Village Assisted Living Memory Care

Village Assisted Living Updates

The following is communication sent via email to the families and loved ones of Village Assisted Living Memory Care residents. If you have a question, please contact Heather Scott, administrator, at hscott@jkv.org.

Oct. 17, 2020

I want to begin by saying thank you for bearing with us as we worked through the expansive testing on Tuesday.  The testing team worked throughout the day, carefully procuring specimens, as gently as possible, and the same team will be ready to do follow-up testing on Tuesday, Oct. 20.

We will begin testing the associates at 7 a.m., then will start testing the residents after breakfast; we hope to be wrapped up by the end of the day.  I will make sure you have an email with results of the testing before I leave.  If we have a positive result, we will make sure to call the family right away.  My prayer is that we do not have to make a call to one family member.

Until the second round of testing is complete and we understand the results, we are continuing to encourage residents to remain in their apartments as much as possible; meals are being delivered to apartments; outside visits are canceled; and until we know the outcome, activities are suspended.

This is a good time for me to update you about what is happening elsewhere on campus regarding the coronavirus and how we are responding to it. My last few letters to you have been filled with so many details about Village Assisted Living I felt it would add confusion to also try to include this information.

The Village Care Center has had a number of new positive resident and associate cases in their 100 and 200 sides of long term care. They have been responding to this as proactively as possible by increasing the level of infection control measures, moving residents quickly to isolation unit rooms, stepping up monitoring of vital signs, and regular testing of all associates, as well as the residents in the affected areas of the building. A new isolation unit has been created in the VCC to accommodate these outbreaks. Nearly all their COVID+ residents have only mild to moderate symptoms, and some are asymptomatic.

I would like to point out that while the numbers of positive test results are growing, the number of recovered residents and associates also goes up every week. To help you keep up with this flow, we’ve re-designed our reporting chart at the bottom of our communications, and have added a column showing “Active Cases,” to go along with “Recovered,” “Cumulative Totals (from 3/14/20 until now).” I am sad to say that we have added one more column because John Knox Village has had its first resident die in connection with COVID-19. The patient was already receiving hospice care and actively dying, but our medical director believes the virus accelerated this person’s condition. My heart goes out to this person’s loved ones.

Additionally, one associate who offices outside of VAL and VCC and has had limited contact with Village residents tested positive recently. The Village has been in contact with any residents who may need to be tested due to this.

Thank you for your patience as we move through this very challenging time for everyone involved.  I know the uncertainty of the situation has everyone a bit uneasy, but I can assure you we work hard each day to ensure the right things are happening to  keep COVID-19 out of the buildings.

Oct. 13, 2020

Today we completed rapid testing on all residents in Assisted Living, Memory Care 1, Memory Care 2, and Memory Care 3, as well as all of the associates who worked in these areas over the last ten days.  All in all, we completed roughly 265 rapid tests today.

As a result of the testing completed today, one Assisted Living resident tested positive for the virus.  The resident is asymptomatic and is in the process of being transferred to the Village Care Center isolation unit.

The associates we tested today, 130 to be exact, all came back negative.  We have 14 more associates that we still need to swab, and we hope to have those complete this week, but until then, none of the 14 associates are on the schedule to work until they are tested.

The second round of testing will occur on Tuesday, Oct. 20. I am amazed at the results so far – and cautiously optimistic.  Until the second round of testing is complete, we continue to encourage residents to remain in their apartments as much as possible; meals are being delivered to apartments; outside visits are canceled; and until testing is complete Tuesday, activities are suspended.

If there is one thing we have learned over these seven months since the pandemic began, it is that we must conduct the second round of testing to be as knowledgeable as possible about where the virus may be.

I can assure you we are thoughtfully and carefully approaching each of these positive cases with an abundance of caution for our residents and our team.  If you have any questions about any of this, please do not hesitate to let me know.

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

RESIDENTS
ASSOCIATES

Active Cases
Recovered
Cumulative Totals 
Deaths
Active Cases
Recovered
Cumulative Totals 
Village Care Center
(as of 10/13/20)
21
11
32
1
27
36
63
Village Assisted Living
(as of 10/13/20)
3
2
5

 2
9
11
All Village areas outside of
VCC and VAL
(as of 10/13/20)

2
9
11

Stay safe. Wear your mask. Keep your distance. Wash your hands. Please.

Oct. 12, 2020

I am writing to give you an update on Village Assisted Living’s COVID-19 response.

Today we learned that a direct care associate tested positive for COVID-19 on Friday, Oct. 10.  Prior to this result, the associate worked in Assisted Living, Memory Care 1, and Memory Care 3.

Potentially-exposed residents and their families were notified today.

On Tuesday, Oct. 13, we will conduct facility-wide testing on all associates who have worked over the past 10 days as well as all of the residents in Village Assisted Living and Village Assisted Living Memory Care.  We will use a rapid test that delivers results in about fifteen minutes.  We will re-test all associates and residents using the rapid test early next week.

Throughout our neighborhoods, we are encouraging residents to remain in their apartments as much as possible; meals are being delivered to apartments; outside visits are canceled; and until testing is complete tomorrow, activities are suspended.

In an abundance of caution, weekly testing of associates may continue if we learn from the testing on Oct. 13 that the virus is more-present in our facility.  There is no better way to combat the spread of COVID-19 than knowing if and where it is in the buildings.  Rest assured, we are still conducting our pre-shift screenings, wearing appropriate personal protective equipment, monitoring our residents’ vital signs four times per day, and conducting the screening questions twice a day.

If there is anything that you can recommend to us to help the time pass for your loved one during this time in which we are limiting movement throughout the buildings, please do not hesitate to let me; memory care activity coordinator klennard@jkv.org; assisted living activity coordinator tcalegari@jkv.org; or assisted living activity assistant ccampbell3@jkv.org know.

To summarize the Village’s current status with COVID-19 cases*:
Village Assisted Living: Cumulative Totals from 3/14/20 to 10/12/20:

  • CUMULATIVE TOTALS: 4 residents and 12 associates have had confirmed COVID-19 diagnoses
  • RECOVERIES: 2 residents and 9 associates have recovered from COVID-19

*We are currently conducting an audit of our records to ensure the accuracy of our numbers. The full chart will return in my next letter. 

Stay safe. Wear your mask. Keep your distance. Wash your hands.

Oct. 9, 2020

I am writing to give you an update on Village Assisted Living’s COVID-19 response.

On Tuesday, October 6 we learned of a non-direct care associate on Memory Care 2 who tested positive for COVID-19.

On Thursday, October 8 we obtained swabs on all of the fifteen residents in Memory Care 2, as well as all of the staff who came in contact with the positive associate.

Today we received all resident results and are waiting on one associate result from the testing.

At this time, two residents and one direct care associate tested positive for the virus through this round of testing; both residents and the associate are asymptomatic.  We have notified all families on the Memory Care 2 neighborhood of the results, and the two residents who tested positive have been transferred to the Village Care Center Isolation unit.

Due to the three positive cases today in Memory Care 2, on Tuesday, October 13 we will conduct additional testing for all of the residents and all of the staff who worked the day shift in Memory Care 2 from October 6 – 9.  I will keep you apprised of the one result that is still pending, as well as the results from the scheduled testing next week.

Also today, we were notified that a non-direct care staff member who works on all three memory care neighborhoods tested positive for the virus. The associate is asymptomatic and last worked the Memory Care 2 and Memory Care 3 neighborhoods on Thursday, October 8, and on the Memory Care 1 neighborhood on Tuesday, October 6.  This associate tested negative on October 7.

Due to the potential exposure to residents on Memory Care 3, on Tuesday, October 13 we will also conduct testing for all of the residents on Memory Care 3 out of an abundance of caution, as well as any staff who may have been in contact with this associate.

The entire team at Village Assisted Living is working diligently to contain the spread of the virus to protect your loved ones. We continue to have all staff on the Memory Care 2 neighborhood wear N95 masks and appropriate personal protective equipment. On all three Memory Care neighborhoods, we are monitoring vital signs four times per day, and, as of today, all meals are delivered to the residents’ rooms and residents are encouraged to stay in their rooms.  (I know this will be agitating for some, but we will do our best to gently re-direct them or help them find ways to stay occupied.)

We are also canceling our outside visits on the Memory Care neighborhoods until further notice.

To summarize the Village’s current status with COVID-19 cases:
Village Assisted Living: Cumulative Totals from 3/14/20 to 10/9/20:

  • CUMULATIVE TOTALS: 4 residents and 11 associates have had confirmed COVID-19 diagnoses
  • RECOVERIES: 2 residents and 9 associates have recovered from COVID-19

Village Care Center: Cumulative Totals from 3/14/20 to 10/6/20:

  • CUMULATIVE TOTALS: 32 residents and 45 associates have had confirmed COVID-19 diagnoses
  • RECOVERIES: 11 residents and 29 associates have recovered from COVID-19
  • DEATHS: 1 resident

All Village areas outside of VCC and VALCumulative Totals from 3/14/20 to 10/9/20 

  • CUMULATIVE TOTALS: 11 associates have had confirmed COVID-19 diagnoses
  • RECOVERIES: 9 associates have recovered from COVID-19

Stay safe. Wear your mask. Keep your distance. Wash your hands.

Oct. 2, 2020

I apologize. A lot has happened since I last updated you on the presence of COVID-19 at John Knox Village outside of Village Assisted Living, and I think it’s important that you understand the latest events across campus at the Village Care Center. I know this is a long message, but please read it. We want you to feel fully informed.

Sept. 21: The Missouri Department of Health and Human Services conducted a focused infection control survey, due to positive resident test results the week before. They cited zero deficiencies and said they believe we are doing everything in our control to mitigate the spread of COVID-19.

Sept. 24: The VCC announced that three new residents had tested positive for COVID-19 through follow-up testing surrounding the cases that were diagnosed the week before. One resident was from the Village Rehab Unit and the other two lived in the 100 side of long term care (LTC). They were transferred to the Isolation Unit.

Sept. 27: All VCC residents who had previously tested positive were doing well and remained asymptomatic. Unfortunately, in that week’s routine testing of all VCC associates, nine additional associates yielded positive test results. All were asymptomatic at the time and did not appear to have any connection to one another. Additional infection control procedures were put in place to provide more protection for residents.

Sept. 30:  The VCC notified families that weekly testing showed that four additional associates tested positive. Also, four additional residents tested COVID+. All live in the 100 side of LTC, were initially asymptomatic, and were moved to the Isolation Unit. During this time, several residents also recovered and were discharged back to their rooms.

In his family communication, Village Care Center Administrator Anthony Columbatto shared his thoughts, saying:

“I will be honest with you. We are very miffed about these resident cases. The fact that over 90% of our people with COVID+ results are completely asymptomatic – including residents – is much different than what we were seeing earlier. Our best theory is that our residents were exposed to COVID+ associates, and that diligent mask use by residents and associates limited the amount of the virus in our residents’ systems. This yielded a positive result, but perhaps not enough to make them ill. Clear as mud, I know. Thank you all for your patience and grace as we work to understand and contain the spread of COVID-19 within the VCC.”

TODAY, Anthony shared the following information:

Dear VCC Loved Ones,

This is an e-mail I hoped I would never have to write.  We are experiencing a very real outbreak of COVID-19 within the 100 side of the long-term care (LTC) neighborhood. It is important to me that you know the facts and know what we are doing to address the situation.

Yesterday, we learned of 8 new residents testing COVID+ in that portion of the VCC, in addition to the four I wrote about on Wednesday evening.  At this time, approximately half of them, including the four from Wednesday, are displaying mild symptoms.  The rest remain asymptomatic.  While this is awful news, all other residents’ and associates’ tests have come back negative.  

Additionally, I am devastated to say that we have had our first resident death associated with COVID-19.  While the resident was already on hospice, Dr. Twenter, our medical director, believes that COVID-19 accelerated the resident’s condition. We are all heartbroken that this person’s family has had this added to their grief.

All of our work since March has prepared us for this reality. The state health department has visited several times over the past 6 months to review our infection control processes and procedures, and each time they have said we’re doing all of the right things.

Our goal now is to continue to isolate the virus to 100-side of LTC and will continue to be aggressive in our efforts to treat residents’ symptoms.  All residents who have tested COVID+ have been moved to the isolation unit.  The rest of the 100 neighborhood residents are isolating in their rooms, to limit further spread.  

In the rest of the building we are: 

  • Limiting associates to working on only one neighborhood to avoid any chance of cross-contamination
  • Providing all associates with surgical masks
  • Allowing residents to engage in activities on their neighborhood
  • Continued weekly testing of all associates
  • Monitoring blood pressure, temperature, and oxygen levels twice daily
  • Ongoing staff education
  • Performing routine handwashing audits

To be honest, we are all devastated.  While each of us has mentally prepared for this moment to arrive, we were always hopeful, and have worked tirelessly, in the hope we would avoid it.  I know that you, too, are concerned for the health and wellbeing of all who live and work here. We are resolved to continue to work relentlessly to fight this battle and mitigate the spread.  

As we have seen throughout the world, this virus is relentless. We must fight just as relentlessly to prevent its spread throughout this metro area.  It is imperative that each of us remains vigilant in our defenses as we work to fight this battle.

As I have said on numerous occasions, nursing homes are, and will remain, the canary in the coal mine for what is happening in the broader community.  We are now seeing an outbreak in an abundance of nursing homes within Eastern Jackson County. 

 Those of us who work in the VCC live “out there.” Each time the county’s infection rate rises, so does the likelihood that, no matter how careful we are, we might inadvertently bring it back to work with us. Please help us advocate for safe practices every day: 

Stay six feet apart.  Wear a mask.  Wash your hands.  

 Stay safe,
Anthony

Please know that John Knox Village is putting forth an extraordinary effort to mitigate the presence of COVID-19 on our campus. We care deeply about all who live and work here and the loved ones who are having to watch and listen from a distance. We will continue to be transparent about what is happening here and I will be sure to update you weekly in the future.

Please also remember that most of those who have tested positive at the Village have had few or no symptoms and have recovered. Please see the chart below, which we update each time we share information. Thank you for your ongoing support, care and concern.

To summarize the Village’s current status with COVID-19 cases:
Village Care Center: Cumulative Totals from 3/14/20 to 10/2/20:

  • CUMULATIVE TOTALS: 23 residents and 41 associates have had confirmed COVID-19 diagnoses
  • RECOVERIES: 10 residents and 27 associates have recovered from COVID-19
  • DEATHS: 1 resident

Village Assisted Living: Cumulative Totals from 3/14/20 to 10/2/20:

  • CUMULATIVE TOTALS: 2 residents and 9 associates have had confirmed COVID-19 diagnoses
  • RECOVERIES: 2 residents and 9 associates have recovered from COVID-19

All Village areas outside of VCC and VAL :  Cumulative Totals from 3/14/20 to 10/2/20 

  • CUMULATIVE TOTALS: 9 associates have had confirmed COVID-19 diagnoses
  • RECOVERIES: 8 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.

Please help us keep the Village safe. Keep your distance. Wash your hands. Wear a mask. Stay safe.

Sept. 18, 2020

We learned yesterday evening that a direct care associate on Memory Care 1 who was swabbed on Sept. 16 has tested positive for COVID-19. This person was exposed to someone outside of Village Assisted Living who was positive for the virus and was swabbed as a precaution.  The most recent shift worked by this associate, who works only occasionally, was on September 7.  Per the Jackson County Health Department, because the associate is asymptomatic, and enough time elapsed between their last shift and the date of diagnosis, we will not be conducting additional testing at this time.

Also, on Sept. 15, the Village Assisted Living team retested associates who came in contact with a non-direct care employee on Memory Care 3 who, as we previously announced, has no patient interaction and very little face-to-face interaction with staff who tested positive for the virus. We have received all results back, and I am pleased to report all of these results have come back negative!

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

Village Assisted Living: Cumulative Totals from 3/14/20 to 9/18/20:

  • 2 residents and 9 associates have had confirmed COVID-19 diagnoses
  • 2 residents and 8 associates have recovered from COVID-19

Village Care Center: Cumulative Totals from 3/14/20 to 9/17/20:

  • 6 residents and 22 associates have had confirmed COVID-19 diagnoses
  • 6 residents and 16 associates have recovered from COVID-19

All Village areas outside of VCC and VAL

Cumulative Totals from 3/14/20 to 9/18/20

  • 9 associates have had confirmed COVID-19 diagnoses
  • 8 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.

As we keep reinforcing with our associates, please stay safe, keep your distance, wash your hands often, wear your mask, and protect others from COVID-19.

Aug. 26, 2020

We learned yesterday afternoon that a direct care associate who was swabbed on Monday, Aug. 24 has tested positive for COVID-19. This was part of our group testing scheduled after an AL (non-memory care) resident tested positive on Aug. 21. (See my Aug. 21 letter.)  The most recent shift worked by this associate, who is asymptomatic, was on Aug. 18.  All others tested as part of this group received negative results.

The Jackson County Health Department’s current guidance is to test those who had contact with someone having a positive result two days prior to diagnosis. In this case, that date would be Aug. 21. Since this person hasn’t worked since Aug. 18, we will not be conducting additional testing at this time.

To be extra safe, though, and per the direction of the John Village Medical director, we will increase vital sign checks from two times a day to four in Assisted Living and in Memory Care 1, 2 and 3.  At this time, all our residents and associates are asymptomatic.

We are working hard to prevent COVID-19 from entering the building and we continue to remain diligent in following our infection control procedures day in and day out. Thank you, again, for your continued support.

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. 18, 2020

Last week was a busy week, including two notifications of associates with positive test results for COVID-19.  Watch for a separate e-mail with details on the results of all the testing that was completed, but for now I will quickly share that all of the testing we have completed came back negative!

Today I’d like to update you on what else is going on.

Flu Shots: On Wednesday, Sept. 23, Symbria® RX Services will be on site to administer flu shots to our residents.  Flu shots are going to be especially important this year, as the continued presence of the coronavirus in our nation could make flu season even more dangerous. Residents in assisted living will receive their flu shot in the Ambassador Meeting Room from 9 am – 12 pm, and our memory care neighborhoods will follow suit.  Our nursing staff will ensure that residents have the proper paperwork completed prior to the vaccination.  If you have questions, please contact your loved one’s nurses’ station to get more information:

  • Memory Care I – 347-2353
  • Memory Care II – 347-2360
  • Memory Care III – 347-2770

Outside Visits: I hear so many great things about our outside visits!  Thank you for your continued support.  These in-person visits mean so much to the residents, and your compliance with the visitation guidelines helps ensure that we can continue offering them.  Please continue to sign up using the Sign Up Genius website using your loved one’s room number in lieu of his/her name.

I can’t thank you enough for your continued trust with Village Assisted Living as we navigate these unprecedented times together.  If there is anything you need, please do not hesitate to let me know.

Aug. 14, 2020

I have some important updates to share with you regarding COVID-19 testing here at Village Assisted Living and our Memory Care 2 neighborhood.

First, we have received all but two of the results back for the associates who were potentially exposed to a co-worker who tested positive on Aug. 10. I am happy to report that all the results from the Aug. 13 collection are negative. This is great news, especially when coupled with the news that all the residents who participated in follow-up testing on Aug. 12 also were negative.

Second, late this afternoon I learned that a caregiver on the Memory Care 2 neighborhood has tested positive for the virus. The associate last worked on Aug. 2 and has not been in the building since then. On Aug. 10, this individual developed symptoms associated with COVID-19 and was tested on Aug. 12.

Because of the positive result, the residents of Memory Care 2, as well as the associates who came into contact with the individual will be tested starting tomorrow morning, per recommendations from state guidelines. All associates, residents and responsible family members have already been notified that the testing will take place.

I will keep you apprised of the results and hope to be able to share good news with you in coming days. Please know, the safety and wellbeing of our residents and associates is my top priority, and we are doing all we can to limit any possible presence of COVID-19 in our buildings.

As always, please do not hesitate to reach out to me with any questions, and I will do my best to answer them.

July 20, 2020

Today I have all sorts of good news to share!

DHSS Reopening: I mentioned in my weekly email on July 10 that the Missouri Department of Health and Senior Services (DHSS) issued guidance on reopening Long-Term Care Facilities.  John Knox Village is still in the process of reviewing this information.  We are working closely with our regulators to see how we can safely conduct outdoor visitation with residents who are negative for COVID-19, are asymptomatic, and have not had a known exposure.  We will continue to keep you informed as we move forward.

Podiatrist: The podiatrist has had to reschedule visits originally planned for the week of July 27.  Patients will be seen in Assisted Living and Memory Care neighborhoods on the dates of August 12 – August 14.  The podiatrist and assistant will be screened for COVID-19 via the standard questions, have temperature taken, and will follow all infection control requirements, including wearing masks.

Optometrist: The optometrist will be on site to see patients August 4.  The optometrist also will be answer the COVID-19 screening questions, have temperature taken, and will follow all infection control requirements, including wearing masks.

We are taking careful and considered steps to reopen various services offered to our residents where we are able.  On July 1 we opened the salons and on July 16 we began small group activities (with less than 10 people).  We will continue to cautiously bring more services online, so stay tuned for more information.

July 1, 2020

I know you’ve been waiting since my letter Monday, June 29 to learn more about what’s happening regarding COVID-19 in our buildings. While I don’t have complete information at this point, I’m sharing what we do know now — as I don’t want to leave you wondering.

Because we had 1 associate who works in a direct care position at Village Assisted Living (memory care neighborhoods excluded) test positive last week, we began testing associates on June 25 who had contact with this individual, as well as residents who lived in the 100 and 300 wings.

This was the first positive case of COVID-19 at Village Assisted Living. The lab returned the results on the other tested residents and associates, and all were negative.

As an extra layer of information-gathering, the Missouri Department of Health and Senior Services recommended a second round of testing on the same people. The re-testing has identified one resident, in assisted living, as COVID-19 positive, and one additional associate (in Memory Care I, day shift). The resident has been re-tested and we are patiently waiting for that result. The newly-diagnosed associate will be re-tested later this week. Because the lab processes them in batches, the results have come in sporadically, over a couple of days. Most results are back – we are currently waiting for 4 more associate results, plus the re-test of the resident.

As I mentioned previously, we have increased our infection control efforts by doubling the frequency of temperature checks to four times a day, and all our associates are wearing appropriate personal protective equipment. We are continuing to follow infection control protocols and procedures recommended by the local and state health departments and the Centers for Disease Control & Prevention, to protect our residents and associates. We also are following Missouri Department of Health and Senior Services guidance. These are the same protocols followed by the Village Care Center (which also must follow the guidance of the Centers for Medicare and Medicaid Services). CMS recently re-visited the VCC to do a follow-up infection-control survey, and once again they received zero deficiencies, so we have a great deal of confidence in our procedures.

We had hoped to re-start the drive-by family parades, but I’m sorry to say that we have put them on hold again as we assess the current situation. The salons are still operating, but we have decided to continue just with meal delivery for Fireside dining, for the time being.

Our focus remains squarely on the health and well-being of our entire John Knox Village community. I am so proud of the way our residents and staff have worked together in being diligent with our procedures, while still finding ways to have meaningful and caring relationships with one another.

I understand that you may have questions, and we will share additional information, as appropriate, through our various communication tools. Please direct your questions to me at 816-347-2701 or hscott@jkv.org.

June 14, 2020

Dear Village Assisted Living Residents and Families,

I want to provide you with an update regarding the presence of the COVID-19 coronavirus at John Knox Village. The safety and wellbeing of our residents and associates are our top priority and we are doing all that we can to limit and contain any possible cases of COVID-19.

VILLAGE ASSISTED LIVING

There are no known COVID-19 positive residents or associates within Village Assisted Living. However, a non-JKV healthcare professional saw patients in the building Wednesday, Thursday and Friday, June 10-12.

This person volunteered to be tested about 2 weeks ago, when the Village was exploring a relationship with a new lab for larger group testing. At that time, the person’s test results were negative. Then, as part of the process of testing all people who work within the Village Care Center (see more on this below), this person was re-tested late last week and received a positive test result Saturday. For the protection of staff and residents, Village Assisted Living is proactively taking the following actions:

  • We are beginning a methodical testing of residents and associates within 48 hours who may have had contact with the health care provider, so that we will have a clear picture of whether the COVID-19 coronavirus is present in our facility.
  • We are immediately taking the following steps to increase our infection control efforts by:
    • Requiring staff to wear surgical masks instead of fabric face covers.
    • Doubling our daily screening of residents to taking vital signs four times a day.
    • Placing a hold on resident activities for a few days, as we assess the current situation.

The testing lab we are using is the same one the Village Care Center is using for their larger group testing. They are a local company in Lee’s Summit and have proved to be very responsive. Results typically are submitted to us within 48 hours.

VILLAGE CARE CENTER

Because the Village Care Center recently identified two unrelated cases of COVID-19 in care center associates, they decided on Thursday to be proactive and begin testing all associates working in their building. They now have tested the majority of their associates, and have results from all of the samples sent to the lab Thursday and Friday. I want to be sure that you know they had 5 additional positive results. All of these associates have been asymptomatic, have passed their daily pre-shift screenings, and have not worked since they received their results.

These newest cases include associates with jobs in a variety of departments at the VCC, most of whom have not had ongoing contact with residents, or each other. Therefore we do not believe it is being spread within the building; rather it appears to show that our infection control procedures are doing their job. Because of these outcomes, they also are beginning to test their residents. We expect resident and associate test results to continue rolling in over the next several days. I will continue to keep you informed as we gain new information.

Here is a more detailed update regarding the prevalence of COVID-19 in the VCC since March 16:

As of June 14,

  • _0_Residents and _9_associates have confirmed COVID-19 diagnoses.
  • _40_ Residents and _261_ associates have tested negative for COVID-19.
  • _N/A_Residents and _3_ associates have recovered from COVID-19.
  • It has been _0_ days since we were notified that a resident or associate has tested positive.

There currently are no known cases at John Knox Village outside of the Village Care Center.

The Village Care Center is staying in very close communication with local, regional, county, and state authorities to ensure they are taking all of the appropriate steps under current circumstances. They also are following guidance from CMS and the CDC to reduce the impact of COVID-19.

These include:

  • Daily screening of VCC residents, with vital signs taken 4 times a day
  • Daily screening of VCC staff and essential visitors for symptoms
  • Use of social distancing and other infection control procedures
  • Enhanced infection control precautions
  • Stopping all new admissions to the VCC for the next few days (except John Knox Village contract holders)
  • Restricting visitation and entry of people into the building
  • Carefully limiting communal activities

Unfortunately, government privacy requirements restrict us from divulging specific information about the individuals involved, unless they are your family member and you have the necessary permissions to receive such information. We will contact those people directly if your loved one is suspected or diagnosed with COVID-19.

Please know that the whole Village is working extremely hard to keep everyone who lives and works here safe and healthy. This is a responsibility that weighs heavily on us every day. Please contact Tressa Dickerson, Village Assisted Living director of nursing at 816-347-2706 or tdickerson1@jkv.org and she will do her best to answer any questions.

June 1, 2020

I hope this message finds you well. I am pleased to say that another week has come and gone, and we continue to have no confirmed cases of COVID-19 in Village Assisted Living Memory Care or Village Assisted Living residents or employees.

On late Friday afternoon, the administrator of our Village Care Center, the director of nursing for Village Assisted Living, and I had a phone call with our Region 3 representatives from the Missouri Department of Health and Senior Services (DHSS). The purpose of the call was to engage in dialogue about where DHSS is with its reopening plans for our facilities. The short answer is that they are still working on their plans. We did confirm that, in Missouri, all facilities such as ours are still in their Phase Zero.

We were able to ask specific questions about when the salons may begin to reopen, as well as the possibility of creating a visiting space in our memory care courtyards where residents and families could visit. Some immediate good news is that a work group has been set up by DHSS to evaluate our Village Care Center’s proposal for its residents and families to visit in its courtyards, using a Plexiglass setup. If approved for the Village Care Center, our memory care neighborhoods would quickly follow suit in implementing the approved visitation plan. DHSS has not yet determined which phase might include the salons opening, but we know everyone is looking forward to that one!

While the news of reopening in assisted living may not be happening like other places in Missouri and Kansas, I can assure you that everyone on the call was working towards getting back to a life that feels more normal, in the safest way possible.

I will continue to keep you updated on our phased reopening plans as quickly as I can. Until then, thank you for being on this journey with us and for entrusting us with the care of your loved one. If there is anything you may need, please do not hesitate to let me know.

April 27, 2020

I wanted to touch base and let you know how things are going in our memory care neighborhoods.

It seems the first question on everyone’s mind is are there any COVID cases? I am happy to say that we currently do not have any suspected or confirmed cases of COVID-19 associated with Village Assisted Living Memory Care or Village Assisted Living residents or staff.

While life has slowed down for the outside world, we are working hard to keep things moving forward for our residents. As such, I want to tell you about several new and exciting technologies that we are implementing.  I believe both will help us with the limitations we are experiencing in this stage of the pandemic.

First, we began facilitating telehealth visits with Kansas City Medicine Partners on April 13.  With our LPNs’ assistance, the group performs telehealth visits with various residents, as needed, on Mondays, Wednesdays, and Fridays.  This helps us to ensure there is as little foot traffic in the neighborhoods as possible. We are also assisting with telehealth visits for Saint Luke’s Health System, HCA, and other healthcare providers when requested.

Second, on Monday we began using a computer app called Linked Senior, which adds another layer to our activity program. The response to this application, which is rooted in dementia and geriatric research, has been great! Our goal with Linked Senior is to actively engage all residents with fun and interactive activities.  The modules provide stimulation and meaningful interaction, linking residents’ personal experiences with activities such as games, brain fitness, music therapy, reminiscing and other therapeutic interventions, no matter the person’s current cognitive ability. Our residents love that it is person-centered, and it brings back great memories – including their favorite musical groups or places they have traveled!

Third, we are happy to help you stay in contact with your loved one by adding more time slots for FaceTime visits.  Please reach out to our memory care activity coordinator, Kristin klennard@jkv.org or our clinical supervisor, Samantha sgladney@jkv.org to schedule your time to FaceTime.  Please work with either Kristin or Samantha to streamline the process.

Finally, you are receiving this email via a distribution group we created based on the people listed in our files as having financial responsibility for each resident.  If there are others you wish to have receive this email, please forward to them.  If there are others who would like to be added, please let me know their email address so I can add them to my distribution list.