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Positive COVID-19 test results

May 8, 2020

January 3, 2021:

Hi Everyone. Bethel Lutheran Nursing & Rehabilitation Center has received all COVID-19 test results from December 31, 2020 testing event.  We are happy to report all results are negative for all three care levels (skilled, basic, and assisted living). We are testing today, January 3, 2021.  Plan is to continue to test twice per week through January for skilled and basic care for both residents and staff. Assisted Living will test once per week for both tenants and staff, unless there is a positive identified, then will increase back to twice per month. COVID-19 vaccination clinic is scheduled for Tuesday, January 5, 2021. Have a good rest of the weekend. Thank you.  



December 29, 2020:

Hi Everyone. Bethel Lutheran Nursing & Rehabilitation Center has received all but three of the COVID-19 test results from yesterday’s, December 28th, 2020 testing event.  Basic Care:  We are happy to report all were negative.  Skilled Care:  All, but three of the results are back, and unfortunately we were notified of 1 staff member and 1 resident who were positive for COVID-19.  The resident does not have any symptoms. Family has already been notified. The staff member did develop mild symptoms this morning and has been removed from the schedule. The staff member has been wearing a face shield and surgical mask when at work. Next testing event is Thursday, December 31, 2020 for skilled, basic care, and assisted living for both residents and staff.


December 27, 2020:

Hi Everyone. Bethel Lutheran Nursing & Rehabilitation Center has received all of the COVID-19 test results from December 24th, 2020.  Assisted Living:  We are happy to report all were negative.  Skilled and Basic Care:  We are happy to report that there were no further positive COVID-19 test results except for the three reported yesterday.  Next testing event is tomorrow, Monday, December 28, 2020 for skilled and basic care for both residents and staff. Tentative COVID-19 vaccination date is set for  Tuesday, December 29 th , 2020 .  Resident’s, resident representative, and staff will be notified if there is a change in the date. Thank you.



December 26, 2020:

Hi Everyone. Bethel has received some of the COVID-19 test results from December 24th, 2020.  Assisted Living:  No results are back. Skilled and Basic Care:  Basic care all results are back and they are negative. All but 5 results are back for skilled care and unfortunately there was one positive resident and two positive staff members. One staff member had been off since Monday. The second staff member has been removed from the schedule. All precautions had been taken by both staff members. Bethel will notify you of any further positive results. Next testing event is Monday, December 28, 2020 for skilled and basic care for both residents and staff. Tentative COVID-19 vaccination date is set for  Tuesday, December 29 th , 2020 .  Resident’s, resident representative, and staff will be notified if set up to receive the vaccine on this date.Thank you.



December 23, 2020:

Hi Everyone. Bethel has received all COVID-19 test results from December 21st, 2020 testing for all three care levels and we are happy to report all were negative. Bethel  will be testing tomorrow, Thursday, December 24th, 2020.  Assisted Living:  Dinning may return to normal ensuring social distancing. When tenants are out of their rooms masks are to be worn and frequent hand hygiene is to be completed. Families may schedule visits as before (use door by gazebo). Clean mask is required during visit and must cover both nose and mouth. Screening for COVID-19 symptoms, including temperature check, will be conducted for family. Please do not visit if you are ill. Only 1 to 2 family may visit at a time. Skilled and Basic Care:  Related to testing on 12/17/20 with one positive on basic care and one positive on skilled care no inside visitation is allowed according to the CMS guidelines for outbreak status. Scheduled window visit may be conducted.  Tentative COVID-19 vaccination date is set for Tuesday, December 29th, 2020.  Resident’s, resident representative, and staff will be notified if set up to receive the vaccine on this date. Have a safe and Merry Christmas. Thank you.



December 17, 2020:

Hi Everyone.  Results from testing event on December 17th, 2020. Assisted Living – All results are back and we are happy to report all were negative.  Basic Care –All results are back and unfortunately we were notified of one positive resident. Family has been notified. Enhanced cleaning continues to be conducted. No other residents or staff are exhibiting any signs or symptoms of COVID-19.  Skilled Care – All results are back and unfortunately we were notified of a positive employee. This employee is not exhibiting signs or symptoms and has been removed from the schedule.  Next testing event is Monday, December 21st, 2020 for all care levels (assisted living, basic care, and skilled care) for both residents/tenants and staff. Thank you.



December 15, 2020:

Hi Everyone.  Results from testing event on December 13th, 2020 and we are happy to report all care levels (skilled, basic, and assisted living) we are negative. Next testing event is Thursday, December 17th, 2020 for all care levels (assisted living, basic care, and skilled care) for both residents/tenants and staff. Later today we will be sending out information in regards to the vaccination program. Bethel at this time is set to start receiving vaccinations the week of 12/27/20. Thank you.



December 14, 2020:

Hi Everyone.  Results from testing event on December 13th, 2020. Assisted Living – No results are in at this time.  Basic Care – No results are in at this time.  Skilled Care – All results are back except for 2 and we are happy to report that all are negative.  Next testing event is Thursday, December 17th, 2020 for all care levels (assisted living, basic care, and skilled care) for both residents/tenants and staff. Thank you.



December 11, 2020:

Hi Everyone. Bethel has received all COVID-19 test results from December 10, 2020 testing for assisted living and there are no further positive results. Bethel  will be testing on Sunday, December 13, 2020 for all care levels.  Have a good weekend.



December 11, 2020:

Hi Everyone.  Results from testing event on December 10th, 2020. Assisted Living – All results except for 8 are back and unfortunately we were notified of a positive tenant. The tenant has been quarantined to their apartment and at this time is asymptomatic. Due to two positive tenants over the last 1 week, Bethel has decided to stop all communal activities. We realize the tenants have been good at social distancing, but this virus is very contagious and we want to stop any further spread. At this time tenants will remain in their apartments and meals will be delivered to their rooms. We are recommending that all tenants remain inside the building in their apartments and only attend essential office visits. If a tenant decides to leave the facility and go out in the community, upon return they will be placed on isolation precautions. Facility has been cleaned and disinfected today. Tenants are to wear a mask if in contact with a staff member. Staff are to wear a surgical mask and visor at all times. Tenants are screened for symptoms of COVID-19 three times per day including temperature and oxygen checks. Staff are screened prior to shift for COIVD-19 symptoms including temperature.   Basic Care – All results are back and we are happy to report all are negative. One employee remains off the schedule for COVID-19 like symptoms. Skilled Care – All results are in and we are happy to report that all  are negative. Two employees remain off for COVID-19 like symptoms. The North Dakota State Lab has implemented a new schedule for COVID-19 testing events in long term care.  Bethel starts on the new schedule this Sunday, December 13, 2020 for all three care levels (assisted living, basic care, and skilled care) for both residents/tenants and staff. The state lab has made changes to the type of tests utilized for testing events. If testing twice per week one test will be completed at the state lab as it has always been. The second testing event will utilize the BinaxNOW test. The BinaxNOW test is a test that can be completed in the facility. Results of these tests will be obtained within 15 minutes of the test. If the BinaxNOW test is utilized for a testing event no follow up test from the state lab is required. If the BinaxNOW test is completed for symptomatic people and is negative, a follow up test from the lab is required.



December 8, 2020:

Hi Everyone.  Results from testing event on December 7th, 2020. Assisted Living – all results are back and we are happy to report all results are negative. No further tenants are exhibiting any signs and symptoms of COVID-19.  Basic Care – All results are back and we are happy to report all are negative. One employee remains with COVID-19 like symptoms and remains off the schedule. No further residents are exhibiting any signs or symptoms of COVID-19. Skilled Care – All results are back and we are happy to report that all residents tested negative.  Unfortunately, we had one employee that tested positive. The employee has been removed from the schedule and will  be quarantined for a minimum of 10 days. Next testing event is Thursday, December 10th, 2020 for all care levels (assisted living, basic care, and skilled care) for both residents/tenants and staff. Thank you.



December 6, 2020:

Hi Everyone.  Results from testing event on December 4th, 2020. Assisted Living – all results are back and unfortunately we were notified of one positive tenant. All staff tested negative. The tenant has been placed on isolation and will be quarantined in apartment for at least 10 days. Basic Care – All results are back and unfortunately we were notified of one positive resident.  The resident was placed on isolation and will be quarantined in room for at least 10 days. A second resident is showing some COVID-19 like symptoms and has been placed on isolation. This resident will be tested tomorrow during testing event. All employees on basic care tested negative, but this morning one employee called in with COVID-19 symptoms. This employee has been removed from the schedule and will be tested tomorrow.  Skilled Care – All results are back and we are happy to report that all residents tested negative.  Unfortunately, we had three employees that tested positive. All employees have been removed from the schedule and will be quarantined for a minimum of 10 days. Next testing event is tomorrow, Monday, December 7, 2020 for all care levels (assisted living, basic care, and skilled care) for both residents/tenants and staff. Thank you.



December 1, 2020:

Hi Everyone.  We have received all but one result from testing completed yesterday.  All results have been received for both basic care and assisted living and we are happy to report they are negative.  All but one employee result has been received for the skilled side and we are happy to report that we are negative. If the last employee result comes back positive we will notify you through this communication. Our next testing event is Friday, December 4th, 2020 for all care levels (skilled, basic, and assisted living) and both residents and staff.  Have a nice evening.



November 28, 2020:

Hi Everyone.  We are receiving some of the results back from yesterdays testing event. We are happy to report that all COVID-19 test results have been received for both basic care and assisted living and these are all negative. Unfortunately we have received notification of 2 COVID-19 positive residents and 1 COVID-19 positive employee for the skilled side. Families of the two positive COVID-19 residents have been notified. The staff member has been removed from the schedule and has been wearing appropriate personal protective equipment during shift. At this time there are 4 outstanding test results left to be received. If we should be notified of any further positive results we will send a communication out. Thank you.



November 25, 2020:

Hi Everyone. Bethel has received all of the results from Monday, November 23rd COVID-19 testing and all were negative for all care levels (skilled, basic, assisted living)  except for the employee reported yesterday. Next testing event is Friday, November 27th, 2020 for all three care levels for both residents and staff. Information on planning a Thanksgiving during a pandemic has been placed on the Bethel website ( https://www.blnrc.com/ ). To access this information click on the “What’s New” tab. Then click on “Recommendations for the Holidays by CMS.” Information included here is from the Center for Medicare & Medicaid Services and the Center for Disease Control and Prevention. We wish you all a safe and Happy Thanksgiving. Thank you.



November 24, 2020:

Hi Everyone. Bethel is starting to receive some results from COVID-19 testing completed yesterday, November 23rd, 2020. All results except for two employees have been received for the skilled care side and unfortunately we have been notified of one positive COVID-19 result for an employee. This employee has been removed from the schedule. No results have been received for the  basic care and assisted living areas. Tomorrow we will update you on the outstanding COVID-19 tests. Next testing event is Friday, November 27th, 2020 for all three care levels for both residents and staff. Information on planning a Thanksgiving during a pandemic has been placed on the Bethel website ( https://www.blnrc.com/ ). To access this information click on the “What’s New” tab. Then click on “Recommendations for the Holidays by CMS.” Information included here is from the Center for Medicare & Medicaid Services and the Center for Disease Control and Prevention. Have a nice evening.


November 21, 2020:

Hi Everyone.  Results from testing completed yesterday, November 20, 2020. All the results are back for both basic care and assisted living and we are happy to report these are negative.  All but one employee result is back for skilled care and unfortunately, we have one resident who is positive for COVID-19. The resident has been placed on precautions. If the last result comes back positive, Bethel will send out a communication. Next testing event is Monday, November 23, 2020 for all three care levels for both residents and staff. Have a nice weekend.



November 18, 2020:

Update from yesterday for skilled care results.  All results are in except for one outstanding and unfortunately we were notified of a positive COVID-19 employee. The employee has been removed from the schedule. If the last results is positive we will notify you. Please stay safe and wear your mask.  Thank you.



November 17, 2020:

Update for assisted living .  All tenants at assisted living remain without any signs and symptoms of COVID-19.  All employees previously off have returned to work. All test results for yesterday (11/16/20) have been received and unfortunately, we were notified of one positive employee. This employee is presently asymptomatic and has been removed from the schedule.   Update for Basic Care.  All residents on basic care remain without any signs or symptoms of COVID-19. No staff are experiencing symptoms of COVID-19. All test results for yesterday have been received and we are happy to report all negative.  Update for Skilled Care:  Both prior positive COVID-19 residents remain without symptoms. One resident has been released from precautions today. All residents remain without any signs and symptoms of COVID-19. Employees who tested positive for COVID-19 are returning to work this week. Presently we have 5 employees off, who have tested positive for COVID-19 . There are three employees off with COVID-19 like symptoms. All but 10 test results have been received back for yesterday’s testing and we are happy to report at this time we are negative. If we should receive any positive results we will notify you. Next testing event will be Friday,


November 15, 2020:

All test results have been received for both assisted living and basic care and we are happy to report negative results. No new residents/tenants and/or staff have reported being ill. All results except for 4 have been received for skilled care and unfortunately we have received report of one positive COVID-19 employee. No reports of any residents with COVID-19 symptoms. Both residents who are positive for COVID-19 have remained asymptomatic. One employee has called in for tomorrow with COVID-19 like symptoms. Staff, who were positive with COVID-19, will start to return to work this week (after a minimum of 10 days from either testing date and/or onset of symptoms and 24 hours without use of fever reducing medication).  Bethel will test again tomorrow, November 16, 2020 for all care levels (residents and employees).



November 13, 2020:

Bethel has good news to report.  All test results are in from Tuesdays testing and we are happy to report all care levels (skilled, basic, and assisted living) are negative for COVID-19.  Bethel did test all care level residents and staff today and will test again Monday, November 16, 2020 from 5:30 am to 7:00 am and 10:00 am to 12:00 am. All residents and tenants remain free of any signs and symptoms of COVID-19.  The two COVID-19 positive residents on the skilled side remain asymptomatic.  Staff, who were positive with COVID-19, will start to return to work mid next week (after a minimum of 10 days from either testing date and/or onset of symptoms and 24 hours without use of fever reducing medication).  No other staff are experiencing any signs and symptoms of COVID-19. Staffing continues to be monitored closely in all departments, but as of today all shifts have been filled for the weekend. Our dedicated staff have come together in all departments to ensure the well-being of residents and their co-workers are supported. Bethel continues to work closely with the North Dakota Department of Health during this time. Have a blessed and safe weekend. Remember to wear your mask, limit group activities, and complete hand hygiene to help decrease the spread of COVID in our community. As test results come in over the weekend Bethel will notify you of any positive cases.



November 12, 2020:

Update for assisted living .  All tenants at assisted living remain without any signs and symptoms of COVID-19.  No further employees have developed any symptoms (total of 1 since Sunday).  Update for Basic Care.  All residents on basic care remain without any signs or symptoms of COVID-19. No staff are experiencing symptoms of COVID-19.  Update for Skilled Care:  In addition to those reported yesterday, one more employee has developed COVID-19 like symptoms (Total of 7 since Sunday).  No further residents have developed COVID-19 like symptoms (total of 1 since Sunday). The two resident’s, who are positive for COVID-19, remain asymptomatic and on isolation. Staffing for all departments is monitored closely. Coverage for open shifts has been from internal staff and with assistance from the North Dakota Department of Health.  Bethel thanks the Bethel staff and the North Dakota Department of Health in covering these shifts. For testing completed Tuesday, November 10, 2020 we have received results for Assisted Living and Basic Care and we are happy to report all are negative. No results have been received for the Skilled Side. As soon as these are available a communication will be sent. Next testing event is tomorrow, Friday, November 13, 2020 from 5:30 am to 7:00 am and 10:00 am to 12:00 pm for all three care levels (assisted living, basic care, and skilled care) residents and employees.  Due to Williams county being red, testing will be conducted two times per week. Bethel has secured testing every Monday and Friday through December 4, 2020. Today Bethel was notified that the inside/outside visitation area developed in the activity room was denied by the Center for Medicare & Medicaid Services (CMS). No inside visitation can occur except on a case by case situation for end of life care. Bethel will continue to work with the North Dakota Department of Health and the North Dakota Long Term Care Association on this issue. Please if you should have any questions or concerns let your Social Worker know.   



November 11, 2020:

Update for assisted living .  All tenants at assisted living remain without any signs and symptoms of COVID-19.  No further employees have developed any symptoms (total of 1 since Sunday).  Update for Basic Care.  All residents on basic care remain without any signs or symptoms of COVID-19. No staff are experiencing symptoms of COVID-19.  Update for Skilled Care:  In addition to those reported yesterday, two more employees have developed COVID-19 like symptoms (Total of 6 since Sunday).  No further residents have developed COVID-19 like symptoms (total of 1 since Sunday). The two resident’s, who are positive for COVID-19, remain asymptomatic and on isolation.  Bethel continues to monitor residents three times per day for signs and symptoms of COVID-19, which includes temperature and oxygen check. Department supervisors continue to discuss daily prevention tips for the spread of COVID-19. Staffing for all departments is monitored closely. Coverage for open shifts has been from internal staff and with assistance from the North Dakota Department of Health.  Bethel tremendously thanks the Bethel staff and the North Dakota Department of Health in covering these shifts. All lab specimens, from testing completed yesterday, have been received at the North Dakota state lab. No results are in at this time. Bethel will notify you of any positive results. Next testing event is Friday, November 13, 2020 from 5:30 am to 7:00 am and 10:00 am to 12:00 pm for all three care levels (assisted living, basic care, and skilled care) residents and employees.  Due to Williams county being red, testing will be conducted two times per week. Daily updates will be provided throughout this week.  Please if you have any questions notify your Social


November 10, 2020:

Update for assisted living .  All tenants at assisted living remain without any signs and symptoms of COVID-19.  One employee has developed signs and symptoms (cold like symptoms) of COVID-19 and has been removed from the schedule.  Test was conducted today during mass testing event.  Update for Basic Care.  All residents on basic care remain without any signs or symptoms of COVID-19. No staff are experiencing symptoms of COVID-19.  Update for Skilled Care:  No further employees are showing signs and symptoms of COVID except for those reported yesterday.  One resident developed symptoms this morning and was placed on isolation. Family has been notified. Residents are being monitored three times per day for signs and symptoms of COVID-19, which includes temperature and oxygen check. Department supervisors are visiting daily with their staff in regards to prevention tips for the spread of COVID-19. Staff continue to wear both surgical mask and visor and residents wear facial covering or if they do not tolerate a visor is attempted. Bethel completed mass testing today for all care levels for residents and staff and has secured testing for Friday again. The North Dakota Department of Health has been an excellent resource and has assisted to ensure all processes are in place to slow the spread of COVID-19 in the building. Department supervisors are meeting twice per day to discuss concerns/issues in departments to ensure continuity of care. Due to our county turning red and our current situation, Bethel will be testing two times per week. Throughout this week we will continue to provide you with daily updates. Please if you should have any questions notify your social worker tomorrow.



November 8, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had COVID-19 testing for skilled and basic (residents and staff) and staff at assisted living on November 6th, 2020. We have received all the results for basic care and they are negative.  Unfortunately, for assisted living we have one positive employee, who has been removed from the schedule.  For skilled care we were notified of 2 positive residents and 13 positive staff members. Families for the positive residents have been notified already. Bethel has been on the phone throughout the day with the North Dakota Department of Health and will be visiting with them again in the morning. All positive employees have been removed from the schedule. Testing dates have been adjusted to increase frequency this week to Tuesday and Friday.    Testing frequency will be determined after these two testing dates. Bethel has testing every 5 days since August 17, 2020. At this time we have one outstanding test result. If this result should be positive we will send another communication. Next testing for all three care levels (basic, skilled, assisted living) residents and staff is Tuesday, November 10th, 2020 from 5:30 am to 7:00 am and 10:00 am to 12:00 pm for basic, skilled, and assisted living residents and staff. After Bethel has spoken with the North Dakota Department of Health in the morning we will send out another communication.


November 4, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had COVID-19 testing for skilled and basic (residents and staff) on November 2, 2020. We have received all the results for basic care and they are negative.  We have received all but one result for skilled care and unfortunately we were notified of two positive employees. One employee has not worked since September 30, 2020. If the one outstanding test result comes back positive we will send out another communication. Next testing event is Friday, November 6th, 2020 from 5:30 am to 7:00 am and 10:00 am to 12:00 pm for basic and skilled care residents and staff and assisted living staff. Thank you.



November 1, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for skilled and basic (residents and staff) and  assisted living (staff only) on October 28, 2020. We have received all the results for basic care and they are negative.  We have received all the results for assisted living (employees only) and unfortunately we have received one positive results. This employee has not worked since August 2020. All the results for the skilled side are completed and unfortunately we were notified of a second positive employee. Basic and skilled care residents and staff will test tomorrow, Monday, November 2, 2020 from 5:30 am to 7:00 am and 10:00 am to 12:00 pm. Assisted Living will not test until Friday, November 6th, 2020. Thank you.



October 31, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for skilled and basic (residents and staff) and  assisted living (staff only) on October 28, 2020. Very few results are back for all areas. Unfortunately, we have received notification that we have two positive employees on the skilled side.  Both of these employees were wearing the appropriate personal protective equipment (surgical mask and visor) and practicing social distancing as appropriate. As we continue to receive test results back we will notify you of any further positive tests. Protective measures that have been in place and continue:  1) All employees complete a screening process prior to entering the building, which includes temperature check and COVID-19 symptom check.  2) All employee have been educated to stay at home if they are ill. 3) Close follow up by the Infection Preventionist is completed for any employees and residents who are ill. 4) Personal protective equipment remains surgical mask and visor at all times. 5) All residents in the facility continue to be monitored three times per day for symptoms of COVID-19, oxygen saturation, and temperature. 6) Frequent cleaning of high touched surfaces. 7) New admits are in isolation for 14 days. 8) Visitor restriction remains as both the skilled and basic care area’s remain in an outbreak situation except for certain compassionate care situations. Ionized air purification system has been completely installed. Monitoring is conducted of the checking in process, personal protective equipment wearing, social distancing, hand hygiene, etc. to ensure processes are being followed. Bethel continues to work closely with the Department of Health. Next testing event for basic and skilled is Monday, November 2, 2020 from 5:30 am to 7:00 am and 10:00 am to 12:00 pm. Assisted Living will not test until Friday, November 6th, 2020.      



October 26, 2020:

Bethel Lutheran Nursing & Rehabilitation Center (as well as many long term care facilities in the state) had been encouraged to develop an inside area to continue outside visitation. During a call on Thursday the North Dakota Department of Health (NDDOH) and the VP3 Group stated they had been working and meeting with the Center for Medicare & Medicaid Services (CMS) in regards to visitation.  After a long discussion it was determined that all skilled nursing facilities in the state are to follow the regulations set forth from CMS. No longer will skilled nursing facilities follow the ND guidelines for re-opening, but will only follow the CMS guidelines. The QSO sent out by CMS and the new flow sheet developed by the VP3 Group will be posted on Bethel’s website. The area that Bethel developed in the activity room as an outside visit will not be utilized at this time. Bethel has submitted all information on October 23, 2020, on the area in the activity room to the NDDOH, who will submit this on to CMS for an approval of an outside visitation area. We are hopeful of this. Effective today, there will be no inside visitation except for end of life situations and this will be determined on a case by case situation. We understand the frustration that is going to occur with this communication, but we were firmly instructed that this is to occur and follow our regulation from CMS or we could be cited and potentially fined. Bethel is unable to have inside visitation at this time related to being in an outbreak status. Please if you should have any questions let you Social Worker know. For those who have schedule visit for this week. Activities will be in contact with you. Our basic care area will follow the skilled care guideline related to being in the same building.  Assisted living will continue to follow the ND Guidelines for Re-Opening. Thank you.



October 25, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for skilled and basic (residents and staff) and  assisted living (staff only) on October 23, 2020. Results for assisted living are negative.  All results are back for the skilled side and unfortunately we were  notified of two positive employees. Both have been wearing their surgical mask and visors at all times in the facility. All basic care results are back and unfortunately we were notified of one positive resident. The resident and the family have already been notified.  Next testing event is Wednesday, October 28, 2020 from 5:30 am to 7:00 am and 10:00 am to 12:00 pm. Basic and skilled will test both residents and staff.  Assisted living will test staff.     



October 20, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had COVID-19 testing for skilled and basic care on 10/19/2020.  All results are back and unfortunately we did receive notification of one positive employee. This employee has worn proper personal protective equipment (face shield/surgical mask) when in building. Next testing for skilled/basic care (both residents and staff) and assisted living (staff) will be Friday, October 23, 2020. 


 For the skilled and basic care side inside/outside visitation will begin tomorrow.  Please contact activities if you would like to set up a visit. Clean face mask must be worn over the mouth and nose at all time during the visit. This is a must. Do not touch your face during the visit. If you do you must complete hand hygiene. Do not visit if you have any symptoms for COVID: elevated temperature, sore throat, cough, runny nose, difficulty breathing, headache, body aches, fatigue, nausea, diarrhea, etc. To enter into the facility please park in our south parking lot. To get to the south parking lot drive down the alley between Bethel and Simonson’s. You will see the parking lot on your right hand side. After you park walk towards the garage door to the east of you. There is a side walk to the south of the garage. Walk towards the east. Once you get to the sidewalk that goes north and south turn and walk to the north (towards the building). On your right hand side there will be an alcove with a door. Enter into this door (Door # 19) to enter into the building. Activity staff will meet you there to complete the screening process for temperature and COVID-19 system. Please if you should have any questions about the visitation please contact activities.  Thank you.



October 16, 2020:

Hope this finds everyone well and safe. Just a couple of updates. Testing As you know we completed testing for all three care levels (skilled, basic, assisted living) on Wednesday, October 14, 2020.  All results are back except for 12 (1 assisted living, 2 basic care, and 9 on the skilled) and we are happy to report they are negative.  If any of the last 12 comeback positive we will notify you via this communication. Wonderful news. Going forward Assisted Living will only test staff weekly. Skilled and basic care will test residents and staff every 5 days and if results remain negative through October 28, 2020 testing will change to once per week and only staff. At this time due to the color of our county testing is required weekly. Next testing event is Monday, October 19, 2020 for skilled and basic care residents and staff. Inside/outside visitation guidelines: 1) At Arbor House one visit will occur at a time. At Bethel two visits will be occurring at a time. 2) Visiting area for Assisted Living is going to be moved to have visitors come in the entrance by the gazebo. Why are we doing this? To limit access into the building as much as possible. Visitors will enter to the side of the table directly by the door. Tenants will enter the opposite end of the table. Reason for this is to prevent any cross contamination. For Bethel, visitors will be entering the building through the east door of the activity room (a map will be sent out early next week to show families where to park and enter the building).  3) One to two visitors will be allowed to visit. 4) Related to community spread no school age children will be allowed to visit. As always we can facilitate virtual and/or window visits. 4) Masks are to be clean and worn over both mouth and nose throughout the visit. Masks must be worn up to the building. 5) No eating and/or drinking can occur during the visit. Why is this? Because this will result in mask being removed potentially exposing both parties.  We want to limit exposure to all involved. As always screening for temperature and COVID-19 symptoms will be completed upon entrance into the building. Very important that if you do not feel good or have a temperature do not visit. Hand hygiene is extremely important and is to be completed upon entry into the building, any time you touch your face, and/or prior to exiting the building. Please try to help with the spread of COVID-19 and wear a facial covering when you are out in the community and follow recommendations given by the Governor. Inside/outside visitation has started at Assisted Living. Bethel will start visitation on Wednesday, October 21, 2020. Door access for Bethel will be installed on Monday. All care levels (skilled, basic, and assisted living) are in a holding pattern for inside visitation related to the community spread (i.e. county being yellow). Until community spread decreases the Inside/Outside visitation will only be allowed except in end of life situations.  Please if you should have any questions/concerns let us know. A map for inside/outside visitation and communication will be sent out Monday/Tuesday of next week for skilled and basic care families. Stay warm and safe this weekend related to inclement weather heading our way tonight. Thank you.  



October 12, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for skilled, assisted living, and basic completed on 10/09/2020.  We are very happy to report that all care levels are NEGATIVE. Next testing for all care levels (both residents and staff) will be Wednesday, October 14, 2020.  After this testing Assisted Living will test ONLY STAFF every week. For skilled and basic care we will continue to test all residents and staff for the next two weeks. If we remain negative starting in November we will test ONLY STAFF every week. We will follow up later this week on outside visits inside for all three care levels. Thank you.



October 8, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for skilled, assisted living, and basic completed on 10/05/2020.  All results have now been received. Basic care and Assisted Living are negative. Skilled care has the one positive employee (reported previously). Bethel basic, assisted, and skilled care will continue to test residents and staff every 3 to 7 days until there has been 14 consecutive days of negative results. Next testing event is tomorrow Friday , October 9, 2020  from 5:30 am to 7:00 am and  10:00 am to 12:00 pm .  A few updates:  1)  The ionized air purification system is almost completed. There are 10 units left to install.  Those that have been installed are presently working.  2)  The inside/outside visiting area that is being developed in the Bethel activity room is almost finished.  Curtains are installed. Tables are being placed. Door access is set to be installed.  We are working on the process and will send information out via this communication next week.  3) We have received the Clorox 360 electrostatic cleaning machine. Education has been provided to staff and we are in the beginning phases of utilizing the machine. This machine will also be utilized for cleaning of the visiting area. 4) We are in the process of working on an area for the Assisted Living to use for inside/outside visit. At this time, due to the color of our county, we will remain in phase 1 of LTC reopening. Just a friendly reminder, in assisting to protect our staff, we are requesting that family when coming for outside visits wear facial covering from their car. This will keep exposure level to a low level for both parties. Please make sure that you mask is clean and that you have not worn the mask in the community when you come to visit. If you don’t have a mask (or your mask is not clean) please let staff know so we can get you a mask. Stay safe everyone. Thank you.   



October 7, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for skilled, assisted living, and basic completed on 10/05/2020.  No results are back for basic care or assisted living. Bethel skilled care was just notified of a positive COVID-19 result for an employee. A this time Bethel has only received a total of 15 results. If Bethel should receive any further positive results you will be notified via this communication. Bethel basic, assisted, and skilled care will continue to test residents and staff every 3 to 7 days until there has been 14 consecutive days of negative results. Next testing event is Friday , October 9, 2020  from 5:30 am to 7:00 am and  10:00 am to 12:00 pm . Thank you.   



October 3, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for skilled, assisted living, and basic completed on 09/30/2020.  As reported earlier both Bethel basic care and assisted living COVID-19 test results were negative.  Bethel skilled care had reported two previous employees who were positive for COVID-19. Today Bethel received notification of another employee who tested positive. Bethel is awaiting one result for the skilled side. If this results should come back positive we will notify you via this communication. Bethel basic, assisted, and skilled care will test residents and staff every 3 to 7 days until there has been 14 consecutive days of negative results. Next testing event is Monday, October 5, 2020  from 5:30 am to 7:00 am and  10:00 am to 12:00 pm . Thank you.   



October 1, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for skilled, assisted living, and basic completed on 09/30/2020.  All results are back for basic care and they are negative.  Only a few results are back for both skilled and assisted living. Unfortunately for the skilled care side we were notified of two positive COVID-19 employees. Neither of these employees are exhibiting any symptoms. Once we receive all of our results or if we should receive any further positive results we will notify you as soon as possible.  Bethel basic, assisted, and skilled care will test residents and staff every 3 to 7 days until there has been 14 consecutive days of negative results. Next testing event is Monday, October 1, 2020  from 5:30 am to 7:00 am and  10:00 am to 12:00 pm . Thank you.   



September 27, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for skilled, assisted living, and basic completed on 09/25/2020.  All results are back and we are happy to report that there were no further positives.  Both skilled and basic care were negative. Assisted living had one positive employee that was reported yesterday. Bethel basic, assisted, and skilled care will test residents and staff every 3 to 7 days until there has been 14 consecutive days of negative results. Next testing event is Wednesday, September 30th, 2020 from 5:30 am to 7:00 am and 10:00 am to 12:00 pm. Thank you.   


September 26, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for skilled, assisted living, and basic completed on 09/25/2020.  Bethel was notified of one employee, on the assisted living side, who has tested positive for COVID-19. At this time we have received all of basic care results and all but 13 of skilled care and we are happy to report are negative so far. Assisted living will add face shields to staff along with the surgical mask at all times. Tenants at assisted living will wear face covering and while staff are present. Social distancing of 6 feet will be maintained whenever possible. If an assisted living tenant is unable to wear a face covering a face visor will be attempted. Monitoring of assisted living tenants for temperature, decreased oxygen and symptoms will be increased from twice per day to three times per day. All employees on skilled and basic will continue to wear face shields/visors and surgical masks. Bethel continues to work closely with the North Dakota Department of Health, Center for Disease Control, and Center for Medicare and Medicaid Service and following recommendations given. If we should receive any further positives we will immediately notify you. Bethel basic, assisted, and skilled care will test residents and staff every 3 to 7 days until there has been 14 consecutive days of negative results. Next testing event is Wednesday, September 30th , 2020 from 5:30 am to 7:00 am and   10:00 am to 12:00 pm . Thank you.   


September 25, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for skilled and basic completed on 09/21/20. Bethel has received all results back for the skilled care side and we are happy to report that there were no further positives except for the previously reported four employees. Basic care results have been received and are all negative.



September 23, 2020:


As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for skilled and basic completed on 09/21/20. Bethel was notified of four employees, on the skilled side, who have tested positive for COVID-19. At this time we are awaiting results for all of basic care and on skilled care one resident and four staff members. All employees in the facility continue to wear face shields/visors and surgical masks. Bethel continues to work closely with the North Dakota Department of Health, Center for Disease Control, and Center for Medicare and Medicaid Service and following recommendations given. If we should receive any further positives we will immediately notify you. Bethel basic and skilled care will continue to test residents and staff every 3 to 7 days until there has been 14 consecutive days of negative results.  Bethel assisted living will continue to test employees weekly at this time related to the county positivity rate. Next testing event is Friday, September 25th, 2020 from 5:30 am to 7:00 am and 10:00 am to 12:00 pm. Thank you.   




September 14, 2020:


As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for basic and skilled care completed on September 11, 2020.  Bethel has received all results except for three employees.  No further positives were identified except for the two employees who we reported yesterday. When we receive the results of the 3 outstanding employees and if any of these are positives we will let you know.  Protective measures that have been in place and continue:  1) All employees complete a screening process prior to entering the building, which includes temperature check and COVID-19 symptom check.  2) All employee have been educated to stay at home if they are ill. 3) Close follow up by the Infection Preventionist is completed for any employees and residents who are ill. 4) Monitoring is conducted of the check in process daily. 5) Personal protective equipment remains surgical mask and visor while at work. 6) All residents in the facility are monitored three times per day for symptoms of COVID-19, oxygen saturation, and temperature. 7)  At this time there are no inside family visits except for end of life situations.  8)  Outside visits remain. Just a friendly reminder to limit visits to two visitor and no children.  Facial covering is required for the visitors and must cover both the mouth and nose. 9) Residents continue to dine in their rooms.  10) No group activities are occurring at this time. Activities are conducted on a 1:1 basis and/or in hallway maintaining social distancing.  11) Residents who can are encouraged to wear facial coverings.  If a resident is unable to wear a facial covering staff are attempting a visor for when cares are being completed.  12) Cleaning in the facility for high touched surfaces is being completed at a minimum of 3 times per day.  13) Frequent hand hygiene is being completed/encouraged for both residents and staff.  14) Ongoing monitoring is being conducted for social distancing, wearing of surgical mask/visor, donning and doffing of personal protective equipment, and hand hygiene. Bethel is in the process of developing an area inside for visits to be conducted as we know the weather is about to change.  Hopefully this area will be ready in the next few weeks.  If you should have any concerns or questions please contact your Social Worker.  Next testing will be September 16, 2020 for residents and staff on the skilled and basic care side and staff on assisted living side.  Testing for skilled and basic will continue every 3 to 7 days until negative results are obtained for 14 days. Testing for assisted living will be weekly for staff related to the positivity rate in our county.



September 13, 2020:


As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for skilled and basic completed on 09/11/20. Bethel was notified of two employees who have tested positive for COVID-19. Both of these employees have been wearing their face shield/visor and surgical mask while at work. Bethel continues to work closely with the North Dakota Department of Health and following recommendations given.


September 11, 2020:


As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for skilled and basic care completed on 09/07/20.  We have received all results back for both the skilled and basic and I am pleased to report that all are negative.  Next testing will be September 16, 2020 for all levels of care (skilled, basic, and assisted living).  According to our federal regulations the skilled and basic care will continue to test every 3 to 7 days until there has been 14 consecutive days of negative results. September 7th is the start of the 14 days.


September 10, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for skilled and basic care completed on 09/07/20.  We have received all but three test results back for the skilled side and I am pleased to report that all are negative.  We have not received any results for the basic care side at this time.  We test again tomorrow, September 11, 2020 from 1:00 pm to 3:00 pm for all residents and staff on the skilled and basic care side.



September 6, 2020:


As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for skilled, basic, and assisted living completed on 09/02/20. As reported yesterday both the basic care and assisted living were negative. We have now received all the results back for the skilled side and I am happy to report no further positive results except for the one employee reported yesterday.  Next testing is tomorrow Monday, September 7th, 2020 from 1:00 pm to 3:00 pm for all residents and staff on the skilled and basic care side. 



September 5, 2020:


As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for skilled, basic, and assisted living completed on 09/02/20.  We have received all the results for basic care and they are all negative.  We have received all the results for assisted living and they are all negative.  On the skilled side we still have 17 pending results.  We were just notified of an employee testing positive for COVID-19.  This employee does not have any signs or symptoms of COVID-19. Once we receive all the results for the skilled side we will send another communication out. If there should be any further positives we will notify you immediately. Our next testing is Monday, September 7th, 2020 from 1:00 pm to 3:00 pm for all residents and staff on the skilled and basic care side.  



August 31, 2020:

Bethel Lutheran Nursing & Rehabilitation Center has received all of the basic care results and they are all negative.  We just received notification for the skilled side of two more positive COVID-19 residents and two positive COVID-19 staff member.  Families for these residents have been notified of the positive result.  The two residents will be moved up to 3rd floor Horizon Towers to be placed on the COVID-19 unit.  All of our results are back from testing completed on August 28, 2020. We have been on the line with the North Dakota Department of Health in regards to the positive residents and staff.  


August 27, 2020:

All basic care results are in and are all negative from testing completed on August 24, 2020. Bethel was notified of two more positive COVID-19 residents and one positive staff member on the skilled care side.  Families for these residents have been notified of the positive results.  The two residents will be moved to 3rd floor Horizon Towers to be placed on the COVID-19 unit.  In speaking with the state lab we have 11 more results pending for the skilled side.  Next testing will be August 28, 2020.


August 26, 2020:


We have waited to send out this communication for all families to be notified personally via phone. As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for basic and skilled care (residents and staff) and assisted living had employees tested on August 24, 2020. We have received all of the results for assisted living and the staff are negative. For skilled care we were notified today that we had three positive resident’s and 1 positive employee. At this time between the testing completed on August 19th and August 24th we have a total of 5 residents and 4 staff members who are positive for COVID-19. Today the COVID-19 positive residents were moved to 3rd floor Horizon Towers with dedicated staff.  Bethel did request a visit with the North Dakota Department of Health strike team to review present processes in place and to see if there were opportunities for improvement. A few things that were discussed during the strike team visit include: cleaning of our cleaning carts a few times per day, offering of visors for residents who are not able to tolerate the cloth face masks, utilization of the N95 for staff during nebulizer procedures, and to continue with the enhanced cleaning of frequently touch surfaces in the building.  After discussion with the strike team we will continue with outside visit for residents, but will limit hours.  Please if you are ill or even have nonspecific complaints such as a mild headache/fatigue, etc. do not visit your loved one outside. Over the course of these past 6 months most of the positive resident/employees have not had any symptoms.  For the family members of our positive residents we will assist in virtual visits.  At this time Bethel has only received 70 results from the testing completed on Monday, August 24.  If we should receive any more positive results we will send another communication out after the family has been notified.  Once we receive all of our results we will notify you that we have received all of the results for skilled and basic care. Our next scheduled testing is Friday, August 28, 2020 from 1:00 pm to 3:00 pm followed by testing again on Wednesday, September 2, 2020 from 1:00 pm to 3:00 pm. Please if you should have any questions in the meantime let your Social Worker know.  Bethel will continue to work closely with the North Dakota Department of Health.  




August 23, 2020:


Bethel Lutheran Nursing & Rehabilitation Center has received all (staff and resident) results except for 1 from COVID-19 testing completed on Wednesday, August 19, 2020 and we have no further positive results except for those previously reported (2 residents and 1 employee). Tomorrow (August 24, 2020) Bethel will complete testing for skilled and basic care (residents and staff) and only employee’s for assisted living.   

August 22, 2020:


As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for basic and skilled care completed on August 19, 2020. We have received half of the test results for the skilled side and all of the basic care results. Basic care at this time is completely negative. Yesterday we informed you of a positive COVID-19 employee and a positive COVID-19 resident. This afternoon we were notified of another positive COVID-19 resident. Bethel has been in contact with the center for disease control at the North Dakota Department of Health and are following recommendations given. At this time Bethel has changed from staff wearing safety glasses/goggles to visors to add another layer over the surgical mask. Bethel will notify you of any further positive results or when we receive all of the test results.  Our next testing is Monday, August 24, 2020 from 1:00 pm to 3:00 pm for all residents and staff on the skilled and basic care side and only employees of the assisted living side as they have remained negative for Covid-19.    



August 21, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing for basic and skilled care completed on August 19, 2020. Unfortunately, Bethel has received notification that we have a positive employee and a positive resident. Family has already been notified of the positive resident. The employee has been wearing appropriate personal protective equipment (mask and visor/safety glasses) while at work. Bethel has been in contact with the center for disease control at the North Dakota Department of Health and is following recommendations given.



August 19, 2020:


Bethel Lutheran Nursing & Rehabilitation Center (skilled side) presently has 3 employees off the schedule.  One employee tested positive for COVID and the other two employees had upper respiratory infection symptoms who did test negative. None of these employees were in direct contact with residents. Bethel has been in consultation with the Department of Health Infection Control Division.  Preventative measures that have been and continue to be in place:  visitor restriction, all new admissions from hospital have a COVID-19 test prior to admission with a negative result before can be admitted, all new admissions are placed in contact/droplet precautions for 14 days, all non-essential resident appointments have been canceled and/or telemedicine session is completed, If a resident requires an xray/clinic appointment they wear a mask as well as the provider and are immediately roomed to minimize exposure, if a resident requires an emergency room visit, but no admission they are placed on contact/droplet precautions for 7 days, all residents in facility have their temperature and oxygen saturation completed two times per day with symptom check for COVID-19, all staff in facility are wearing surgical masks/visor and/or safety glasses/goggles, residents who are able wear a mask when out of room or when staff are in their rooms, prior to staff entering the building they complete a symptom check for COVID-19 and a temperature check and if ill do not enter the facility, all break areas and resident lounge areas have been set up to ensure 6 feet social distancing, no communal dining on our larger neighborhoods with the two smaller neighborhoods eating in their dining rooms maintaining the social distancing of 6 feet, no congregating activities, only essential staff enter building, minimized floating of staff to other neighborhoods, monitoring is being conducted on hand hygiene/application and removal of protective equipment/maintaining of 6 feet social distancing/wearing of masks/screening of employees, and enhanced cleaning. We completed mass testing on both basic and skilled care levels for both residents and staff. If we receive any positive results we will notify you by 5:00 pm the following day.


    

August 17, 2020:



Bethel Lutheran Nursing & Rehabilitation Center has received all (staff and resident) results from COVID-19 testing completed on Thursday, August 13, 2020 and we are happy to report all were negative.  Next testing will be completed on Wednesday, August 19, 2020 from 1:00 pm to 3:00 pm. This testing will only be for skilled and basic care.  


August 3, 2020:


Bethel has received notification that we have a positive COVID-19 employee who has been symptomatic  and been off the schedule since 07/30/20. The employee has been wearing appropriate personal protective equipment (mask and visor/safety glasses) while at work. Protective measures that have been in place and continue:  1) All employees complete a screening process prior to entering the building, which includes temperature check and COVID-19 symptom check.  2) All employee have been educated to stay at home if they are ill. 3) Close follow up by the Infection Preventionist is completed for any employees who are ill. 4) Monitoring is conducted of the check in process daily. 5) Personal protective equipment remains surgical mask and visor or safety goggles while at work.  If you should have any concerns or questions please contact your Social Worker.  The safety and well-being of our residents and staff continues to be our top priority.   


July 21, 2020:

Bethel Lutheran Nursing & Rehabilitation Center received report from mass testing completed on July 21, 2020 that an employee tested positive for COVID-19. Employee was not exhibiting any signs or symptoms of COVID-19. Employee had been wearing appropriate personal protective equipment i.e. surgical mask and visor/safety glasses.


July 11, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing in all levels of care (skilled, basic, and assisted living) completed on July 9, 2020. Unfortunately, we have received notification that there is a positive result for one or our residents. Family has already been notified. We have not received all of our results from the testing completed.  We will notify you as soon as we receive the rest of our results or if there are any further positives.  We are in contact and working with the North Dakota Department of Health Center for Disease Control. Preventative measures that have been and continue to be in place:  visitor restriction, all new admissions from hospital have a COVID-19 test prior to admission with a negative result before can be admitted, all new admissions are placed in droplet and contact precautions for 14 days, all non-essential resident appointments have been canceled and/or telemedicine session is completed, If a resident requires an xray/clinic appointment they wear a mask and are taken to facility and immediately roomed to prevent exposure and both provider and resident wear mask, if a resident requires an emergency room visit, but no admission they are placed on droplet and contact precautions for 7 days, all residents in facility have their temperature and oxygen saturation completed two times per day with symptom check for COVID-19, all staff in facility are wearing surgical masks and goggles/visors, residents who are able wear a mask when out of room or when staff are in their rooms, prior to staff entering the building they complete a symptom check for COVID-19 and a temperature check and if ill do not enter the facility, all break areas and resident lounge areas have been set up to ensure 6 feet social distancing, two dining rooms are open at this time with 6 feet social distancing implemented, only essential staff are entering the building, floating has been minimized on the neighborhoods, monitoring is being conducted on hand hygiene/application and removal of protective equipment/maintaining of 6 feet social distancing/wearing of masks/screening of employees. As soon as we hear about the rest of our results we will let you know.  Thank you.



June 12, 2020    


COVID-19 testing was completed on June 9th, 2020 and all were negative.



May 29, 2020    


At approximately 7:00 pm Bethel received all of their results from the testing completed on May 27, 2020 and there were no further positive results.  The one employee who tested positive is not exhibiting any symptoms of COVID-19. 



May 29, 2020                    

 

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing in all levels of care (skilled, basic, and assisted living) completed on May 27, 2020. Unfortunately, I have received the first notification that there has been a positive result found with one of our employees. This employee has not exhibited any signs or symptoms of COVID-19. The employee has been wearing appropriate personal protective equipment (mask and visor/safety glasses) while at work. Bethel has been in contact with the center for disease control at the North Dakota Department of Health and is following recommendations given.  Protective measures that have been in place and continue:  1) All employees complete a screening process prior to entering the building, which includes temperature check and COVID-19 symptom check.  2) All employee have been educated to stay at home if they are ill. 3) Close follow up by the Infection Preventionist is completed for any employees who are ill. 4) Monitoring is conducted of the check in process daily. 5) Personal protective equipment remains surgical mask and visor or safety goggles while at work.  If there are any further positives or when we receive all of our results we will send out another notification.  If you should have any concerns or questions please contact your Social Worker.  The safety and well-being of our residents and staff continues to be our top priority.   

            

May 22, 2020




On Sunday, May 3rd, 2020, Bethel staff and residents underwent facility wide COVID-19 testing. First, I want to extend my immense gratitude to Governor Doug Bergum. He has remained steadfast and strong in his commitment against COVID-19, and thanks to his quick and thorough actions he has taken to further protect the residents and staff that work and reside in long term care he will most likely have helped save lives. On Wednesday, May 6th, 2020, I received notification of the first positive resulting from Sunday’s testing and not long after I received notification of a second positive. On May 9th, 2020 Bethel received all of their results back from the testing completed on May 3rd, 2020. No further positives were identified. On May 13, 2020 we were notified of a staff member who tested positive with COVID-19. While we are saddened of this news, we have prepared for this possible outcome.     


May 13, 2020:

Hi Everyone. Today Bethel Lutheran Nursing & Rehabilitation Center was notified that an employee tested positive for COVID-19. We do have a second employee who is ill that will be tested today. Both of these employees have been off since May 8, 2020. Bethel has been and will continue to work with the North Dakota Department of Health Center for Disease Control. The safety and well-being of our residents and staff continues to be our top priority. All employees complete a screening process prior to entering the building, which includes temperature check and COVID-19 symptom check.  All employee have been educated to stay at home if they are ill. Close follow up by the Infection Preventionist is completed for any employees who are ill. Monitoring is conducted of the check in process daily.  Social Services is presently contacting all resident representatives/families. Nursing Management is contacting residents. Department Supervisors are contacting employees. We will continue to stand strong in the fight against COVID-19 in following recommendations from the North Dakota Department of Health and the Center for Disease Control.            



            

 

           

     






May 6, 2020:

As you are aware, Bethel Lutheran Nursing & Rehabilitation Center had facility wide COVID-19 testing in all levels of care (skilled, basic, and assisted living) completed on May 3, 2020. I want to first extend my thanks to Governor Burgum for the opportunity to capture asymptomatic COVID-19 positive resident(s) and staff.  Unfortunately, I have received the first notification that there has been a positive result in our building.  The North Dakota Department of Health Center for Disease Control related that they are presently working on completing our test results and these should be completed over the next few days. We will be meeting with the strike team from the North Dakota Department of Health at 10:30 am to discuss further steps.  The safety and well-being of our residents and staff has always been our top priority. We will continue to stand strong in our fight against COVID-19. We are truly blessed to be able to provide care to your loved one, and now more than ever during this pandemic. I know how scary this uncertain time is and I want to extend my personal invitation to contact us with any questions or concerns. We are presently notifying all families right now and you will be receiving a personal phone call from the management team at Bethel to discuss questions and concerns and the next steps in our fight against COVID-19.                                                                  



Since March 12th, 2020, Bethel implemented several safety protocols into place which are listed below, and continued to make adjustments based on North Dakota Department of Health recommendations, the Center for Disease Control and Center for Medicare and Medicaid Services.       


     


  • Limiting the entrance/exit into the facility to the main entry door.
  • Visitor restrictions were implemented. Only exception is during end of life care in which immediate family (spouse and children) are allowed to visit. Visitor is required to go through a screening process COVID-19 symptom check with a temperature check prior to entrance into the building. Visitors are required to wear personal protective equipment i.e. surgical mask, visor, and gown. When the visitor enters Bethel and after application of the personal protective equipment (gown, visor, and surgical mask) they go to their loved ones room. After visit is completed the personal protective equipment is removed, hand hygiene is completed, and the visitor exits the building.  
  • Prior to an employee entering Bethel they are required to temperature scan in and answer questions regarding their health and symptoms of COVID-19. If the employee has a temperature and/or symptoms they are not to enter the building.    
  • Communal dining stopped and residents began having meals in their rooms.   
  • Communal activities have been stopped and residents have been completing activities on their neighborhoods in small groups ensuring social distancing of 6 feet. Hallway bingo has been a big hit.  
  • Nursing staff floating to other areas has been limited as much as possible.
  • Any other employees from other departments have been instructed to refrain from traveling through any other work areas in the facility that is not deemed necessary for work purposes.
  • Maintain the six-foot social distancing standard at all times.
  • Surgical masks were issued to staff and cloth masks later to residents based on the state requirements and recommendations.
  • Staff are required to stay home if experiencing any COVID-19 related symptoms or like illnesses.
  • Residents are screened twice a day for signs and symptoms of COVID-19 including temperature and oxygen level check. 
  • New admits into Bethel have a COVID-19 test prior to admit. Once a negative test result is obtained and Bethel can meet the needs of the individual they will be admitted. Contact/Droplet isolation precautions will be implemented for 14 days with enhanced monitoring of COVID-19 symptoms and vital sign monitoring.
  • Non-essential medical appointments have been canceled and rescheduled. If the medical appointment meets the use of telemedicine the medical appointment is conducted via telemedicine. If a resident requires a clinic visit precaution put in place are that both the resident and the provider will wear a mask and the resident is roomed upon arrival to clinic to minimize exposure.  
  • If a resident requires an emergency room visit, upon return to Bethel the resident will be placed on contact/droplet precautions for 7 days with enhanced symptom check for COVID-19 as well as temperature and oxygen check.
  • Mail has been held for 24 hours and is cleaned prior to distribution to the residents.
  • Early on in the pandemic Bethel did not allow families to bring items into the building for the resident. Most recently Bethel has implemented drop off dates for families to bring items in for the resident. Upon receiving these items they are cleaned and sit for 72 hours prior to distribution to the residents.  
  • Deep cleaning and disinfection was conducted on the skilled side May 12th and May 13th, 2020.  
  • After the two positive asymptomatic COVID-19 residents were identified and at the direction of the North Dakota Department of Health Strike team enhancement to the personal protective equipment for employees of a visor/face shield and isolation gown at all times with the surgical mask.
       


Despite our best efforts, COVID-19 is now, more than ever, a real threat to the heroes that live and work at Bethel. And I will not forget the families, who have given up so much time already with their loved one. You too are nothing short of a hero.  This is beyond difficult, but together we will get through this. Staff remain steadfast and dedicated. We immediately launched further protective measures including isolating of COVID-19 positive residents and assigned a dedicated staff member to care for them, and will continue to evolve as more tests results come in, and will continue to enforce our detailed safety checks, routine testing and various well-being screenings to ensure the health of everyone. We hoped and prayed we would receive nothing short of negative results, now we continue to pray for those affected, and that the impact is minimal and we can continue to keep residents and staff safe to the best of our ability.






 


 



 





      

 



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