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Updated Visitation Procedures

March 18, 2021

On March 10, 2021 the Centers for Medicaid and Medicare Services (CMS) updated its guidance for visitation in nursing facilities. In order to adhere to the core principles of COVID-19 infection prevention illustrated in the guidance and to accommodate ALL residents to have visitors, we will still need to have some restrictions. 

CURRENT VISITATION OPTIONS: 

  1. Virtual visitation is accessible and encouraged. St. Francis Manor has I-pads and other electronic devices such as phones and laptops available for this. The activity directors are leading virtual visitation and may be reached at 641-236-7592.

  2. Window visits are also allowed and encouraged. Windows may be open as long as both parties have masks and are 6 feet apart.

  3. In-person visitation is also currently allowed for both inside and outside visits. Each resident can now have an unlimited number of visits with two visitors at each visit. Those visiting residents who share a room with another resident must call ahead to ensure the family room or activity room is available for the visit. If the visit is being held in the resident's private room or outdoors, you no longer need to schedule the visit. All indoor visits are limited to one hour at a time. Outdoor visits have no limitation on time. As the weather continues to get nicer, we strongly encourage outdoor visitation.

  4. New guidance was released on 3/16/21 regarding new admits or current residents/tenants who are out of the building for more than 24 hours. Residents/tenants who have been fully vaccinated (>2 weeks since completing the vaccination series) no longer have to quarantine for 14 days as long as they have not been exposed to COVID-19 within the previous 14 days prior to the admit/readmit or outing longer than 24 hours.

Upon arrival, visitors should call the building or ring the doorbell and wait for staff to come and screen them. Visitors cannot enter if they have any symptoms of COVID. Visitors must follow these precautions: Wear a mask or face covering in our facility, conduct frequent hand hygiene, and stay in the resident's room or designated area only. If the resident has a roommate, the visit should be held in the family room or activity room unless the health status of the resident prevents them from leaving their room. Visitors must also notify staff when leaving so proper disinfection can occur.
Indoor visitation is not allowed during the following situations:

a.  St. Francis Manor: If a new case of COVID-19 is identified among a staff member or resident, the facility must conduct testing of all staff and residents. Indoor visitation will be suspended until the first round of outbreak testing is completed. Visitation can resume if the testing reveals no additional COVID-19 cases in other areas of the facility. If there are new cases of COVID-19 on two or more hallways, visitation cannot resume until the facility has 14 days of no new COVID-19 cases with routine testing of all residents and staff. 

Hammond Center: If a new case of COVID-19 is identified among a staff member or tenant, the Hammond Center must conduct testing of all staff and tenants. Indoor visitation will be suspended until the first round of outbreak testing is completed. Visitation can resume if the testing reveals no additional COVID-19 cases in other areas of the facility. If there are new cases of COVID-19 on two floors, visitation cannot resume until the facility has 14 days of no new COVID-19 cases with routine testing of all tenants and staff.

b.    If the COVID-19 county's positivity rate is greater than 10% AND less than 70% of the residents are vaccinated, residents who are not vaccinated cannot have indoor visitation. Our current residents have an 83 % vaccination rate. This number will fluctuate as we have admissions and discharges of residents. Fully vaccinated refers to a person who is greater than two weeks following receipt of the second dose in a 2-dose series or greater than two weeks following receipt of the first dose in a single-dose vaccine.


c.    Residents in quarantine whether vaccinated or unvaccinated.

4. Compassionate care visits are also allowed in addition to the in-person visitation guidelines listed above. Compassionate care visits include but are not limited to: end-of­life situations, a-resident struggling with the change in environment and lack of physical family support, a resident grieving after a friend or family member has recently passed away, a resident who needs cueing and encouragement with eating or drinking previously provided by family and/or caregivers, and/or a resident experiencing emotional distress. These visits need to be approved by the nursing administration team. St. Francis Manor: If you think your loved one is in need of a compassionate care visit, please contact Director of Nursing Denise Cheney or Assistant Director of Nursing Kory Probasco at 641-236-7592. Hammond Center: If you think your loved one is in need of a compassionate care visit, please contact Sammi Bryan, Manager/RN at 641-269-5454 or by email at sbryan@stfrancismanor.com.

If the above-unrestricted number of visits does not allow for all residents to get times with their loved ones, we may have to restrict the number of visits to accommodate everyone's needs. If the core principles of COVID-19 infection prevention are not followed by visitors, they will be asked to leave. 


Thank you for your continued patience as we safely navigate the COVID-19 pandemic. 

Dion Schrack
Executive Administrator

 

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