Coronavirus (COVID-19) UPDATES

March 23, 2020:  As of the most current update, there is a case of Coronavirus diagnosed in both Lamar and Franklin Counties. The following link updates cases by counties in Alabama.

https://www.alabamapublichealth.gov/infectiousdiseases/2019-coronavirus.html

Last week, Generations activated our Emergency Management Plan for Coronavirus and we have identified specific units within both locations as Isolation Units.  We do not have any resident or staff identified with COVID-19 at this time.  Join us in praying for our homes (residents, families and staff), other nursing facilities and for health care workers across the country.

March 19, 2020:  The CDC is reporting that of the deaths due to Coronavirus, 8 out of 10 are in adults 65 years old and older.  Please encourage everyone you know, especially those in our community who are not taking this serious, to honor the President’s message of staying home, and to avoid crowds of 10 or more.  Keep social distances and wash your hands!

We are praying and asking for God’s protection on our two homes, for other nursing facilities across this country and for the elders of our communities.  This is the generation who gave us the freedoms we enjoy today.  It is our duty to do all we can to protect them.  Please join us in praying this Psalm over the elders of this great nation; the true backbone of the United States of America.

Psalms 91

1 Whoever dwells in the shelter of the Most High
will rest in the shadow of the Almighty.
2 I will say of the LORD, “He is my refuge and my fortress,
my God, in whom I trust.”
3 Surely he will save you
from the fowler’s snare
and from the deadly pestilence.
4 He will cover you with his feathers,
and under his wings you will find refuge;
his faithfulness will be your shield and rampart.
5 You will not fear the terror of night,
nor the arrow that flies by day,
6 nor the pestilence that stalks in the darkness,
nor the plague that destroys at midday.
7 A thousand may fall at your side,
ten thousand at your right hand,
but it will not come near you.
8 You will only observe with your eyes
and see the punishment of the wicked.
9 If you say, “The LORD is my refuge,”
and you make the Most High your dwelling,
10 no harm will overtake you,
no disaster will come near your tent.
11 For he will command his angels concerning you
to guard you in all your ways;
12 they will lift you up in their hands,
so that you will not strike your foot against a stone.
13 You will tread on the lion and the cobra;
you will trample the great lion and the serpent.
14 “Because he loves me,” says the LORD, “I will rescue him;
I will protect him, for he acknowledges my name.
15 He will call on me, and I will answer him;
I will be with him in trouble,
I will deliver him and honor him.
16 With long life I will satisfy him
and show him my salvation.”

March 18, 2020:  All is well with the Generations homes.  The stomach virus at Vernon has been resolved.  Thank you to the staff who did a phenomenal job in controlling it and keeping it from spreading.  Also for taking such good care of our residents!

We are continuing to screen our employees temperature and health daily as well as the essential vendors who bring in supplies.

Our homes participated in on-line training from the Centers for Disease Control, CDC this week.  The CDC reports the virus seems to present similarly to the flu.  We are screening all of our residents daily to include monitoring of their body temperature, vital signs and oxygen saturation.

Again, to our sponsors, we know this is such a hard time for you.  Please reach out to us if there is anything we can do to help you better communicate with your loved one.

March 15: 2020:  The numbers of Coronavirus cases continues to grow in Alabama.  Currently we do not have a reported case in either Franklin or Lamar Counties.

Generations of Red Bay, LLC – no changes.

Generations of Vernon, LLC – it appears the stomach virus has been well controlled with no other residents being affected in the last 2 days.  This is great news!

We understand this is a difficult time and we want to do all we can to help bridge the gap.  Please call us anytime if you have questions.  We have made electronic communication available for several residents and they really enjoyed the interaction with their families.  Please let us know if we can help you connect with your loved one.

March 13, 2020:  As you are most likely aware, Alabama has now tested and confirmed 5 individuals with the Coronavirus in our state.  We are continuing to monitor this information related to our communities.

We wanted to share our reduced exposure information with you.  Once our facilities implemented visitor restrictions this week, we have seen a drop of 40-50% in the number of individuals coming through our Triage Screening Stations.  We know this restriction is difficult for our sponsors and our residents.  However, this greatly helps us reduce the exposure of this virus into our facility.   So who are the people coming through the Triage Screening station?  The majority are employees and our essential vendors.

We are continually examining our practices and looking for ways to reduce exposures.  Below are updates by facility.

Generations of Red Bay, LLC – no update.

Generations of Vernon, LLC – Yesterday, we did have a small cluster of residents on one hall of our facility develop symptoms of a stomach virus. We have isolated this hall and at this point, it appears to be contained. We have been in contact with our local health department who is taking samples to determine the exact nature of this virus. The sponsors and the physician of these residents have been contacted.

We will continue to keep you updated and appreciate your kind words and support of our staff.

March 12, 2020:  We have received feedback from several sponsors not understanding why we have restricted visitation in our facilities.  This was a difficult decision for us.  However, all of the organizations tracking this virus are in agreement with reducing interaction between people as much as possible.  The current global outbreak, now defined as a “Pandemic” by the World Health Organization,  means it is critical that we take every possible precaution to help prevent this virus from entering our facility. Protecting your loved one’s health is our top priority.

The CDC has reviewed the death rates in the elderly, especially those with dementia or chronic diseases who have had the virus.

Early data for people with COVID-19 shows the following:
• The mortality rate in China, for people over 80 in the general population is 15%.
• The World Health Organization estimates the mortality rate at 21.9% for those over 80.
• At the nursing home in Washington state, there have been 50 residents who have tested positive for the virus. As of March 9, 2020, 19 of those have died.

As you can see, the numbers are high.

There is a risk that people who appear healthy will enter the nursing home and infect residents. Studies of past viral epidemics show that proper handwashing and the limitation of interactions frequently slows the spread of the virus.

We appreciate you working with us and again we offer the use of our media devices to help facilitate conversations and video interactions between you and your loved one.

To the Generations Staff:  Thank you. You are the best of the best.  

 

March 11, 2020:  Today, Generations made a very difficult decision to cease all nonessential facility visitation.  We feel it is in the best interest of our residents and employees to do all we can to reduce their possible exposure to this virus.  At this time we do not have any residents or employees with the Coronavirus.

We have had several sponsors ask why we made the decision to stop facility visits.  First and foremost, every opportunity we have to reduce contact with outside visitors helps us eliminate another possible entrance of the virus into our facility.  Very little is known about the Coronavirus, but what we do know is that symptoms vary.  Healthy individuals may have the virus with minimal to no symptoms.  Even with our screening efforts, we do not believe we can positively identify people who may have the virus.  Therefore, we made the difficult decision to do what we feel is in the best interest of everyone.

For our sponsors and families:  We want to keep you connected to your loved one.  If you have a device (cell phone, tablet, computer, etc.) that will allow you to have video communications with your loved one, we will be glad to facilitate these conversations using one of our devices.  Please contact our Social Services or Activity Department and we will schedule this for you.

We appreciate your understanding.  As always, contact us with any questions or concerns.

March 10, 2020 Update: The Generation’s facilities are actively screening and will restrict the visitation of visitors who meet the following criteria:

1. Show signs or symptoms of a respiratory infection, such as fever, cough, shortness of breath, or sore throat.

2. In the last 14 days, has had contact with someone with a confirmed diagnosis of COVID19, or under investigation for COVID-19, or are ill with respiratory illness.

3. Have traveled internationally within the last 14 days to countries with sustained community transmission. For updated information on affected countries visit: https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html

At this point there are no confirmed cases of the Coronavirus in our communities.  Should a case be confirmed in our community, our visitation practices will change as well.

Based on the facility screening process, you may be asked to wear Personal Protective Equipment PPE, such as masks while in our facility.

VISITOR REMINDERS

Hand hygiene is of utmost importance at this time.  You will be asked to use an Alcohol Based Hand Gel upon entering our facility and going through our screening process.  Practicing good hand hygiene by using the alcohol gels and washing your hands with soap and water for 20 seconds is extremely important for maintaining the safety of everyone.

While visiting our facility, we ask that you go straight to the room of the resident you are there to see.  We are asking you not stop and visit at common locations such as the dining rooms, activity rooms, or the nurses station.

Please refrain from touching as many surfaces as you can during your visit. We ask that you also refrain from touching residents and request that you keep a distance of 6 feet between you, the resident you came to visit, other residents you may pass and our staff.

After a you leave our facility, we are asking you to please notify us immediately if you develop any of the following symptoms within 14 days after your visit:

• If you develop a fever
• If you develop a cough
• If you develop a sore throat
• If you develop shortness of breath
• If you are confirmed to have the Coronavirus
• If you are in contact with any person who has the Coronavirus
• If you are in contact with any person under the investigation of the Coronavirus or if you are under the investigation of the Coronavirus.

Again, please contact our Administrator, Director of Nursing, or Infection Preventionist if any of the above develops within 14 days of your leaving our facility.

March 9, 2020 Update:  Over the weekend, the Generations facilities implemented a self-screening process by which all visitors were asked to comply with a facility questionnaire regarding criteria which may place our residents and staff at risk for the Coronavirus and other respiratory illnesses.

While we understand there are no diagnosed cases of the Coronavirus in our community or state, out of an abundance of caution, we made the decision to take another step in the screening process.  Effective today, March 9, 2020, all employees, sponsors, vendors, visitors must enter through a single point of entry where a Generations staff member will assist in the screening process.  We are referring to these entry points as “Triage Stations”.

Triage Locations

The Triage Station for Generations of Red Bay will be the front facility entrance.

The Triage Station for Generations of Vernon will be the entrance located by the Business Office.

We apologize for any inconveinece this may cause you and appreciate your cooperation and compliance with our screening process.  If you have any questions feel free to contact our facility Administrator, Director of Nursing or Infection Preventionist.

March 6, 2020 Update:  Generations of Red Bay and Vernon are closely monitoring updates related to the Coronavirus COVID-19 and we are responding accordingly. We take the threat very seriously and are working to ensure the safety and well-being of our residents, staff, sponsors and visitors. We are aggressively putting measures in place following the Centers for Disease Control and Prevention’s strategies to prevent the spread of COVID-19 in long-term care facilities and regulations from the Centers for Medicare and Medicaid services. Many of these prevention strategies are the same precautions we implement every year in our facility during flu season.

At this time, we could use your assistance. Our facility serves a population of individuals who are vulnerable for this and other respiratory illnesses. We would like to request that you refrain from visiting our facility if any of the following apply to you.

1. If you have traveled outside of the United States within the last 14 days to restricted countries. For updates information on restricted countries visit: www.cdc.gov/coronavirus/2019-ncov/travelers/index.html
2. If you have signs or symptoms of a respiratory infection, such as fever, cough, and sore throat.
3. If you have been in contact with someone with or under investigation for the Coronavirus COVID-19.

To our family members and sponsors: We would greatly appreciate you communicating this notice to other family members and friends who visit your loved one in our facility. We would also like to request if you have had any changes in your contact information, to get in touch with us as soon as possible to ensure we have the best possible means of reaching you.

What you can do to help stop the spread of respiratory diseases like Coronavirus COVID-19.

  • Wash your hands often with soap and warm water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand rub.
  • Avoid close contact with people who are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • If you don’t have a tissue, cough or sneeze into your upper sleeve or elbow not your hands.
  • Avoid touching your eyes, nose, and mouth.
  • Clean and disinfect frequently touched objects and surfaces.
  • Stay home when you are sick, except to get medical care.

If you have any questions related to any of our precautions please feel free to contact our facility Administrator or the Infection Preventionist.

Continue to check our website for updates.On March 12th, we did have a small cluster of seven (7) residents on one hall of our facility develop symptoms of a stomach virus. We have isolated this hall and at this point, it appears to be contained. We have been in contact with our local health department who is taking samples to determine the exact nature of this virus. The sponsors and the physician of these residents have been contacted.