Reopening Implementation Plan

 

Bethany Village is pleased to announce their implementation of a Reopening Plan to safely allow a sense of some normalcy back into their daily operations.

 

Prerequisites to Reopening

Testing Plan: All employees and staff will receive baseline Universal COVID-19 testing.

Any resident displaying symptoms of COVID-19 will be tested within 24 hours.

In the event of an outbreak, all residents and staff will be tested.

Employees will continue to be tested weekly, as long as insurances continue to cover the cost of testing.

Once we have entered Step 2 of reopening: all residents will be tested weekly.

All candidates for employment will be tested before beginning employment.

All non-essential staff and volunteers, who perform direct resident care services, will be tested prior to returning to the facility

Any employee who refuses to be tested will be allowed to work with COVID-19 positive residents only.

Any resident who refuses to be tested will be quarantined from the general population.

Any resident who tests positive for COVID-19 will remain in isolation for a period of at least 14 days and will remain in isolation until the resident is symptom free for 10 days, fever free for 72 hours and receives a negative COVID-19 test. Residents will not be cohorted but will remain in private accommodations.

Staff Screening: All staff are screened daily upon arrival and departure of his/her shift. In addition to temperature checks, staff are screened for signs/symptoms of COVID 19 including the following:

  • Are you feeling sick?
  • Do you have a cough?
  • Do you have shortness of breath that is not from a pre-existing condition?
  • Do you have a sore throat that is not from a preexisting condition?
  • Do you have new muscle aches that are not from a preexisting condition?
  • Do you have nausea, vomiting or diarrhea?
  • Do you have chills or are you shaking with chills?
  • Do you have a new loss of taste or smell?
  • Have you been in contact with anyone outside of the facility who has potential exposure to COVID-19?
  • Have you traveled outside of the area in the past 14 days?

 

Visitor, Non-essential Personnel and Essential Personnel Screening: In addition to a temperature check, all visitors, non-essential personnel and essential personnel are screened prior to entering the building for proper hand hygiene and signs and symptoms of COVID-19 including the following:

  • Do you have a fever?
  • Do you have a sore throat?
  • Do you have a cough?
  • Do you have new shortness of breath?
  • Do you have new muscle aches or pains?
  • Do you have nausea, vomiting or diarrhea?
  • Do you have chills?
  • Do you have a new loss of taste or smell?

If the answer to any of the above questions is yes, visitors will be asked not to enter the building or the outdoor visiting area.

  • Have you traveled within the last 14 days to an area where COVID-19 cases are increasing?
  • Have you worked in another health care facility with confirmed cases of COVID-19?
  • Are you feeling ill?
  • If the answer to any of the above questions is yes, visitors will be asked not to enter the building or the outdoor visiting area.

 

Adequate PPE: The administrator is responsible for maintaining an adequate supply of PPE (Personal Protective Equipment), disinfecting agents and hand sanitizer. An inventory of masks, N95 masks, KN95 masks, gowns, gloves, face shields, disinfectant spray, disinfectant, and hand sanitizer is maintained. Through various purchasing arrangements additional supplies are ordered as necessary. In the event of an emergency in which a lack of PPE is identified, the facility will complete a Critical PPE Needs Assessment Questionnaire and will submit it to ra-pwarlheadquarters@pa.gov.

 

Staffing Plan: A staffing plan is in place to ensure adequate staffing is available to not only meet the needs of the residents but to also monitor the safe reopening of the facility to visitors. A back up staffing plan, including substitute personnel, is in place to ensure adequate staffing is maintained at all times. Administrative coverage is available on weekends to meet the increased demand of visitors.

 

 

Reopening Timeline

To safely lift restrictions components were developed to define the capability the facility must have to enter the reopening process. There is a 3 Step plan which was developed to carefully allow facilities to resume communal dining and activities, entry of non-essential personnel and visitors, and resume outings in a measured approach. The Steps strike a balance between protecting the resident’s physical health, by incrementally reopening when it is safe, with their mental and emotional health that necessitates visitation and communal activities.

Step 1: Tentatively Scheduled for July 20, 2020

After meeting all of the above pre-requisites, the facility enters Step 1, if there are no new facility onset COVID-19 cases for 14 consecutive days, the facility may move to Step 2.

If at any time during Step 1 there is a new facility onset of COVID-19 cases, the facility must cease Step 1 reopening and return to restricting of all visitors, non-essential health care personnel and contractors except for physicians, nurse practitioners, physician assistants, other clinicians, home health and dialysis services, the Department of Aging/Area Agency on Aging and the Ombudsman when there is concern for serious bodily injury, sexual abuse, or serious physical injury, and hospice services, clergy, and bereavement counselors who are offered by licensed providers, communal dining will cease as will limited activities and the 14 day prerequisite period restarts. If there are no new facility onset of COVID-19 cases, the facility may reinitiate Step 1.

Activities Resuming in Step 1: No visiting, implementation of communal dining with a maximum occupancy of 16 residents at a time, limited group activities with a maximum of 5 residents participating at a time. Social distancing, universal masking and hand hygiene are required.

Step 2: Tentatively Scheduled for August 3, 2020

From the date the facility enters Step 2, if there are no new facility onset COVID-19 cases for 14 consecutive days, the facility may move to Step 3.

If at any time during Step 2 there is a new facility onset of COVID-19 cases, the facility must cease Step 1 reopening and return to restricting of all visitors, non-essential health care personnel and contractors except for physicians, nurse practitioners, physician assistants, other clinicians, home health and dialysis services, the Department of Aging/Area Agency on Aging and the Ombudsman when there is concern for serious bodily injury, sexual abuse, or serious physical injury, and hospice services, clergy, and bereavement counselors who are offered by licensed providers, communal dining will cease as will limited activities and the 14 day prerequisite period restarts. If there are no new facility onset of COVID-19 cases, the facility may reinitiate Step 1.

Activities Resuming in Step 2: Outdoor visitation will begin. Limited group activities with a maximum of ten participants at a time while maintaining social distancing, hand hygiene and universal masking.

If Wayne county returns to a red phase, the facility must cease the reopening and return to restricting of all visitors, non-essential health care personnel and contractors except for physicians, nurse practitioners, physician assistants, other clinicians, home health and dialysis services, the Department of Aging/Area Agency on Aging and the Ombudsman when there is concern for serious bodily injury, sexual abuse, or serious physical injury, and hospice services, clergy, and bereavement counselors who are offered by licensed providers, communal dining will cease as will limited activities. Once the county returns to the yellow phase, the facility may begin with Step 1 after meeting all of the necessary prerequisites.

Visiting Hours: Visiting hours will be daily from 9:30AM-4:00PM. There will be no visitation at meal times. Visitation is limited to COVID-19 free residents only. Visitation time must be scheduled in advance. Outdoor visitation is strongly preferred. In the event of severe weather, a designated “neutral zone” will be available in the main lobby. There will be no more than 2 visitors per resident at any given time. Please be patient as everyone is anxious to see their loved ones. Your preferred time may not be available. Please work with us as we try to resume some normal activities as safely as possible. Visitation for residents with cognitive impairments and those expressing loneliness will be given priority when scheduling visits. Residents must wear face masks during visits. Children are permitted to visit when accompanied by an adult but are counted as the maximum of two visitors per resident. Children MUST be under the control of their accompanying guardian. If a child is unmanageable, or does not maintain social distancing, they will be asked to leave. All children over 2 must wear a mask while visiting.

Visitors must:

  • Be screened and adhere to screening protocols prior to initiating the visit,
  • Successfully utilize hand sanitizer upon arrival and before leaving,
  • Wear a facemask at all times during the visit,
  • Stay in designated visiting areas
  • Sign in and provide contact information
  • Sign a Visitor’s Acknowledgement form
  • NOT give any outside personal belongings to the resident during their visit until staff is able to properly disinfect packages
  • Sign out upon departure and must adhere to the requirements listed above in the Visitor, Non-essential Personnel and Essential Personnel Screening Form

Step 2 Visitation Guidelines: Visiting will take place on the patio in designated visitation areas and by appointment only. In the case of inclement weather, visits will take place under the canopy or in the gazebo while maintaining social distancing.

Step 3: Tentatively Scheduled for August 17, 2020

Step 3 Visitation Guidelines: Visiting will take place in the designated “neutral zone” in the main lobby by appointment only while maintaining social distancing. It is preferable to schedule visits in the designated outdoor areas, weather permitting.

Activities Resuming in Step 3: Group activities will be resumed with non COVID-19 exposed residents. Social distancing, hand hygiene and universal masking are required. Barber and beauty shop services will resume for residents unexposed to COVID 19. Protocols will be established that allow only one resident in the beauty shop at a time. Additional cleaning and disinfection protocols will be established between residents. Outings will begin again while maintaining social distancing and including hand hygiene and universal masking.

There will be no visiting in resident rooms unless the resident is unable to be transported to the designated visiting areas.  In that event, special arrangements will be made to accompany the visitor to the resident’s room while wearing additional PPE as required.

 

Communal Dining: Communal dining will begin during Step One. Bethany Village will begin with just the noon meal being served in the dining room. Breakfast and Supper will continue to be served in resident’s rooms. Residents have been asked their preference as to where they would like to receive their noon meal. All residents desiring to eat in the main dining room will be accommodated. Dietary aides will serve residents in the dining room and will wear gloves, masks and face shields while serving. Paper products will initially continue to be used in the dining room. There will be no shared condiments. Residents will be seated one per table except for married couples who may be seated together. All dining room tables and chairs will be disinfected immediately following the meal. Residents must wear masks to and from the dining room, remain socially distanced and wash their hands upon arriving and before leaving the dining area. All residents going to the dining room must be COVID free.

 

Communal Activities: Communal activities with a maximum of five participants will resume in Step One. Activities will be scheduled in varied locations and at varied times to ensure all residents choosing to participate will have the ability to do so. There will be no group activities that involve eating, drinking or singing. Residents must remain socially distanced, must wear their masks at all times during the activity and must wash their hands upon arriving and before departing the activity. All activity areas will be disinfected immediately following the activity. Step Two will follow the same procedures as Step One with the exception that groups may contain up to ten residents. Step Three will follow the same procedures but there will be no limit to the number of residents participating as long as social distancing is maintained and Group outings may resume following all of the above mentioned requirements. All residents participating in activities must be COVID free.