COVID-19 Update – Click here to learn more.

Fox Trail Assisted Living at Deptford New Jersey: Outbreak Plan

October 23, 2020


Outbreak Plan For Fox Trail Assisted Living at Deptford

 

Outbreak Response Plan Executive Directive No. 20-026

Communication of an outbreak:

Communication with staff

  • Method – Staff will receive notices via text, email, and/or verbal communication

  • Communication will describe the mitigating actions taken by the community to prevent

    or reduce the risk of transmission

Communication with residents, families, or responsible parties

  • Residents/responsible parties will receive letters through email and delivery to their apartments

  • Communication will describe the mitigating actions taken by the community to prevent or reduce the risk of transmission

  • Per CMS guidance by 5 p.m. the next calendar day following thesubsequent occurrence virtual communication between residents, families, and resident representatives through Facetime, Zoom video conferencing, etc.

  • Window visits

  • Staff are available to help facilitate with virtual communication, as necessary.

  • Appointments for Facetime or Zoom calls and/or window visits can be made by calling the receptionist or designee.

  • Appointments are available for outdoor visitation maintain six feet of social distance as guidance from CMS suggests as well as personal protective equipment.

Concerns:

The direct line to the community is (856) 384-4719 (Fox Trail Assisted Living @ Deptford) or email sgossner@foxtrailseniorliving.com or dmeisel@foxtrailseniorliving.com for any concerns. A comfort line for community and staff support has also been set up. This line is 100% anonymous and a confidential outlet to support families and staff. The phone number is 703-783-4882.

 

Necessary staffing

Determine the current staffing needs to provide a safe work environment and safe resident care based on:

  • The number of residents residing in the community

  • The care needs of those residents

  • Contingency capacity strategies will include:

  • Adjusting staff schedules

  • Hiring additional staff

  • Offer signing bonuses

  • Utilize “hazard pay” rates

  • Following Return to Work strategy described below

  • Utilizing Agency staff (utilizing agency staffing does not necessarily indicate that a contingency capacity strategy has been initiated)

  • Ancillary staff have been trained and certified as RCA’s to ensure cross coverage as needs arise

Return to Work

Healthcare workers diagnosed with COVID-19 must be isolated at home for a minimum of 10 days after testing positive or date symptoms started. There must be at least 24 hours that have passed since having a fever without medication and feeling well with symptom improvement.

  • Healthcare workers who are asymptomatic throughout their infection may return to work after a minimum of ten days from the date a positive test was received

  • After returning to work, employees are required to:

  • Always wear a facemask while in the healthcare community. Fox Trail Senior Living requires that all employees must wear a mask during their entireshift.

  • Adhere to hand hygiene, respiratory hygiene, and cough etiquette (e.g., cover nose and mouth when coughing or sneezing, dispose of tissues in waste receptacles).

  • Self-monitor for symptoms and report to Executive Director if respiratory symptomsrecur or worsen.

  • The employee may return to work when the employee has had at least 24 hours without having a fever without medication and feeling well with symptom improvement.

Testing:

  • Weekly testing of all staff was initiated beginning May 15, 2020 and will continue until guidance from NJDOH changes

  • In the event of a Covid19 outbreak, testing of residents will be initiated as follows:

  • Repeat weekly testing of all residents until no new community-onset of COVID-19 are identified among residents and staff and at least 14 days have elapsed since the most recent positive result and during this 14-day period at least two weekly tests have been conducted with all individuals having tested negative

  •  The Community will continue to report testing data through the New Jersey Hospital Association (NJHA) portal.

  • Any resident or staff who is newly symptomatic consistent with COVID-19 will be retested at the onset of symptoms. Employees will be quarantined at home until clinically indicated for return.

Routine Monitoring and Screening: The community shall actively screen all persons entering the building for signs and symptoms of COVID-19. The screening will take place in the designated screening area that accommodates social distancing and infection control standards. All Visitors are to receive the following screening:

  • Temperature checks greater than 99.0 F and Pulse oximeter reading.

  • Completion of a screening questionnaire about symptoms and potential exposure which shall include at a minimum:

  • Whether in the last 14 days, the visitor has had an identified exposure to someone with a confirmed diagnosis of COVID-19, someone under investigation for COVID-19, or someone suffering from symptoms related to COVID-19.

  • Whether the visitor has been diagnosed with COVID-19 and has not yet metcriteria for the discontinuation of isolation per guidance issued by NJDOH andCDC.

  • Whether in the last 14 days, the visitor has returned from a state on the designated list of states under the 14-day quarantine travel advisory, available for review at https://covid19.nj.gov/faqs/nj-information/travel-information/which-states-are-on-the-travel-advisory-list-are-there-travel-restrictions-to-or-from-new-jersey.

  • Determination if any signs or symptoms of COVID-19, are exhibited including, but not limited to:

    • Fever
    • Cough

    • Sore Throat

    • Vomiting

    • Diarrhea

    • Difficulty breathing

    • Headache

    • Muscle Aches

    • Loss of Taste or Smell

    • Any other symptoms not described above

Prohibited Entry:

Upon screening, the community shall prohibit entry into the building for those who meet one or more of the following criteria:

Exhibit signs or symptoms of an infectious communicable disease, including COVID- 19, such as a subjective and/or objective fever (evidenced by a temperature check of the visitor equal to or greater than 99.0 F or as further restricted by community), chills, cough, shortness of breath or difficulty breathing, sore throat, fatigue, muscle or body aches, headache, new loss of taste or smell, congestion or runny nose, nausea or vomiting, or diarrhea

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

In the last 14 days, has returned from a designated state under the14-day quarantine travel advisory: or

Has been diagnosed with COVID-19 and has not yet met criteria forthe discontinuation of isolation per guidance issued by NJDOH

Permitted Entry:


If, after undergoing screening, the person is permitted to enterthe building, the community shall:

The community will have the visitor review and sign an informed consent. The informed consent states that they are aware of the possible risk of exposure to COVID-19 for both the resident and the visitor and that they will strictly comply with the rules set by the community in regard to visitation. The visitor will notify the community if they test positive for COVID-19 or exhibit symptoms of COVID-19 within fourteen days of the visit. The Community must retain a copy of this signed statement from each visitor and resident (if the resident is unable to consent then the consent needs to be signed by the authorized representative) with a copy provided to the visitor and resident.

Require the person to wear a cloth face covering or facemask and additional forms of personal protective equipment (PPE), as determined by the community.

Hand hygiene, limiting surfaces touched, the use ofPPE, and inform visitors of the location of hand hygiene stations,

Practice social distancing with no handshaking, kissing or hugging and remaining six feet apart

 

Reporting:
The community shall report daily on the NJHA website

  • Case count

  • PPE Inventory

  • Testing

  • Test results

The community shall call the Gloucester County, NJ Department of Health upon the occurrence of any new positive cases of COVID-19 among residents and/or staff 856-218- 4101 or 856-218-4137

 

Environmental Services:

During COVID-19 or other infectious outbreak the community will safeguard the cleanliness of the environment, to reduce the potential of spread of infectious pathogens. It is the policy of Fox Trail to clean high touch surfaces every shift. To include public areas such as faucet handles, counter tops, soap dispensers, toilet seats and handles, towel dispensers, grab bars, door knobs, light switches, chair arms and backs, telephones, tables, desk any other high touch areas.

  • Clean surfaces with soap and water (cleaning with soap and water reduces germs and dirt)
  • Use EPA approved disinfectants

  • High touch services must be cleaned every shift and anytime they become soiled.

  • Spray disinfection on the high touch surface. (Leave air dry)

  • Cleaning and disinfecting when someone is Covid positive

  • Close off the room used by the person that is sick

  • Open windows to increase air circulation (weather permissible)

  • Wait 24 hours before you clean or disinfect (longer if possible)

  • Vacuum the area

  • DO NOT VACUUM the room if a resident is in the room. Turn off fans and the HVAC system temporarily, so that particle’s that escape from the vacuum will not circulate throughout Fox Trail

  • All residents’ laundry will be washed and dried separately; returned to their rooms using proper infection control standards.

  • Hand hygiene stations containing alcohol-based hand rubs are located throughout the community.

Resident Cohorting:

In the event of a COVID-19 outbreak putting our residents at risk, the following plan should be implemented to slow the spread of the virus and protect those most vulnerable by addressing the need to separate residents based on their status, dedicate staff to applicable cohorts when appropriate, and create necessary space to meet these needs at the onset of the outbreak.

This will be done by quarantining residents to their respective apartments following all isolation protocols for positive or person under investigation.

New or Readmission (This includes all persons being admitted or readmitted, whose status is unknown.) These residents will remain in observation and quarantined to their apartment for 14 days to be monitored for symptoms.

  • All new potential residents and responsible parties will be informed prior to admitting to the community of quarantine.

  • At the time of admission, new residents will be quarantined to their room for the first 14 days.

  • New residents will receive all services in their room, such as care, medication administration, meals, etc.

  • New residents’ vitals will be obtained and recorded by care staff at the time of admission and each shift for first 14 days following admission, and then once daily thereafter.

  • If new resident is showing any signs or symptoms of fever, cough, shortness of breath, will immediately be placed on isolation precautions, MD will be notified for further instructions and responsible party will also be notified.

Staffing:

When possible, staff are assigned to work in a specific building designated as building one and building two, they will be assigned exclusively, to prevent movement between areas.

PPE:

A minimum of a face mask is required by everyone entering the building. All staff are required to wear a facemask when in the community. If there is a community outbreak all staff will wear face shield or goggles and a facemask when in resident room or care area. Any staff at anytime need to wear a face shield and facemask when showering a resident regardless of COVID status or when providing care to a resident who is unable to wear their facemask.

Residents are provided and instructed to wear a facemask (for source control) when outside of their apartments.

Are You Ready To
Experience
The Difference?

Fill out the form below to request an appointment or to contact us.

Loading Form..