Covid - 19

The health and safety of our residents and families is our highest priority.

Imperial Healthcare is dedicated to keeping our family members, residents and friends safe during the covid-19 pandemic. We are following all of the recommendations set forth by the CDC, Centers for Medicare and Medicaid Services and the New Jersey Department of Health. We are also committed to sharing with you our comprehensive outbreak plan and all of the latest information, data and regulatory changes that we will be posting on a regular basis below. Please continue to use imperialnjcommunications@gmail.com to schedule your window visits and video calls. Should you need to reach out to us for immediate response,

Please call (732) 232-0934.

 

 

Department

Policy #

Date Issued

Date Reviewed

Date Revised

NURSING

 

3/2020

9/25/2020

5-2020

Subject:

COVID 19

Dept Head:

Jennifer Sacks RN, MSN, DON

Date:

09-2020

 

Outbreak Management

Approved:

 

Date:

 

         

 

Policy:

 

Imperial Healthcare will develop a comprehensive response plan to address the global pandemic due to COVID 19. The plan will be in place to protect the resident, staff and visitor from respiratory infections including COVID-19.

 

Procedure:

 

The facility will create a COVID-19 Committee team consisting of the following:

 

Medical Director

Isaac Dweck

Administrator

Lior Benisti

Director of Nursing

Jennifer Sacks

Asst. Director of Nursing

Erika Cheavers

Facility Educator

Erika Cheavers

MDS Coordinator

Cheryl Gold

Rehab Director

Tzippi Cohen

Social Service Director

Lauren Braxton

Admissions Director

Cris Brown

Maintenance Director

Willie Reyes

Housekeeping

David Grant

Dietary Director

Bob Davis

Dietician

Roseanne Dugas

Pharmacy Representative

Varnie Elyze-Vital

 

The facility’s COVID 19 response coordinator will be: Lior Benisti, Administrator.

 

 

 

 

 

Communication with Residents and Families:

 

Policy:

 

It is the policy of this facility to inform residents, their representatives, and families of the residents by 5pm the next calendar day following the subsequent occurrence of either: each time a single confirmed infection of covid-19 is identified or whenever three or more residents or staff with new-onset of respiratory symptoms occurs within 72 hours of each other.

 

Procedure:

 

  1. Nursing Administration will notify the Administrative Staff if the facility meets either of the criteria listed above. The Administrative Staff will gather all required information as directed in CMS rule: 42 CFR 483.80(g) and with CMS guidance at https://www.cms.gov/files/documents/gso-20-29-nh.pdf.
  2. Administrative Staff will send required information out via email and posted on Imperial website on the COVID-19 page to all residents, their representatives, and families of the residents by 5pm the next calendar day following the subsequent occurrence of either: each time a single confirmed infection of covid-19 is identified or whenever three or more residents or staff with new-onset of respiratory symptoms occurs within 72 hours of each other.
  3. Residents will be notified of a new outbreak via our closed circuit television system which will be posted by 5pm the next calendar day following the subsequent occurrence of either: each time a single confirmed infection of covid-19 is identified or whenever three or more residents or staff with new-onset of respiratory symptoms occurs within 72 hours of each other.
  4. The required information along with an emergency number for urgent calls and complaints will be posted on our website.

 

Communication with Employees:

Policy:

 

It is the policy of this facility to inform all employees by 5pm the next calendar day following the subsequent occurrence of either: each time a single confirmed infection of covid-19 is identified or whenever three or more residents or staff with new-onset of respiratory symptoms occurs within 72 hours of each other.

 

Procedure:

 

  1. Nursing Administration will notify the Administrative Staff if the facility meets either of the criteria listed above. The Administrative Staff will gather all required information as directed in CMS rule: 42 CFR 483.80(g) and with CMS guidance at https://www.cms.gov/files/documents/gso-20-29-nh.pdf.
  2. Administrative Staff will send required information out via email and posted on Imperial website on the COVID-19 page by 5pm the next calendar day following the subsequent occurrence of either: each time a single confirmed infection of covid-19 is identified or whenever three or more residents or staff with new-onset of respiratory symptoms occurs within 72 hours of each other.
  3. Should an employee refuse to provide the facility with a means to contact them via email it is the responsibility of the employee to reference the website where the information will be posted by 5 PM the next calendar day.
  4. The required information along with an emergency number for urgent calls and complaints will be posted on our website.

 

 

 

 

General Facility Control Measures

 

Establish testing capacity to identify SARS-CoV2 through Monmouth Medical Center Laboratory to conduct test, and provide appropriate specimen collection materials.

 

Ensure sufficient supply of Hand Hygiene resources in the facility.

 

Evaluate personal protective equipment (PPE) and report level to corresponding agency/OEM/LDOH/NJDOH.

 

Educate staff on infection prevention practices, control measures for COVID-19.

 

Facility will implement Universal Source control by providing facemask to person in the facility. As an alternative, cloth mask will be provided in the event of supply shortage for staff that does not provide direct care to the residents.

 

 

Daily Reporting

 

Complete line listing for residents / staff.

 

Submit line listing to Monmouth County DOH per instruction. Monmouth County representative Enrico Cabredo.

 

Admission, Transfer and Readmission

 

Consider closing to new admissions if the facility is unable to appropriately cohort. This does not include readmission back to the facility.

 

Close the unit affected to new admissions except as needed to cohort individuals and staff.

 

The facility will coordinate with the transport company if a presumptive or confirmed COVID-19 is going to be transported. Face mask will be provided to the resident for transport to protect the transport staff and receiving facility staff.

 

The facility physician will coordinate with the receiving facility’s physician to ensure report is accurately communicated and precaution is in place.

 

Dedicate equipment in isolation rooms. If not possible, clean and disinfect equipment using the EPA-registered disinfectant before use with another resident within the cohort.

 

Conduct routine cleaning and disinfection of high touch surfaces and shared medical equipment using EPA-registered disinfectant.

 

Increase frequency of routine cleaning and disinfection.

 

Prioritize rounding in a “well to ill’ flow to minimize cross-contamination.

 

 

 

 

New admissions and readmission will be monitored for signs of COVID 19 for 14 days and will be cared for by staff using COVID-19 PPE according to CDC guidelines. They will be placed in private rooms (if available). If feasible, a cohort will be created for this population.

 

 

Emergency Staffing Strategies:

POLICY:

 

In the event of an emergency, the Administrator or DON will make the decision to utilize emergency staffing strategies as necessary to provide for care and treatment of residents. There is a staffing contingence in place. Please refer to the policy and procedure during an emergency.

 

 

Virtual Communication:

 

Policy:

To continue to provide the vital opportunity for family members to interact with their loved ones while minimizing the chance of the spread of COVID-19.

Procedure:

  • Scheduling for all video chats will be done by the Activity Department.
    • All family members were notified to send an email for all virtual visitation requests to Imperialnjcommunications@gmail.com at least 24 hours prior to requested video chat time.
    • Email addresses for new admissions are obtained by Admissions and/or Receptionist.
    • Chats are scheduled daily from 11 am to 4:30 pm and are limited to 10 minutes.
    • A daily schedule will be printed and distributed to each unit and Activity Supervisor so everyone knows what chats are scheduled for the day.
    • Activity Director and/or Activity Supervisors will coordinate who will be assigned to carry out each video chat scheduled.
      • On units with suspected or confirmed COVID-19 or 14-day quarantine, the Activity Supervisor or Director will coordinate with Unit Managers to identify any residents that could done by Nursing staff while in the rooms.
    • When video session is complete, staff is to log the results and notify Activity Director or Supervisor of any issues during the call.
    • All tablets and iPads will be wiped down with disinfecting wipes before and after each use.

 

Infection Prevention and Control

Restrict visitors and non-essential healthcare personnel, except in certain compassionate-care situation.

 

Evaluate all persons who enter the facility for signs of COVID-19. Temperature checks at entry point. Temperature checks at the start of each shift for all employees.

 

The facility will monitor any visitors/vendors/physician for temperature and any signs of respiratory symptoms. The following will also be assessed: history of international travel with 14 days, history of exposure to a presumptive or positive COVID-19.

 

Visitors with respiratory symptoms will not be permitted to enter the facility at any time.

 

Facility will require visitor who are cleared to enter the facility will be asked to perform hand hygiene and use of facemask and restrict visitation to resident’s room.

 

Signage for visitation, cough etiquette and hand hygiene will be posted in several location within the facility.

 

Visitation restriction will be communicated through email, website and posting of signage

 

Active screening for residents for fever and other COVID-19 symptoms every shift.

 

Any supply delivery will be dropped off by the loading dock and/or right by the reception area.

 

Alcohol-based hand sanitizers for hand hygiene will be provided in the hallways, in each resident’s room, medication carts and throughout the building.

 

 

PPE needed will be made available outside the doors for easy access to the staff.

 

Facility will provide EPA disinfectants to allow for frequent cleaning of high touched surfaces and shared resident equipment.

 

Suspend communal dining and all group activities.

 

Residents are encouraged to remain in their rooms. If the resident leaves their room, they should wear a face covering or face mask; perform hand hygiene, limit movement in the facility and perform social distancing.

 

Waste receptacles will be provided for PPE

 

Implement Standard and Transmission-Based Precaution including use of N95 mask.

 

Signs posted for direction of PPE to use in residents on Transmission Based Precaution

 

 

Resident Management / Cohorting

 

Implement cohorting plan that allows for separation of residents, dedicating staff and medical equipment to each of these cohort and allowing necessary space to do so at the onset of an outbreak.

 

In the event staffing cannot be designated specifically in the COVID-19 unit, Staff will work from clean unit to COVID Unit., Staff will cluster work load from clean resident to COVID residents.

 

Staff will don COVID-19 recommended PPE according the CDC guidelines.

 

Laboratory confirmed COVID-19 positive residents will be relocated to designated cohort. Private rooms will be provided if feasible. Cohort with another COVID-19 resident maybe done when private room is not possible.

 

Person Under investigation will not be moved to COVID-19 cohort until results are confirmed.

 

Roommates of COVID-19 residents is considered exposed and should not share a rooms with others unless they have tested negative and has been asymptomatic for 14 days from last exposure.

Facility will adhere to the CDC guideline for the discontinuation of Transmission-Based Precaution.

Symptom-based strategy

At least 3 days (72 hours) have passed since recovery defined as resolution of fever without the use of fever-reducing medications and improvement in respiratory symptoms (e.g., cough, shortness of breath); and,

At least 10 days have passed since symptoms first appeared

 

 

Staff Management

All residents will be provided mask and instructed to cover their nose and mouth when around others, as tolerated.

 

Enforce use of universal facemask (source control)for staff while in the facility in addition to active screening of symptomatic staff.

 

Staff will be screened by getting their temperature taken and completing a screening tool at the start of their shift

 

Any staffs that shows symptoms consistent with COVID-19 will be asked to put on mask and leave the facility. Such staff would require clearance from IP before returning to work.

 

Identify staff who maybe at higher risk for severe COVID-19 and attempt to assign to unaffected units.

 

Educate and reinforce sick leave policy including not to report to work when sick.

 

Assess staff competency on infection prevention and control measure including putting on and taking off PPE.

 

Conserve use of PPE using CDC guidance for PPE contingency strategies.

 

Consider staffing contingency for shortage (refer to separate policy).

  • PROCEDURE
    Choosing Essential Caregivers
    1. All residents may receive Essential Caregiver visitation, except for those residents in a 14-day
    quarantine period, positive for COVID-19, and have not yet met the criteria for the
    discontinuation of isolation.
    2. Imperial Healthcare staff members must consult the resident or resident’s representative (i.e.,
    Power-of-Attorney) about the resident’s wishes or best interests to determine whom to
    designate as the Essential Caregiver.
    3. Those interested in serving as Essential Caregivers must complete the “Imperial Healthcare
    Essential Caregiver Application.” Administration in collaboration with the Director of
    Nursing, will approve or deny the application to serve as an Essential Caregiver.
    4. Both the resident and Essential Caregiver must sign the “Imperial Healthcare Visit Rules,
    Informed Consent, Hold Harmless, & Release Regarding COVID-19” and “Essential
    Caregiver Agreement” prior to beginning the Essential Caregiver relationship.
    5. Residents or residents’ representatives may express a desire to designate more than one
    Essential Caregiver based on their past involvement and needs (e.g., more than one family
    member previously split time to provide care for the resident). In these unique situations,
    Imperial Healthcare staff members will work cooperatively with the resident and family to
    work out a schedule to accommodate the Essential Caregivers. A resident may have no more
    than two (2) Essential Caregivers.
    6. Essential Caregivers must be at least eighteen (18) years old.
    7. Essential Caregivers must plan to visit residents at least once per week, absent exceptional
    circumstances or community prohibitions on entry.
    Role of Essential Caregivers
    8. Essential Caregivers will support and encourage residents with activities of daily living
    (ADLs) and have an essential purpose.
    9. Essential Caregiver visitation is not solely to provide social visits.
    10. Imperial Healthcare staff members will hold a care conference and careplan the role of each
    Essential Caregiver.
    Testing & Screening Essential Caregivers
    11. For the safety and wellbeing of the residents and employees, Imperial Healthcare strongly
    recommends that Essential Caregivers demonstrate results of two negative COVID-19 tests
    before providing care to the residents: The first negative COVID-19 test should occur seven
    (7) days prior to the second test. The second test should occur no more than five (5) days prior
    to the visit at Imperial Healthcare. The Essential Caregiver should thereafter continue to
    demonstrate negative COVID-19 tests on a weekly basis or two (2) negative COVID-19 test
    prior to returning to provide care at Imperial Healthcare.
  • 12. Essential Caregiver can undergo COVID-19 testing through their own healthcare providers.
    Essential Caregivers also have the option of undergoing COVID-19 testing at Imperial
    Healthcare by providing valid insurance information; Essential Caregivers are responsible for
    the unpaid costs of any COVID-19 testing at Imperial Healthcare.
    13. Essential Caregivers will always be screened prior to being allowed access into Imperial
    Healthcare. Screenings shall include temperature checks, questioning on symptoms and
    diagnosis of disease (including COVID-19), and questioning on travel and interaction with
    those with COVID-19 and suspected of having COVID-19.
    14. For the safety and wellbeing of the residents and employees, Imperial Healthcare strongly
    recommends that Essential Caregivers provide proof of having received a flu vaccine to
    Imperial Healthcare by November 1, 2020.
    15. Essential Caregiver visits will be scheduled in advance. Essential Caregivers may visit during
    the following hours: Monday through Friday, 9am-4pm, and Saturday-Sunday, 10am-4pm. To
    reduce congestion during the screening process, Essential Caregivers may not enter the facility
    during the changes of shift.
    16. Essential Caregivers must enter the facility through the main entrance and must sign in and
    out of the facility for each visit.
    17. When Imperial Healthcare is in the Red Zone (Phase 0 pursuant to NJ DOH guidance), a
    resident may have Essential Caregiver care one (1) visit per week for a maximum of two (2)
    hours (per visit).
    18. When Imperial Healthcare is in the Orange Zone or Yellow Zone (Phase 1 or Phase 2,
    respectively, pursuant to NJ DOH guidance), a resident may have Essential Caregiver care for
    two (2) visits per week for a maximum of two (2) hours (per visit).
    19. When Imperial Healthcare is in the Green Zone (Phase 3 pursuant to NJ DOH guidance),
    regular visitation will resume at Imperial Healthcare.
    20. Residents must receive care from their Essential Caregivers in areas designated for such
    visitation by Imperial Healthcare administration.
    21. Essential Caregivers must remain in their assigned areas for their visits.
    22. Essential Caregivers must engage in hand hygiene and social distancing from others besides
    the resident while in the facility.
    23. The Essential Caregiver must maintain social distancing of at least six (6) feet with staff and
    other residents while I the facility.
    24. Imperial Healthcare staff may stop any Essential Caregiver visit or visits if it is believed that
    the visit or visits are not in the best interest of the resident or the Imperial Healthcare
    community.
    Personal Protected Equipment (PPE)
    25. The Essential Caregiver must always wear proper Personal Protective Equipment (PPE) while
    in the facility. Depending on the NJ DOH Phase, this PPE could include a mask, face shield,
    and isolation gown. Essential Caregivers must always wear masks while in the facility.
    26. Essential Caregivers must provide their own PPE.
  • 27. Essential Caregivers must watch the Centers for Disease Control and Prevention (CDC) video
    on donning and doffing PPE (available at https://www.youtube.com/watch?
    v=1xy00pLT9M4&feature=youtu.be ) and sign the “Attestation – CDC Sequence for Donning
    and Doffing Personal Protective Equipment (PPE)” that they have watched same.
    RESPONSIBLE PARTIES
    1. On an annual basis, our commitment to and implementation of this policy shall be reviewed.
    2. Imperial Healthcare administration is responsible for the implementation and communication
    of this policy.
    3. Imperial Healthcare clinical management and Infection Control Preventionist are responsible
    for monitoring and reporting on the implementation of this policy. This responsibility includes
    bringing to the attention of the administration team instances where this policy is not being
    consistently applied.
    ATTACHMENTS
    Imperial Healthcare Essential Caregivers Application
    Imperial Healthcare Essential Caregivers Agreement
    Imperial Healthcare Rules for Essential Caregivers
    Imperial Healthcare Attestation – CDC Donning & Doffing PPE (Essential Caregivers)
Good afternoon,
 
On Monday, August 10th, the New Jersey Department of Health published Executive Directive NO. 20-026 titled Directive for the Resumption of Services in all Long-Term Care Facilities. This 41 page document gives facilities a very specific and detailed path to resume some normal activities of daily living in the long-term care setting which includes indoor visitation, communal dining and small group activities..
 
The directive is broken down into stages and phases and each stage is defined by a certain set of criteria. Our team met this morning to begin the process of creating all of the necessary policies and procedures that must be met in order to move forward. This will take time and all documents will need to be sent to the Department of Health for approval and review before we can began to move through the phases.
 
Please know that we are making this our first priority as we know that you are anxious to see your loved ones on a more regular basis. We appreciate your patience and we will continue to update you on our progress. Please feel free to contact me if you have any questions whatsoever.
 
Sincerely,
Lior Benisti
(732) 922-3400 x141
Good afternoon,
 
In order to move forward to the next phase of reopening, our team at Imperial Healthcare is working hard on implementing the new guidelines released by the Department of Health on August 10th .One of the requirements is that all communications, data and information regarding COVID-19 must be displayed on our website. We will be introducing our new Imperial Healthcare website to our families and friends within the next few weeks Here you will find a page dedicated to all recent data and on-goings in the facility should there be a new outbreak.
 
While we work through these guidelines, we need to ask our families and guardians to please click on the link above, complete the Social Media Consent form and return it to the facility via email at admissions@imperialhealthcarenj.com, regular post or on your next outdoor visit. It is also important that we have an email address for at least one family member per resident. In the event of a second outbreak, we will be using Constant Contact and our website to send and post weekly updates.
 
On another note, our Activity Department has an opening for a full-time employee. If you have a friend or know a college student who won’t be returning to campus right away and would like to become a member of our Imperial family, please send an email to actimperial@yahoo.com.
 
Please continue to use imperialnjcommunications@gmail.com to schedule your window visits and video calls. You must use the following link to book your outdoor visits: https://calendly.com/imperialhealthcare/familyvisits
 
I want to thank you for your cooperation and patience during our outdoor visits. We appreciate your understanding when we have to cancel due to bad weather and power outages and please know that we try to make those missed visits a priority. Please feel free to call me with any questions or concerns.
 
Sincerely,
Lior Benisti
(732) 922-3400 x141
Thursday, September 10th, 2020
 
 
Good evening,
We would like to announce the addition of our
COVID-19 Communication page on our new and improved website. Here you will find the weekly letters in addition to any other pertinent information related to the coronavirus. Please check out imperialhealthcarenj.com to see what we have created for our friends, family, residents and community. We encourage you to explore our website and familiarize yourself with the new layout.
 
Please continue to use imperialnjcommunications@gmail.com to schedule your window visits and video calls. You must use the following link to book your outdoor visits: 
https://calendly.com/imperialhealthcare/familyvisits.
 
Thank you and have a great weekend!
 
Thursday, September 17th, 2020
 
 
Good evening,
As we work through the new guidelines and prepare to progress through to the next phase of reopening, we will continue to schedule our outdoor visits throughout the next few weeks.
 
As the weather becomes cooler, we are asking family members to bring a jacket, coat or sweater for those loved ones who do not have one at the facility. Our staff will make sure that our residents are dressed appropriately depending on the weather.
 
We will be sending out the information and application next week for a family member to be considered for an Essential Caregiver role. The goal of this designation is to provide supportive and hands-on care to a resident. This would have been the family member who had this role when the resident was in the home.
Please look for more information in the next email.
 
Flu season is fast-approaching and flu vaccines will play a critical role in helping prevent a possible second outbreak in healthcare facilities. Please be on the lookout for consent forms to have your loved one vaccinated for the flu.
 
Thank you for time and attention. Our entire Imperial team has been working diligently to meet all of the new guidelines so that we can move toward indoor visits. We also encourage you to visit our new website at imperialhealthcarenj.com for all of our COVID-19 updates and information.
 
Good evening Family and Friends,
Imperial Healthcare has been diligently working on our COVID-19 Outbreak Plan. This comprehensive plan should be available to access on our website by early next week. You will be able to find this on our COVID-19 information page.
 
As we continue to prepare to submit our plan to the New Jersey Department of Health, we have been actively stockpiling PPE, we continue to screen all employees, vendors and consulting doctors and paraprofessionals at the start of every shift, and we continue to test staff weekly.
 
Flu season is fast-approaching and flu vaccines will play a critical role in helping prevent a possible second outbreak in healthcare facilities. Consent forms will be sent to family members within the next week. Please sign and return these to us at your earliest convenience.
 
Thank you for your time and your patience. Please continue to reach out should you have any questions or concerns.
Sincerely,
Lior Benisti, LNHA
 
October 1, 2020
 
Good evening,
The COVID-19 Outbreak Plan is completed and has been posted to our COVID-19 update page on the Imperial Healthcare website. You can find our page at imperialhealthcarenj.com. The Outbreak Plan is just one of the many components of our reopening plan for the New Jersey Department of Health. We will have more updates for you in the coming days, including the completion and submission dates of the plan and the required attestations to the NJDOH.
 
We continue to remain COVID free, but should there be a confirmed case you will be notified by 5Pm the following day via Constant Contact email.Please feel free to call me if you have any questions regarding this policy or the Outbreak Plan.
 
Have a peaceful evening.
 
Sincerely,
Lior Bensiti
 
 
Thursday, October 8, 2020
 
 
Good Evening,
Imperial Healthcare continues to remain COVID free, but should there be a confirmed case you will be notified by 5PM the following day via Constant Contact and it will be posted to our website. Our COVID Outbreak Plan has been completed and posted to our website under the Covid tab for your review.
 
Please take a moment to review these reminders for scheduling your weekly, outdoor visits. These rules and regulations have been set forth by the New Jersey Department of Health to ensure safe visits for all involved.
 
  • Each resident is only allowed one outdoor visit per week in order to give each resident an opportunity for a weekly visit. 
  • Please remember that only two family members are allowed per visit. Any other family members will be asked to wait in their vehicle. 
  • You MUST arrive ten minutes prior to your scheduled visitation time in order to complete the paperwork and have your temperature taken. 
  • If you arrive past your scheduled time, your visit will have to be rescheduled for another day and time.
  • Virtual visitation is still available. Please email imperialnjcommunications@gmail.com
  • Window visits must be scheduled through Activities. We are unable to accommodate an unscheduled window visit.
 
Thank you for your understanding. Please know that our first priority is everyone’s safety. Please contact me if you have any questions or concerns.
Sincerely,
Lior Benisti, LNHA
Thursday, October 15th, 2020
 
 
Dear Friends and Families,
We are very happy to announce that we have been approved to move to Phase One of the Action Plan outlined by the Centers for Medicare and Medicaid Services and the New Jersey Department of Health.
 
On Friday, October 9th, I attested to the following requirements;
  • End of Outbreak
  • PPE Emergency Use Stockpile
  • Data Reporting on NHSN twice a week
  • Infection Prevention Contract
  • Phased Reopening.
 
Today, we will begin small group activities of 10 or less while following all CDC guidelines with social distancing and mask wearing. These groups will remain consistent to limit the chances of virus spread across multiple residents. Soon after, we will begin small group dining. Please understand that we are trying to accommodate all of our residents and so we ask for your patience while we work through this phase.
 
Our next goal is to move to Phase Two within the next few weeks. Phase Two will allow us to scheduled indoor visits. For now, please continue to schedule your outdoor and Skype visits through the Calendly site and the Activity Department. If any other family members would like to receive our Constant Contact communications, please have them email admissions@imperialhealthcarenj.com.
 
Thank you for your patience, support and understanding. All previous letters and communications can be found under the COVID-19 tab on our website.
 
Sincerely,
Lior Benisti, LNHA
Thursday, October 22nd, 2020
 
Dear Families and Friends,
I am happy to report that we remain COVID free at Imperial Healthcare. On Wednesday, October 14th, we entered Phase One. This phase allowed us to begin small group activities and small group dining. Residents were placed into two groups. One group participates in morning activities and enjoys lunch in the dining room and the second group attends afternoon activities and stays for the evening meal. It has brought a smile to my face to see our residents out and socializing with our staff and each their friends once again.
 
I will be signing the attestation to proceed to Phase Two by the end of the week. This would allow us to begin Phase Two sometime next week. Phase Two will allow for the scheduling of indoor visits. Please be on the lookout for an email regarding the procedures for indoor visitation. Please use new this link to schedule your outdoor visits. https://calendly.com/imperialhealthcare/outdoor-visits One last reminder, we will only allow for window visits that have been booked via email. These appointments cannot be made by phone and will not be able to be accommodated.
 
Please let me know if you have any questions regarding these changes. We appreciate all of your support and patience during these times. Have a good evening.
 
Sincerely,
Lior Benisti, LNHA
Thursday, October 29th, 2020
 
Dear Family, Friends and Residents,
On Wednesday, October 28th, I signed and submitted the following attestations:
  • Implemented all the requirements set forth in Executive Directive 20-026¹
  • Not experienced any new facility-onset of COVID-19 cases in 14 days,
  • has a mechanism to collect informed consent from the residents and visitors,
  • has a location designated for indoor visitation,
  • sufficient staff, a mechanism for appointments, and sufficient PPE and cleaning and disinfection supplies to permit visitation.
These new guidelines will allow us to move to Phase Two which will start the beginning of indoor visitation on Tuesday, November 3rd. We will start with a modified visitation schedule for indoor visitation, but we will continue outdoor visitation as well. Please use the following link which can accommodate both types of visits. www.calendly.com/imperialhealthcare
 
*Please note that each resident will be limited to one type of in-person visit per week. All visits are still limited to two family members per visit. You must arrive 10 minutes prior to your visit to complete the screening process. All visits will end as scheduled regardless of the time of arrival to accommodate the cleaning and disinfection process prior to the next scheduled visit.
 
 
Please note that all visitors will be expected to adhere to the following guidelines:
 
NJ Visitor Policies at Long-Term Care Facilities
A resident who is suspected or confirmed to be infected with COVID-19 or quarantined for a COVID-19 exposure cannot have visitors. A resident who has tested positive is allowed visitation after they have met the criteria for discontinuation of isolation.
·      Both visitors and residents must wear face coverings.
·      Long-term care facilities should communicate the visitor policy to residents, families, staff and others. They should receive informed consent from the resident and the visitor in writing that they are aware of the possible dangers of COVID-19 exposure and that they will comply with the facility’s policies during the visit. As part of the consent form, the visitor must agree to notify the facility if they test positive for the virus or have symptoms within 14 days of visiting.
·      Upon screening, facilities must prohibit visitation for those who meet one or more of the following criteria:
1) 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 100.4 F or as further restricted by facility), 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;
2) In the last 14 days, has had contact with someone with a confirmed diagnosis of COVID-19, or someone under investigation for COVID-19, or someone ill with respiratory illness.
3) In the last 14 days, has returned from a designated state under the 14-
day quarantine travel advisory; or
4) Has been diagnosed with COVID-19 and has not yet met criteria for
the discontinuation of isolation per guidance issued by NJDOH and CDC.
 
We are very proud of all of the hard work and collective effort that has allowed us to proceed into this phase. We could not have done this without the full cooperation of every family member, friend, employee and resident. We will continue to make the safety of our entire Imperial Family our first priority. Thank you and have a good evening.
Sincerely,
Lior Benisti, LNHA

Thursday, November 5th, 202

Good evening,
Imperial Healthcare remains COVID free. cases. We are officially in Phase Two of the action plan as outlined by the CDC, CMS and the New Jersey Department of Health.
 
We will now start to transition away from outdoor visits to indoor visits as the colder weather is upon us. If you have any concerns about indoor visitation, please contact Tori Capestro at imperialnjcommunications@gmail.com. Please click the link above to schedule your indoor visit.
 
Please contact me if you have nay questions regarding our COVID status, action plan or any policies or procedures related to infection control. Thank you and have a nice evening.
Sincerely, Lior Benisti, LNHA

 

Thursday, November 12, 2020
 
Good evening,
Imperial Healthcare remains COVID free at this time. We are closely monitoring any regulatory changes issued by the Department of Health and will communicate any changes to you as we receive them.
 
I am very proud to announce that we have achieved a Deficiency Free survey from the Department of Health for the second year in a row! This could not be possible without the hard work and commitment of every member of the Imperial Team. Our team would also like to thank our Imperial family and friends for all of your support.
 
Lastly, I encourage you to follow our Facebook page and our Instagram account for information, resources and highlights of our residents, staff and clinical programs. Thank you for your time and I wish you a peaceful night.

Sunday, November 15th, 202

Dear Family and Friends,
During our routine, weekly testing, we were notified of a positive COVID-19 result in one of our long-term care residents. At this time, the resident is asymptomatic and has been placed on isolation.
 
All residents and staff will be tested within 24 hours and then a second round of testing will be completed on Thursday to establish a new baseline. Unfortunately, we will have to suspend all indoor, outdoor and window visitation until further notice. FaceTime and Skype calls can be scheduled by using the imperialnjcommunications@gmail.com address.
 
We will be in contact with our local Department of Health for all guidance and safety measures and will continue to follow all State Department of Health and CMS guidelines.
 
We will keep you updated with any further developments. As always, the staff at Imperial Healthcare will be available for any questions, comments or concerns. Please feel free to reach out to me should you need any further information. Thank you for your patience and understanding.
 
Lior Benisti, LNHA
 

 

Thursday, November 18th, 2020
 
Dear Family and Friends,
Today we were notified by our lab that we have five additional positive COVID-19 cases including four residents and one employee giving us a total of 5 residents and one employee. The residents have been isolated and the employee is quarantining at home. All six cases are asymptomatic.
 
We will initiate the second round of testing of all employees and residents tomorrow. We continue to follow all CDC and State Department of Health guidelines.
 
Tomorrow, Jennifer Sacks, our Director of Nursing and myself will be hosting a Family Conference Call at 1PM. We will be available to answer any additional questions that you may have. Please dial (623) 600-3763 and enter code 678331. Kindly mute your phones unless asking a question.
 
Unfortunately, NO VISITATION of any kind will be allowed at this time. FaceTime and Skype calls can be scheduled by using the imperialnjcommunications@gmail.com address. Please continue to check our website under the COVID-19 tab frequently for the most current updates and information.
 
Once again, I am grateful for all of the support and understanding we have received from our family members. Please do not hesitate to reach out to me should you have any concerns whatsoever.
 
Sincerely,
Lior Benisti, LNHA
Monday, November 23rd, 2020
 
Dear Family and Friends,
On Thursday, November 19th, we conducted our second round of testing of all residents and staff members to establish a new baseline. From that round of tests, one additional employee tested positive for COVID-19. We immediately began testing any resident that the employee has come in contact with. The rapid testing of those residents revealed one additional resident who also tested positive. This gives Imperial a total of 2 employees and 6 residents who have tested positive for Covid-19. Both staff members are quarantining at home and all residents have been isolated. All residents and employees are asymptomatic at this time.
 
We continue to follow all CDC, CMS and State Department of Health guidelines. We have been conducting additional, interim rapid testing to attempt to mitigate the spread in between our weekly testing requirements. We will complete another round of PCR testing tomorrow of all residents and staff.
 
We will be hosting a second Family Conference Call on Wednesday, November 25th at 11am. Please call (623) 600-3763 and the access code is 678331.
 
Unfortunately, no visitation is allowed at this time except to accommodate those in an end of life or compassionate care situation. FaceTime and Skype calls can be scheduled by using the imperialnjcommunications@gmail.com address. Please continue to check our website under the COVID-19 tab frequently for the most current updates and information.
 
Once again, I am grateful for all of the support and understanding we have received from our family members. Please do not hesitate to reach out to me should you have any concerns whatsoever.
Sincerely,
Lior Benisti, LNHA
Friday, November 27th, 2020
 
Dear Family and Friends,
On Tuesday, November 24th, we conducted another round of mandatory testing of all residents and staff members. From those results, one additional employee tested positive for COVID-19. The employee is asymptomatic. We have started rapid testing all residents that have been exposed to this employee.
 
This gives Imperial a total of 3 employees and 5 residents who have tested positive for Covid-19 as one resident has recovered. All staff members are quarantining at home and all residents have been isolated. All residents and employees are asymptomatic at this time.
 
On Wednesday, November 25th, representatives from the New Jersey Department of Health conducted a one day, Infection Control survey. They examined all aspects of infection control and spent time observing caregivers on the COVID-19 unit. They had zero findings and awarded us a second deficiency free survey.
 
Although we are extremely proud of the hard work done by the Imperial Team, we feel that we can still take additional measures to assist in mitigating the spread of this virus. Therefore, we have increased the housekeeping and sanitizing of all common areas including nurses stations, break rooms, med carts, door knobs and restrooms. We will also be reviewing hand washing, PPE usage and all other infection control measures with all staff.
 
We continue to follow all CDC, CMS and State Department of Health guidelines. We have been conducting additional, interim rapid testing in between our weekly testing requirements when necessary. We will complete another round of PCR testing of all staff Monday and Tuesday.
 
Unfortunately, no visitation is allowed at this time except to accommodate those in an end of life or compassionate care situation. FaceTime and Skype calls can be scheduled by using the imperialnjcommunications@gmail.com address. Please continue to check our website under the COVID-19 tab frequently for the most current updates and information.
 
Please continue to check our website under the COVID-19 tab for more information.
Thank you for you patience and understanding.
 
Sincerely,
Lior Benisti, LNHA
(732) 922-3400 x141
Saturday, November 28th, 2020
 
 
Dear Family and Friends,
On Tuesday, November 24th, we conducted another round of mandatory testing of all residents and staff members. Additional results have informed us that we have , two additional employees testing positive for COVID-19 and one additional resident. The employees and the resident are asymptomatic.
 
This gives Imperial a total of 5 employees and 6 residents who have tested positive for Covid-19 as one resident has recovered. All staff members are quarantining at home and all residents have been isolated. All residents and employees are asymptomatic at this time.
 
On Wednesday, November 25th, representatives from the New Jersey Department of Health conducted a one day, Infection Control survey. They examined all aspects of infection control and spent time observing caregivers on the COVID-19 unit. They had zero findings and awarded us a second deficiency free survey.
 
Although we are extremely proud of the hard work done by the Imperial Team, we feel that we can still take additional measures to assist in mitigating the spread of this virus. Therefore, we have increased the housekeeping and sanitizing of all common areas including nurses stations, break rooms, med carts, door knobs and restrooms. We will also be reviewing hand washing, PPE usage and all other infection control measures with all staff.
 
We continue to follow all CDC, CMS and State Department of Health guidelines. We have been conducting additional, interim rapid testing in between our weekly testing requirements when necessary. We will complete another round of PCR testing of all staff Monday and Tuesday.
 
Unfortunately, no visitation is allowed at this time except to accommodate those in an end of life or compassionate care situation. FaceTime and Skype calls can be scheduled by using the imperialnjcommunications@gmail.com address. Please continue to check our website under the COVID-19 tab frequently for the most current updates and information.
 
Please continue to check our website under the COVID-19 tab for more information.
Thank you for you patience and understanding.
 
Sincerely,
Lior Benisti, LNHA
(732) 922-3400 x141
December 2nd, 2020
 
Dear Families and Friends,
On Monday, December 1st as per the most recent New Jersey Department of Health Directive, we began rapid testing all employees. Testing will now occur every other day. This testing revealed one new positive result and the employee was sent home to begin quarantine.
 
Today, at 12 PM, we were notified by the lab that one additional resident tested positive. The resident has been isolated on the Covid Unit and the family has been notified.
 
As of now, we have a total of 3 positive residents and 4 employees who are all asymptomatic. We have recovered 5 residents and 2 staff members.
 
Thank you to those family members who are able to join us on our weekly conference call. It is an opportunity for the administration team to answer any questions you may have. Please feel free to reach out if I can answer any questions in the interim.
 
Thank you and have a nice evening.
 
Sincerely,
Lior Benisti, LNHA
(732) 922-3400 x141