Covid-19

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Dear Family Members,

The New Corona Virus represents an historic infection control challenge that continues to test the very best of our National and State response systems and challenges the very best of our hospital systems and nursing homes, where residents are especially vulnerable.  

Despite the backing of the United State and the World, data from the international scientific teams is still contradictory, inconclusive and inadequate to understand the basics, like how is the disease transmitted.  Some suggest that the virus is carried and spread by seemingly healthy people, making carriers difficult to identify.  Others have suggested that the virus may linger much longer than believed and be capable of being moved in air.  The CDC has steadfastly held onto directives aimed at reducing droplet exposure and screening policies designed to identify those with fevers and who travelled to foreign countries.  The CDC recently added some confirmed new symptoms, nearly six months after the virus ravaged China, and after the virus has spread throughout much of the globe.  Every day we have more questions and learn more, but scientists still know little about the virus and its methods of transmission.   In turn, our government has been slow to change directives despite initial directive not being nearly as effective as predicted.  Governmental efforts underway all make scientific assumptions that may prove incomplete or inaccurate.  What we do know is that the virus that causes COVID 19 spreads efficiently and is virulent.  It is also apparent that the CDC is a leading authority, and combined with the directives of the State and Local Health Departments are the directives we must follow.

Quite some time ago, the FoltsBrook Center for Nursing and Rehabilitation, put into place a series of precautions designed by the CDC to slow the spread of the virus including limiting visitors, screening for symptoms, taking temperatures, training on infectious disease controls, enhanced cleaningand Personal Protective Equipment, and restricting visitors, restricting and/or limiting group activities etc.…. We continue these protocols and have since added isolation and testing, when, and how, permitted by governmental authorities.  As has been the case in thousands of US skilled nursing facilities and many more around the globe, governmental directives and our diligent implementation, likely slowed the rate of transmission but did not eliminate it.  Likewise, governmental recommended PPE protocol has been modified due to international shortages and the Government’s inability to assist in obtaining the quantity of PPE that would have previously been considered best practice.  

Hospitals, ships, schools and entire towns, cities and States have had tragic outcomes.  Last month, New York State for example, estimated that 13.9% of its mobile population or 1.4 million people have already been infected in the state.  Other experts put the number much higher.

Many of you may yourself be directly or indirectly affected or know others who are affected by the New Coronavirus.  If you are affected, please know that our hearts and thoughts are with you. As lifelong caregivers, we are pained that something we know so little about and is so powerfully destructive is in our midst. Unfortunately, FoltsBrook Center for Nursing and Rehabilitation has not been immune.  

UPDATE FOR JUNE 19TH 2020:

 

Staff testing started on May 21, 2020. All staff were tested. Up until last week, staff have been tested twice a week. Since that time, there were 2 positive cases. 0 in the last 24 hours and as of June 9, staff testing is now once weekly. Those employees were out for 14 days and did not return until they tested negative 2 more times. There are still no residents that have tested positive for COVID-19 with no suspected cases amongst the resident population. There have not been three or more residents or staff with new onset of respiratory symptoms within the past 72 hours.

Cumulatively, 0% of in-house-residents are classified as COVID positive based upon recent testing or based upon observation of respiratory symptoms consistent with the existence of the virus.

On Monday May 8th, the department of health confirmed that our facility is completely in compliance with all guidelines and regulations that have been put in place by the CDC, department of health, and other local and state officials. We are currently COVID free, and are working hard to keep everyone under our care as safe as possible.

Cumulatively, no in-house staff are believed to be positive for the virus that causes COVID 19 and CDC guidelines are being followed for return to work.  CDC screening guidelines for all staff continue to be followed. Please see https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhealthcare-facilities%2Fhcp-return-work.htmlfor more detail on CDC screening guidelines.   

Please understand that testing, at best, determines whether someone has the virus.  It does not determine who will become fatally, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptom of the disease.   Beyond testing, other statistics can be materially misleading.  There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID 19 contributed to a stroke, heart attack, blood clot or other symptom which causes a death.  

 

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete.  All the symptoms of COVID have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests.  A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not.  COVID 19 has been deadly but there are likewise those, even those who have other illnesses and/or of advanced age that have pulled through and returned to baseline.  All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all.  Each treating physician is left to determine how, and if, to treat COVID 19. At the FoltsBrook Center for Nursing and Rehabilitation, the Medical team is led by Dr. David Liu who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents.

 

Families of infected residents have all been notified in the event that your loved one has been affected by the New Corona Virus, but that does not mean that each and every family member has been notified.  If you are not the person responsible for your loved one’s care, please check with the person who is for updates.  If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members. 

 

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff.  We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread.  We love our residents and are dedicated to their care.  We have never felt as close to one another as we do in these times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours.  We will not be perfect, but we will do our best to continue to communicate about the Facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.  

 

If you have any questions/concerns, please contact:

 

Mark T. Scalise, Administrator​​​ ext. 278

 

Rose Burroughs, Assistant Administrator ​ext. 283

 

Sara Grisolini, DON​​​​​ ext. 284

 

Lineda Moncoeur, Director of Social Services​ ext. 279

 

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to reports@snfhotline.org.  This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

 

Thank you.

 

Very Truly Yours,

 

Mark T. Scalise, LNHA on behalf of The Care Staff at FoltsBrook Center for Nursing and Rehabilitation

UPDATE FOR JUNE 6TH 2020:

Staff testing started on May 21, 2020. All staff were tested. Of the 65 results received back so far, there was 2 positive cases. 1 in the last 24 hours. That employee will be out for 14 days and not return until they test negative 2 more times. There are still no residents that have tested positive for COVID-19 with no suspected cases amongst the resident population. There have not been three or more residents or staff with new onset of respiratory symptoms within the past 72 hours.

Cumulatively, 0% of in-house-residents are classified as COVID positive based upon recent testing or based upon observation of respiratory symptoms consistent with the existence of the virus. 

Cumulatively, no in-house staff are believed to be positive for the virus that causes COVID 19 and CDC guidelines are being followed for return to work.  CDC screening guidelines for all staff continue to be followed. Please see https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhealthcare-facilities%2Fhcp-return-work.html for more detail on CDC screening guidelines.    

Please understand that testing, at best, determines whether someone has the virus.  It does not determine who will become fatally, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptom of the disease.   Beyond testing, other statistics can be materially misleading.  There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID 19 contributed to a stroke, heart attack, blood clot or other symptom which causes a death.  

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete.  All the symptoms of COVID have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests.  A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not.  COVID 19 has been deadly but there are likewise those, even those who have other illnesses and/or of advanced age that have pulled through and returned to baseline.  All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all.  Each treating physician is left to determine how, and if, to treat COVID 19. At the FoltsBrook Center for Nursing and Rehabilitation, the Medical team is led by Dr. David Liu who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents.

Families of infected residents have all been notified in the event that your loved one has been affected by the New Corona Virus, but that does not mean that each and every family member has been notified.  If you are not the person responsible for your loved one’s care, please check with the person who is for updates.  If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.  

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff.  We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread.  We love our residents and are dedicated to their care.  We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours.  We will not be perfect, but we will do our best to continue to communicate about the Facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.  

If you have any questions/concerns, please contact:

Mark T. Scalise, Administrator​​​ ext. 278

Rose Burroughs, Assistant Administratorext. 283

Sara Grisolini, DON​​​​​ ext. 284

Lineda Moncoeur, Director of Social Servicesext. 279

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to reports@snfhotline.org.  This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Mark T. Scalise, LNHA on behalf of The Care Staff at FoltsBrook Center for Nursing and Rehabilitation


UPDATE FOR JUNE 5TH 2020:

Staff testing started on May 21, 2020. All staff were tested. Of the 65 results received back so far, there was 1 positive case. 0 in the last 24 hours. The staff member that tested positive is not a direct care staff member. That staff member has already been retested to either confirm the positive test result or to rule out a false positive test result. Those test results came back negative!! The staff member is currently asymptomatic and has not had any onset of respiratory symptoms within the past 72 hours. There are still no residents that have tested positive for COVID-19 with no suspected cases amongst the resident population. There have not been three or more residents or staff with new onset of respiratory symptoms within the past 72 hours.

Cumulatively, 0% of in-house-residents are classified as COVID positive based upon recent testing or based upon observation of respiratory symptoms consistent with the existence of the virus. 

Cumulatively, no in-house staff are believed to be positive for the virus that causes COVID 19 and CDC guidelines are being followed for return to work.  CDC screening guidelines for all staff continue to be followed. Please see https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhealthcare-facilities%2Fhcp-return-work.html for more detail on CDC screening guidelines.    

Please understand that testing, at best, determines whether someone has the virus.  It does not determine who will become fatally, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptom of the disease.   Beyond testing, other statistics can be materially misleading.  There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID 19 contributed to a stroke, heart attack, blood clot or other symptom which causes a death.  

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete.  All the symptoms of COVID have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests.  A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not.  COVID 19 has been deadly but there are likewise those, even those who have other illnesses and/or of advanced age that have pulled through and returned to baseline.  All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all.  Each treating physician is left to determine how, and if, to treat COVID 19. At the FoltsBrook Center for Nursing and Rehabilitation, the Medical team is led by Dr. David Liu who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents.

Families of infected residents have all been notified in the event that your loved one has been affected by the New Corona Virus, but that does not mean that each and every family member has been notified.  If you are not the person responsible for your loved one’s care, please check with the person who is for updates.  If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.  

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff.  We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread.  We love our residents and are dedicated to their care.  We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours.  We will not be perfect, but we will do our best to continue to communicate about the Facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.  

If you have any questions/concerns, please contact:

Mark T. Scalise, Administrator​​​ ext. 278

Rose Burroughs, Assistant Administratorext. 283

Sara Grisolini, DON​​​​​ ext. 284

Lineda Moncoeur, Director of Social Servicesext. 279

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to reports@snfhotline.org.  This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Mark T. Scalise, LNHA on behalf of The Care Staff at FoltsBrook Center for Nursing and Rehabilitation

UPDATE FOR JUNE 4th 2020:

Staff testing started on May 21, 2020. All staff were tested. Of the 65 results received back so far, there was 1 positive case. 0 in the last 24 hours. The staff member that tested positive is not a direct care staff member. That staff member has already been retested to either confirm the positive test result or to rule out a false positive test result. Those test results came back negative!! The staff member is currently asymptomatic and has not had any onset of respiratory symptoms within the past 72 hours. There are still no residents that have tested positive for COVID-19 with no suspected cases amongst the resident population. There have not been three or more residents or staff with new onset of respiratory symptoms within the past 72 hours.

Cumulatively, 0% of in-house-residents are classified as COVID positive based upon recent testing or based upon observation of respiratory symptoms consistent with the existence of the virus. 

Cumulatively, no in-house staff are believed to be positive for the virus that causes COVID 19 and CDC guidelines are being followed for return to work.  CDC screening guidelines for all staff continue to be followed. Please see https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhealthcare-facilities%2Fhcp-return-work.html for more detail on CDC screening guidelines.    

Please understand that testing, at best, determines whether someone has the virus.  It does not determine who will become fatally, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptom of the disease.   Beyond testing, other statistics can be materially misleading.  There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID 19 contributed to a stroke, heart attack, blood clot or other symptom which causes a death.  

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete.  All the symptoms of COVID have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests.  A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not.  COVID 19 has been deadly but there are likewise those, even those who have other illnesses and/or of advanced age that have pulled through and returned to baseline.  All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all.  Each treating physician is left to determine how, and if, to treat COVID 19. At the FoltsBrook Center for Nursing and Rehabilitation, the Medical team is led by Dr. David Liu who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents.

Families of infected residents have all been notified in the event that your loved one has been affected by the New Corona Virus, but that does not mean that each and every family member has been notified.  If you are not the person responsible for your loved one’s care, please check with the person who is for updates.  If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and familymembers.  

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff.  We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread.  We love our residents and are dedicated to their care.  We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours.  We will not be perfect, but we will do our best to continue to communicate about the Facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.  

If you have any questions/concerns, please contact:

Mark T. Scalise, Administrator​​​ ext. 278

Rose Burroughs, Assistant Administratorext. 283

Sara Grisolini, DON​​​​​ ext. 284

Lineda Moncoeur, Director of Social Servicesext. 279

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to reports@snfhotline.org.  This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Mark T. Scalise, LNHA on behalf of The Care Staff at FoltsBrook Center for Nursing and Rehabilitation

UPDATE FOR JUNE 3RD 2020:

Staff testing started on May 21, 2020. All staff were tested. Of the 65 results received back so far, there was 1 positive case. 0 in the last 24 hours. The staff member that tested positive is not a direct care staff member. That staff member has already been retested to either confirm the positive test result or to rule out a false positive test result. Those test results came back negative!! The staff member is currently asymptomatic and has not had any onset of respiratory symptoms within the past 72 hours. There are still no residents that have tested positive for COVID-19 with no suspected cases amongst the resident population. There have not been three or more residents or staff with new onset of respiratory symptoms within the past 72 hours.

Cumulatively, 0% of in-house-residents are classified as COVID positive based upon recent testing or based upon observation of respiratory symptoms consistent with the existence of the virus. 

Cumulatively, no in-house staff are believed to be positive for the virus that causes COVID 19 and CDC guidelines are being followed for return to work.  CDC screening guidelines for all staff continue to be followed. Please see https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhealthcare-facilities%2Fhcp-return-work.html for more detail on CDC screening guidelines.    

Please understand that testing, at best, determines whether someone has the virus.  It does not determine who will become fatally, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptom of the disease.   Beyond testing, other statistics can be materially misleading.  There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID 19 contributed to a stroke, heart attack, blood clot or other symptom which causes a death.  

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete.  All the symptoms of COVID have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests.  A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not.  COVID 19 has been deadly but there are likewise those, even those who have other illnesses and/or of advanced age that have pulled through and returned to baseline.  All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all.  Each treating physician is left to determine how, and if, to treat COVID 19. At the FoltsBrook Center for Nursing and Rehabilitation, the Medical team is led by Dr. David Liu who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents.

Families of infected residents have all been notified in the event that your loved one has been affected by the New Corona Virus, but that does not mean that each and every family member has been notified.  If you are not the person responsible for your loved one’s care, please check with the person who is for updates.  If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and familymembers.  

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff.  We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread.  We love our residents and are dedicated to their care.  We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours.  We will not be perfect, but we will do our best to continue to communicate about the Facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.  

If you have any questions/concerns, please contact:

Mark T. Scalise, Administrator​​​ ext. 278

Rose Burroughs, Assistant Administratorext. 283

Sara Grisolini, DON​​​​​ ext. 284

Lineda Moncoeur, Director of Social Servicesext. 279

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to reports@snfhotline.org.  This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Mark T. Scalise, LNHA on behalf of The Care Staff at FoltsBrook Center for Nursing and Rehabilitation

UPDATE FOR JUNE 2ND 2020:

Staff testing started on May 21, 2020. All staff were tested. Of the 65 results received back so far, there was 1 positive case. The staff member that tested positive is not a direct care staff member. That staff member has already been retested to either confirm the positive test result or to rule out a false positive test result. Those test results came back negative!! The staff member is currently asymptomatic and has not had any onset of respiratory symptoms within the past 72 hours. That staff member will remain out of work until 2 negative tests are resulted. There are still no residents that have tested positive for COVID-19 with no suspected cases amongst the resident population. There have not been three or more residents or staff with new onset of respiratory symptoms within the past 72 hours.

Cumulatively, 0% of in-house-residents are classified as COVID positive based upon recent testing or based upon observation of respiratory symptoms consistent with the existence of the virus. 

Cumulatively, no in-house staff are believed to be positive for the virus that causes COVID 19 and CDC guidelines are being followed for return to work.  CDC screening guidelines for all staff continue to be followed. Please see https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhealthcare-facilities%2Fhcp-return-work.html for more detail on CDC screening guidelines.    

Please understand that testing, at best, determines whether someone has the virus.  It does not determine who will become fatally, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptom of the disease.   Beyond testing, other statistics can be materially misleading.  There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID 19 contributed to a stroke, heart attack, blood clot or other symptom which causes a death.  

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete.  All the symptoms of COVID have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests.  A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not.  COVID 19 has been deadly but there are likewise those, even those who have other illnesses and/or of advanced age that have pulled through and returned to baseline.  All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all.  Each treating physician is left to determine how, and if, to treat COVID 19. At the FoltsBrook Center for Nursing and Rehabilitation, the Medical team is led by Dr. David Liu who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents.

Families of infected residents have all been notified in the event that your loved one has been affected by the New Corona Virus, but that does not mean that each and every family member has been notified.  If you are not the person responsible for your loved one’s care, please check with the person who is for updates.  If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and familymembers.  

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff.  We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread.  We love our residents and are dedicated to their care.  We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours.  We will not be perfect, but we will do our best to continue to communicate about the Facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.  

If you have any questions/concerns, please contact:

Mark T. Scalise, Administrator​​​ ext. 278

Rose Burroughs, Assistant Administratorext. 283

Sara Grisolini, DON​​​​​ ext. 284

Lineda Moncoeur, Director of Social Servicesext. 279

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to reports@snfhotline.org.  This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Mark T. Scalise, LNHA on behalf of The Care Staff at FoltsBrook Center for Nursing and Rehabilitation

UPDATE:

Staff testing started on May 21, 2020. All staff were tested. Of the 65 results received back so far, there was 1 positive case. The staff member that tested positive is not a direct care staff member. That staff member has already been retested to either confirm the positive test result or to rule out a false positive test result. The staff member is currently asymptomatic and has not had any onset of respiratory symptoms within the past 72 hours. That staff member will remain out of work until 2 negative tests are resulted. There are still no residents that have tested positive for COVID-19 with no suspected cases amongst the resident population. There have not been three or more residents or staff with new onset of respiratory symptoms within the past 72 hours.

Cumulatively, 0% of in-house-residents are classified as COVID positive based upon recent testing or based upon observation of respiratory symptoms consistent with the existence of the virus. 

Cumulatively, no in-house staff are believed to be positive for the virus that causes COVID 19 and CDC guidelines are being followed for return to work.  CDC screening guidelines for all staff continue to be followed. Please see https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhealthcare-facilities%2Fhcp-return-work.html for more detail on CDC screening guidelines.    

There has been 1 staff members who has reportedly tested positive for the virus.  Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed.  It is also now known whether the exposure to the virus was from our community or a different community.

As of today, we have 1 new case of diagnosed Covid-19 in our facility, this number brings our cumulative total # of persons to one.  Again, that staff member is not a direct care staff member and that staff member remains asymptomatic. 

Please understand that testing, at best, determines whether someone has the virus.  It does not determine who will become fatally, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptom of the disease.   Beyond testing, other statistics can be materially misleading.  There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID 19 contributed to a stroke, heart attack, blood clot or other symptom which causes a death.  

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete.  All the symptoms of COVID have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests.  A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not.  COVID 19 has been deadly but there are likewise those, even those who have other illnesses and/or of advanced age that have pulled through and returned to baseline.  All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all.  Each treating physician is left to determine how, and if, to treat COVID 19. At the FoltsBrook Center for Nursing and Rehabilitation, the Medical team is led by Dr. David Liu who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents.

Families of infected residents have all been notified in the event that your loved one has been affected by the New Corona Virus, but that does not mean that each and every family member has been notified.  If you are not the person responsible for your loved one’s care, please check with the person who is for updates.  If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and familymembers.  

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff.  We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread.  We love our residents and are dedicated to their care.  We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours.  We will not be perfect, but we will do our best to continue to communicate about the Facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.  

If you have any questions/concerns, please contact:

Mark T. Scalise, Administrator​​​ ext. 278

Rose Burroughs, Assistant Administratorext. 283

Sara Grisolini, DON​​​​​ ext. 284

Lineda Moncoeur, Director of Social Servicesext. 279

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to reports@snfhotline.org.  This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Mark T. Scalise, LNHA on behalf of The Care Staff at FoltsBrook Center for Nursing and Rehabilitation

Update For May 26th, 2020

Foltsbrook Center had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order.  Out of all results, there had been 1 positive case that had since been retested. The retest has come back and has now shown as negative. The Facility has also communicated this update to the Local and State Health Dept Officials.  The staff member that tested positive is not a direct care staff member.  The staff member is currently asymptomatic and has not had any onset of respiratory symptoms within the past 72 hours. Despite receiving a negative test, the facility will have the employee continue to quarantine at home as precaution. 

As of today, we are happy to share there are still no residents that have tested positive for COVID-19 with no suspected cases amongst the resident population. There have not been three or more residents or staff with new onset of respiratory symptoms within the past 72 hours.

Cumulatively, 0% of in-house-residents are classified as COVID positive based upon recent testing or based upon observation of respiratory symptoms consistent with the existence of the virus. 

Cumulatively, no in-house staff are believed to be positive for the virus that causes COVID 19 and CDC guidelines are being followed for return to work.  CDC screening guidelines for all staff continue to be followed. Please see https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhealthcare-facilities%2Fhcp-return-work.html for more detail on CDC screening guidelines.