1. How do I pay for Long Term Care?  Long Term Care is very expensive no matter where you go.  There are several options for payment. 

 VA Benefits- If you have VA long term care benefits, Walnut Acres is contracted with the Veteran's Administration to pay for your long term care.

Private Pay- Some individuals will pay privately for long term or skilled nursing care.  Walnut Acres is a non-profit facility that keeps prices low in order to better serve the needs of the community.  Our daily rates range from $145-165 depending on level of care.  This is far below the local and national averages.

Insurance Supplements-​ Some individuals have Medicare Supplements (Medigap), Medicare Advantage, Employer Plans, Life Insurance, or Private Long Term Care Insurance that can assist with the costs of Long Term Care. Please check your benefit package to determine eligibility.

Medicaid- Low income individuals may qualify for Medicaid coverage. We will assist you in filling out a Medicaid application. We have a list of documents needed to apply for Medicaid.  

Medicare Part A- If you were admitted to the hospital for 3 days or more and need skilled nursing care, Medicare will pay for up to 100 days of skilled nursing facility stay.  We offer all skilled nursing services at Walnut Acres.

State Respite/Private Respite Grants- The State of Illinois has a Caregiver Respite Grant that individuals caring for older adults can use to get needed rest from caregiving. This grant will pay for up to $1000 for respite. At Walnut Acres, this can grant up to 6 days of free respite care. 

2. I have to put my spouse in long term care, but I will still be living in the community. How can I apply for Medicaid without spending down all of our money? The State of Illinois has a program called Prevention of Spousal Impoverishment. ​​This program ensures that spouses still living in the community will retain a large portion of their assets until they pass away or go to long term care.

 3. How do I know that my loved one is going to the right place? I don't know what questions to ask.  There are some great nursing home guides available that give you an idea of what to ask and what type of facility your loved one needs. 

 Medicare.gov "Your Guide to Choosing a Nursing Home."

​Alzheimer's Association "Visiting a Nursing Home."​​

4. How can I help make my loved one's stay more comfortable?

 First and foremost, visit and do so often. Residents who reside with us love to see their family and friends.  You can take your loved one with you for dinner or just out for the day. You can accompany them to doctor's visits and go on family outings.

Bring comforts from home. Residents are often attached to certain belongings. Some may have a favorite shirt or blanket. Stephenson Nursing Center will label these items to ensure proper care so your loved one can enjoy them.

5. How do I get Power of Attorney documents? Simply click the link for Power of Attorney for Health, Financial, and Living Will. If you need additional assistance you can call Prairie State Legal Services at (800) 892-2985 and they can assist you.

 6. How do I apply for Medicaid? In the State of Illinois, there is more than one way to apply for Medicaid. First, if you or your loved one is already at Walnut Acres, stop down to see the business office and they will assist you with the application.  Otherwise, if you or your loved one is not currently in long term care, you can apply online at the Application for Benefits Eligibility(ABE), print out an application, or pick one up at the DHS Office near you. You can find more information on Long Term Care Medicaid here.

 
7. How is the facility responding and testing for the coronavirus? It shall be the policy of Stephenson Nursing Center (SNC) to guard against the introduction and spread of SARS-CoV-2 within its community of residents and staff.  SNC uses available and current guidance from the Centers for Disease Control and Prevention (CDC), Center for Medicare and Medicaid Services (CMS), the Illinois Department of Public Health (IDPH), and Local Health Department (LHD) officials to instruct the development and implementation of policies and procedures that comprise its strategy to prevent, respond to, and mitigate the presence of SARS-CoV-2.  This policy will provide the administrative framework for the development and implementation of specific subordinate policies, procedures, and protocols for the prevention, monitoring, testing, and responding to any incidence of SARS-CoV-2 within SNC.

SNC’s global response strategies are articulated in part in the Testing and Response Plan and are also included in the Infection Control Policy (ICP) and other related policies. SNC’s Testing and Response Plan is intended to be fluid and responsive to local conditions related to SARS-CoV-2 infection in SNC and the surrounding region as defined in the Restore Illinois Public Health Plan to Safely Reopen Illinois.    

 
I.Facility Information & Situation Awareness

 
SNC will monitor specified characteristics of the local SARS-CoV-2 situation as defined in the Restore Illinois Public Health Plan to Safely Reopen Illinois as well as relevant local, state, and federal information in order to inform infection prevention and control actions, resource planning, and coordination of appropriate responses as changes occur.

Name of the Facility: Stephenson Nursing Center IDPH No: 6009161 

Facility Address: 2946 S. Walnut Rd, Freeport, IL 61032

County: Stephenson Restore Illinois Region: 1

Individual preparing Facility Testing & Response Plan: SNC’s Testing & Response Plan was prepared by: Stephenson Nursing Center COVID Committee

Date of initial Facility Testing & Response Plan: SNC’s initial Testing & Response Plan was prepared on June 12, 2020.

SNC will review and update its Facility Testing and Response Plan on a periodic basis to ensure it is up to date with current CDC, IDPH, CMS, and LDH guidelines.

Communication - SNC communicates its testing plans and results to the LHD, residents, families, legally authorized representatives, and Healthcare Personnel (HCP) via email, website, and .

SARS-CoV-2 Local Incidence: SNC’s Infection Preventionist or designee monitors local SARS-CoV-2 incidence and regional designation in IDPH’s Restore Illinois Reopening plan and reports this information to the Administrator and Director of Nursing Services to inform infection prevention activities.

Local Health Department (LHD) Contact: SNC’s Infection Preventionist/designee or Administrator will maintain regular communication with its Local Health Department contact Melinda Hartman using the following contact information: 815-599-8429, Melinda.hartman@aeroinc.net. Communication is documented in SNC’s COVID-19 Facility Response Log.

CDC Social Vulnerability Index for County: CDC’s SVI uses U.S. Census data to determine the social vulnerability of every census tract. Census tracts are subdivisions of counties for which the Census collects statistical data. The SVI ranks each tract on 15 social factors, including poverty, lack of vehicle access, and crowded housing, and groups them into four related themes. As noted by IPDH, the CDC SVI may influence IDPH in determining testing assistance priority.  To aid IDPH, SNC notes that the CDC SVI is 0.5059 (moderate to high) as determined on June 12, 2020.  Please locate the CDC SVI and note it here by accessing CDC’s interactive map to view the facility’s county SVI at:  https://svi.cdc.gov/map.html.

II.Infection Control Capacity: The Testing and Response Plan is part of SNC’s overarching Infection Control Policy.

Infection Preventionist or designee: The Testing and Response Plan is executed under the guidance of SNC’s Infection Preventionist or designee.

The Testing and Response Plan is executed by the necessary Healthcare Personnel (HCP) with appropriate training and experience. SNC ensures that training includes: COVID-19 (e.g., symptoms, how it is transmitted); Hand hygiene (how to use alcohol-based hand rub (ABHR) and properly wash hands with soap and water); Donning and doffing of personal protective equipment (PPE) including Gloves, Face protection (goggles or face shield), Face mask (surgical or procedure mask), N95 respirator (if applicable), and Gowns (disposable, reusable, or alternative sources of protection). It also includes cleaning and disinfection and Specimen collection procedure. Training includes return demonstration competencies for PPE donning and doffing. A video Donning and Doffing Training Video for staff is posted on TeamReach™ for staff to reference at any time.

The Testing and Response Plan is executed by SNC’s additional HCP in the following role(s):

Administrator

Medical Director

Director of Nursing

Assistant Director of Nursing

Infection Control Coordinator

Receptionist

Housekeeping Supervisor

Maintenance Supervisor

Dietary Supervisor

Appropriate Personal Protective Equipment (PPE) is a critical component of SNC’s Infection Control Policy. PPE is necessary to both protect staff and reduce transmission within SNC. PPE is inventoried daily with a goal of 7 days on hand.  The PPE include the following

Gloves

Gowns

Faceshields/Goggles

N95 Masks

Surgical Masks

Hand Sanitzer

Hand Soap

PPE is provided to the units as needed and all inventory is stored in the Materials Management department.  If a shortage is identified Material Management and the Administrator will evaluate the situation and identifying potential new suppliers and/or a request will be made to the Stephenson County Emergency Management Department and the Stephenson County Health Department.  Constraints on PPE resulting in changes to the Testing and Response Plan are documented in the COVID-19 Facility Response Log.

 Infection Prevention & Control interventions
– SNC has policies addressing the following:

 Visitor restrictions– SNC restricts visitation to essential individuals. All visitors are informed of risk and instructed on proper PPE use prior to entering any unit. Appropriate signage is posted.

Cessation of communal dining and large group activities– SNC discontinued communal dining and large group congregate activities such as bingo, beauty shop, church, etc. and provided alternatives that maintains social distancing such as arranging in room dining.

Universal source control– SNC implements universal source control for residents, HCP, and any persons entering the building including compassionate care.

Social distancing– SNC implements social distancing maintaining 6 feet between individuals except during direct care activities.

Residents leaving SNC– Residents are asked to wear a face mask when leaving the building for appointments. Their COVID-19 status is shared with transportation services and whomever the resident has the appointment. Note: In the event any resident asked to wear a mask is unable to do so due to a medical condition, a physician order is used to document this information in the medical chart. SNC works to explore alternative measures to keep the resident and others safe.

Cleaning and disinfection- SNC has policies addressing cleaning and disinfection surfaces including product selection based on EAP-approved disinfectants against COVID-19.

Facility design– SNC designates Oakwood for cohorting and managing care for residents with COVID-19. SNC may transfer recovered COVID-19 residents to a transitional or observational area for 14 days before admitting directly back to the regular unit.

 III.Testing Capacity and Protocol

 Medical Director or Ordering Physician for Testing: SNC’s health care provider responsible for ordering SARS-CoV-2 tests for SNC’s residents and HCP is: Dr. Robert Gellar.

Method for Obtaining Consent: SNC ensures informed consent is obtained by testing staff prior to collecting specimens from residents and HCP. Testing staff informs residents or their legally authorized representatives and HCP of their right to authorize or refuse testing, how the test will be conducted, that the test may be performed by a 3rd party laboratory, how result information will be handled, the potential need for isolation to prevent the spread of infection and that there is the potential for false positive or negative test results. Additionally, if positive, SNC notes that testing does not replace treatment by their medical provider, and they have the responsibility to obtain appropriate medical treatment.

 Signed consents are retained in the appropriate resident medical record or staff Testing and Consent Log. In the event where it is not possible to obtain a signed consent at the time of specimen collection, a verbal informed consent will be obtained prior to testing and documented in the resident’s chart.

SNC acknowledges that residents or their legally authorized representatives have a legal right to refuse testing. SNC uses targeted education and motivational interviewing techniques to inform residents of the risks and benefits, including community benefits, of testing. If the resident refusal persists, SNC takes the following measures to protect other residents from risk of exposure to a resident with undetermined SARS-CoV-2 status:

SNC acknowledges that healthcare personnel have a legal right to refuse testing and have adopted the following measures to protect residents from risk of exposure to a staff member with undetermined SARS-CoV-2 status:

Screening for temperature, pulse oximetry and attestation that they do are not experiencing a Sore Throat, Cough, New Shortness of Breath, Loss of taste or smell.

Use of an N95 mask when in SNC.


Method for Funding Testing: SNC will properly bill claims for reimbursement to the resident’s and HCP’s insurer or the appropriate uninsured testing program, ensuring that it will not collect any co-pays for tests conducted.

Contracted/Engaged Lab: SNC’s Administrator has engaged with the Stephenson County Health Department to provide SARS-CoV-2 clinical testing services according to the volume and frequency identified in the Testing and Response Plan. Since the County Health Department and the Stephenson County Nursing Center are one entity under the County’s TIN.  SNC reports they have current capacity to meet testing needs as of June 12, 2020. SNC’s Infection Preventionist or designee monitors the Laboratory’s capacity and result turn-around time on a regular basis. SNC promptly responds to any delays in turn-around times or evidence of decreased capacity by identifying additional laboratory partners and contacting IDPH to receive assistance in identifying laboratories with available capacity. SNC’s Administrator will then pursue an appropriate arrangement for testing and billing.

Viral Testing Type and Specimen Source – SNC determined that it will utilize the following type of Emergency Use Authorization or Food and Drug Administration approved viral test. The test used should be able to detect SARS-CoV-2 virus (e.g., polymerase chain reaction (PCR)) with greater than 95% sensitivity, greater than 90% specificity, with results obtained rapidly (e.g. within 48 hours) and the  specimen source e.g., nasopharyngeal, anterior nares, or oropharyngeal, appropriate to the viral tests available.

Test Kit Supply (Current and Pipeline): SNC calculates the total number of test kits necessary to have in inventory and on order to complete testing according to the periodicity schedule as determined by the current testing requirements and documents this information in SNC’s COVID-19 Response Log or other document, taking into consideration the following:

Definition

Assumption

Number needed for all residents to receive a single baseline SARS-CoV-2 test

Resident census = 90-95

Number needed for all residents to be tested upon identification of an individual with symptoms consistent with SARS-CoV-2, or if a staff member tests positive for SARS-CoV-2

Resident census = 90-95

Number needed to continue weekly re-testing of all nursing home residents until all residents test negative

(Assume resident census if 1st outbreak) X (number of weeks for test kit order to delivery) =90-95

Number needed for all health care personnel (including volunteers and vendors who are in SNC on a 3 times a week basis) to receive a single baseline SARS-CoV-2 test

(Active staff roster) + (Vendors in the facility weekly) + (Active volunteers on site) = 110

Number needed for all health care personnel to continue re-testing of all staff until all residents test negative and continue weekly for staff

(Note: State and local leaders may adjust the requirement for weekly testing of staff based on data about the circulation of the virus in their community)

(Assume health care personnel calculated above) X (number of weeks for test kit order to delivery time) = 110

Subtotal of inventory needed = 400

Process for Specimen Collection and Transportation: SNC’s  Infection Preventionist or designee oversees the process for specimen collection and transportation to the laboratory ensuring that the instructions provided with the test kits and laboratory protocols are followed to prevent contamination or altered specimen that can interfere with diagnosis.

Staff Designated to Conduct Testing: The specimen collection process is conducted by SNC’s

Administrator- All Shifts, collection of specimens

Director of Nursing- Days, collection of specimens

Care Plan Coordinator- Days and PM’s, collection of specimens

Infection Preventionist- Days and PM’s collection of specimens

Training of Personnel for Testing: SNC’s Infection Preventionist or designee is responsible to assure testers receive training for safe and correct testing of residents and HCP and the safety of those professionals who will be administering the tests. Training includes identification of who should be tested, appropriate locations for specimen collection, informed consent including explanation of the procedure to the individual, standard precautions, appropriate use and removal of PPE, contents of diagnostic test kit, proper individual and specimen identification, procedure for nasal and throat swabs, guidelines for storing specimens for shipment, and appropriate documentation.  Initial training was provided by Freeport Health Network’s COVID Response Team to the testing team. For future and refresher training a free program was  developed for Penn Foster, in collaboration with Southern New Hampshire University and Guild Education, and is available as a referred training link from CDC. https://www.pennfoster.edu/covid19-testing-training#sign-up-form

Test Result Communication, Documentation and Reporting Protocol - SNC’s Infection Preventionist or designee oversees the process for receiving and acting on results of testing to identify asymptomatic cases, confirm infection in symptomatic cases,  evaluate quality indicators, follow-up on infection control programs, and to support decision-making. Once results are obtained, Administration, Infection Preventionist, Medical Record and Human Resources are responsible to record the result and date in the resident’s medical record or HCP’s employee health record, communicate the result to the individual or legally authorized representative on a timely basis, and ensure the appropriate government entities are informed via designated processes including National Healthcare Safety Network (NHSN) COVID-19 Module for LTCF weekly and IDPH or LHD daily or as directed.

 SNC maintains documentation or line listing of aggregated testing results for both residents and HCP, including such fields as: test type conducted, date of tests, date of results, results, and any barrier preventing testing.

SNC informs residents/legally authorized representatives, HCP, and families of the number of cases in SNC by 5 p.m. the next calendar day following the occurrence of either a single confirmed infection of COVID-19, or three or more residents or staff with new-onset of respiratory symptoms occurring within 72 hours of each other as follows: Formal Letter emailed to families, Formal Letter provided to residents and staff, Formal Letter posted in the Stephenson Nursing Center website.  Communications are recorded by date and type in SNC’s Response Log.

All identified SARS-CoV-2 tests, results, and documentation are maintained under strict compliance with HIPAA requirements.

IV.Testing Periodicity regardless of Outbreak status:

Asymptomatic persons with a history of a positive COVID-19 test should not be retested for 90 days from last positive test result

Resident Symptom Screening and Testing:  Consistent with SNC Infection Control Policy and IDPH guidance, all residents are screened for symptoms consistent with SARS-CoV-2 infection and temperature, heart rate, respirations and pulse oximetry once per day.   SARS-CoV-2-like illness is described by IDPH as new onset of subjective or measured (≥100.0oF or 38.0oC) fever OR cough OR shortness of breath OR sore throat that cannot be attributed to an underlying or previously recognized condition. The Director of Nursing (or appropriate facility staff) is immediately notified of any resident who screens positive for symptoms or change in vital signs and appropriate infection control measures are initiated according to Facility IC Policy or other policy regarding clinically ill residents.  Resident receives immediate SARS-CoV-2 testing via testing process as described in Section III. Residents with symptoms or change in vital signs are tested regardless of previous SARS-CoV-2 testing status.

Staff Symptom Screening and Testing:  Consistent with SNC’s Infection Control policies,  and IDPH guidance, all HCP (including non-staff visiting HCP, vendors, volunteers, and visitors) are screened for temperature and symptoms of SARS-CoV-2 in accordance with IDPH guidance prior to shift and at mid-shift. HCPs who have fever or symptoms receive SARS-CoV-2 testing as described in Section III and are excluded from work pending results of the test. HCPs who test positive for SARS-CoV-2 are excluded from work until they meet return to work criteria.

Visiting HCPs who screen positive for symptoms or fever while onsite at SNC are immediately removed from SNC and must either be tested according to procedures outlined in Section III for staff HCP.

Testing for readmission after hospitalization for COVID: Whenever possible SNC requests hospitals to verify negative SARS-CoV-2 status through testing prior to discharge back to SNC. When testing is not available, SNC employs a symptom-based strategy to determine length of infection control precautions. Residents with verified SARS-CoV-2 infection are excluded from Point Prevalence Surveys and baseline surveys in the future.

Testing for readmission after hospitalization or other prolonged or multiple encounters outside of SNC for non-COVID related condition: In consultation with the resident’s healthcare providers and LHD, SNC may periodically test asymptomatic residents who are at elevated risk for transmission of SARS-CoV-2 based on their exposure outside of SNC. This includes residents who are hospitalized with a non-COVID condition or residents with frequent visits outside of SNC such as residents undergoing dialysis, cancer treatments, and other services. Conditions impacting testing frequency are documented in the COVID-19 Facility Response Log. When the rate of community transmission is high as defined by SNC region in Phase 1 or 2 of the Restore Illinois Plan, these residents will be tested weekly.

Residents with known exposure to COVID-19: Asymptomatic residents with known exposure to COVID-positive case while outside SNC will be tested within 3-7 days after exposure.

Periodic testing of HCP: Consistent with CMS Guidance QSO-20-30-NH, SNC  performs weekly testing of all previously negative HCP staff and visiting HCP staff who enter the building more than three times each week until SNC is advised by IDPH, IDPH Regional Infection Control Consultants, or LHD officials that the community has completed Phase 3 of Reopening nursing homes and Opening Up America Again and weekly testing of HCP is no longer indicated. SNC will consider testing more frequently than weekly when SNC has been advised by IDPH or LHD to pursue more frequent testing based on local transmission. 

Surveillance Testing:  Starting 8/31/2020 HCP will be tested monthly based on the CDC and SCHD recommendation.  Daily checks will be made to ensure the positivity  rate in Stephenson County is less than 5%.  If the positivity rate increases above 5% then the test frequency will change to weekly.  Please see September 2020-SCHD Testing Frequency for current testing guidelines from the SCHD changing frequency to monthly for HCP as LTC facilities.

Baseline Testing: SNC has completed baseline testing of all residents and staff on May 18-22, 2020.  Any new admissions must have a negative COVID test prior to admission and any new hire must provide a negative COVID result as a condition of pre-employment.  These steps continue to establish the baseline for SNC.  The testing dates and clearance dates are documented in the COVID-19 Facility Response Log.

Follow-up to baseline testing:  SNC completed weekly testing of all previously negative residents until all residents were tested negative for 14 days on May 18, 2020. SNC plans to continue testing when indicated of all previously negative residents until all residents test negative for 14 days after the baselines testing started on May 18, 2020.

SNC conducted will conduct surveillance testing of all staff based on reccommendations and guidance of the LHD, IDPH, and CMS.  All new hires must obtain a negative COVID-19 result and surveilence of all staff occurred June 5-6, 2020; August 18-19, 2020; and August 25-26, 2020.

Periodic re-testing of Residents: Consistent with Emergency Rule TITLE 77: PUBLIC HEALTH CHAPTER I: DEPARTMENT OF PUBLIC HEALTH SUBCHAPTER c: LONG-TERM CARE FACILITIES PART 300 SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE as promulgated on 5-28-2020, SNC  establishes a testing plan for conditions when SNC has no identified cases in the last 28 days. SNC Testing Plan is based on the regional phases defined in the Restore Illinois Plan to Safely Reopen.

 If SNC region is in Restore Illinois phases 1 or 2, SNC testing will include: Asymptomatic roommates of symptomatic or COVID-positive residents will be tested.

 One or more units of SNC will be tested weekly so that the entire facility is tested is tested monthly.

 At any time, if testing results in two or more cases being identified, SNC will resume testing conditions as indicated in the Outbreak conditions. The regional Restore Illinois phase and testing periodicity are documented in the COVID-19 Facility Response Log or other document. 

 V.Testing for Outbreak Conditions: IDPH has defined an Outbreak as one laboratory confirmed case in either resident or HCP and one additional presumed case by COVID-19- like symptoms or confirmed case by laboratory testing. Cases considered in an Outbreak definition must presumably originate in SNC and not be the result of residents with positive status being newly admitted to SNC. Testing periodicity for Outbreak Conditions is in addition to testing conducted during non-outbreak conditions.

Point Prevalence Survey: During an Outbreak, as soon as possible (ideally within 7 days) based on testing constraints and mitigation strategies described in Section VI, SNC completes a facility-wide Point Prevalence Survey testing all residents and staff. All Testing for the Point Prevalence Survey is completed within 24 hours except when constraints as described in Section VI impact testing schedules. Execution of a Point Prevalence Survey is documented in the COVID-19 Facility Response Log or similar document.

Reportage: Any new Outbreak is reported to the LHD. SNC, LDH and IDPH Regional Infection Control Consultant (RICC) will arrange testing for residents and HCP using the Testing and Response Plan.

Continued surveillance of residents and HCPs during an Outbreak: SNC will increase temperature, heart rate, respirations, pulse oximetry and symptom monitoring of symptomatic residents to every four hours. SNC continues to perform weekly testing of all previously negative HCP, visiting HCP who enter the building more than three times each week, and residents until all tests are negative for 14 days, unless advised to perform testing at another frequency by IDPH or LDH. Any resident identified to be positive for COVID-19 (symptomatic or asymptomatic) will be placed on droplet/contact precautions and moved to the COVID-19 designated area. Execution of weekly surveillance after a Point Prevalence Survey is documented in the COVID-19 Facility Response Log or similar document.

Testing for readmission after hospitalization or other prolonged or multiple encounters outside of SNC for non-COVID related condition: During Outbreak Conditions and consistent with CDC guidance, SNC will test asymptomatic residents who are at elevated risk for transmission of SARS-CoV-2 based on their exposure outside of SNC weekly. This includes residents with frequent visits outside of SNC such as residents undergoing dialysis, cancer treatments, and other services.

 VI.Testing Constraints, Mitigation Strategies, and Prioritization

 Testing Constraints and Mitigation Strategies: SNC may encounter a variety of constraints that impair the ability to execute the periodicity of testing as described in Sections IV and V. The constraints and mitigation strategies are listed in Table 1 below.

 Table 1:

Testing Constraints

Mitigation Strategies

Test Kit Availability

SNC will:

investigate additional sources for contracted lab services

Contact LHD for assistance in accessing IDPH lab services

Test Result Availability

SNC will:

Contact contracted lab and encourage them to adhere to agreed-upon service levels for lab results

Contact LHD for assistance in accessing IDPH lab services

PPE Availability

SNC will:

Investigate additional sources of PPE

Contact LHD for assistance in sourcing PPE

Staffing Shortages

SNC will:

Ensure appropriate training and staff support to mitigate anxiety and encourage full work participation

Offer retention and over-time incentives for staff

Investigate additional staffing from agencies

Investigate staffing support from Illinois Helps.

All testing constraints, mitigation strategies, and impact on periodicity of testing schedules will be documented in the COVID-19 Facility Response Log or other document.

Prioritization Strategies: At all times, SNC strives to accomplish testing according to CDC, CMS, IDPH, and LHD guidance and best practices and uses every available means to mitigate constraints and deploy appropriate infection control policies. When SNC is unable to accomplish testing according to the periodicity described in Sections IV and V, testing will be prioritized according to the following criteria:

HCP testing prioritization criteria:

HCP who work in other facilities that may also be experiencing an outbreak

HCP with frequent resident contact

Visiting HCP who visit at higher frequency than others

Resident testing prioritization criteria:

Roommates or close contacts of resident who has tested positive

Residents who leave SNC frequently (e.g. residents receiving dialysis)

Residents on units where HCP who have tested positive have been recently working

Units or wings where residents have recently tested positive

Residents with co-morbidities that increase their risk of morbidity from SARS-CoV-2 infection

VII.Appendix A:  Acronyms


CDC: Centers for Disease Control and Prevention

CMS:  Centers for Medicare and Medicaid Services

IDPH:  Illinois Department of Public Health

HCP:  Healthcare Personnel

LHD:  Local Health Department

Effective Date: 6/12/2020

Revision/Review Date: 8/14/2020

                                         8/31/2020
                                         9/01/2020

                                         9/21/2020

 Approved by: Jason Bauer MSN, RN, NEA-BC

 

Approved Date: 6/12/2020

Frequently Asked Questions