Emergency information for The Neighborhoods by TigerPlace in Columbia, Missouri

Update: February 01st, 2021

Good Afternoon Neighborhoods by TigerPlace Family:

Wanted to give a quick update on our COVID-19 status. As you were made aware; on January 23rd, we had 1 Employee test positive for COVID-19 on the evening of the 22nd at which time we immediately tested all Residents. As communicated, the results were all negative.

As we explained, testing of all Residents would re-occur today (02/01/2021). This has been completed and I am glad to report that all Residents continue to have negative results.

Per CMS and DHSS Guidelines we will be able to re-start our indoor visitation practices (attached are our Guidelines)…we are so excited about this opportunity! In order to schedule your visit please contact Dorothy (Dodie) Davis directly. Her email is tigernuring.le@americareusa.net

I am so proud of our team and greatly appreciate all of your support during these difficult times.

COVID 19 Visitation and re-opening phases in Missouri Americare Communities

 

Outdoor visitation guideline-

Outdoor visitation will be allowed for any resident who is COVID negative or asymptomatic and not suspected to have COVID 19; or Previously COVID-19 positive but have been release from isolation.

The Following conditions apply to outdoor visits:

  1. Residents will be allowed a limited number of visitors not to exceed what social distancing will accommodate for a 30 minute visit or longer if able to accommodate.
  2. Visits must be supervised by an Americare Employee.
  3. Visitors must sign in which is to include date, time, name, contact information, and resident visiting. They must also sign visitation acknowledgement and infection control practices.
  4. Visitors must complete a Visitor Wellness Screen which includes the question have they had a positive COVID 19 case within the past 10 days or have been exposed to someone with COVID in the past 14 days and if they are displaying any symptoms related to COVID 19.
    1. The visitor will need to have a temperature check and answer the questions on the screening tool
    2. If the visitor does not meet the requirements of the wellness check the visit must be rescheduled.
  5. Each community shall determine the best locations to conduct the outside visits.  These locations should include    :
    1. Shaded area if one is not available a canopy could be purchased.  (must provide 6ft of distancing under the canopy or in the shaded area)
    2. Markings should be done to identify 6 ft of social distancing (ideally a table at least 6-8 ft long could be used that the resident could sit on one end and the visitor on the other).
    3. The resident’s side of the social distancing area should be closest to door of the building to minimize exposure to the visitor.
    4. Chairs and equipment used for the visitation station must be easily cleanable to disinfect properly.
  6. Each location should schedule visits with family members
    1. No visits should be done without being scheduled prior and should be communicated to families that visits are by appointment only and that the visits must all be done outside, they should not enter the building.
    2. All residents should have timely opportunity for visits. If several resident visits are pending visits those residents should be allowed a first visit prior to a second visit occurring for any residents. No standing appointments should be established.
    3. Visits should occur in 30 minutes increments or longer if able to accommodate.  All visitors must be able to follow infection control practices.
    4. Scheduling intervals should allow time to disinfect the visitation area between each resident’s visits.
    5. The Online Family Visitor (if applicable) schedule app should be used for all visits.
    6. Visits should not be scheduled during meal times and when weather permitting. 
  7. Infection Control practices should include
    1. Resident and Visitor must perform hand hygiene prior to and after the visit.  Please provide hand sanitizer for each of them.
    2. 6 foot social distancing must be maintained.  No hugs or touching are allowed at this time.
    3. Masks must be worn by the visitor.  Visits will not occur if they do not wear a mask.  If they do not have a mask the community can provide them with a level one or homemade mask.
    4. Residents should wear a mask if they are able to tolerate it.  They can wear a level 1 or homemade mask.  If they cannot tolerate it, a face shield can be used instead.
    5. All items in the visitation station must be cleaned by an EPA approved Chemical between each resident visit. 

Indoor Visitation guideline

Indoor visitation will be allowed for any resident who is COVID negative or asymptomatic and not suspected to have COVID 19; or Previously COVID-19 positive but have been release from isolation and when a community meets the requirements of no new onset of COVID 19 cases within the last 14 days since the last facility acquired COVID 19 positive case and no facility outbreak testing occurring.

The Following conditions apply to indoor visits

  1. Residents will be allowed 5 designated visitors who can visit and up to 2 people at a time for a 30 minute visit or longer if able to accommodate.
  2. Visits must be occur in the designation indoor area easily accessible without traversing through the building and that is not accessible by other residents: Visits may be held in the resident’s room if the resident is unable to leave their room for health reasons.
    1. Area must provide social distancing of at least 6 feet
    2. The resident’s side of the social distancing area should be furthest from the entrance door where the visitor would enter.
    3. Chairs and equipment used for the visitation station must be easily cleanable to disinfect properly after each use.
  3. Visitors must sign in which is to include date, time, name, contact information, and resident visiting. They must also sign visitation acknowledgement and infection control practices.
  4. Visitors must complete a Visitor Wellness Screen which includes the question have they had a positive COVID 19 case within the past 10 days or have been exposed to someone with COVID in the past 14 days and if they are displaying any symptoms related to COVID 19.
    1. The visitor will need to have a temperature check and answer the questions on the screening tool
    2. If the visitor does not meet the requirements of the wellness check the visit must be rescheduled.
  5. Each location should schedule visits with family members
    1. No visits should be done without being scheduled prior and should be communicated to families that visits are by appointment only.
    2. All residents should have timely opportunity for visits. If several resident visits are pending visits those residents should be allowed a first visit prior to a second visit occurring for any residents. No standing appointments should be established.
    3. Visits should occur in 30 minutes increments or longer if able to accommodate and restrict to 2 visitors at a time per resident.  Number of visitors in the community should be limited to ability of staff to safely screen and availability of designated space to ensure proper protocols are followed.  All visitors must be able to follow infection control practices even children or they are not allowed to visit
    4. Scheduling intervals should allow time to disinfect the visitation area between each resident’s visits.
    5. The Online Family Visitor schedule app (if applicable) should be used for all visits. 
    6. Visits should not be scheduled during meal times.
  6. Infection Control practices should include
    1. Resident and Visitor must perform hand hygiene prior to and after the visit.  Please provide hand sanitizer for each of them.
    2. 6 foot social distancing must be maintained.  No hugs or touching are allowed at this time.  Infraction of this guidance will result in 14 days of quarantine for the resident and continual infractions will result in suspended visits for the violator
    3. All Visitors must wear a medical face mask (not a face covering/neck gator) during the visit ask the visitor to provide their own mask, if they do not have access to a mask the community can provide them with one.
      1. Visits in resident’s private room, the visitor would be required to wear full PPE, including a gown, mask, and gloves at all times while in the community.
    4. Residents should wear a mask if they are able to tolerate it.  If they cannot tolerate a mask, a plastic partition or plexiglass barrier can be used instead.
    5. All items in the visitation station must be cleaned by an EPA approved Chemical between each resident visit.  

 

 

 

Compassionate Care visit

Compassionate Care Visits can occur regardless of the community COVID status.

Compassionate Care includes, but is not limited to:

  • End-of-life situations
  • A resident, who was living with their family before recently being admitted to a nursing home, is struggling with the change in environment and lack of physical family support.
  • A resident who is grieving after a friend or family member recently passed away.
  • A resident who needs cueing and encouragement with eating or drinking, previously provided by family and/or caregiver(s), is experiencing weight loss or dehydration.
  • A resident, who used to talk and interact with others, is experiencing emotional distress, seldom speaking, or crying more frequently (when the resident had rarely cried in the past).

Allowing a visit in these situations would be consistent with the intent of, “compassionate care situations.” Also, in addition to family members, compassionate care visits can be conducted by any individual that can meet the resident’s needs, such as clergy or lay persons offering religious and spiritual support. Furthermore, the above list is not an exhaustive list as there may be other compassionate care situations not included.

Lastly, at all times, visits should be conducted using social distancing; however, if during a compassionate care visit, a visitor and facility identify a way to allow for personal contact, it should only be done following all appropriate infection prevention guidelines, and for a limited amount of time. Through a person-centered approach, facilities should work with residents, families, caregivers, resident representatives, and the Ombudsman program to identify the need for compassionate care visits.

  1. These visits must occur in the resident’s room. 
  2. Visitor must wear appropriate PPE which includes gown, mask and gloves, complete and pass the wellness check, sign in and sanitize hands when entering the community. After the visit the visitor must immediately exit the community and doff PPE at the door while exiting.
  3. Visitor will adhere to social distancing from other residents and staff while in the community.

 

 

 

 

 

Sincerely,

 

Vikki Henson, Administrator

 


 

COVID 19 Visitation and re-opening phases in Missouri Americare Communities

 

Outdoor visitation guideline-

Outdoor visitation will be allowed for any resident who is COVID negative or asymptomatic and not suspected to have COVID 19; or Previously COVID-19 positive but have been release from isolation.

The Following conditions apply to outdoor visits:

  1. Residents will be allowed a limited number of visitors not to exceed what social distancing will accommodate for a 30 minute visit or longer if able to accommodate.
  2. Visits must be supervised by an Americare Employee.
  3. Visitors must sign in which is to include date, time, name, contact information, and resident visiting. They must also sign visitation acknowledgement and infection control practices.
  4. Visitors must complete a Visitor Wellness Screen which includes the question have they had a positive COVID 19 case within the past 10 days or have been exposed to someone with COVID in the past 14 days and if they are displaying any symptoms related to COVID 19.
    1. The visitor will need to have a temperature check and answer the questions on the screening tool
    2. If the visitor does not meet the requirements of the wellness check the visit must be rescheduled.
  5. Each community shall determine the best locations to conduct the outside visits.  These locations should include :
    1. Shaded area if one is not available a canopy could be purchased.  (must provide 6ft of distancing under the canopy or in the shaded area)
    2. Markings should be done to identify 6 ft of social distancing (ideally a table at least 6-8 ft long could be used that the resident could sit on one end and the visitor on the other).
    3. The resident’s side of the social distancing area should be closest to door of the building to minimize exposure to the visitor.
    4. Chairs and equipment used for the visitation station must be easily cleanable to disinfect properly.
  6. Each location should schedule visits with family members
    1. No visits should be done without being scheduled prior and should be communicated to families that visits are by appointment only and that the visits must all be done outside, they should not enter the building.
    2. All residents should have timely opportunity for visits. If several resident visits are pending visits those residents should be allowed a first visit prior to a second visit occurring for any residents. No standing appointments should be established.
    3. Visits should occur in 30 minutes increments or longer if able to accommodate.  All visitors must be able to follow infection control practices.
    4. Scheduling intervals should allow time to disinfect the visitation area between each resident’s visits.
    5. The Online Family Visitor (if applicable) schedule app should be used for all visits.
    6. Visits should not be scheduled during meal times and when weather permitting. 
  7. Infection Control practices should include
    1. Resident and Visitor must perform hand hygiene prior to and after the visit.  Please provide hand sanitizer for each of them.
    2. 6 foot social distancing must be maintained.  No hugs or touching are allowed at this time.
    3. Masks must be worn by the visitor.  Visits will not occur if they do not wear a mask.  If they do not have a mask the community can provide them with a level one or homemade mask.
    4. Residents should wear a mask if they are able to tolerate it.  They can wear a level 1 or homemade mask.  If they cannot tolerate it, a face shield can be used instead.
    5. All items in the visitation station must be cleaned by an EPA approved Chemical between each resident visit. 

Indoor Visitation guideline

Indoor visitation will be allowed for any resident who is COVID negative or asymptomatic and not suspected to have COVID 19; or Previously COVID-19 positive but have been release from isolation and when a community meets the requirements of no new onset of COVID 19 cases within the last 14 days since the last facility acquired COVID 19 positive case and no facility outbreak testing occurring.  *For Skilled Communities if county positivity rate is greater than 10% then visitation would only be allowed indoor for compassionate care.

The Following conditions apply to indoor visits

  1. Residents will be allowed 5 designated visitors who can visit and up to 2 people at a time for a 30 minute visit or longer if able to accommodate.
  2. Visits must be occur in the designation indoor area easily accessible without traversing through the building and that is not accessible by other residents: Visits may be held in the resident’s room if the resident is unable to leave their room for health reasons.
    1. Area must provide social distancing of at least 6 feet
    2. The resident’s side of the social distancing area should be furthest from the entrance door where the visitor would enter.
    3. Chairs and equipment used for the visitation station must be easily cleanable to disinfect properly after each use.
  3. Visitors must sign in which is to include date, time, name, contact information, and resident visiting. They must also sign visitation acknowledgement and infection control practices.
  4. Visitors must complete a Visitor Wellness Screen which includes the question have they had a positive COVID 19 case within the past 10 days or have been exposed to someone with COVID in the past 14 days and if they are displaying any symptoms related to COVID 19.
    1. The visitor will need to have a temperature check and answer the questions on the screening tool
    2. If the visitor does not meet the requirements of the wellness check the visit must be rescheduled.
  5. Each location should schedule visits with family members
    1. No visits should be done without being scheduled prior and should be communicated to families that visits are by appointment only.
    2. All residents should have timely opportunity for visits. If several resident visits are pending visits those residents should be allowed a first visit prior to a second visit occurring for any residents. No standing appointments should be established.
    3. Visits should occur in 30 minutes increments or longer if able to accommodate and restrict to 2 visitors at a time per resident.  Number of visitors in the community should be limited to ability of staff to safely screen and availability of designated space to ensure proper protocols are followed.  All visitors must be able to follow infection control practices even children or they are not allowed to visit
    4. Scheduling intervals should allow time to disinfect the visitation area between each resident’s visits.
    5. The Online Family Visitor schedule app (if applicable) should be used for all visits. 
    6. Visits should not be scheduled during meal times.
  6. Infection Control practices should include
    1. Resident and Visitor must perform hand hygiene prior to and after the visit.  Please provide hand sanitizer for each of them.
    2. 6 foot social distancing must be maintained.  No hugs or touching are allowed at this time.  Infraction of this guidance will result in 14 days of quarantine for the resident and continual infractions will result in suspended visits for the violator
    3. All Visitors must wear a medical face mask (not a face covering/neck gator) during the visit ask the visitor to provide their own mask, if they do not have access to a mask the community can provide them with one.
      1. Visits in resident’s private room, the visitor would be required to wear full PPE, including a gown, mask, and gloves at all times while in the community.
    4. Residents should wear a mask if they are able to tolerate it.  If they cannot tolerate a mask, a plastic partition or plexiglass barrier can be used instead.
    5. All items in the visitation station must be cleaned by an EPA approved Chemical between each resident visit.  

 

 

Compassionate Care visit

Compassionate Care Visits can occur regardless of the community COVID status.

Compassionate Care includes, but is not limited to:

  • End-of-life situations
  • A resident, who was living with their family before recently being admitted to a nursing home, is struggling with the change in environment and lack of physical family support.
  • A resident who is grieving after a friend or family member recently passed away.
  • A resident who needs cueing and encouragement with eating or drinking, previously provided by family and/or caregiver(s), is experiencing weight loss or dehydration.
  • A resident, who used to talk and interact with others, is experiencing emotional distress, seldom speaking, or crying more frequently (when the resident had rarely cried in the past).

Allowing a visit in these situations would be consistent with the intent of, “compassionate care situations.” Also, in addition to family members, compassionate care visits can be conducted by any individual that can meet the resident’s needs, such as clergy or lay persons offering religious and spiritual support. Furthermore, the above list is not an exhaustive list as there may be other compassionate care situations not included.

Lastly, at all times, visits should be conducted using social distancing; however, if during a compassionate care visit, a visitor and facility identify a way to allow for personal contact, it should only be done following all appropriate infection prevention guidelines, and for a limited amount of time. Through a person-centered approach, facilities should work with residents, families, caregivers, resident representatives, and the Ombudsman program to identify the need for compassionate care visits.

  1. These visits must occur in the resident’s room. 
  2. Visitor must wear appropriate PPE which includes gown, mask and gloves, complete and pass the wellness check, sign in and sanitize hands when entering the community. After the visit the visitor must immediately exit the community and doff PPE at the door while exiting.
  3. Visitor will adhere to social distancing from other residents and staff while in the community.