES. Residents will be maintained in RED or YELLOW ZONES until symptom free for at least 14 days from onset of symptoms or positive test.  All facility staff, responsible parties and residents will be routinely updated regarding facility test results.  Staff Screening:  All staff, vendors, essential personnel, visitors will be screened prior to entry into the facility.  If any present with signs and symptoms of COVID-19 during their shift/visit, the following will occur:  Visitors and non-Commonwealth employees will be escorted from the facility and not be permitted to return until at least 14 days have past since symptoms occurred.  For Commmonwealth employees - if testing supplies are available, they will be tested in a designated testing area and sent home to await results. The residents residing on unit(s) that they worked/visited on will have their respiratory status, including lung sounds, oxygen saturation levels and temperature monitored and documented each shift for 14 days. The facility will proceed accordingly based on the test results. 
22. STAFF

All staff, vendors, essential personnel, visitors must be screened prior to entry into the facility.  If any present with signs and symptoms of COVID-19 at the initial daily screening, they will not be permitted to enter the facility.  Commonwealth employees and contracted staff will be required to go home and recommended to notify their healthcare provider.  They will not be permitted to return to work for at least 14 days after symptoms stop and whenever possible a negative test result is received.  If symptoms develop during their shift/visit, the following will occur:  Visitors and non-Commonwealth employees will be escorted from the facility and not be permitted to return until at least 14 days have past since symptoms occurred.  For Commmonwealth employees - if testing supplies are available, they will be tested in a designated testing area and sent home to await results. Staff who test positive for COVID-19 will be excluded from work until they meet return to work criteria. Baseline testing of all residents and staff is complete, ongoing testing will continue through the pandemic designation or as otherwise recommended by BVH or PA-DOH. 
23. HEALTHCARE PERSONNEL WHO ARE NOT STAFF

See #22 above 
24. NON-ESSENTIAL PERSONNEL

Non-essential personnel are screened using the same procedure as essential employees.
25. VISITORS

Visitation will occur as per the BVH Phased Reopening plan as follows: Compassionate care visits are permitted in all phases.  Compassionate care visits are limited to residents recovered from or unexposed to COVID-19.  Visitation will occur only in the resident’s room.  Vistation in all phases must be coordinated with SEVC Social Workers.  All Univeral Source Control Guidelines must be followed in all phases and visitation situations. Visitors must follow Universal Source Control Guidelines; screening must occur, social distancing of at least 6 feet must be maintained, hand hygiene must be performed and masks must be worn. Visitation in all phases is limited to residents recovered from or unexposed to COVID-19.   Visiting areas will be cleaned between visits in all phases/situations. Phase Bravo: Outdoor visitation (weather permitting) is allowed in neutral zones as designated by the facility. Visitation will be limited to 2 family members at a time, in 30 minute increments. Visitors are not permitted in the facility. In Phase Charlie: Visitors are permitted in the facility in designated areas. Designated areas will be in neutral zones away from other residents. Visitation will be limited to 3 family members. In Phase Delta: Indoor visitation is allowed in neutral zones to be designated by the facility. Visiting in a resident’s room (within facility’s established protocols) is permitted only if the resident is unable to be transported to the designated area. Visitation will be limited to 3 family members/2 family members if the visit is to take place in the resident’s room. If a resident has a roommate, then only one family member can visit at a time.  Roommate will be offered to enjoy the living room area or other common area while maintaining social distance from others.  
26. VOLUNTEERS

Volunteers will not be permitted on campus in Phases Alpha or Bravo.  Phase Charlie: Test for COVID-19 prior to volunteering is required, then further testing or restrictions for symptoms consistent with COVID-19. Established volunteers (volunteers that regularly/daily perform volunteering at SEVC will be screened following staff guidelines.) Screening, social distancing, and additional precautions, including hand hygiene and universal masking are required for all Volunteers. Volunteers are allowed but may only conduct volunteer activities with residents recovered from or unexposed to COVID-19. Volunteers are permitted for the purpose of assisting with visitation protocols, that is to assist staff in setting up resident visits with families.                  

COMMUNAL DINING FOR RESIDENTS UNEXPOSED TO COVID-19
Communal dining is the same for all steps of reopening so there is no need to differentiate among the three steps.
27. DESCRIBE COMMUNAL DINING MEAL SCHEDULE, INCLUDING STAGGERED HOURS (IF ANY) 

The BVH Phased Reopening Plan guidance on communal dining will be followed. Modified Communal dining is permitted on the units for residents recovered from or unexposed to COVID-19. Continue with disposable dishware as appropriate for yellow & red zones. Maintain social distancing by limiting the number of residents at each table, stagger arrival times, and maintain two service times  as possible per meal to allow for fewer residents in common areas at a time.
28. DESCRIBE ARRANGEMENT OF TABLES AND CHAIRS TO ALLOW FOR SOCIAL DISTANCING

Residents who need assistance with feeding and eat in a common areas must be spaced apart as much as possible, ideally six feet or more, with no more than one or two (depending on table size to support social distancing) residents who need assistance with feeding at a table. Mealtimes will be staggered as possible for the residents that require assistance with feeding to lessen the amount of residents present in the dining room at a time.
29. DESCRIBE INFECTION CONTROL MEASURES, INCLUDING USE OF PPE BY STAFF

Staff feeding residents that are at high risk for choking/aspiration will wear a gown and goggles/faceshield. When assisting more than one resident to eat at the same time, staff must perform hand hygiene with hand sanitizer each time when switching between residents.
30. DESCRIBE ANY OTHER ASPECTS OF COMMUNAL DINING DURING REOPENING

N/A


ACTIVITIES AND OUTINGS
In each block below, describe the types of activities that will be planned at each Phase and the outings that will be planned at Phase Charlie (an all-inclusive list is not necessary). Include where they will be held and approximately how many residents will be involved. Describe how social distancing, hand hygiene, and universal masking will be ensured. Also include precautions that will be taken to prevent multiple touching of items such as game pieces.
31. DESCRIBE ACTIVITIES PLANNED FOR Phase Alpha (FIVE OR LESS RESIDENTS UNEXPOSED TO COVID-19)

Phase Alpha: Onsite small scale (5 residents maximum) activities are allowed on the unit for residents recovered from or unexposed to COVID-19. Residents will be encouraged to wear masks, if able to tolerate and to use hand sanitizer upon entry to and exit from the activity location. Staff will adhere to proper hand hygiene before, during and after the activity, maintain social distancing as able to their job duties and universal masking guidelines are maintained during activity.  Whenever possible disposable products will be used for activities.  When reusable items must be utilized, Activities staff will clean with disinfectant after each resident use.  
32. DESCRIBE ACTIVITIES PLANNED FOR Phase Bravo (TEN OR LESS RESIDENT UNEXPOSED TO COVID-19)

Phase Bravo: Onsite small scale (10 residents maximum) activities are allowed on the unit for residents recovered from or unexposed to COVID-19. Residents will be encouraged to wear masks, if able to tolerate and to use hand sanitizer upon entry to and exit from the activity location. Staff will adhere to proper hand hygiene before, during and after the activity, maintain social distancing as able to their job duties and universal masking guidelines are maintained during activity. Whenever possible disposable products will be used for activities.  When reusable items must be utilized, Activities staff will clean with disinfectant after each resident use.  
33. DESCRIBE ACTIVITIES PLANNED FOR Phase Charlie 

Phase Charlie: Onsite Activities may be conducted with residents recovered from or unexposed to COVID-19. However, events/activities for groups larger than 10 residents must be held in a large room (e.g. multipurpose room) to allow for social distancing. Residents will be encouraged to wear masks, if able to tolerate and to use hand sanitizer upon entry to and exit from the activity location. Staff will adhere to proper hand hygiene before, during and after the activity, maintain social distancing as able to their job duties and universal masking guidelines are maintained during activity. Whenever possible disposable products will be used for activities.  When reusable items must be utilized, Activities staff will clean with disinfectant after each resident use. Activity’s vendors are permitted in the facility after screening and with adherence to universal source control guidelines.  
34. DESCRIBE OUTINGS PLANNED FOR Phase Charlie/Delta

Outings/off-site activities are allowed only for residents recovered from or unexposed to COVID-19 upon entering Phase Delta: Outings limited to no more than the number of people where social distancing between residents can be maintained.  Residents will be encouraged to wear masks, if able to tolerate and to use hand sanitizer upon entry to and exit from the activity location. Staff will adhere to proper hand hygiene before, during and after the activity, maintain social distancing as able to their job duties and universal masking guidelines are maintained during activity.  Whenever possible disposable products will be used for activities.  When reusable items must be utilized, Activities staff will clean with disinfectant after each resident use.  SEVC leadership is required to utilize discretion in determining off-site activities.


NON-ESSENTIAL PERSONNEL
In Phase Bravo, non-essential personnel deemed necessary by the facility are allowed (in addition to those already permitted in Section 4 of Interim Guidance for Skilled Nursing Facilities During COVID-19). In Phase Charlie, all non-essential personnel are allowed. Screening and additional precautions including social distancing, hand hygiene, and universal masking are required for non-essential personnel.
35. DESCRIBE THE LIMITED NUMBER AND TYPES OF NON-ESSENTIAL PERSONNEL THAT HAVE BEEN DETERMINED NECESSARY AT PHASE BRAVO

Non-essential personnel are determined to be necessary on a case-by-case basis by SEVC Leadership.
36. DESCRIBE HOW SOCIAL DISTANCING, HAND HYGIENE, AND UNIVERSAL MASKING WILL BE ENSURED FOR NON-ESSENTIAL PERSONNEL AT PHASES BRAVO & CHARLIE 

The non-essential personnel will be educated and sign off on the facility’s expectations on screening, hand hygiene, social distancing, mask adherence and making attempts to minimize or eliminate their presence in resident areas unless absolutely necessary.
37. DESCRIBE MEASURES PLANNED TO ENSURE NON-ESSENTIAL PERSONNEL DO NOT COME INTO CONTACT WITH RESIDENTS EXPOSED TO COVID-19

Non-essential personnel (re: Contractors) must sign in with Security and are escorted and monitored by SEVC staff to assist in minimizing or eliminating contact in resident spaces


VISITATION PLAN
For visitation to be permitted in Phases Bravo and Charlie of reopening (as described in Section 6 of Interim Guidance for Skilled Nursing Facilities During COVID-19), the following requirements are established. Screening and additional precautions including social distancing, hand hygiene, and universal masking are required for visitors.
38. DESCRIBE THE SCHEDULE OF VISITATION HOURS AND THE LENGTH OF EACH VISIT

The hours of visitation are as follows: 10:00AM to 10:30AM, 1:30PM to 2:00PM, 7:00PM to 7:30PM, daily. The visits will be limited to 30 minutes. Visitation will be coordinated with SEVC staff. Children under the age of 12 and pets will not be permitted until Phase Delta.
39. DESCRIBE HOW SCHEDULING VISITORS WILL OCCUR

Family and Responsible Parties will be able to schedule visits via phone with the Social Services Department (610-948-2502).
40. DESCRIBE HOW VISITATION AREA(S) WILL BE SANITIZED BETWEEN EACH VISIT

SEVC has established a deep cleaning/terminal clean disinfecting scheduling for cleaning of designated visitation/high-touch areas between visits coordinated between housekeeping and nursing personnel.
41. WHAT IS THE ALLOWABLE NUMBER OF VISITORS PER RESIDENT BASED ON THE CAPABILITY TO MAINTAIN SOCIAL DISTANCING AND INFECTION CONTROL?

Phase Bravo; the resident will be limited to 2 family members at a time. Phase Charlie; the resident will be limited to 3 family members. During Phase Delta; visitation will be limited to 3 family members/2family members if the visit is to take place in the resident’s room.  See number 25 above.  
42. DESCRIBE THE ORDER IN WHICH SCHEDULED VISITS WILL BE PRIORITIZED 

Visitation opportunities are limited due to space and time constraints. Residents: Hospice/comfort care residents and residents who do not have the opportunity to utilize telecommunications wil be given priority to receive visits. Visitors: The first responsible party listed in the medical record or their designee will be given priority for visitation.
STEP 2 (Phase Bravo) 43. DESCRIBE HOW THE FACILITY WILL DETERMINE THOSE RESIDENTS WHO CAN SAFELY ACCEPT VISITORS AT PHASE BRAVO (CONSIDERING SUCH SAFETY FACTORS AS EXPOSURE TO OUTDOOR WEATHER AND TRANSPORTING RESIDENT TO VISITOR LOCATION)

Any residents who are not experiencing health conditons that require them to be on isolation or otherwise maintained in their rooms will be eligible for off-unit visitation.
44. DESCRIBE THE OUTDOOR VISITATION SPACE FOR PHAE BRAVO TO INCLUDE THE COVERAGE FOR SEVERE WEATHER, THE ENTRANCE, AND THE ROUTE TO ACCESS THE SPACE

SEVC has covered outdoor spaced attached or adjacent to each building on campus. The covered spaces are all accessible from designated parking spaces that do not require the visitor to enter a building. In the event of severe weather, visitation will be shortened or cancelled.
45. DESCRIBE HOW A CLEARLY DEFINED SIX-FOOT DISTANCE WILL BE MAINTAINED BETWEEN THE RESIDENT AND THE VISITOR(S) DURING OUTDOOR VISITS

Plexiglass visitation dividers will be utilized. Decals will also be applied to the floor of the visitation areas to indicate six-foot spacing for social distancing.
46. DESCRIBE THE INDOOR VISITATION SPACE THAT WILL BE USED IN THE EVENT OF EXCESSIVELY SEVERE WEATHER TO INCLUDE THE ENTRANCE AND THE ROUTE TO ACCESS THE SPACE

Indoor visitation will not be offered during Step 2 (Phase Bravo) per the BVH Phased Reopening Plan.
47. DESCRIBE HOW A CLEARLY DEFINED SIX-FOOT DISTANCE WILL BE MAINTAINED BETWEEN THE RESIDENT AND THE VISITOR(S) DURING INDOOR VISITS

Floor signage will be utilized
STEP 3 (Phase Charlie) 48. DESCRIBE HOW THE FACILITY WILL DETERMINE THOSE RESIDENTS WHO CAN SAFELY ACCEPT VISITORS AT PHASE CHARLIE (CONSIDERING SUCH SAFETY FACTORS AS TRANSPORTING RESIDENT TO VISITOR LOCATION)

Any residents who are not experiencing health conditions that require them to be on isolation or otherwise maintained in their rooms will be eligible for off-unit visitation.
49. WILL OUTDOOR VISITATION BE UTILIZED AT PHASE CHARLIE? IF NO, SKIP TO QUESTION #52

Yes
50. DESCRIBE THE OUTDOOR VISITATION SPACE FOR PHASE CHARLIE TO INCLUDE THE COVERAGE FOR SEVERE WEATHER, THE ENTRANCE, AND THE ROUTE TO ACCESS THE SPACE (IF THE SAME AS PHASE BRAVO, ENTER “SAME”)

SAME (See #44)
51. DESCRIBE HOW A CLEARLY DEFINED SIX-FOOT DISTANCE WILL BE MAINTAINED BETWEEN THE RESIDENT AND THE VISITOR(S) DURING OUTDOOR VISITS (IF THE SAME AS PHASE BRAVO, ENTER “SAME”)

SAME (See #45)
52. DESCRIBE THE INDOOR VISITATION SPACE THAT WILL BE USED TO INCLUDE THE ENTRANCE AND THE ROUTE TO ACCESS THE SPACE (IF THE SAME AS PHASE BRAVO, ENTER “SAME”)

Designated areas in neutral zones away from other residents will be utilized, such as the lounge off Coates Hall Lobby and Library in the CLC. Compassionate care situations will be addressed with SEVC leadership, and visitation will take place in a designated area, likely resident’s room.
53. DESCRIBE HOW A CLEARLY DEFINED SIX-FOOT DISTANCE WILL BE MAINTAINED BETWEEN THE RESIDENT AND THE VISITOR(S) DURING INDOOR VISITS (IF THE SAME AS PHASE BRAVO, ENTER “SAME”)

SAME (See #45)
54. FOR THOSE RESIDENTS UNABLE TO BE TRANSPORTED TO THE DESIGNATED VISITATION AREA, DESCRIBE THE INFECTION CONTROL PRECAUTIONS THAT WILL BE PUT IN PLACE TO ALLOW VISITATION IN THE RESIDENT’S ROOM

Visits will have time limits (30 minutes) established by SEVC. Visitors will follow CDC and DOH universal source control guidelines; screening must occur, social distancing of at least 6 feet must be maintained, hand hygiene must be performed and masks must be worn Visitation for residents without a roommate will be limited to 3 family members/2 family members if the visit is to take place in the resident’s room. It can be different individuals on subsequent visits. If a resident has a roommate, then only one family member may visit at a time.  If roommate present, inquire of resident if he/she would like to enjoy the lounge or other common area away from visitors & socially distant from other residents.



VOLUNTEERS
In PHASE BRAVO, volunteers are allowed only for the purpose of assisting with outdoor visitation protocols and may only conduct volunteer duties with residents unexposed to COVID-19. In PHASE CHARLIE, all volunteer duties may be conducted, but only with residents unexposed to COVID-19. Screening, social distancing, and additional precautions including hand hygiene and universal masking are required for volunteers.
55. DESCRIBE INFECTION CONTROL PRECAUTIONS ESTABLISHED FOR VOLUNTEERS, INCLUDING MEASURES PLANNED TO ENSURE VOLUNTEERS DO NOT COME INTO CONTACT WITH RESIDENTS EXPOSED TO COVID-19

Screening, social distancing, and additional precautions, including hand hygiene and universal masking, will be required for volunteers.
56. DESCRIBE THE DUTIES TO BE PERFORMED BY VOLUNTEERS DURING PHASE BRAVO

Volunteers will not be utilized in Phase Bravo


ATTESTATION
The Nursing Home Administrator (NHA) is responsible for the accuracy of the Implementation Plan and the facility’s adherence to it. Upon completion of blocks 1-57, the Implementation Plan should be printed and the signature and date affixed by the NHA in block 58.
57. NAME OF NURSING HOME ADMINISTRATOR

Stephen McShane, NHA
58. ATTESTATION



I attest that the information provided in this Implementation Plan is an accurate representation of the facts and that this facility will adhere to the Implementation Plan as written. I further attest that the county in which this facility is located is in a Yellow or Green phase per the Governor’s Reopening Plan. This Implementation Plan will be posted on our website or made available to all residents, families, advocates such as the Ombudsman and the Department upon request. This facility will progress to the next step of reopening only when the criteria is met as described in the Interim Guidance for Skilled Nursing Facilities During COVID-19. If at any point during reopening the facility fails to meet the criteria for reopening, I will ensure the facility ceases reopening immediately. Further, if at any point during reopening this facility is operating under a contingency staffing plan, I will ensure the facility ceases reopening immediately.






         DATE: 8/20/2020