COVID-19 Information Center

How Solvere Living Communities Are Responding to the Coronavirus

  • A Message From Our CEO
  • Vaccine Updates
  • Protocols
  • Resources
  • COVID-19 Task Force

A Message From Our CEO

COVID-19 Vaccine Efforts | July 22, 2021

In June, I was cautiously optimistic by our country’s vaccination efforts, businesses were starting to open, and people were out and about. The United States had a partially vaccinated rate of 53 percent and fully vaccinated rate of 44 percent. The guidelines for wearing a mask and physical distancing had been relaxed. However, in the last few weeks, we have all been dismayed to hear about the highly infectious Delta variant, which has caused coronavirus cases to spike again. It’s been a roller coaster ride and a difficult time for everyone in senior living.

We are now pushing into the second half of 2021. Last month, The Centers for Disease Control and Prevention (CDC) issued updated guidance for long term care facilities, including assisted living communities. The Solvere COVID Response Team interpreted these guidelines and issued protocols for community team members to adhere to. Rest assured, we review the CDC guidelines in detail and are abundantly cautious in our own safety requirements. Team members continue to wear surgical masks while working in our communities. We have step by step protocols for COVID testing and resident visitation.

We need to take this one step at a time, continue to be diligent and be part of the solution. We will continue to do everything we can to keep residents and team members safe and will continue to communicate as we change protocols.

Thank you,

Kristin Ward
Chief Executive Officer

Vaccine Updates

Click the links below to read the latest COVID-19 vaccination updates from Solvere Living:

September 17, 2021

On March 19, 2020, the Dallas County Commissioners Court issued an Order of Continuance of Declaration of Local Disaster for Public Health Emergency. A notification statement of diagnosis must be displayed on a Facility’s corporate website. The Monarch at Richardson has reported 15 confirmed positive cases of COVID-19.


June 28, 2021

The Centers for Disease Controls and Prevention (CDC) has issued updated guidance for long term care facilities including assisted living communities. Also, each state has its own executive orders that are to be followed and implemented. Based on this guidance, Solvere Living has issued protocols for its assisted and independent living and memory care communities.

Each state has its own executive orders that are to be followed and implemented. Therefore, Solvere Living has updated its own protocols for each community based on the CDC, federal, state and local guidelines; and the COVID-19 status in each state and local area with the guidance of each state’s Department of Health.

The following protocols are effective immediately:

Solvere Living Team Members

All community team members must continue to wear a surgical face mask, at all times, while working at the community. Team members can dine and socialize together in break rooms and remove their masks while eating or drinking but should continue to physically distance as much as possible.

COVID-19 Testing

  • Symptom based testing: anyone with COVID symptoms regardless of vaccination status will need to receive a COVID viral test immediately
  • Testing after exposure: asymptomatic team members and residents with prolonged exposure to a COVID positive person, regardless of vaccination status, should have a series of two COVID tests (immediately and then five to seven days post-exposure). Team members must stay out of work until two negative COVID test are obtained, and residents must quarantine until two negative COVID tests are obtained.
    • Prolonged exposure refers to a cumulative time-period of 15 or more minutes during a 24-hour period
  • Outbreak testing: testing strategies for communities with outbreaks remain unchanged. Team members and residents, regardless of vaccination status, should have viral tests every three to seven days until no new cases are identified for 14 days.
    • An outbreak is defined as 1 or more cases of COVID-19 in a community either in a resident or in a team member
  • Routine testing: fully vaccinated team members are no longer required to undergo routine testing. Unvaccinated team members must continue to be routinely tested based on county positivity rate (COVID-19 Nursing Home Data | Data.CMS.gov), if required by the state/county.
  • Residents and team members who are required to test should not re-test within 3 months of having previously testing positive for COVID-19
  • Team members with COVID return to work decisions must be reviewed and approved by the COVID-19 response team prior to the team member being permitted to return to work

Vaccination

  • Residents who are fully vaccinated do not need to wear facemasks. Residents who have not been fully vaccinated should continue to wear facemasks.
  • Each community should continue to promote and provide opportunities for all team members and residents to get vaccinated. Full vaccination for visitors is always preferred, when possible.
  • The community must maintain a list of all fully vaccinated and non-vaccinated residents within each department and update at a minimum weekly

Screening

  • Screening for symptoms and exposure must take place for all team members and visitors upon entry into the community
  • Anyone who answers “yes” to any of the screening questions or exhibits COVID symptoms will be prohibited from entering the community
  • Residents no longer require daily screenings for COVID-19 signs or symptoms

Visitation

Visitation is permitted for all residents except in the following circumstances:

  • Indoor visitation should be limited solely to compassionate care situations for:
    • Unvaccinated residents if the county COVID-19 positivity rate is greater than 10% and less than 70% of residents in the community are fully vaccinated
    • Vaccinated and unvaccinated residents with COVID-19 infection until they have met criteria to discontinue transmission-based precautions per CDC guidance as stated below

Symptom-Based Strategy for Discontinuing Transmission-Based Precautions

Residents with mild to moderate illness who are not severely immunocompromised:

  • At least 10 days have passed since symptoms first appearedand at least 24 hours have passed since last fever without the use of fever-reducing medications and symptoms (e.g., cough, shortness of breath) have improved)

Residents who were asymptomatic throughout their infection and are not severely immunocompromised:

  • At least 10 days have passed since the date of their first positive viral diagnostic test

Residents with severe to critical illness or who are severely immunocompromised:

  • At least 10 days and up to 20 days have passed since symptoms first appeared and at least 24 hours have passed since lastfever without the use of fever-reducing medications and symptoms (e.g., cough, shortness of breath) have improved

Vaccinated and unvaccinated residents remain in quarantine until they have met criteria for release from quarantine.

Communities in outbreak status should follow guidance from state and local health authorities when visitation should be paused. If visitors are permitted at this time, the visitor must be counseled about their potential to be exposed to SARS-CoV-2 in the community during their visit.

Physical Distancing During Visitation

When both residents and their visitors are fully vaccinated, they can choose to have close contact (including touch) and not wear masks. However, the visitor should continue to wear masks and physically distance from other team members and other residents and visitors that are not part of their group at all other times while in the community.

If the resident is fully vaccinated, they can choose to have close contact (including touch) with their unvaccinated visitor(s) however both must continue to wear face masks.

Residents who just Moved or Returned to the Community

  • Residents fully vaccinated moving into the community are not required to quarantine. They must provide a copy of their vaccine card which is to be maintained in their resident health record.
  • Residents not fully vaccinated are required to present a negative COVID test result within 10 days of their move in date and quarantine for 5 days upon move in. They must re-test and have a negative COVID test on the 5th day or if the 14th day from the first day of the negative COVID test is before the 5th If a negative test result is received and they are asymptomatic, the resident is no longer required to quarantine. While quarantining, residents must be screened every 8 hours using the individualized screening tool.

Group Activities and Programming

  • If all residents participating in the program are fully vaccinated, then they may choose to have close contact and to not wear a mask during the program
  • If unvaccinated residents are present, then all participants in the group activity should wear a mask and unvaccinated residents should physically distance from other residents
  • Educating unvaccinated residents about their risks in a group setting must take place

Communal Dining

  • Fully vaccinated residents can participate in communal dining without the use of masks and physical distancing
  • If unvaccinated residents are dining in the dining room or a communal area, all residents should wear a mask when not eating and unvaccinated residents should continue to remain at least six feet from others

Social Excursions Outside the Community

Residents taking social excursions outside of the community should be educated about the potential risks of public settings, especially if they have not been vaccinated. It is also important to remind residents to avoid crowds and poorly ventilated spaces.

Infection Control

Prevention measures for continued implementation include:

  • Hand sanitizers must always be filled
  • 11-7 pm shift cleaning of common areas, counter tops, walkers, wheelchairs, etc. are completed
  • Ensure assigned and cleaning of common areas and high touch areas at two times a day

Infection Control-Meal Service for residents quarantining or isolating:

  • When meals are delivered, gloves are to be changed before entering each individual resident apartment
  • Hand sanitizer should be on meal service delivery cart and hands should be washed before entering and after leaving each resident’s apartment to deliver a meal

State Specifications

New Jersey

  • All unvaccinated team members must continue to be tested weekly
  • Vaccine clinics or opportunities to be vaccinated should be offered 1-2 times per month for unvaccinated residents and team members
  • Unvaccinated residents no longer need to be tested
  • Testing guidelines are partially based on COVID positivity rate in county which should be monitored weekly to identify changes in testing protocol

Texas

  • Requirement to screen residents for symptoms and exposure daily

Download PDF Version


November 5, 2020

COVID-19 Visitation Protocols

Visitation protocols are being implemented in each community based on the Governor’s Executive orders for the state in which they reside.  County guidelines are also followed, when required.

We are committed to implementing visit protocols for each community. The guidelines vary from state to state, as well as the types of visitors that are permitted to enter each community.  Types of visitors, outside of essential health care personnel, who may now visit are defined as general visitors, compassionate care visitors, and essential visitors.  The types of visits, including window visits, outdoor visits and in person visits are also based on a variety of factors, such as each state’s Executive Orders, required protocols and its COVID-19 status.

Every Solvere community continues to follow the Centers for Disease Control, federal and state guidelines pertaining to outbreak status, screenings and testing to ensure residents and team members are well; and to support the visitation process.

Each general manager will send a weekly correspondence to all residents and family members to keep them informed of the status of the community, residents and team members.  As the outbreak status may change within a community, protocols will be adjusted accordingly. We appreciate everyone’s flexibility and support keeping residents safe, while working towards implementing meaningful connections that are shared between loved ones.

Please contact the community’s general manager directly with any questions or immediate concerns. Thank you for your ongoing support.

Download PDF Version


August 17, 2020

The Centers for Disease Control and Prevention (CDC) has updated its guidelines and recommendations involving health care professionals, COVID-19 (C19) transmission and testing. Also, each state has its own executive orders that are to be followed and implemented. Therefore, Solvere Living has updated its own protocols for each community based on the CDC, federal, state and local guidelines; and the COVID-19 status in each state and local area with the guidance of each state’s Department of Health.

The following protocols are effective immediately:

Return to Work Protocols – Three Strategies
  • All return to work decisions must be reviewed and approved by the COVID-19 Response Team prior to the team member being permitted to return to work
  • All team members with “inconclusive” or “indeterminate” test results must be individually reviewed by the COVID-19 Response Team

Symptom-Based Strategy

  • Non-severely immunocompromised team members with mild to moderate illnesses should remain out of work after 10 or more days have passed since symptoms first appeared. Team members should remain out of work 20 days or more for severe or critical illnesses or those who are severely immunocompromised.
  • At least 24 hours have passed since resolution of fever, without the use of fever-reducing medications and improvement in all symptoms

Time-Based Strategy

  • Asymptomatic team members should remain out of work after 10 days have passed since the date of the first positive COVID-19 viral diagnostic test AND have remained asymptomatic
  • Asymptomatic team members should remain out of work for 20 days for those who are severely immunocompromised AND have remained asymptomatic

Test-Based Strategy

Team members who are symptomatic:

  • Resolution of fever without the use of fever-reducing medications, and
  • Improvement in symptoms (e.g., cough, shortness of breath), and
  • Results are negative from at least two consecutive respiratory specimens collected ≥24 hours apart (total of two negative specimens)
  • Inconclusive or indeterminate results are considered positive for test-based strategy

Healthcare professionals who are not symptomatic:

  • Results are negative from at least two consecutive respiratory specimens collected ≥24 hours apart (total of two negative specimens)
Residents who are moving or returning to the community from the hospital, rehabilitation or another facility
  • All new residents must be COVID-19 tested within seven days prior to moving in and provide the test results to the general manager prior to moving in
  • Residents returning to the community from a hospital, rehabilitation or other healthcare facility stay, must have results of a COVID-19 test within seven days of returning to the community
  • New residents will be required to isolate for 14 days in their rented apartment after moving into the community if their COVID-19 test is negative
  • If a COVID-19 positive resident moves into the community, they will be required to isolate in the cohort area for COVID-19 positive residents
  • Any resident newly moving in or being re-admitted into the community from a healthcare facility or another communal living setting, will be required to have a negative COVID-19 test prior to moving in (unless the state mandates more than one negative COVID-19 test prior to being discharged). The resident must isolate or cohort for 14 days upon moving in or re-admission as directed by the state or the COVID-19 Response Team.
  • Any resident being re-admitted into the community from a healthcare facility or another communal living environment must be reviewed and approved by the COVID-19 Response Team prior to moving into the community
  • Contact the COVID-19 Response Team prior to the resident moving in and if the resident states they refuse to isolate after moving into the community
Outside Providers’ Instructions
  • Examples of outside providers include primary care providers, podiatrists, psychiatrists, psychologists, social workers, counselors, therapy providers, salon stylists, private duty aides, etc.
  • Outside providers must submit a protocol to be reviewed and approved by the COVID-19 Response Team prior to services being approved, or they must agree to abide by our safety protocols
  • Only essential visits will be permitted
  • Request a negative COVID-19 test from outside providers. If the provider is not able to provide results indicating a negative COVID-19 test taken within the last 14 days, inform the COVID-19 Response Team for approval prior to admittance into the community.
  • All private duty aides and companions must provide documentation of negative COVID-19 tests on the same basis as all team members in a community. For example, if the state requires a weekly test for all team members, a private duty aide or companion must submit a weekly test to the community or be tested by the community where allowed or required.
  • In states where testing is not mandated for team members, private duty aides and companions must provide documentation of a negative COVID-19 test every 14 days.

Download PDF Version


July 2, 2020

Dear Residents, Team Members, Family and Friends:

As you are aware, each state is in a different phase as they slowly take steps to re-open safely. We have considered each state’s executive orders, CDC guidelines, and the volatility of COVID-19 and the prevalence of it in each community.  Using this information, we have developed protocols to support each community as we slowly reopen dining, community spaces, amenities and group programs.

The following updated protocols are effective immediately: New Residents:

  • All new residents must be COVID-19 tested within 4-5 days prior to move in and the test results provided to the community prior to move in.
  • If a new resident tests negative for COVID-19, he or she will be required to isolate for 14 days in their rented apartment after moving into the community.
  • If a new resident tests positive for COVID-19 and moves into the community, he or she will be required to isolate in the cohort area for COVID positive residents.
  • Any new resident – moving  or being re-admitted into the community from a healthcare facility or another communal living setting – will be required to have a negative COVID test prior to moving in (unless the state mandates more than one negative COVID test prior to being discharged).  The resident must isolate or cohort for 14 days upon moving in or being re-admitted, as directed by the state or the COVID-19 Response Team.
  • The COVID-19 Response Team must review and approve any resident being re-admitted into the community from a healthcare facility or another communal living setting prior to moving in.
  • Contact the COVID-19 Response Team if a prospective resident states he or she will not isolate after moving into the community.

Outdoor Visits:

The community must not have any COVID-19 positive residents for four (4) weeks before the general manager can request outdoor visits , common areas and amenities to re-open (if permitted by the state and local government and unless a timeframe that exceeds the four (4) weeks is ordered by those agencies).

  • All resident outdoor visits must be pre-scheduled.
  • No more than two (2) individuals can visit with one (1) resident at a time.
  • No more than two (2) resident outdoor visits can occur at one time (unless otherwise required by the state).
  • A community team member must be present during each outdoor visit to ensure six (6) feet of physical distancing is always maintained. Unfortunately, touching and hugging are not permitted at this time due to safety concerns.
  • Community team members should maintain an appropriate distance from the resident and visitor(s) to allow privacy during the visit. However, team members should remain observant and be able to approach the visitation area quickly to aid or to reinforce protocol, if needed.
  • The resident and visitor(s) must always wear face masks.
  • Hand sanitizer must be applied, or proper hand hygiene performed by the visitor(s) and resident immediately prior to the visit.
  • The table and chairs must be disinfected after the outdoor visit and allowed to air dry for at least 15-30 minutes before another visit can occur in the same location.
  • All residents participating in outdoor visits must have a documented Focused ServicePlan.
  • If visitors do not comply with the rules listed above, they may be banned from future visits, until all visitor restrictions are lifted, or all visitation may be stopped at the community. These rules are for the safety of all residents and team members to limit the risk of exposure.

Fitness Centers, Common Areas, Beauty Salons, Dining Rooms, etc.:

  • If a general manager wishes to re-open any common area or services in the community, please submit in advance all requests and plans to Solvere Living for review and approval.
  • If there are positive cases of COVID-19 in a community, common areas and amenities may close for a minimum period of 2-3 days up to a much longer period. This will allow team members to disinfect all areas, contact trace and prevent further spread of the viru
  • The closing period will be determined on a case by case basis for each community.

Outside Providers:

  • Examples of outside providers include primary care providers, podiatrists, psychiatrists, psychologists, social workers, counselors, therapy providers, salon stylists, private duty aides etc.
  • Outside providers must submit a protocol to be reviewed and approved by the COVID-19 Response Team prior to services being rendered or they must agree to abide by our safety prot
  • Only essential visits will be permitted.
  • Request a negative COVID-19 test from outside provider If they are not able to provide results indicating a negative COVID-19 test taken in the last 14 days, inform the COVID-19 Response Team for approval prior to admittance into the community.
  • All private duty aides and companions must provide documentation of negative COVID-19 tests on a weekly basis.

Download PDF Version


May 21, 2020

Dear Residents, Team Members, Family and Friends:

We are all encouraged to see states beginning to reopen, and are looking forward to the day when things can return to normal for all of us. We’re happy to report that the majority of our communities have remained free of COVID-19, but we also understand that we must continue to remain vigilant for the safety of residents at Solvere-managed communities.

Each community continues to implement the latest protocols that have been developed based on the CDC recommendations and the local and state agencies for each community, and we continue to work closely with local and state health departments to implement these guidelines. As many states “phase in” the re-openings of retail stores and other businesses, we must continue to prioritize the safety of the residents and team members to minimize the opportunity for COVID to be introduced into a community.

At Solvere, we understand the uniqueness of every community and that it’s not a “one size fits all” solution. Each community is evaluated based on its individual needs and services, resident needs, and directives from governing agencies based on their location. We thank you for your understanding as we determine the appropriate timing of re-opening amenities, allowing visitors, and altering any protocols that are currently in place, which we will do as safely and thoughtfully as possible based on the information we have. We will continue to provide protocol updates and communicate with residents and families of each community individually as we transition through the various phases of re-opening within each state and each community.

To learn more about specific protocol updates and phases of re-opening for each community, we encourage you to contact your community of choice directly. Click on the community of your choice below to be directed to contact information for a community team member:


April 27, 2020

Dear Residents, Team Members, Family and Friends;

We are committed as always to full transparency and compliance with the latest COVID-19 guidelines and recommendations from the CDC, state and local governing authorities as well as best practices that will keep residents and team members safe and in good health.

Below are additional protocols as well as reminders from previous protocols that have been enacted. We extend our most sincere appreciation to our team members for their continued commitment and effort in caring for residents and each other during this difficult time.

Updated Protocol:

Limiting Community Access
Keep the front door locked to control access to the community and to ensure proper screening is occurring. Team members waiting to be screened for their shift should physically distance 6 feet apart.

**This includes when a resident is readmitted back to the community from another healthcare facility. They should be met at the door and the care of the resident taken over by our healthcare personnel.**

The only exceptions are:
1) EMS responding to a resident emergency
2) If EMS is required via stretcher transfer for the safe admission or readmission of the resident (and they should be screened first).

Masks

All community team members are to wear CE or Surgical face masks at all times, except for the situations described below.

All residents are to wear face masks if they leave their apartment for any reason.

  • All communities that have known positive COVID-19 cases should implement the following:
  • All team members must wear the re-useable KN95 masks at all times
  • Residents must wear re-useable KN95 masks during ADL support care and with close face to face contact.
  • Refer to Attached KN95 washing and disinfecting protocol
  • As states begin to “reopen”- currently TN, GA, and TX but this will change over time - AL & MC communities in states where self-isolation restrictions have been lifted will:
    • Provide all residents with their own re-useable KN95 mask to be maintained in their apartment
    • Residents are to wear KN95 masks during ADL support care and with close face to face contact.
    • Refer to Attached KN95 washing and disinfecting protocol
  • Reminder: All other communities are to utilize N95s and KN95 masks only when caring for a resident in isolation or showing possible COVID-19 symptoms and receiving nebulizer or aerosolizing treatments. Otherwise you should be wearing the CE or Surgical masks at all times.
  • Infection Control-Cohort Plan
    • All communities must develop a Cohort plan for residents who are isolating in the community with known positive COVID-19 disease, COVID-19 symptoms or have a potential exposure to COVID-19.
    • The cohort plan must include the process and needed plan for implementation for designating team members to care for residents who are in cohort areas related to COVID-19.
  • Infection Control-Meal Service
    • When meals are delivered, gloves are to be changed before entering each individual resident apartment
      • Hand sanitizer should be on meal service delivery cart and hands should be washed before and after entering each resident apartment to deliver a meal.
    • When refreshment cart is being passed with snacks, gloves should be changed when handing a refreshment to each individual resident.
      • Hand sanitizer should be available on the refreshment cart and hands should be washed before and after each resident receives a snack
  • Resident and Team member Screening Logs
    • If a resident responds “yes” to a screening question and it is believed to be due to a chronic or on-going issue, notate this on the screening log and place the resident on isolation utilizing the individualized screening tool until discussed with a member of the COVID-19 response team.
  • Resident Move-Ins to Valeo Neighborhood Update:
    • Residents are permitted to move into a Valeo neighborhood or into an all Valeo memory care community if there have been no known cases of COVID-19 by any residents living in the community
    • Residents who require being transferred from the AL or IL community into the Valeo neighborhood will be permitted if there has not been a positive case of COVID-19 in the neighborhood.
  • Resident Move-Outs:
    • The same process is in place when moving a resident out of the community as when moving a resident into the community
    • Residents are permitted to have one family present to assist with moving out
    • Residents family member and movers, if present, must be screened prior to moving items out of the resident apartment
    • Moving company should be informed prior to move that movers will be screened and to provide the least number of movers possible for the move.

    Family member and movers are to not access any common areas of the community.

    Download PDF Version

    KN95 Mask Washing & Disinfecting Instructions


    April 14, 2020

    Dear Residents, Team Members, Family and Friends;

    We are committed as always to full transparency and compliance with the latest COVID-19 guidelines and recommendations from the CDC, state and local governing authorities as well as best practices that will keep residents and team members safe and in good health.

    Below are additional protocols as well as reminders from previous protocols that have been enacted. We extend our most sincere appreciation to our team members for their continued commitment and effort in caring for residents and each other during this difficult time.

    Updated Protocol:

    • Reminder: all community team members are to wear CE or surgical face masks at all times
      • N95 and KN95 masks are worn only when caring for a resident who is positive for COVID-19 or if a resident is having COVID-19 symptoms and receiving nebulizer treatments. All other parameters for wearing a N95 or KN95 mask must be discussed with the COVID-19 response team.
      • Refer to the below FIT Testing Procedures link to use when team members require using a N95 or KN95 mask. A FIT Test must be performed prior to use and is performed annually and with any significant physical change in the team member wearing the mask.
    • Move-ins
      • Residents are not permitted to move into a ValeoTM neighborhood or into an all-Valeo memory care community until further notice. This includes resident transfers unless previously discussed with the COVID response team.
    • Essential workers vs. non-essential workers
      • Only essential workers, other than community team members working their scheduled shift, are permitted into the community. Essential workers include hospice crisis care healthcare staff, skilled nursing services that cannot be provided by the licensed nurse in the community and private duty caregivers who provide 1:1 care to residents due to behavioral or cognitive support needs. All ADL care needs, even if formerly provided by a private caregiver or companion, are now to be provided by the community team members. Any exception to this needs to be reviewed by the COVID response team.
    • Deliveries
      • All deliveries are to be placed and left inside of a bin or cart outside of the community main entrance. All delivery packages must be disinfected prior to being carried into the community.
    • Community common areas
      • All common areas are closed and not to be used by any residents or team members
    • Morning stand-up department head meeting
      • Meet in a location in the community that will allow all department head team members to maintain physical distancing of 6 feet apart during morning stand up
    • Cleaning protocols
      • Each community must implement a daily cleaning protocol that includes cleaning multiple common areas and high touch areas of the community on a schedule each day
        • Please refer to the below Cleaning and Housekeeping Protocols link for details
    • Isolation protocols
      • Residents who have been on isolation for 14 days may be removed from isolation if:
        • They are no longer exhibiting symptoms
        • They have not had a fever and they have not used fever reducing agents for 72 hours prior to being taken off isolation
    • First floor windows
      • Ensure first floor resident apartment windows and common area windows are secured and unable to be opened from the outside
      • Be sure to follow all state mandated window height requirements particularly in Valeo when securing the windows to ensure this height restriction is maintained
    • Postings
      • An elevator sign should be posted for each community limiting the number of individuals to ride the elevator at one time. This is in an effort to reinforce physical distancing parameters.
    • Daily logs
      • Additional screening questions will be added to the resident screening logs. Updated resident and individual screening logs to follow.

    Download PDF Version

    Respirator Mask - FIT Testing Procedures

    Cleaning and Housekeeping Protocols


    April 6, 2020

    Dear Residents, Team Members, Family and Friends;

    We are committed as always to full transparency and compliance with the latest COVID-19 guidelines and recommendations from the CDC, state and local governing authorities as well as best practices that will keep residents and team members safe and in good health.

    Below are additional protocols as well as reminders from previous protocols that have been enacted. We extend our most sincere appreciation to our team members for their continued commitment and effort in caring for residents and each other during this difficult time.

    Updated Protocol:

    All screening and sign in logs must be filled out in their entirety. The information requested is important in helping to determine potential risks of COVID-19 being transmitted into the community.

    Team Member Screenings:

    • A team member is not permitted to work if they answer “yes” to one or more of the symptoms asked on the screening tool. After 14 days of self-isolation, they must acquire a note from their physician indicating they are free from communicable disease and must be symptom-free in order to return to work.
    • If the physician’s note permits them to return to work prior to the 14 days of self-isolation, the note must state they are free from communicable disease and the team member must be symptom-free. If team members need assistance in obtaining a doctor’s note, they should contact their General Manager who will then involve the Solvere Living Regional Vice President and Vice President of Team Engagement and Values (Human Resources).
    • If the team member exhibits any of the symptoms from the screening log due to a previously determined or chronic condition, and the team member discloses said symptoms to the community, they may continue to work. Please document that it is a chronic condition related to their symptom on the screening log.
    • General Managers to review the symptoms on the team member daily logs and advise their Regional Vice President and Human Resources when anyone is sent home or calls out sick.
    • The COVID response team must be contacted prior to the team member returning to work.
    • Team members that call out sick for non-COVID related or other symptoms outside of COVID related symptoms are treated just like a normal call out due to illness. They can return to work as soon as they’re cleared to return to work. Self-isolation requirements are not required.

    Resident Screenings/Self-Isolation:

    • A resident must be placed on self-isolation if they answer “yes” to one or more of the symptoms on the resident screening log. All residents on self-isolation are required to be screened every 4 hours using the individualized screening tool.
    • All individualized screening logs as well as the other screening logs and sign in sheets must be emailed to the COVID response team daily by 12 Noon ET.
    • If a resident’s condition does not improve during isolation or the resident experiences a decline in their condition, contact the COVID response team immediately or send the resident to the hospital and then contact the COVID response team immediately.
    • If any resident leaves the community for a routine yet necessary health-care need, they are to be placed in continual self-isolation and screened every 4 hours. If the resident is symptom- free, an opportunity should be provided for them to leave their apartment, accompanied by a team member following physical distancing protocol of 6 feet of separation.
    • Residents are not to be sent to the hospital because they are exhibiting a sign or symptom from the screening tool unless the sign or symptom is an immediate threat to the resident’s health.
    • Call ahead to the hospital to inform them if a resident is coming to hospital due to a case of suspected COVID disease so they can prepare.
    • Notify EMS prior to their arrival if they will be attending to or transporting a resident with suspected COVID disease. Emergency responders may not stop for screening due to urgency, however every attempt to screen should be made, as available. If EMS personnel are not wearing PPE, ask them to don PPE with the exception of requesting them to apply N95 masks.

    Residents must be free from symptoms for 72 consecutive hours prior to being removed from self-isolation.

    PPE Preservation

    • Please refer to the PPE Preservation Protocol best practices for preserving PPE
    • PPE is to be used by each team member for any resident in self-isolation
    • Efforts to obtain PPE from state and local health departments must be emailed to the COVID response team immediately.

    **Please be aware of updated screening logs provided to the community which includes:

    • Health care providers sign-in logs to date from other communities they have visited
    • Travel restrictions from NY, NJ and CT for communities in FL and MD only

    Essential Health Care Personnel:

    • Only essential health care personnel are permitted into the community.
    • Optimize the use of TeleHealth or SKYPE visits for physician visits with communities
    • Any individuals that are not essential to the current health care needs of the residents are not permitted to enter the community.

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    PPE Preservation Protocol


    March 24, 2020

    Dear Residents, Team Members, Family and Friends;

    We continue to be committed to keeping you informed on the latest COVID-19 guidelines and recommendations from the CDC, state and local governing authorities. These protocols can be challenging to follow and even unsettling to hear at times, and we are keeping each resident engaged, active and socialized through these transitions.

    As you may be aware, federal and state agencies continue to provide stringent protocols around visiting senior living communities, self-isolation and physical distancing. We have elected to update our protocol according to these guidelines in the interest of protecting residents and team members.

    New Entry And Visitation Protocols

    We continue to restrict all visitors from entering the community, with the exception of:

    • Our team members
    • Private caregivers
    • Necessary skilled nursing or therapy groups
    • Family members of residents who are on hospice and end of life care
    • Deliveries of essential goods and services'

    The individuals who meet these criteria continue to go through our screening for symptoms and recent travel before being permitted to enter the community.

    We strongly discourage any resident from leaving the community.
    Effective immediately, any resident who leaves the community premises will be required to self-isolate for 14 days. Likewise, any resident moving into the community or returning from an emergency room visit, hospital admission or sub-acute rehab stay will also be required to self-isolate for 14 days upon their return. During the 14-day isolation, residents will receive enhanced screening for symptoms related to COVID-19. Our community teams are prepared to work closely with each resident and to provide assistance in meeting any needs a resident may have outside of the community including shopping and medication pickups.

    New Dining Protocol

    At this time, residents will no longer receive meals in the community dining room. To ensure the physical distancing recommendation of six feet between each resident is maintained, meals will be delivered three times a day to residents’ apartments. We will also be providing snacks and refreshments to each resident three times a day during wellness and activity check-ins.

    Communicating With Family And Friends

    Weekly Skype sessions are being made available and facilitated for each resident with their family members or friends.
    We understand this is a difficult time for many. Thank you for your continued support as we implement these safety measures on behalf of the residents and team members. You can see updates here and on our community Facebook page as well.

    Sincerely,
    Rebecca Townsend
    Chief Operating Officer
    Lorie A. Dancy
    Chief Wellness and Compliance Officer

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    March 18, 2020

    Dear Residents, Team Members, Family and Friends;

    As we continue to hear breaking news regarding COVID-19, we want to keep you fully updated about our safety precautions. Federal and state agencies continue to add more stringent orders and protocols around visiting senior living communities, including the frequency in screening anyone who enters the community, as well as residents. There are also new guidelines pertaining to the recommended number of individuals to be present at one time in a group setting. We have elected to update our protocol in the interest of protecting residents and team members.

    Effective immediately, all team members will be screened at the beginning of each shift. Temperatures will be taken on all team members and essential healthcare personnel entering the community. Residents will also be screened daily for symptoms and exposure. We strongly discourage any resident from leaving the community. Leaving the community increases the exposure of COVID-19 to the resident who left the community, therefore, increasing the likelihood of bringing COVID-19 into the community. This would create an extreme threat to all other residents living in the community by increasing their likelihood of contracting COVID-19 and transmitting it to others. Any resident who has underlying conditions such as heart disease, pulmonary disease, liver disease, cancer and many more illnesses increases the risk of them being able to combat COVID-19 successfully, if contracted. Any resident who still chooses to leave the community will be discouraged from doing so and screened upon each re-entry to the community.

    We are taking steps to implement activity programs and dining that minimizes the number of residents in one group setting at a time but, rather, focuses on small group or individual activity and engagement. We continue to restrict all visitors from entering the community with the exception of essential healthcare personnel. Essential visits would include our team members, private caregivers and outside healthcare for providers such as skilled nursing or therapy groups who provide services to residents necessary for their continued well-being, family members of residents who are on hospice and end of life care, and essential deliveries of goods and services to the communities. The individuals who meet these criteria continue to go through our screening for symptoms and travel questions with every visit before being permitted to enter the community.

    We continue to work closely with state and local authorities, as well as our vendors, in accessing the necessary Personal Protective Equipment (PPE) that is needed. We are currently executing on plans to ensure the communities have the necessary PPE to keep each resident and team member safe.

    We recognize the difficult situation this is for many of the residents and family members. Each community is dedicating time to ensure family members and residents who wish to connect via phone, FaceTime or Skype are provided the opportunities and support to do so.

    We continue to meet daily and are staying informed and implementing recommended directives and guidelines to avoid the transmission of infection as much as possible. Our COVID-19 response team is available for any questions or concerns and will continue to update you as new information comes out. We appreciate your support, patience and cooperation during this challenging time.

    Respectfully yours,

    Rebecca Townsend
    Chief Operating Officer

    Lorie Dancy, MSN, RN, CRNP
    Chief Wellness and Compliance Officer

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    March 13, 2020

    Dear Residents, Team Members, Family and Friends;

    As we continue to hear breaking news regarding COVID-19, we want to keep you fully updated about our safety precautions. Federal and state agencies have begun to add more stringent orders and protocols around visiting senior living communities, and we have elected to update our protocol in the interest of protecting residents and team members.

    Effective immediately, we are prohibiting all visitors to our communities except for essential visits. These include:

    • Our team members
    • Private caregivers
    • Outside healthcare providers (necessary skilled nursing or therapy groups)
    • Family members of residents who are on Hospice or end of life care
    • Deliveries of essential goods and services

    The individuals who meet this criteria will need to go through our screening for symptoms and travel (now including any international travel), before being permitted to enter the community. We know this is an emotional hardship for our residents and family members. We encourage you to communicate by phone, FaceTime, or Skype, to continue to interact with and comfort your loved ones.

    We are meeting daily and continue to have our COVID-19 response team available for any questions or concerns and will continue to update you as new information comes out. We appreciate your support and cooperation during this challenging time.

    Rebecca Townsend
    Chief Operating Officer

    Lorie Dancy, MSN, RN, CRNP
    Chief Wellness and Compliance Officer

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    March 10, 2020

    Solvere-Operated Community Residents, Team Members, Family and Friends;

    As COVID-19 continues to spread across the United States, we are taking precautionary measures following guidance from the Centers for Disease Control and Prevention (CDC) and state health agencies as appropriate. These agencies have released guidelines for employers and healthcare providers to help contain the spread of coronavirus.

    In addition to the steps we’ve taken to date related to hand hygiene, cleaning/disinfecting and supplies at the community, we are implementing additional team member and visitor screening. In an effort to ensure that the residents and team members stay in optimal health, we are asking anyone with a fever, cough or other flu-like symptoms, or who has traveled to an area of known infections within the last 30 days, to refrain from visiting our communities. We will also be asking questions related to the above symptoms to prevent the possible transmission of infection. Please be patient and candid in providing answers and listening to directives, to ensure that we are gathering the necessary information and responding appropriately. Finally, we are also considering limiting larger group events on a case-by-case basis to protect residents and avoid the possible spread of infection and apologize for any inconvenience caused.

    Protocols

    Community Access and Visitor Protocol
    All Solvere-operated communities are restricting visitors to only essential healthcare personnel, who are being screened and documented. This process includes using screening logs for symptoms and questions about travel to or contact with areas of potential COVID-19 exposure.

    Community Programs
    Large group activities have been suspended for the near future until physical distancing of six feet is no longer necessary.  However, physical isolation at our community doesn’t mean residents are alone! Not only are our team members interacting with residents regularly, we’re engaging with them in new and creative ways by facilitating family and friend communication on Skype and FaceTime, holding specialized events via video and doing more one-on-one and small-group programming. We have also brought back the old-fashioned US post office mail method of pen pals among our sister communities. These are just some of the small ways we are living our mission to inspire people to realize their full potential.

    Community Dining
    We have suspended communal dining in order to practice physical distancing and are delivering meals to each apartment or suite. We are also utilizing refreshment carts to provide in-between meal snacks and specialty items. We are even having a contest to see how creative our teams can be! A few examples are door-to-door rolling omelet stations, ice cream carts and “drive by” happy hour via service cart to name a few.

    Outings
    All community and individual outings are suspended. We strongly discourage residents from leaving the community for any reason. Any resident that leaves for any reason will be required to self-isolate for 14 days upon their return to ensure the safety of all residents and team members. The team is available to assist residents with obtaining remote or delivery services as much as possible to prevent the need to leave.

    Infection Control
    Solvere has added new COVID-19 in-service trainings to our training portal and are tracking regular and ongoing trainings for all team members. In addition, we have provided additional training on good hygiene practices. All communities continue to practice good hand hygiene (washing with soap and water for at least 20 seconds) and are practicing physical distancing. In the event of an active case, all communities are stocked with the appropriate personal protective equipment, or PPE.

    Resident Screening
    All Solvere communities are screening all residents daily. Residents with any symptoms are being screened every 4 hours to monitor for possible COVID-19 infection. We have implemented the infection control protocols recommended by the CDC, including use of personal protection equipment, or PPE.

    Our team is meeting daily to stay current, direct resources and to support the residents and each community. We will continue to follow recommendations for infection prevention from the CDC and will communicate any changes as they arise. Should you have any questions, please reach out to your community General Manager or Wellness Director.

    Thank you for your support as we strive to keep the residents, their loved ones and team members safe.

    Rebecca Townsend
    Chief Operating Officer

    Lorie Dancy, MSN, RN, CRNP
    Chief Wellness and Compliance Officer

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    Resources

    Solvere Living has compiled important links and information to help you stay apprised of any updates that become available. The website links below will provide a resourceful mix of important COVID-19 updates as well as activities to help individuals remain socially, culturally and intellectually stimulated and engaged during this period of home quarantine.

    National Updates & Recommendations

    State-by-State Departments of Health for Solvere-Operated Communities

    Activities for Both Residents and Prospective Residents

    COVID-19 Task Force

    Solvere Living has formed a task force to respond to community and family questions and concerns around-the-clock during this pandemic. Its purpose is to ensure comprehensive and timely responses as well as to continuously update protocols and communicate with residents and families. Here are the task force members and their background:

    Rebecca Townsend is the COO for Solvere Living and oversees all services for our managed communities. Rebecca has more than 28 years of experience in operating and overseeing senior housing communities.

    Lorie Dancy is the Chief Wellness and Compliance Officer for Solvere Living and oversees all care, compliance and programs for our managed communities. Lorie has over 25 years of experience in nursing and healthcare and is an RN and licensed Nurse Practitioner.

    Marquette Leach is the Managing Director of Wellness for Solvere Living and is responsible for the day-to-day management of Solvere communities’ wellness departments. Marquette is an RN with 20 years of experience in nursing, leadership and healthcare and will be awarded his Doctor of Nursing Practice degree in August 2020.

    Sarah Casey is outside general counsel for Solvere Living and is a 10-year practicing attorney who specializes in healthcare and advises on legal and compliance matters for long term care, provider groups and healthcare technology companies nationwide.