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Weekly Updates

March 31, 2020

September 25, 2020:

A few updates. The halo system (ionized air purification) for the ventilation system has been installed. As you know Bethel has remained in phase 1 of the reopening of long term care related to the color of our county (yellow), which only allows outside visits.  To compound this we have been in a COVID-19 outbreak since mid-August. The Center for Medicare & Medicaid Services (CMS) considers an outbreak to be 1 or greater cases of COVID-19 in the building. According to CMS no inside visits can be conducted during an outbreak. In order to continue to offer outside visits during the winter we are working on an area in the activity room that we will consider to be outside visit complete inside.  Once this is completed we will let you know. Projected timeline is within the next 1 to 2 weeks. To enhance our present cleaning/disinfecting in the building we have purchased a clorox electrostatic sprayer. This was received end of last week and education is being provided on the usage. At this time related to the current COVID-19 outbreak 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 test employees weekly related to the county positivity rate. According to Governor Burgum Williams county is on the verge of moving towards the next level, which will increase testing in all levels of care to twice per week. Facilities are informed every Monday of our county positivity rate. We are testing all care levels today.  Next testing for all care levels will be next Wednesday, September 30, 2020 – Skilled and basis (residents and employees); Assisted Living (employees). We will keep everyone in our prayers to remain healthy and safe and for our testing results to be negative.

September 2, 2020 Update:

Monitoring or residents in facility for COVID-19 symptoms, temperature, and oxygen saturation will be increased from twice per day to three times per day.

August 31, 2020:

Update for skilled and basic care. Since August 24, 2020 we have been meeting with the North Dakota Department of Health and the VP3 Group in regards to the present outbreak of COVID-19.  The following are some of the changes that we have made in the facility: 1) Cleaning carts are being cleaned at a minimum of two times per day. Each neighborhood and department of their own cleaning cart, which has been in place for many years. 2) Safety glass/goggles and/or visors had been worn with a surgical mask by all employees. We have changed to the use of only visors with surgical mask to provide the extra layer of protection over the surgical mask.  3) Cleaning in facility for high touched surfaces is being completed at a minimum of three times per day with desk/nurse’s stations being complete more frequently.  4) Monitoring of all residents in the building will be increased to three times per day for temperature check, oxygen saturation, and signs/symptoms of COVID-19. 5) Admissions into the facility are on hold at this time.  6) All indoor visits for end of life had been stopped for stable residents.  7) All appointments outside of the facility have been canceled if not emergent.  8) Activity Room has been closed to prevent congregation of employees and/or residents.  9) Provided new and increased number of cloth masks for resident who are tolerating cloth masks. If a resident can’t tolerate a cloth mask, visors are being attempted.  10) Today on our call with the Department of Health they recommended to check all air handlers to ensure working appropriately. Two weeks ago we did go through and change all of the filters. Tomorrow we will go through and check all air handlers and ensure functioning effectively. Bethel does have a system that monitors all the handlers and provides notification if there are issues. Bethel is looking at installing ionizing air purifiers into the air handlers. 11) Today tables and chairs in the care plan rooms have been removed to ensure social distancing of staff.  12) Enhanced monitoring of hand hygiene, use of personal protective equipment, and donning and doffing of personal protective equipment is being conducted. 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.  At this time we will continue with outside visit as this was approved by the Department of Health and the VP3 Group. Please ensure when you are having an outside visit that your mask remain over your mouth and nose.  This is very important to prevent the spread of COVID-19. Hand hygiene should be completed if you should touch your mask and/or your face. If you should have any questions or concerns please notify your Social Worker.  Next testing is Wednesday, September 2, 2020. At this time we will continue to test every 3 to 7 days until we have 14 days of no positive results.


August 27, 2020:

     

Bethel Lutheran Nursing & Rehabilitation Center has received all the results from the testing completed on August 24, 2020.  Both assisted living and basic care are negative for COVID-19. We have received all of our results for the skilled side for August 24th, 2020 and no further positive results are noted. Below are the positives for the skilled side since Monday, August 17th, 2020:

  1. Tuesday, August 18, 2020 we reported a positive COVID-19 employee.  This employee had not worked on the floor.  Two other employees were tested as they had upper respiratory symptoms and were negative. These two employees were furloughed at home and have since been relieved of duty.    
  2. Wednesday, August 19, 2020 skilled and basic care were tested. On Friday, August 21, 2020 we were notified of one positive COVID-19 resident and employee. On Saturday, August 22, 2020 in the afternoon we were notified of a positive COVID-19 resident.
  3. Monday, August 24, 2020 skilled, basic care, and assisted living were tested. Both basic and assisted living had negative results. On August 26, 2020 we were notified of three residents who were positive for COVID-19 and one employee. On Thursday, August 27, 2020 we were notified of two residents who were positive for COVID-19 and one employee.

Total active cases at this time in Bethel are 4 employees (plus one employee who had close contact with a positive COVID-19 person) and 7 residents.   

Skilled and Basic care will have testing tomorrow, August 28, 2020 from 1:00 pm to 3:00 pm.  Subsequent testing dates are September 2nd, September 7th, September 11th, September 16th.  Arbor house will complete testing on September 2nd & September 16th.  As results come in from tomorrow’s testing we will let you know of positives.

August 26th, 2020 Update:

Resident's who are unable to tolerate facial coverings will be offered a visor to wear during the time period staff are within 6 feet distance of resident providing cares.

August 22, 2020 Update:

Due to the increase in positive COVID-19 cases in facility Bethel has made the decision in consultation with the North Dakota Department of Health to changed from safety goggles back to visors.

   

July 22, 2020 Update:

Information on Phase 1 of re-opening, which is the phase that all care levels (assisted, basic, and skilled) of Bethel remain in and will for a period of time related to the increase in positive COVID-19 cases in Williams County. Also for skilled and basic care we had a positive resident on the testing completed July 9 and a positive employee on July 19 testing. Visitation within the facility is prohibited, except for compassionate end of life care situations.  In those limited situations, VISITORS NEED TO ADHERE TO THE UNIVERSAL SOURCE CONTROL GUIDANCE, which is to wear a clean, cloth face covering or facemask (over both nose and mouth), maintain social distancing of 6 feet, and perform appropriate hand hygiene upon entrance to the facility. If the visitor for the end of life care situation is unable or unwilling to wear the face covering their ability to enter the facility will be restricted. As sent out in a previous alert scheduled outside visitation between residents and their families while exercising social distancing of 6 feet, donning of a clean, cloth face covering or facemask, and performing appropriate hand hygiene. The outside visit can be schedule through activities. Restrict entry of non-essential healthcare personnel into the facility. We did visit with VP3 group today and Pastor Sheldon will be returning to the facility full time. Communal dining may occur for COVID-19 negative residents while exercising social distancing (limiting the number of people at tables and spaced by at least 6 feet). At this present time the smaller neighborhoods are eating in their dining rooms. Spacing doesn’t allow in the larger neighborhoods at this time. The VP3 group is discussing this with the state and there may be some changes made that would allow more residents at a table. Potentially later this week they will let us know of changes. Limited group activities may occur internally for COVID-19 negative residents while exercising social distancing, donning a clean, cloth face covering or facemask, and performing appropriate hand hygiene. This is occurring at this time. 100% screening of al individuals entering the facility, including facility staff prior to the beginning of their shift. 100% screening occurs for all residents twice daily. Related to the positives on skilled/basic there is enhanced precautions of wearing eye protection/visor in addition to the face mask. Next testing for all care levels is July 28, 20 from 1:00 pm to 3:00 pm.


July 13, 2020 Update:

Related to the most recent positive result for COVID-19 on July 9, 2020 and that our county has turned yellow Bethel, for all care levels, will remain in Phase 1. At this time outside visits will continue as well as virtual visits. Please remember that during outside visits facial coverings must remain on as well as 6 feet social distancing.  Next facility testing will be July 19, 2020.

July 7, 2020 Update :  


Testing will be held July 9th, 2020.

Dining rooms are slowly being opened. Horizon Towers and Pineview are both open at this time.

Activity room is gradually being opened being mindful of the social distancing, wearing of face coverings and cleaning in between of tables and chairs.

Outside visits continue with same process and scheduling through activities.

Bethel continues to monitor the number of positives daily for Williams County. We continue to see a rise in the number of positive COVID for our county. In preparation of moving into Phase II please follow recommendations from the North Dakota Department of Health of wearing face coverings, maintaining of social distance when out in the community, frequent hand hygiene, and monitoring for signs and symptoms of COVID 19.

Effective July 6, 2020

In preparation for Phase 2 we are going to no longer hold mail, any FedEx, UPS or any other vender delivered products. This will also include the delivery of flowers, all of these items can go to their designated destinations the same day we receive it. We are going to continue with the Family Drop Off which is on Tuesday’s from 7-8pm, Thursday’s 1-3pm and Saturday’s 1-3pm. 

July 2, 2020 Notification sent via e-mail, text, and phone.

Hi Everyone.  Bethel Lutheran Nursing & Rehabilitation Center for all care levels has made the difficult decision to hold off moving into phase II of re-opening this week.  Bethel will re-evaluate next week. There has been an increase in the number of active COVID cases in Williams County and our utmost concern is the safety of our residents and staff.  Bethel has slowly been opening things up in the building. The activity room has been open for a week. Residents have been coming down and having coffee hour and activities, being mindful of the 6 feet social distancing and facial covering (mask) if resident tolerates. Frequent hand hygiene is provided. Cleaning is conducted of tables and chairs in between activities. Two dining rooms are open with a third being opened next week. Only one resident is placed at a dining room table with 6 foot social distancing maintained. After each dining service chairs and tables are wiped down. Arbor house has implemented the same process also. Bethel continues to restrict entry of non-essential healthcare personnel into both facilities. Non-medically necessary trips outside of the facilities for residents continue to be minimized as much as possible. 100% screening of all individuals entering the facility, including facility staff prior to the beginning of their shift for signs of COVID, including temperature check. 100% screening occurs for all resident twice daily for symptoms of COVID, including temperature and oxygen check. Facility staff wear surgical masks and face visors/safety glasses with residents wearing cloth masks (if tolerated) when out of room or when staff are present in room. Outside visits continue and if you desire an outside visit with your loved one please contact activities or at Arbor house the facility staff. Window visits are available, but the window must remain shut. Visit via phone, face time, etc. are available. Just a friendly reminder that when completing outside visit at a minimum 6 foot social distance and facial mask must be maintained. Please if you should have any questions or concerns let your social worker know or if at Arbor House contact Faye or Renee. Have a safe 4th of July.


June 19, 2020 Notification sent via e-mail, text, and phone.


“Silver Lining Day” is Tuesday, June 23, 2020 across North Dakota.  Silver Linings Parade will be lining up on the west side of 18th St. Please park on the side of the road, all participants are expected to follow traffic laws and not block roads and stop for traffic signals. Parade will start at 12pm, travel in front of Arbor House and then to Bethel parking lot. Bethel has mass COVID-19 testing for both residents and staff on Friday, June 26, 2020 from 1:00 pm to 3:00 pm. Results have been taking around 48 to 72 hours. If results are negative plan will be to apply for phase II of re-opening. Just a friendly remind of drop off of items for residents is Tuesday from 7:00 pm to 8:00 pm; Thursday from 1:00 pm to 3:00 pm, and Saturday from 1:00 pm to 3:00 pm. Continue to schedule outside visits with your loved one Monday through Friday through the activity department. As Bethel moves through the re-opening phase it is vitally important to follow these important guidelines: please be wearing some type of cloth face mask when you are out in the public in preparation of visiting your loved one at Bethel (Bethel is not in the phase at this time); remember to social distance of 6 feet; perform frequent hand hygiene by utilizing alcohol based hand rub or washing your hands with soap and water. By doing these simple protective measures prior to us opening up and when we do open up it will protect our residents and staff.  Presently Bethel is working on opening up the activity room for small groups of residents to have activities. Residents will be required to wear face coverings (if tolerated) and maintain the social distancing. Frequent hand hygiene will be provided. Cleaning in between activities of chairs and tables. Presently Bethel has had two dining rooms open in which residents are social distanced. Bethel will be looking at opening up the other three dining rooms maintaining social distancing. After each dining service chairs and tables are wiped down. Bethel continues to restrict entry of non-essential healthcare personnel into the facility. Non-medically necessary trips outside of the facility for residents continue to be minimized as much as possible. 100% screening of all individuals entering the facility, including facility staff prior to the beginning of their shift for signs of COVID, including temperature check. 100% screening occurs for all resident twice daily for symptoms of COVID, including temperature and oxygen check.  Facility staff wear surgical masks and face visors/safety glasses with residents wearing cloth masks (if tolerated) when out of room or when staff are present in room. Please if you should have any questions or concerns let your social worker know or if at Arbor House contact Faye or Renee.


 June 12, 2020 Update:    

Bethel Lutheran Nursing & Rehabilitation Center has been granted by the VP3 group to move into Phase 1 of reopening.  More to come next week.

Two new COVID-19 testing dates have been set:  Friday, June 26th, 2020 followed by Thursday, July 9th, 2020.

May 22, 2020 Update:

Dietary - Pineview and Horizon Towers are having their meals in their dinning rooms being mindful of maintaining 6 feet social distancing.  Legacy/Harmony/Wheatland continue with meal service in their rooms.

Food Service Manager has been working with distributor in ordering of items.  Less changes in menu have been required as more food items are available and/or Bethel has ordered extra to have in stock.

Activities - Bethel is working on preparing 6 foot tables with plexiglass in the middle to maintain safety during resident/family visits as well as to enhance the experience. Once this is completed families will be notified to set up outside visits. 

Bethel:

       - Facility wide testing for both residents and staff will be completed on 05/27/2020 from 1:00 pm to 3:00 pm.

       - Minimal changes have occurred over the last month. Bethel continues to follow the recommendations received from the North Dakota Department of Health.

      - Bethel attends weekly meetings with the North Dakota Long Term Care Association and North Dakota Department of Health to remain abreast of COVID-19.

      - Bethel continues to work with the North Dakota Strike Team since positive COVID-19 results were obtained.

Have a safe and wonderful Memorial weekend.  Remember to social distance 6 feet, frequent hand hygiene, and wearing a cloth mask.  God Bless you all.


April 24, 2020 Update:

Dietary: There have been minor changes in the menu related to difficulty in obtaining certain items.  Bethel is working directly with distributor via phone on a daily basis for obtaining supplies.

Activities update:

Present activities being completed in the facility:

  • One to one visit- we are using the IPads for virtual tours, playing games, playing videos. Talking with residents, reading devotionals or scripture with them.

  • Facetime and Skype calling- we have been averaging around 10 to 20 calls throughout the week, that number is increasing every week.

  • Phone calls- residents that have their own phones are talking to their family almost daily. We have cell phones on the neighborhoods that residents have access to also.

  • Window visits- we have families that have been utilizing the window visits on the warmer days. We bring the cell phone up for family to be able to talk with the resident. Have also had a group come and put hearts on resident windows and write words of encouragement on them.

  • Tic-Tac-Toe- we have some intense tic-tac-toe games with people from the community through the windows.

  • Pet visits- have had a group come and walk their dogs around the outside of the facility for residents to see.

  • Coffee hour- each neighborhood has a coffee cart that goes through around 2pm- we are able to bake cookies, pop popcorn, make pizzas on the neighborhoods. We also get ice cream from the ice cream parlor for our residents that would visit it daily and also for a treat for others throughout the week.

  • Bingo- we are doing hallway bingo’s or for the neighborhoods that are able to social distance with their dining rooms they are able to play throughout the week.

  • Crafts- we are doing crafts throughout the week; we have a very crafty staff member that helps us with this.

  • Outside- with the weather warming up we are able to take a few residents out, with staff staying with them and maintaining the social distance.

  • TV- we are streaming more on Netflix and YouTube for residents that are requesting something more than the television in their rooms.

  • Visiting- for residents that would visit each other in our activity room, we have used facetime for them to visit them.

Bethel:

New Updates:

     - There will be widespread testing of both residents and staff in long term care.  The North Dakota Department of Health will be notifying facilities of testing dates.  Once Bethel is made aware of the date residents, resident representatives, and staff will be notified. To date Bethel has test 11 resident/staff members for the COVID-19.  All results have come back negative.

     - The North Dakota Department of Health has added to their website reporting of positive COVID-19 results in long term care facilities. The "case count" number contains both staff and resident who have tested positive. To access this information please click on this website https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases.

     - Today Bethel has received several pieces of personal protective equipment from the North Dakota Department of Health medical cache. Thank you!!!

     - Since the onset of the COVID-19 pandemic Bethel has been working with the North Dakota Department of Health Center for Disease Control on a case by case situation to ensure care provided maintained the safety of both residents and staff.

     - Soon the Center for Medicare & Medicaid Services (CMS) and Center for Disease Control (CDC) will require long term care facilities to report positive COVID-19 residents and staff. Bethel has already been utilizing this system to report other infections. The plan is that this will start sometime next week.

Bethel realizes how difficult this has been on all involved (residents, resident representatives, and staff). We so much appreciate your continued understanding and patience throughout this time. We all have the same goal, which is to prevent the COVID-19 from entering the building (or for as long as possible). Please stay safe and follow guidelines at home as instructed.  If you should have any questions or concerns please let us know.  Thank you.

  _______________________________________________________________________

    

April 10th, 2020

Dietary Update 4/10/20 : As a follow-up to our last update, our food service supervisor re-visited  residents and they wish to continue with the menus that include their favorite comfort foods – so, we will do so.

As Easter approaches, we thought you might enjoy knowing what our Easter menu looks like. 

Our Easter breakfast will include an Easter Egg (decorated by our residents), bacon and a caramel roll, in addition to, cereal and juice.

A special dinner includes Chicken Cordon Bleu, Garlic Mashed Potatoes, Green Bean Casserole, Roll and a Key Lime Tart.  Pie will be served with our lighter supper meal.

Although Easter is atypical this year, we all need to take a minute to count our blessings.  Each and everyone of our residents is a blessing to us, as we know they are to you - their family.  Have a blessed Easter!

Activities 04/10/2020:

We are continuing with Facetime and Skype calls with families. There is more baking on the neighborhoods, i.e.: cookies, pizzas, grilled cheese sandwiches, popcorn. We are delivering ice cream from the ice cream parlor. We are doing one to one visit with a majority of the residents. We have had a few visits through our windows with families and some exciting games of Tic-Tac-Toe!!! We will be coloring Easter Eggs this afternoon. With the weather getting nicer we are able to get residents outside throughout the day, just to feel the sun on our faces makes a difference. We have been doing crafts on each neighborhood every week. And, of course we are managing to get Bingo played on each neighborhood throughout the week.

Bethel:

From the staff at Bethel, thank you so much for your continued understanding and patience as we go through this pandemic process.  We appreciate families, staff, and the resident's understanding as we are following the guidance given from the Center for Disease Control (CDC), North Dakota Department of Health, Governor Burgum, and President Trump. The goal is to prevent the COVID-19 from entering our building. We, just as you, have the residents safety as the utmost importance in mind. Thank you for abiding to the guidelines. We know this has been hard on everyone.  

Have a Blessed and safe Easter.

____________________________________________________________________

March 31, 2020:

Dietary Update: Our food service supervisor was out visiting with residents this week and they expressed a wish for more of their menus favorites. As they put it, more “comfort foods”.

As a trial, starting 3/30/20 we have changed the menu to add their most requested entrees, such as Ham & scalloped potatoes, Roasts with whipped potatoes & gravy, Macaroni & cheese, Shepard’s pie, Tater tot casserole, and Meat balls.  I know in times of change and stress we all revert to what we know and love – hopefully this adds a little sunshine to their day!


Activities:

We have been doing video calls with families through Facetime and Skype. We also have cell phones on the neighborhoods that we can use for the residents to use to call their families also. For those that don’t have access to video calling we are also able to do window visits with families. We are able to get residents into small groups and have been able to play bingo and some games. We have been cooking on the neighborhoods with our cookie oven, pizza oven and hot dog cooker. We have also been making popcorn. We have been visiting one to one with more residents, some have been working on photo album’s and sorting pictures, scrapbooking and reading scriptures. Devotions are being done on each neighborhood throughout the week.  We are playing movies throughout the day, along with TV shows some residents would enjoy watching that they can’t get on their TV. With weather getting nicer we are getting residents out for fresh air.

Bethel:

From the staff at Bethel, thank you so much for your understanding and patience as we travel down this new road for us.  This is an everchanging process and we appreciate families, staff, and the resident's flexibility as new guidance is implemented multiple times a day and we are doing the best we can to keep up!  Thank you thank you from the bottom of our hears!!  Here are a few things:

-Staff are now wearing masks every day while in the facility.

-We are accepting homemade masks at this time.  We are not wearing them yet but we are keeping them for down the road.

-We are also taking any masks that we could purchase or that could be donated.

Again thank you for your prayers, love, and support. Stay safe.

The Bethel Staff

 



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