In Person Visitation- COVID19 Policy

This guidance is based on the currently limited information available about 2019-nCoV related to disease severity, transmission efficiency, and shedding duration.

The virus is thought to spread mainly from person-to-person.

  • Between people who are in close contact with one another (within about 6 feet).
  • Through respiratory droplets produced when an infected person coughs or sneezes.

Spread from contact with infected surfaces or objects

It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads.

Visitor Restrictions for Nursing Homes will be in place. This will remain in effect until nursing homes can meet the conditions in the health advisory from NYS DOH dated July 10, 2020, including absence of any new onset of COVID-19 among staff or residents as reported to the Department on the HERDS and staff testing surveys and as reported to the NHSN for a period of no less than twenty-eight (28) days.

ALL healthcare workers, regardless of whether they have had a known SARS-CoV-2 exposure, to self-monitor by taking their temperature twice daily and assessing for COVID-19 like illness. If healthcare workers develop any signs or symptoms of a COVID-19 like illness (for healthcare workers, fever cutoff is 100.0oF), they should NOT report to work. If any signs or symptoms occur while working, healthcare workers should immediately leave the patient care area, inform their supervisor per facility protocol, and isolate themselves from other people

 

 Facility has established policies to attempt to prevent and control the spread of COVID-19, this includes but is not limited to:

PROCEDURE:

  • Visitation will be conducted in the auditorium which is well-ventilated space with no more than 10 individuals who are appropriately socially distanced of at least 6 feet and wearing a facemask or face covering while in the presence of others. This may include residents visiting each other. Subject to the availability staff and have been pre-screened by completing the health screen required attestation.
  • At this time, visitation is strictly prohibited in resident rooms or care areas. Visitation will be strictly limited to the auditorium.
  • Families/Representatives/Friends must call to schedule appointments with the Recreation Department at (718) 514 – 8384 in a manner similar to the “pod visits”. Please register on the company website as instructed by the Recreation Department.
  • The Recreation Department will furnish the Nursing staff of scheduled visits daily. The weekend schedule will be discussed on the last business day of the week at morning report. Hard copies will be made available upon entry by the Security Department.
  • The Nursing Department will be responsible of ensuring residents are ready for their scheduled visits a thirty (30) minutes prior to allow time for any adjustments. The Recreation Department will transport the resident to the auditorium.
  • Families/Representatives/Friends will check in at the registration desk upon clearing the screening process with Security. The library which is located as a separate room in the auditorium will be the holding area for visitors consisting of no more than two (2) persons at a time to assist in transitioning the visits.
  • Limited visitation, including, but not limited to, family members, loved ones, representatives from the long-term care ombudsman program (LTCOP), and resident advocacy organizations, will be permitted under the following conditions:
  1. Adequate staff are present to allow for personnel to help with the transition of residents, monitoring of visitation, and cleaning and disinfecting areas used for visitation after each visit using an EPA-approved disinfectant.
  2. The Recreation department will provide alcohol-based hand sanitizer in the auditorium, consisting of at least 60 percent (60%) alcohol, to residents, visitors, and representatives of the long-term care ombudsman visiting residents and those individuals are able demonstrate to appropriate use. Each visiting table in the auditorium will be used interchangeable to allow for sanitization after each use by the Recreation department. Each table will be provided with hand sanitizer.
  3. Any cancellation due to health concerns, family notification will be completed by the Recreation Department.
  4. The visiting schedule will be updated as needed by the Recreation Department. There will be no last minute appointments. There will be no walk-in appointments accepted which will strictly enforced by the Security Department until further notice.
  5. Security and the Infection Control Nurse will ensure facemask utilization, hand hygiene and use applicable floor markings to cue social distancing delineations.
  6. Visitors are screened for signs and symptoms of COVID-19 by Security prior to resident access and visitation will be refused if the individual(s) exhibits any COVID-19 symptoms or does pass the screening questions. Screening shall consist of both thermal temperature checks and asking screening questions to assess potential exposure to COVID-19 which shall include questions regarding international travel or travel to other states designated under the Commissioner’s travel advisory. Security must maintain screening questions asked onsite and make it available upon the Department’s request. Visitors will be required to complete the screening process prior to each visit. All screening questions/forms will be maintained by the Security Department.
    1. The following restricted states that meet the criteria for quarantine based on Governor Cuomo’s Executive Order 205 issued June 25, 2020 includes and may change as per NY State advisory: Alaska, Alabama, Arkansas, Arizona, California, Delaware, Florida, Georgia, Iowa, Idaho, Indiana, Kansas, Louisiana, Maryland, Missouri, Montana, North Carolina, North Dakota, Nebraska, New Mexico, Nevada, Ohio, Oklahoma, South Carolina, Tennessee, Virginia, Washington, and Wisconsin. https://coronavirus.health.ny.gov/covid-19-travel-advisory
  7. Documentation of screening will be maintained onsite in an electronic format by the Recreation department and available upon the Department’s request for purposes of inspection and potential contact tracing. Documentation must include the following for each visitor to the facility:
    1. First and last name of the visitor;
    2. Physical (street) address of the visitor;
    3. Daytime and evening telephone number;
    4. Date and time of visit;
    5. Email address, if available; and
    6. A notation indicating the individual cleared the screening (both temperature and questions) that does not include any individual temperatures or other individual specific information;
    7. A valid state picture identification that includes proof of address will be required prior to each visit of each visitor over 18 years of age. A valid Driver’s License or Non-Driver’s License is preferred.
  8. Nursing will ensure PPE is available to ensure residents wear a facemask or face covering which covers both the nose and mouth during visitation, if medically tolerated.
  9. Security will ensure upon entrance that masks are available for all visitors. Providence Rest will have adequate supply of masks on hand for visitors and must make them available to visitors who lack an acceptable face covering.
  10. Visitors must wear a face mask or face covering which covers both the nose and mouth at all times while on the premises of Providence Rest. Visitors must maintain social distancing of at least six (6) feet, except when assisting with wheelchair mobility.
  11. No more than 10 percent (10%) of the residents shall have visitors at any one time. A total of (3) residents will be allowed to visit at one (1) time with a maximum of no more than two (2) visitors at one time.
  12. Providence Rest will communicate visitation policies via company website and or mass communication i.e. mailings, Facebook in order to comply with this requirement and schedule such visits.
  13. Current COVID-19 positive residents, residents with COVID-19 signs or symptoms, and residents in a 14-day quarantine or observation period are not eligible for visits.
  14. The Infection Control Nurse will develop a short, easy-to-read fact sheet outlining visitor expectations including appropriate hand hygiene and face coverings. Facemasks or face coverings and social distancing of at least six (6) feet must be maintained at all times while visiting. Failure to adhere will be subject to removal from the facility in accordance to New York State’s guidance. The fact sheet will be provided upon initial screening to all visitors by the Security Department.
  • An interdisciplinary team has reviewed the visiting program’s compliance with this Health Advisory consists of the following staff members:
    • The Administrator
    • The Infection Control Nurse Director
    • Security Director
    • Social Service Director
    • Recreation Department Director
  • If any visitor fails to adhere to the protocol, he/she/they may be prohibited from visiting for the duration of the COVID-19 state declared public health emergency.
  • The visitation process will be conducted Sunday – Tuesday and Thursday – Saturday in increments of 30 minutes are as follows:
  • 11:00am – 11:30am
  • 11:30am – 12:00pm
  • 1:30pm – 2:00pm
  • 2:00pm – 2:30pm
  • 2:30pm – 3:00pm
  • 3:30pm – 4:00pm
  • 4:00pm – 4:30pm
  • 4:30pm – 5:00pm

(Please note: There will be no visitation on Wednesdays until further notice)

  • Providence Rest will continue to refrain from sending residents to non-medically necessary trips outside the nursing home until further notice.
  • Communal dining and hairdresser services remain suspended at this time
  • Restrictions apply to the following:
    • Visitors under the age of 18
    • Volunteers
    • Companions
    • Pets/animals
    • Students from sponsored programs
    • Food, clothing, care packages and other items will not be allowed during visitation to minimize resident exposure.
  • Providence Rest will restrict visitation except for the following:
    • Current health status (e.g. end of life) is in question
      • Visitor will be limited to a specific room (resident they are visiting)
      • Visitor(s) are required to go through the screening process prior to entry. Visitor(s) displaying any signs/symptoms of concern or fever will be denied access to the facility
      • Providence Rest will require the visitor(s) to perform hand hygiene regularly and use proper PPE during the visit
      • Providence Rest will encourage the visitor(s) not to make contact with resident
      • Providence Rest will have environmental cleaning of room post visitation
  • Providence Rest offers alternative means for resident and families to communicate. May include but not limited to:
    • Video conferencing (Skype, Facebook, FaceTime)
    • Phone calls
    • Emails
    • texting
  • The Facility will conduct care plan meetings via teleconferencing,
  • The Facility will advise visitors, and any individual who entered the facility (e.g. hospice staff), to monitor for signs and symptoms of respiratory infection for at least 14 days after exiting the facility. If symptoms occur, advise them to self-isolate at home, contact their healthcare provider, and immediately notify the facility of the date they were in the facility, the individuals they were in contact with, and the locations within the facility they visited. Facility should immediately screen the individuals of reported contact, and take all necessary actions based on findings.
  • Recreation Department will update the residents and their representatives of the outbreak and the facility’s coordination with the Department of Health guidelines being followed including CDC’s via weekly announcements and company website notification.
  • Specialty practitioner, podiatric, and dental services may continue. Strict adherence to infection control guidelines is required.
  • Each visitor will be limited to once a week appointment until further notice to allow for equal opportunity of visitation. Any exceptions must have prior approval by the Administrator.
  • Any resident that receives an in person weekly visit, will be tested weekly.
  • Any resident that refuses to test, will be subject to a 14-day mandatory quarantine and shall not participate in further visitation until such quarantine is completed per occurrence.

Vendors

  • The facility has posted signs to alert vendors of warnings prior to making deliveries.
  • Vendors will be required to complete a screening upon arrival to the facility.
  • Any vendor staff identified to be “at risk” should be denied access to the facility.
  • When feasible, facility should arrange for curbside or loading dock only deliveries.
  • Physician/Practitioner visits:
    • Facility has restricted all non-emergent (routine) visits from outside practitioners unless physicians are required to be screened prior to being permitted into the facility. Any physician/Practitioners are required to be screened that is identified as “at risk” will not be permitted into the facility.

Entertainment:

  • Facility has suspended all outside entertainment.
  • Facility will provide alternative entertainment options in lieu of cancelled outside entertainment.

Should the facility encounters a single COVID+ case from either resident or staff member, inside visitation will be cancelled until further notice. Pod visits may continue until further notice if inside visitation is cancelled.