August 2020 Village Care Center Update

Aug. 28, 2020

I wanted to start by letting you know that we do not have any new COVID+ residents or associates this past week! We also were able to graduate two residents off of the isolation unit.  Two Village Assisted Living residents and one VCC resident are remaining on the isolation unit a bit longer.  All are doing very well.

 In other good news, we found out earlier this week that the Centers for Medicare and Medicaid Services (CMS) is sending all skilled nursing facilities in the United States a rapid COVID-19 testing device.  These devices are designed to give us accurate results within 15 minutes, which is significantly better than what we are currently experiencing.  I am happy to report that we received ours yesterday!  While we do not yet fully understand the implications of this device, it certainly has the potential to open up new possibilities.  As the equipment is very new to us, it will take some time to learn the best ways to use it and to develop policies, procedures, and a plan to move forward.  I will keep you posted.

Finally, Village Assisted Living did receive notification this week that one asymptomatic associate tested positive. However, enough time has gone by since that person worked that the are not planning to do additional follow-up testing. All others in this associate’s test group came back negative. To be cautious, VAL is temporarily increasing the frequency of vital signs checking to four times a day.

That is really all I have to update you on for this week.  I will keep you posted and please let me know if you have any questions or concerns.

To summarize the Village’s current status with COVID-19 cases:

Village Assisted Living: Cumulative Totals from 3/14/20 to 8/26/20:

  • 2 residents and 6 associates have had confirmed COVID-19 diagnoses
  • 1 resident and 5 associates have recovered from COVID-19

Village Care Center: Cumulative Totals from 3/14/20 to 8/26/20:

  • 5 residents and 17 associates have had confirmed COVID-19 diagnoses
  • 4 residents and 15 associates have recovered from COVID-19

All Village areas outside of VCC and VAL:

Cumulative Totals from 3/14/20 to 8/26/20:

  • 6 associates have had confirmed COVID-19 diagnoses
  • 6 associates have recovered from COVID-19

We have had some cases that, upon re-testing, we suspect they may have been false positives. We are erring on the side of caution and counting them as testing positive and as recovered. 3/14/20 is when the John Knox Village campus began steps to close to visitors.


Aug. 21, 2020

I want to provide an update on COVID-19 at the Village Care Center.  Last week we notified you that three residents on the 100 side of the long term care neighborhood tested positive for COVID-19.  All three remain COVID+, remain on the isolation unit, and are doing very well.  I’m happy to share that all other residents and associates’ results from this round of testing came back negative, and all associates and residents remain asymptomatic.  We will complete another round of testing on Tuesday, which is the 14-day mark since they were potentially exposed.  I will keep you posted.

Yesterday, as part of of hiring process, we discovered that a new hire was positive for COVID-19.  The non-direct care associate was only in orientation one day, had no direct contact with residents, and had very limited contact with other non-direct care associates.

Additionally, this morning we learned that a nutrition services associate tested positive for COVID-19.  The individual was tested by their physician due to a recent loss of taste and smell.  The associate has not worked since Sunday, Aug. 16 and did not have any direct contact with residents or patients.  We will test all other potentially exposed nutrition services associates and will update you after we receive those results.

Also, as we anticipated, the Missouri Department of Health and Senior Services did conduct another focused infection control survey, as a result of our COVID+ residents.  On Monday, three surveyors visited and, once again, did not find any deficiencies.  More specifically, they were very pleased with their observations of our associates’ hand hygiene and mask compliance.

Finally, in Village Assisted Living, they learned on Aug. 10 that a non-memory care direct care worker received a COVID+ result after being tested as standard protocol at a routine medical appointment. They have intensified infection control procedures in those areas and tested potentially-exposed residents and associates. All results came back negative! Out of an abundance of caution, they are re-testing them today (14 days after possible exposure) and expect results early next week.

Courtyard visits at the VCC are re-opening cautiously Monday. We recognize how important these visits are to the health and wellbeing of our residents.  If you have any questions or concerns, please contact Vicki Davis at vdavis1@jkv.org or at 816-809-3051.

To summarize the Village’s current status with COVID-19 cases:

Village Care Center: Cumulative Totals from 3/14/20 to 8/21/20:

  • 5 residents and 17 associates have had confirmed COVID-19 diagnoses
  • 2 residents and 14 associates have recovered from COVID-19

Village Assisted Living: Cumulative Totals from 3/14/20 to 8/21/20:

  • 1 resident and 5 associates have had confirmed COVID-19 diagnoses
  • 1 resident and 5 associates have recovered from COVID-19

All Village areas outside of VCC and VAL:

Cumulative Totals from 3/14/20 to 8/21/20:

  • 6 associates have had confirmed COVID-19 diagnoses
  • 6 associates have recovered from COVID-19

We have had some cases that, upon re-testing, we suspect they may have been false positives. We are erring on the side of caution and counting them as testing positive and as recovered. 3/14/20 is when the John Knox Village campus began steps to close to visitors.

I know there is a great deal of anxiety in our community right now with schools, sports, and many other activities opening.  I hope that whatever circumstance you find yourself that you find some peace and comfort in this ever-changing world.


Aug. 14, 2020

I wanted to provide you an update about the three COVID+ residents we found out about earlier this week.  First and foremost, every resident on the long term care neighborhood (100 and 200) was tested and all tests came back negative.  Per protocols, we will re-test all potentially exposed residents a second time in order to truly rule out an outbreak.  Additionally, none of the long term care residents are displaying signs or symptoms of COVID-19, which is extremely encouraging.

Secondly, each of the three COVID+ residents remain free from all symptoms (asymptomatic).  They will remain on the isolation unit until they have two negative COVID-19 tests, 24 hours apart.

Lastly, we have received three additional COVID+ associates results:

  1. A CNA that worked on the 100 side of the long term care neighborhood, that was and remains asymptomatic.
  2. An associate in the laundry department that did not have any resident exposure.
  3. An associate in the staffing office that has been working from home since June but was tested as a result of experiencing COVID-19 related symptoms.

We have reviewed the results with Missouri’s Department of Health and Senior Services (DHSS), as well as our plan for moving forward.  Due to the COVID+ residents we will have a focused infection control survey (likely next week) and I will share those results with you.

I know much of the information listed above is complicated and messy.  To be honest, we are having a hard time making sense of all it as well.  We continue to count our blessings that, even though we have seen an increase in COVID+ individuals, at this time, none of our residents are becoming ill.  As always, please contact me or a member of our team with any questions or concerns.


Aug. 12, 2020

I need to share some important news.  This morning we received news that three of our long term care (LTC) residents have tested positive for COVID-19.  All three are without symptoms (asymptomatic) and their tests were conducted as part of our routine testing stemming from an associate’s positive test results 14 days ago.

All other long term care residents and associate tests from that limited round of testing were negative, and all potentially exposed residents and associates are asymptomatic.

While I understand this news may make you a bit anxious, please know that we have a very robust infection prevention program and the Village Care Center has been continuously assessing and improving our processes and procedures for the past six months.  The safety and wellbeing of our residents and associates are our top priority and we are doing all that we can to limit any possible presence of COVID-19.

The Centers for Medicare and Medicaid Services (CMS) have continued to monitor our procedures closely and have conducted routine infection control surveys three times. Each time they have passed us with zero deficiencies and have expressed confidence in the protocols we have in place.

Here are the steps we are taking per our protocols:

  1. All COVID+ persons have been moved to the isolation unit.
  2. All long term care associates are wearing N-95 masks.
  3. All LTC residents are having temperature checks four times per day and oxygen levels checked twice per day.
  4. All LTC residents who were not tested yesterday will be tested tomorrow morning.
  5. All LTC associates will be tested upon arrival to their next shift.
  6. All congregate dining and activities will be suspended until further notice.
  7. All LTC courtyard visits will be suspended until further notice.
  8. All LTC salon appointments will be suspended until further notice.
  9. We will be personally calling all families of potentially exposed residents.

I will also do my best to ensure that we get as much information out as quickly as we can disseminate it.  We have and will continue to be transparent with what we have discovered and what we believe lies ahead.  As always, please do not hesitate to reach out to me or another member of the team with any questions.


Aug. 7, 2020

First and foremost, I wanted to let you know that all associates and residents who were tested as a result of last week’s positive case have come back negative.  Additionally, no potentially exposed associates or residents have exhibited any signs or symptoms of COVID-19.  Per CDC guidance, we will be conducting another round of testing at the 14-day mark.

This past week, a VCC non-direct care new hire’s results came back positive.  All new Village Care Center associates are tested for COVID-19 prior to encountering our residents.  The associate was asymptomatic and had no contact with residents and limited contact with other new hires. Those who were determined to have had the closest contact have been tested and remain off work, pending results.

Additionally, one Independent Living associate in the Sales, Marketing and Communications department has tested positive. This person has limited contact with others outside of this department. Their last day worked was Wednesday, Aug. 5, testing took place Aug. 6 and results were returned the morning of Aug. 7. All members of the department have been tested; five are negative – the rest are awaiting results.

On a different note, the courtyard visits have been very well received by most of our families.  I know that the gate and plexiglass present some challenges, but we are grateful we can connect our families and residents.  As a reminder, to schedule a courtyard or FaceTime, visit please contact Vicki Davis at vdavis1@jkv.org or at (816) 809-3051. We will continue to explore new ideas for in-person visitations, however, the rising case rates in Eastern Jackson County and the continued one-off new cases at the VCC make this a logistical challenge for us.  As always, we are open to innovative ideas, so please feel free to reach out to me if there is something you have seen or heard about elsewhere.

Lastly, we finally got our furniture delivered for common areas in our long term care and memory care neighborhoods!  Due to the pandemic, our order was delayed about four months, but the items have arrived and they are beautiful.  We cannot wait to have our families back with some great new seating areas (pictured on Facebook).

My children’s school district superintendent has focused on the words “grace” and “patience” in all of his correspondence, which has really resonated with me.  In this continued time of great uncertainty, we are trying practice and share grace and patience with everyone.  Grace to one another as we attempt to navigate waters that have never been charted.  Patience with one another as we make missteps, knowing that we are all trying to do what is right for our loved ones and ourselves.  I know these two have been challenges over the past five months.  I wish an abundance of grace and patience for each of us in a time where certainty is vague.

To summarize our current status with COVID-19 cases:

Village Care Center: Cumulative Totals from 3/14/20 to 8/7/20:

  • 2 residents and 13* associates have had confirmed COVID-19 diagnoses
  • 2 residents and 12 associates have recovered from COVID-19

Village Assisted Living: Cumulative Totals from 3/14/20 to 8/7/20:

  • 1 resident and 3 associates have had confirmed COVID-19 diagnoses
  • 1 resident and 3 associates have recovered from COVID-19

All Village areas outside of VCC and VAL:
Cumulative Totals from 3/14/20 to 8/7/20:

  • 6 associates have had confirmed COVID-19 diagnoses
  • 4 associates have recovered from COVID-19

*1 is a non-JKV employee who works in the building. Also, we have had some cases who, upon re-testing, we suspect they may have been false positives. However, we are erring on the side of caution and counting them as testing positive and as recovered.

3/14/20 is when the John Knox Village campus began steps to close to visitors.


Aug. 1, 2020

Today I have several updates about initiatives underway at the Village Care Center to make lives more pleasant and a bit more “normal” during these challenging times. And I also want to let you know about a COVID+ case within the Village Care Center.  Here are the details:

  • This week we returned to our practice of random testing of associates from various parts of the building and different shifts. Out of the 37 (about 10%) tested, we have discovered one associate who is asymptomatic but whose test came back positive.
  • This associate is in a patient care position and works nights in the Garden View long term care neighborhood. The last shift worked was the night of July 28.
  • As a result, all Garden View residents and any associates who may have been in contact with this person were swabbed today for COVID-19 testing. At this time, no residents are showing any signs or symptoms.
  • All families of potentially exposed patients have been contacted via telephone.
  • We will continue providing updates until we are certain that no new cases are developing.

Also this week, on Wednesday afternoon, the Village announced that a JKV Auxiliary shops associate received a positive test result. This person passed their screening on Friday, July 24, then began experiencing symptoms over the weekend. The General Store has been disinfected by Public Safety’s new portable equipment.

On a happy note, our first few days of our outdoor courtyard visits have been a big success! Despite the rain which dampened things a bit, by the end of today we will have successfully completed over 30 courtyard visits! We are still working out kinks on timing and some visual issues, but overall the families have been so complimentary and appreciative of this opportunity to see their loved ones in person.

Another step towards more socialization has been to carefully re-open the main dining room. Right now, we are seating about 10-12 residents at a time, which permits us to keep the proper amount of distance, but still allows residents to visit with others while enjoying a great meal!

And just for fun, we’ve been having a couple of spirit days each week. The high point of this week was supporting our Kansas City Royals by wearing our blue.

To summarize our current status with COVID-19 cases:

Village Care Center: Cumulative Totals from 3/14/20 to 7/31/20:

  • 2 residents and 12* associates have had confirmed COVID-19 diagnoses
  • 2 residents and 11 associates have recovered from COVID-19

Village Assisted Living: Cumulative Totals from 3/14/20 to 7/31/20:

  • 1 resident and 3 associates have had confirmed COVID-19 diagnoses
  • 1 resident and 2 associates have recovered from COVID-19

All Village areas outside of VCC and VAL:
Cumulative Totals from 3/14/20 to 7/31/20:

  • 5 associates have had confirmed COVID-19 diagnoses
  • 4 associates have recovered from COVID-19

*1 is a non-JKV employee who works in the building. We have had some cases that, upon re-testing, we suspect they may have been false positives. We are erring on the side of caution and counting them as testing positive and as recovered.

3/14/20 is when the John Knox Village campus began steps to close to visitors.