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January 16, 2024
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December 22, 2023
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April 28, 2023
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February 9, 2022
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January 17, 2022
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January 12, 2022
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January 10, 2022: Reimposition of Restrictions
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January 9, 2022: Update on Presence of Positive Cases at Bayview
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January 7, 2022: Update on Presence of Positive Cases at Bayview
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January 5, 2022: Update on Presence of Positive Cases at Bayview
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December 29, 2021: Independent Living Visitation and Dining Updates
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December 28, 2021: Positive Case Updates
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December 25, 2021: Additional Staff Positive Cases
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December 22, 2021: Independent Living Exposure
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December 21, 2021: Independent Living Visitation Update
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November 19, 2021: Launch of Test-Based Strategy
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October 15, 2021: Vaccination Booster Process
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October 4, 2021
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August 23, 2021
This memo is lengthy. We are reporting on further guidance of restrictions for Independent Living, Assisted Living, Memory Care and Skilled Nursing for residents, family, and staff. Some of the differences are subtle, so please refer to the section that is most appropriate for you.
Unfortunately, the King County Rates of Infection have continued to dramatically increase (King County rate of infection – 348.3 – 08/23/21). The King County rates of infection have now reached the highest levels since the inception of the pandemic. As a proactive measure, we are rolling out the below restrictions in anticipation of hitting 350 within the next day. Please note should infection rates decline and the 350 threshold is not met, we will send another communication piece out and ease restrictions back.
Within the past week, Governor Inslee has decisively acted to mandate vaccinations for all healthcare workers and reimpose mask mandates for all people when in public. The Center’s for Medicare and Medicaid Services (CMS) has followed suit by mandating vaccinations for all healthcare workers throughout the nation as a requirement of participation for healthcare services and funding. The Executive team has reviewed our policies and decided further actions are necessary to keep our Bayview population safe and healthy.
After reading this letter, if you have questions or need clarifications, please contact one of the following team members for further details or information:
Independent Living: Heather Smith x2313 206.281.5759 hsmith@bayviewseattle.org
Assisted Living: Pamela Yeo x2107 206-281-5755 pyeo@bayviewseattle.org
Skilled Nursing: Janice Pate – RN x3354 206-281-5778 jpate@bayviewseattle.org
All care levels: Joel Smith – NHA x3357 206-281-5747 jsmith@bayviewseattle.org
EFFECTIVE IMMEDIATELY:
GENERAL:
Regardless of your vaccination status, your vigilance in following the core principles of infection control are more important now than ever. This includes:
Proper use of source control (facemask use) whenever you leave your apartment or room.
Proper social distancing of six (6) feet or more whenever feasible when in public.
Consistent proper hand hygiene and the use of Alcohol Based Hand Rubs (ABHRs).
Regardless of your vaccination status, all personnel inside and outside of Bayview (Residents, Staff, Essential Contractors, Providers, and Essential Support Personnel) MUST properly wear a facemask while transiting in public or common areas.
Public areas may include (but are not limited to):
Dining areas
Common spaces on each floor
Hallways throughout the facility
Elevators
The 10th
The outdoor Terrace.
The “Red Bench” area.
Laundry rooms
The library.
Staff and Essential Support Personnel (ESP) must wear proper personal protective equipment including, but not limited to, continuous facemask use while working, and eye protection while on regulated areas such as Assisted Living, Memory Care, and Skilled Nursing.
With the Governor’s amended proclamation, Bayview requires the use of facemasks while indoors AND outdoors on facility property.
Facemasks with respirator valves are not authorized for use at Bayview. Any person wearing this type of mask will be denied entry into Bayview.
At one time, early in the pandemic, Bayview offered facemasks with respirator valves for residents and staff. These masks must be discarded. A new mask can be obtained by contacting Heather Smith, Pamela Yeo, Janice Pate, or Joel Smith as listed above.
Bayview supplied facemasks are the recommended style of mask to use and should always be worn with the filter placed inside of the mask. If you are out of filters or need a refresher of how to use the filter, please contact any of the above-mentioned team members.
In accordance with the Centers for Disease Control (CDC) guidance, gaiters are permitted when properly worn, on a case-by-case basis, as recommended by a physician for medical purposes.
ESSENTIAL SUPPORT PERSONNEL VISITATION:
The legal requirements for an Essential Support person (ESP) are:
At least 18 years of age.
Designated by the resident or the resident’s representative if the resident is legally incapacitated (regardless of vaccination status), AND
Necessary for the resident’s emotional, mental, or physical well-being during situations that include, but are not limited to the following circumstances:
Compassionate care
End-of-Life care
Visitation to assist with important continuity of care
Visitation to assist with the reduction of confusion and anxiety for resident with cognitive impairments, or
Visitation to prevent or reduce significant emotional distress to the resident.
ESP visitation applies when limitations to visitation occurs due to a public health emergency or other threat to the health and safety of the residents and staff.
Please contact one of the above listed team members to inquire about designating a qualified ESP visitor.
FOOD SERVICES
The main dining room and all public eating spaces are closed. Free room delivery of three meals a day will once again resume.
You will receive menus a day prior on your door that should be filled out by 2pm that day.
Our Culinary Services team is fully dedicated and prepared to make this transition to room service as smooth and enticing as possible.
INDEPENDENT LIVING RESIDENTS:
Bayview strongly encourages residents to remain in their apartments unless essential business is necessary or required. Essential business includes, but is not limited to:
Trips to a medical appointment.
Emergency treatment.
Trips to the grocery store.
Fitness or exercise.
The safest form of visitation is OUTDOOR visitation. This includes the “Red Bench” or other means of outdoor visitation as residents are able. Please be respectful of other people’s use of the Red Bench area and maintain social distancing at all times.
Regardless of vaccination status, outdoor visitation may include up to five (5) people (including the resident) on facility property as long as social distancing can be maintained.
Outdoor visitors and residents must wear facemasks at all times.
Bayview STRONGLY discourages ALL indoor visitation until the county rates of infection decline.
If an Independent Resident insists upon an indoor visitation:
The visitor must continue to attest to the Governor’s “Washington Ready” proclamation and Bayview’s infection control policies. This includes the truthful and honest screening process at reception. Failure to comply with the Governor’s proclamation or Bayview’s infection control policies will jeopardize the already limited visitation privileges.
The visitor must move directly from the screening area to the resident’s apartment.
The visitor is NOT allowed in public areas.
Limit visitation to one (1) person only.
Limit visitation to one (1) visit a week to control Bayview’s viral exposure load.
Limit visitation to no more than two (2) hours a visit to control Bayview’s viral exposure load.
Residents and visitors must wear facemasks during visitation.
Bayview STONGLY discourages “close contact” during outdoor or indoor visitation with visitors.
Group activities will continue as scheduled, with proper infection control protocols in place including the core principles of infection control listed above.
Group activity capacity is reduced to:
Indoor group activity size: No more than five (5) people with social distancing and source control use at all times.
Outdoor group activity size: No more than ten (10) people with social distancing and source control use at all times.
Activities involving vaccinated volunteers should not involve singing or percussion instruments as expelled droplets atomize and travel farther, posing a larger risk of infection.
Comingling of residents within different levels of care is limited to Essential Support (ESP) visitation only.
ASSISTED LIVING RESIDENTS:
Bayview strongly encourages residents to remain in their apartments unless essential business is necessary or required. Essential business includes, but is not limited to:
Trips to a medical appointment.
Emergency treatment.
Trips to the grocery store.
Limited fitness or exercise.
The safest form of visitation is OUTDOOR visitation. This includes the “Red Bench” or other means of outdoor visitation as residents are able. Please be respectful of other people’s use of the Red Bench area and maintain social distancing at all times.
Regardless of vaccination status, outdoor visitation may include up to five (5) people (including the resident) as long as social distancing can be maintained.
Outdoor visitors and residents must wear facemasks at all times.
Indoor visitation is now limited to scheduled Essential Support Personnel (ESP) visitation only.
ESP visitors are not allowed in public areas.
ESP visitors must continue to attest to the Governor’s “Washington Ready” proclamation and Bayview’s infection control policies. This includes the truthful and honest screening process at reception. Failure to comply with the Governor’s proclamation or Bayview’s infection control policies will jeopardize visitation privileges.
ESP visitors must be escorted onto the Assisted Living Unit and move directly from the screening area to the resident’s apartment.
ESP visitors and residents must wear source control while visiting the resident inside the resident’s apartment.
Only one (1) ESP visitor may be designated by each resident. The resident or resident’s responsible party may change the designated ESP visitor once every 30-days. Exceptions to this policy are made on a case-by-case basis.
The ESP visitation schedule, times, frequency, and duration, including after-hours ESP visitation will be individually set in accordance with the resident’s specific need for visitation. Please contact Pamela Yeo as listed above for assessment and further details.
Bayview STONGLY discourages “close contact” during outdoor or indoor visitation with visitors or ESPs.
The Assisted Living Dining room is closed. The dining room will only be used for residents assessed as at risk for weight loss or needing physical assistance or cueing with dining.
Group activities will continue as scheduled, with proper infection control protocols in place including the core principles of infection control listed above.
Group activity capacity is reduced to:
Indoor group activity size: No more than five (5) people with social distancing and source control use at all times.
Outdoor group activity size: No more than ten (10) people with social distancing and source control use at all times.
Activities involving vaccinated volunteers should not involve singing or percussion instruments as expelled droplets atomize and travel farther, posing a larger risk of infection.
Comingling of residents within different levels of care is limited to ESP visitation only.
SKILLED NURSING UNIT:
Bayview strongly encourages residents to remain in their room unless essential business is necessary or required. Essential business includes, but is not limited to:
Trips to a medical appointment.
Emergency treatment.
Trips to the grocery store.
Limited fitness or exercise.
The safest form of visitation is OUTDOOR visitation. This includes the “Red Bench” or other means of outdoor visitation as residents are able. Please be respectful of other people’s use of the Red Bench area and maintain social distancing at all times. To schedule an outdoor visitation, please contact Janice Pate listed above.
Regardless of vaccination status, outdoor visitation may include up to five (5) people (including the resident) as long as social distancing can be maintained.
Outdoor visitors and residents must wear facemasks at all times.
Indoor visitation is now limited to scheduled Essential Support Personnel (ESP) visitation only.
ESP visitors are allowed in designated areas on the Health Center only to include:
The “Fish Tank” area.
The Dining room.
The outdoor courtyard (weather dependent).
ESP visitors must continue to attest to the Governor’s “Washington Ready” proclamation and Bayview’s infection control policies. This includes the truthful and honest screening process at reception. Failure to comply with the Governor’s proclamation or Bayview’s infection control policies will jeopardize visitation privileges.
ESP visitors must be escorted onto the Skilled Nursing Unit and move directly from the screening area to the resident’s designated visitation area.
ESP visitors and residents must wear source control while visiting.
Only one (1) ESP visitor may be designated by each resident or resident representative. The resident or resident’s responsible party may change the designated ESP once every 30-days. Exceptions to this policy are made on a case-by-case basis.
The ESP visitation schedule, times, frequency, and duration, including after-hours ESP visitation will be individually set in accordance with the resident’s specific need for visitation. Please contact Janice Pate as listed above for assessment and further details.
Bayview STONGLY discourages “close contact” during outdoor or indoor visitation with ESPs.
The Skilled Nursing dining room is closed. The dining room will only be used for residents assessed as at risk for weight loss or needing physical assistance or cueing with dining.
Group activities will continue as scheduled, with proper infection control protocols in place including the core principles of infection control listed above.
Group activity capacity is reduced to:
Indoor group activity size: No more than five (5) people with social distancing and source control use at all times.
Outdoor group activity size: No more than ten (10) people with social distancing and source control use at all times.
Activities involving vaccinated volunteers should not involve singing or percussion instruments as expelled droplets atomize and travel farther, posing a larger risk of infection.
Comingling of residents within different levels of care is limited to ESP visitation only.
DOROTHY’S PLACE MEMORY CARE RESIDENTS:
Residents are strongly encouraged to wear source control but may choose to not wear facemasks related to their diagnosed condition.
Visitation is now limited to scheduled Essential Support Personnel (ESP) visitation only.
ESP visitors are allowed in designated areas only to include:
The living room.
The Resident’s apartment.
The outdoor courtyard (weather permitting).
ESP visitors must continue to attest to the Governor’s “Washington Ready” proclamation and Bayview’s infection control policies. This includes the truthful and honest screening process at reception. Failure to comply with the Governor’s proclamation or Bayview’s infection control policies will jeopardize visitation privileges.
ESP visitors must be escorted onto the Memory Care Unit and move directly from the screening area to the resident’s designated visitation area.
ESP visitors and residents must wear source control while visiting the resident.
Only one (1) ESP visitor may be designated by each resident or resident representative. The resident or resident’s responsible party may change the designated ESP once every 30-days. Exceptions to this policy are made on a case-by-case basis.
The ESP visitation schedule, times, frequency, and duration, including after-hours ESP visitation will be individually set in accordance with the resident’s specific need for visitation. Please contact Pamela Yeo as listed above for further details.
Bayview STONGLY discourages “close contact” during outdoor or indoor visitation with ESPs.
If an ESP intends to take their loved one off of the Memory Care unit, please inform the Assisted Living nurse or Pamela Yeo as listed above PRIOR to leaving the unit for assistance in escorting the resident off of Memory Care.
Comingling of residents within different levels of care is limited to ESP visitation only.
TERRACE AND 10TH FLOOR HOURS:
Exercise is an essential activity, and all residents should have the ability to utilize the Terrace outdoor park.
Terrace designated hours:
Independent Living Residents: Before 2:00pm and after 4:00pm
Assisted Living and Skilled Nursing Residents: Between 2:00pm – 4:00pm
10th floor designated hours:
Bayview strongly suggests limiting the use of the 10th
Please exercise your judgement when accessing the 10th
The space should not be used for social gatherings until further notice.
Independent Living Residents: Before 9:00am and after 11:00am
Assisted Living and Skilled Nursing Residents: Between 9:00am – 11:00am
SPECIAL EVENTS:
Until the King County Rate of Infection decreases, special events will no longer be supported by Bayview. Special events include, but are not limited to:
Family gatherings / reunions
Birthday parties.
Anniversary parties.
Families are encouraged to hold special events at a safe location, off-site, while observing the core principles of infection control.
CHILDREN:
Children under the age of 18 do not qualify for Essential Support Personnel (ESP) visitation and will not be allowed inside of Bayview unless the child is part of the Child Development Center (ICC).
Visitation with children under the age of 18 is restricted to outdoor visitation only.
Children under the age of twelve (12) and children in the ICC are unvaccinated and pose the highest risk to spread or become infected with COVID-19.
Children under the age of twelve (12) and ICC children are restricted to designated areas only. These designated areas include:
Outdoor visitation areas such as the “Red Bench”.
Children’s playground.
ICC center.
FITNESS CENTER:
The fitness center, including the pool, will continue with scheduled fitness activities only. Please sign up for your opportunity to continue fitness and exercise from the sign-up sheets located outside of the fitness center.
Facemask use is required for residents in the fitness center.
Sanitize the equipment before and after EACH use.
Sanitize your hands before and after EACH equipment use.
ELEVATOR CAPACITY:
Elevators continue to pose a large threat of exposure related to:
The inability to properly social distance,
The enclosed, small space,
The limitation or lack of air flow.
Bayview recommends when riding the elevator to face away from other passengers and to limit conversation inside the elevator car as possible.
Elevator capacity is as follows:
North Elevator: NO MORE THAN THREE (3) people at one (1) time.
Large Tower Elevator: NO MORE THAN THREE (3) people at one (1) time.
Small Tower Elevator: NO MORE THAN TWO (2) people at one (1) time.
Small Central Elevator to A level: NO MORE THAN TWO (2) people at one (1) time.
A-Level to Parking and Health Center: NO MORE THAN TWO (2) people at one (1) time.
There will be helpful elevator signage to reiterate maximum capacities.
Staff are required to use the stairs as much as possible to free up elevator use for Residents.
Elevator capacity limitations include ALL EMPLOYEES at Bayview.
VACCINATIONS:
In alignment with the Governor’s and the Centers for Medicare and Medicaid Services (CMS) mandates, Bayview has now mandated proof of vaccination for all employees, essential providers and volunteers beginning October 18th, 2021.
Essential Providers include, but are not limited to:
Private caregivers.
Home Health providers.
Private therapy providers.
Volunteers for any activity.
Ancillary services such as:
Onsite dental hygienists
Onsite podiatrists
Any other vendor or provider that conducts business within Bayview such as:
Vending machine operators.
Outside Maintenance / Repair personnel.
Please notify any private services you may be receiving now of Bayview’s vaccination policy to avoid any interruption of services.
There are specific dates that must be met in order to continue employment or for internal access to Bayview:
Employees, essential providers, and volunteers must have received their first dose of a “two shot” vaccine by September 13th, 2021.
Employees, essential providers, and volunteers must have received their dose of Johnson and Johnson vaccine or the second dose of a “two shot” vaccine by October 4th, 2021, in order to be fully vaccinated by the deadline of October 18th, 2021.
There are only two (2) exceptions to this policy:
Religious exemption
Medical exemption
Attestation of vaccination is no longer an acceptable form of proof of vaccination. Documented proof of vaccination or exemption will be required and kept on file.
Personnel not able to provide document proof vaccination or exemption will not be allowed in the facility.
Attestation of vaccination for Essential Support Personnel and visitors (when allowed) is currently an acceptable form of vaccination are NOT required to show proof of vaccination yet. This may change in the near future.
TESTING LOCATIONS:
There have been several requests for information about how to locate current COVID-19 testing locations.
The Heath Center is not capable of testing residents outside of regulated areas without a physician’s order.
Please call 206-477-3977 or call one of the locations listed to schedule a COVID test..
SEATTLE CENTER – 888-702-9042
201 Mercer St.
Walk-up kiosk, appointment required
You may also book online for this location: https://curative.com/sites/17571
HARBORVIEW MEDICAL CENTER, ALLEY – 206-520-8700
319 Terry Ave.
Appointment required
Drive-through test
Complete the virtual questionnaire to schedule:
https://www.uwmedicine.org/locations/covid-19-testing-harborview
CARBON HEALTH – 206-350-7345
220 6th Ave. N
Appointment required
ONE MEDICAL – 888-663-6331
970 Denny Way
Appointment required
Drive-through test
These are difficult times. We have learned much during the past year and eight (8) months. Through this collective insight, we are capable of limiting the number of restrictions imposed as we regress backwards. Similar high community rates of infection of the past warranted a full closure of visitation and socialization. Let’s not abuse the above guidance. One (1) exception allowed by each resident each day equates to over 200 exceptions a day. Our risk of exposure exponentially increases if we allow this to happen. It has been said we have come too far to give up our efforts and hope now.
Together, we will beat this vicious virus.
Together, we will prevail!
Joel G. Smith, Health Services Administrator
ext. 3357 | 206.281.5747 | jsmith@bayviewseattle.org
August 17, 2021: Bayview’s COVID-19 Vaccination Policy
COVID-19 UPDATES
Bayview’s COVID-19 Vaccination Policy
Dear Bayview families,
Bayview is committed to safeguarding the health of residents, employees, visitors, and the community at large from infectious diseases, such as COVID-19. The United States Food and Drug Administration (FDA) has issued emergency use approval of several COVID-19 vaccines and is widely expected to issue full approval of such vaccines in the future. The COVID-19 vaccines help protect the health, safety, and welfare of our residents and employees. To provide safe care to residents who are uniquely vulnerable to the significant risks of COVID-19, it is essential that people who work at Bayview become fully vaccinated to the greatest extent possible.
As a result and in alignment with Governor Inslee’s Proclamation 21-14, all Bayview employees are required to provide proof of vaccination by no later than October 18th, 2021, as a condition of continued employment. The vaccine requirement proclamation is also applied to all third-party providers, contractors, and vendors who are providing services to Bayview and/or direct care to residents. Limited exemptions are allowed for medical or religious reasons.
We strongly believe that vaccination is the most important action and the best way forward to ensure the continued safety and health of our residents, staff, and greater community. Thank you for your support.
Joel G. Smith, Health Services Administrator
ext. 3357 | 206.281.5747 | jsmith@bayviewseattle.org
August 9, 2021
COVID-19 UPDATES
This memo is lengthy. We are reporting on the further reimposition of restrictions for Independent Living, Assisted Living, Memory Care and Health Center for residents, family, and staff. Some of the differences are subtle, so please refer to the section that is appropriate for you. The following information consists of restrictions Bayview has experienced in the recent past that are being reimplemented. For the safety of our community, please continue to honor the core principles of infection control – Universal Source Control (facemask use), Hand Hygiene, and Social Distancing.
With the continual rising of the King County Infection Rates (08/09/21 – 158.8 per 100,000 people) we have now crossed another restrictive threshold. As noted in early memos, thresholds are listed as:
We have moved to a higher level of potential exposure, and therefore are moving to a tightening of restrictions. Effective immediately:
GENERAL:
Please be vigilant in following the core principles of infection control which include, but are not limited to:
Regardless of vaccination status, all personnel inside of Bayview (Residents, Staff, Essential Contractors / Providers, and Visitors) MUST properly wear a facemask while in public or common areas.
INDEPENDENT LIVING RESIDENTS:
ASSISTED LIVING:
SKILLED NURSING RESIDENTS:
DOROTHY’S PLACE MEMORY CARE RESIDENTS:
COMINGLING OF RESIDENTS:
TERRACE HOURS AND 10TH FLOOR HOURS:
CHILDREN:
FITNESS CENTER:
ELEVATOR CAPACITY:
Elevators pose a large threat of exposure related to:
Elevator capacity is as follows:
VACCINATIONS:
TESTING LOCATIONS:
With the recent exposure on Independent Living, we are once again reminded of the dangers of COVID-19. The COVID-19 delta variant continues to pose the most serious threat to all of us, vaccinated or not.
Let’s remove any confusion for ourselves regarding source control and consistently wear our facemasks.
Let’s remain steadfast in our resolve to mitigate the risk of exposure.
Let’s celebrate the accomplishments we have made over the past year and 8 months.
Let’s continue to look forward to a brighter future!
Joel G. Smith, Health Services Administrator
ext. 3357 | 206.281.5747 | jsmith@bayviewseattle.org
August 4, 2021: Independent Living Exposure
COVID-19 UPDATES: Independent Living Exposure
The facility has just become aware of a COVID-19 positive resident on Wednesday, August 4, 2021, at 12:30pm. Here is what we know:
The following actions are as follows:
Please respect the privacy of those involved by observing all HIPAA guidelines. We truly value the resilient and compassionate spirit of everyone as we stay the course of mitigating the spread of this virus.
With this current exposure and the King County Rate of infection continuing to climb (127.3 per 100,000 people as of 08-04-21), the Executive team is preparing for the next level of potential restrictions. Any further changes in protocols will be addressed in future memos. Please be prepared for continued communication and information regarding this matter.
Joel G. Smith, Health Services Administrator
ext. 3357 | 206.281.5747 | jsmith@bayviewseattle.org
July 29, 2021: Reimposition of Restrictions
COVID-19 Update: Reimposition of Restrictions
We are reporting on the return of some restrictions for Independent Living, Assisted Living, Memory Care, Health Center and staff. These differences are subtle so please refer to the section that is appropriate for you.
With the continued rise in the King County Rates of Infection (93.2 per 100,000 people as of 7/29/21), the Executive team has determined it necessary to implement the following changes to our current COVID-19 policy.
Effective immediately:
INDEPENDENT LIVING RESIDENTS:
CO-MINGLING: INDEPENDENT LIVING, ASSISTED LIVING and MEMORY CARE:
ASSISTED LIVING RESIDENTS:
MEMORY CARE:
HEALTH CENTER: SKILLED NURSING
ELEVATOR USE:
Elevator capacity should be limited to four (4) people in the large and north elevator, and two (2) people for all other elevators. Facemask use is required for all residents, staff and visitors in public spaces including riding inside the elevator.
FITNESS CENTER AND POOL:
The Fitness Center capacity should remain low at a maximum of five (5) residents to avoid overcrowding. If you see that there are more than 5 residents working out in the gym, please come back at another time.
ALL THE BUZZ SALON:
The salon will maintain its regular operation hours Tuesday through Friday.
EMPLOYEES OF BAYVIEW:
The imposition of restrictions is a setback to our way of life at Bayview. However, Bayview has been recognized by state agencies as leaders in the fight to mitigate the spread of COVID-19. The Executive team will continue to review County Rates of Infection in our area with efforts to keep restrictions as low as possible while maintaining a safe environment.
We have come too far in our journey to abandon our efforts now. Continue to practice the core principles of infection control. Mainly:
Together we will continue to remain safe and healthy.
Joel G. Smith, Health Services Administrator
ext. 3357 | 206.281.5747 | jsmith@bayviewseattle.org
July 26, 2021
Many of you may have been following the county rates of infection for COVID-19. As of today, Monday July 26, 2021, the King County Rates of Infection for COVID-19 are 72.1 per 100,000 people. This rate has been on a slow, but steady increase since the beginning of July. The Executive team is now issuing a strong recommendation that all residents return to wearing facemasks while in public areas of Bayview.
The Executive team is carefully watching the King County Rates of Infection and anticipate if the rates of infection climb over 75.0 per 100,000 people, there may be a tightening of restrictions in the very near future. Regardless of vaccination status, some potential restrictions may include, but are not limited to:
The above list is a generalization of what may change. A more detailed memo will follow if more restrictive measures are necessary to implement.
The imposition of restrictions is a setback to our way of life at Bayview. However, Bayview has been recognized by state agencies as leaders in the fight to mitigate the spread of COVID-19. We have come too far in our journey to abandon our efforts now. Continue to practice the core principles of infection control. Mainly:
Together we will continue to remain safe and healthy.
Joel G. Smith, Health Services Administrator
ext. 3357 | 206.281.5747 | jsmith@bayviewseattle.org
July 9, 2021
This memo is lengthy. We are reporting on the lifting of restrictions in Independent Living, Assisted Living, and Memory Care as well as an update for Health Center families and staff. These differences are subtle so please refer to the section that is appropriate for you. The following liberalization of restrictions may cause feelings of both elation and caution. For the safety of our community, please continue to honor the core principles of infection control – Universal Source Control (face mask usage), Hand Hygiene, and Social Distancing.
Bayview has received guidance from the King County Department of Health (LHJ) concerning our recent outbreak. The guidance states:
INDEPENDENT LIVING RESIDENTS:
Bayview will continue with the liberalization of current restrictions. Effective immediately:
CO-MINGLING: INDEPENDENT LIVING, ASSISTED LIVING, AND MEMORY CARE:
ASSISTED LIVING RESIDENTS:
MEMORY CARE:
HEALTH CENTER: SKILLED NURSING
FITNESS CENTER AND POOL
The fitness center will be open for regular operations beginning Monday July 12th, 2021.
ALL THE BUZZ SALON
The salon will maintain its regular operation hours Tuesday-Friday.
EMPLOYEES OF BAYVIEW
ELEVATOR USE
Elevator capacity should be limited to six (6) people in the large and north elevator, and four (4) for all other elevators. We encourage residents to don their facemasks while riding the elevator. Staff and visitors are required to be wearing masks.
GROUP ACTIVITIES
Group sizes will remain the same with no more than 20 people indoors, and no more than 50 people outdoors. Groups should include separate sections for unvaccinated participants, that are socially distanced but still remain part of the group. Unvaccinated participants must wear facemasks as groups are held in public spaces. Vaccinated residents are encouraged to wear face masks with unvaccinated residents present.
VACCINATIONS
There have been many recent requests concerning the policy of employee vaccination. The Executive team encourages you to review past memos to understand the details surrounding employee vaccination. Briefly:
Our Leadership Team continues to reevaluate this issue as new information becomes available. In the meantime, we are proud of our extremely high compliance rate with staff and residents.
If you have further questions or concerns, please contact Joel Smith (ext. 3357) for further clarification.
Joel G. Smith, Health Services Administrator
ext. 3357 | 206.281.5747 | jsmith@bayviewseattle.org
July 6, 2021: COVID Positive Cases
COVID-19 Update:
The Leadership Team became aware on July 6th, 2021 of two staff members that tested positive with COVID-19. Here is what we know:
As a reminder, if you still need vaccination, please contact Janice Pate – RN at x3354 to schedule your vaccination.
In a previous memo, we were anticipating further liberalization of our policies. However, due to the current outbreak status, we are required to wait for updated guidance from DOH before we continue on the path of loosening restrictions. Bayview will continue to be in an outbreak status for the next 28-days, or longer depending upon potential future positive results. For residents in and staff, this means we are in a holding pattern until DOH comes back with further guidance.
We appreciate your support throughout this long journey and we fully share in your frustration. Through our collective experience of the past nearly 17 months, there is no way we can fully express our gratitude for the continued vigilance. We will follow up with more information soon.
Joel G. Smith, Health Services Administrator
ext. 3357 | 206.281.5747 | jsmith@bayviewseattle.org
June 18, 2021
COVID-19 Update:
HOLDING PATTERN:
Community rates of infection for King County continue to decline. As of June 17th, 2021, King County rates of infection are 60.8 per 100,000 people marking a 1-year low. With such great progress made the rates of infection decline has slowed and may be showing signs of plateauing. With continued statewide vaccination efforts in full swing, we hope to see the rates of infection continue to decline.
Executive team members have fielded many concerns of moving too fast in the liberalization of Infection Control measures. As a result, the Executive team met earlier this week and determined it is best to remain cautious in our approach of lifting further restrictions within Bayview.
Bayview has done remarkably well throughout the pandemic, serving as the leaders in senior living for successfully adverting and limiting COVID-19 exposure within our community. Our success comes, not in following other community practices, but by carefully analyzing data, and methodically implementing controlled measures to mitigate the risk of exposure.
We will continue with our current restrictions with the following additions:
FOCAL POINT OF ENTRY INTO BAYVIEW:
Beginning June 21st, 2021, a new screening device will be in full service located on the A-Level of Bayview.
LIBRARY:
Beginning June 21st, 2021, the magnifier in the library will be in use once again.
CARE CONFERENCES:
Beginning June 21st, 2021, family members will be able to attend Care Conferences in regulated areas in person.
REMINDERS:
The Executive team understands the heightened anxiety that may come from the opening of many community areas and activities and will be mindful of our Bayview community “pulse”. As the community rates of infection declines, we will continue to review our current guidance in efforts of reducing restrictions. Thank you for your continued support!
Sincerely,
Joel G. Smith, Health Services Administrator
ext. 3357 | 206.281.5747 | jsmith@bayviewseattle.org
June 4, 2021
COVID-19 Update:
FINALLY, SOME GOOD NEWS!!!!
The community rate of infection per 100,000 people has declined to levels not seen in over eight months. As of June 3, 2021, the King County rate of infection is 105.3 / 100,000. These rates have been on a steady decline for three (3) weeks, and there appears to be no signs of slowing down.
Bayview’s restrictive COVID-19 measures have served the Bayview community well but have also been very difficult for all to deal with. Now, while continuing to take a measured approach, the Executive team has begun to liberalize our policy in conjunction with the falling community rates of infection.
Even though our policies are changing, we encourage residents to individually weigh the risks and benefits of increased potential exposure. Residents should remember the pandemic is not over yet, and break-through exposure is entirely possible.
Please be patient with others. While some residents may be ready to have source control “burning parties”, other residents may have a considerable amount of anxiety and hesitancy surrounding the loosening of restrictions.
Below is a list of information and changes you can expect to see beginning June 7th, 2021:
Source Control (face masks):
Rates of infection have not lowered enough to a level where indoor source control can be modified or lifted. Therefore:
General Guidance:
Independent Living:
Assisted Living:
Health Center / Skilled Nursing:
Memory Care:
Community rates of infection between 75 – 150 represents a “murky” time in determining what is safe and what is not safe. The Executive team is maintaining a controlled and measured response to our changing environment. As rates of infection continue to decline, the Executive team will continue to move in the direction of liberalization and return to our new “normal”.
Thank you for your continued support and vigilance of mitigating the spread of infection. If you have any further questions or comments, please contact me at your convenience at jsmith@bayviewseattle.org or 3357.
Sincerely,
Joel G. Smith, Health Services Administrator
ext. 3357 | 206.281.5747 | jsmith@bayviewseattle.org
May 25, 2021
COVID-19 Update:
There has been an enormous amount of confusing conjecture surrounding source control (face mask), group activities, dining, and requirements in the past two (2) weeks. With the recent Centers for Disease Control (CDC) guidance dated May 13th, 2021, people have been scrambling to interpret the meaning as the guidance applies to individual situations and circumstances. The guidance specifically states:
“Fully vaccinated people no longer need to wear a mask or physically distance in any setting, EXCEPT where required by federal, state, local, tribal or territorial laws, rules and regulations, including local business and workplace guidance”.
The guidance also states “…recommendations apply to non-healthcare settings”. Bayview is defined or considered a Healthcare facility.
The executive team has been fielding many questions of how this guidance applies to the residents at Bayview. Difficulties of interpretation and implementation arise when considering many factors including, but not limited to:
We must remember:
Bayview’s policy follows current State Department of Health data for King County as shown on the COVID-19 risk assessment dashboard – https://coronavirus.wa.gov/what-you-need-know/roadmap-recovery-metrics .
Vaccinated versus Unvaccinated:
Many people have demanded vaccinations become compulsory at Bayview. While forced or compulsory vaccination may sound like a good idea, the notion of 100% compliance may never be achieved related to:
Therefore, the Executive team has determined to continue to offer and educate residents and staff of the risk and benefits of vaccination.
Our current practice continues to follow the core principles of infection control. This includes:
All personnel inside of Bayview (Residents, Staff, Essential Contractors, Visitors, Vaccinated, and Unvaccinated) must properly wear a face mask while in public or common areas.
Dining services will continue as currently scheduled:
Group activities will continue as scheduled, with proper infection control protocols in place (mask wearing):
Comingling between levels of care is not encouraged or recommended, however comingling may be allowed on a limited basis as long as infection control is being followed.
Some examples of comingling that are allowed:
Some examples of comingling that are not allowed:
VISITATION:
INDEPENDENT LIVING:
Independent Living residents fall under the Governor’s “Healthy Washington, Roadmap to Recovery” guidance.
ASSISTED LIVING:
Assisted Living residents fall under the Department of Social and Health Services “Safe Start for Long-Term Care Recommendations and Requirements” guidance which differs from the Governor’s “Healthy Washington, Roadmap to Recovery” guidance.
SKILLED NURSING RESIDENTS:
Skilled Nursing Resident (or Health Center Residents) fall under the Department of Social and Health Services (DSHS) “Safe Start for Long-Term Care Recommendations and Requirements” guidance which differs from the Governor’s “Healthy Washington, Roadmap to Recovery” guidance.
DOROTHY’S PLACE MEMORY CARE RESIDENTS:
Dorothy’s Place Memory Care Residents fall under the Department of Social and Health Services (DSHS) “Safe Start for Long-Term Care Recommendations and Requirements” guidance which differs from the Governor’s “Healthy Washington, Roadmap to Recovery” guidance.
CHILDREN:
Elevator Capacity:
The Tower elevator project work has been completed. Employees are still encouraged to utilize the stairs as much as possible to reduce the elevator wait times. Remember:
Elevators pose a large threat of exposure related to:
For this reason, elevator capacity has not changed.
As a reminder:
With the recent outbreak on the Health Center, we are reminded of the dangers of COVID-19 exposure and we are not out of the woods yet.
Let’s remove any confusion for ourselves regarding source control.
Let’s remain steadfast in our resolve to mitigate the risk of exposure.
Let’s all be proud of the work we have accomplished and continue to achieve to reduce our risk of exposure as much as possible.
Let’s all look forward to a better day when COVID-19 becomes an after-thought.
Sincerely,
Joel G. Smith, Health Services Administrator
ext. 3357 | 206.281.5747 | jsmith@bayviewseattle.org
May 10, 2021
COVID-19 Update:
After our initial case in the Health Center, we began testing every other day as a precaution and to quickly identify any further cases from exposure. In our routine testing today, we have been made aware that another Health Center resident has tested positive for COVID-19 on May 10, 2021. This brings our total positive cases to four (4) – three (3) Health Center residents and one (1) Assisted Living staff. Please note the non-clinical Assisted Living staff last worked April 27th and will be cleared May 12th.
We have taken the following steps to mitigate the spread of infection:
As a reminder, for Independent Living residents, our current visitation and activity protocols allow up to two (2) visitors per day in an IL apartment, and up to ten (10) residents in a group activity. The Assisted Living area has been off quarantine since May 5th and scheduled visitation and small group, socially distanced activities have resumed.
Liberalizing the opportunities to visit increases our individual and collective responsibility to adhere to high standards of infection control practices. Your continued support and vigilance are more important than ever. Thank you for your understanding as we continue to manage this journey of protecting our residents, staff, families, and greater community. Feel free to reach out to me with any questions.
Janice Pate, Director of Nursing
Office: 206-281-5778 or Ext. 3354
jpate@bayviewseattle.org
May 5, 2021
COVID-19 Update:
The Health Center has just become aware of another COVID-19 positive resident on May 5, 2021 at 2:15pm.
We can assure you the Health Center staff are working hard and doing everything possible to contain this outbreak. As we have seen from other facilities in the past, this is a daunting task, but we will overcome this obstacle in short order.
Other Updates:
Governor Inslee released a statement on Tuesday, May 4, 2021 announcing a two (2) week pause on the Roadmap to Recovery phase movement. This means Bayview will continue our current Independent Living visitation and activity protocols: up to two (2) visitors per day are allowed in an IL apartment, and up to ten (10) residents can meet in a group.
Updates from Last Week:
Some of you may have noticed new signage within the facility concerning our quarantine status. Over the past weekend, of May 1st, and 2nd, 2021, some visitors attempted to enter into the Assisted Living portion of the facility to see loved ones. Even though the visitors were knowledgeable about our current quarantine status, the visitors believed they had received prior “approval to visit” over a month ago, and this quarantine would not affect their visitation status. Unfortunately, this is not the case.
Residents, families, and staff should be aware of the current situations at any given time within the facility to make the appropriate decisions when approaching Assisted Living, Memory Care, or Skilled Nursing. Quarantine is just that, a quarantine. Only essential employees or compassionate care visitors are allowed in the area at this time. Hopefully, the signage now reflects these directives. Signage will be removed once it is determined the quarantine is no longer in effect.
The follow up PCR test results for both cases reported last week returned positive for COVID-19. Our contact tracing has led us to believe the positive cases were acquired through the community and were not contracted from Bayview staff or residents.
Assisted Living has completed the final rounds of testing. With no further positive cases, or with no current signs or symptoms of infection, the Assisted Living area is off quarantine beginning May 5, 2021.
If you have questions, comments, or concerns, please contact Joel Smith at jsmith@bayviewseattle.org or ext. 3357.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
April 28, 2021: Positive Cases
COVID-19 Update: Positive Cases
Once again, I am writing to inform our Bayview family of two positive cases discovered today (04/28/21). Here is what we know:
Surface Testing Update:
The latest surface tests returned late yesterday (04/27/21) and showed low and medium viral loads in three (3) of the five (5) testing zones. The areas that were in these three zones include:
These areas are being deeply sanitized over the next 72-hours to mitigate the spread of infection. As stated in earlier memo’s, surface exposure means there are people actively “shedding” the virus. If viral loads continue to climb, a deeper dive into the specific testing locations will be conducted to further identify and mitigate exposure risks.
Even though the CDC has issued new sweeping guidance that liberalizes infection control practices throughout the nation, the Executive team has determined to maintain our current vigilance and high standards of infection control practice. Here’s why:
If the Governor reduces the County’s phase to Phase II, more information will be distributed to all explaining how this will affect our activities at Bayview. Some anticipated changes are:
For now, your continued support and vigilance is more important than ever. More holidays are just around the corner and our resolve is being tested, as this pandemic is NOT over. Utilize the core principles of infection control.
We have made it this far into the pandemic with a great track record of infection control and limited exposure because of everyone’s efforts to stay safe and healthy. It has not been easy. We understand our sacrifices are not just for ourselves, but for our neighbors, our friends and family, and ultimately our community. We will continue to push forward and together we will see a brighter day ahead.
For any questions or concerns, please contact me at your convenience (3357).
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
April 15, 2021: Positive Case
COVID-19 Update: Positive Case
We regret to report that Bayview has experienced a positive COVID-19 case. Here is what we know:
This exposure comes as a stark reminder of the prevalence of COVID-19 in King County. The current rate of exposure is 198.2 cases for every 100,000 people in King County, which is the highest this rate has been since December 2020.
The pandemic is not over and even with vaccination, breakthrough infections are actively occurring. As we reported in yesterday’s memo, we must all remain vigilant, honoring the core principles of infection control – Universal Source Control (face mask usage), Hand Hygiene, and Social Distancing.
Should the leadership team make any changes to our current restrictions and protocols, we will let you know right away. Future memos will detail specific information on what is to come. If you have any further questions or concerns, please contact me at 3357 at your convenience.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
March 26, 2021: Visitation Update
COVID-19 Update: Visitations
I want to thank each and everyone of you for your continued support and patience as we navigate our way through the most recent state and federal changes surrounding visitation. As the dust has somewhat settled from the flurry of changes, the Executive team has outlined our new guidance and recommendations accordingly. Bayview’s guidance is subject to change as state and federal guidance continues to evolve.
All visitation relies upon Residents and Visitors following key elements of the core principles of infection control while in Bayview AND while at home: These elements include:
In accordance with the Governor’s proclamation, Bayview reserves the right to refuse visitation for any people who cannot meet visitation criteria, including the core principles of infection control. People with a medical exemption for facemask use should contact Joel Smith (x3357 | 206.281.5747 | jsmith@bayviewseattle.org) prior to any visit to Bayview.
DEFINITION:
Fully vaccinated Resident / Individual:
OUTDOOR VISITATION:
INDOOR VISITATION:
Bayview indoor visitation will begin with the following guidance starting March 29th, 2021. Bayview Visiting hours are from 8:00am to 8:00pm, Sunday through Saturday.
In accordance with the Governor’s proclamation, the Center’s for Disease Control (CDC), the Centers for Medicare and Medicaid Services (CMS), the Department of Health (LHJ), and the Department of Social and Health Services (DSHS):
Current guidance relies upon vaccination as a main factor when considering indoor visitation. The following describes when indoor visitation is allowed:
The following describes when indoor visitation is NOT allowed:
QUARANTINE:
There have been changes made to the need to quarantine. The following is a brief description:
FACILITY ENTRANCE SCREENING:
TRAVEL:
In accordance with the Governor’s proclamation regarding travel to Washington State:
The following visitation stipulations are implemented for each care area:
INDEPENDENT LIVING:
Independent Living residents fall under the Governor’s “Healthy Washington, Roadmap to Recovery” guidance.
ASSISTED LIVING:
Assisted Living residents fall under the Department of Social and Health Services “Safe Start for Long-Term Care Recommendations and Requirements” guidance which differs from the Governor’s “Healthy Washington, Roadmap to Recovery” guidance.
SKILLED NURSING RESIDENTS:
Skilled Nursing Residents (or Health Center Residents) fall under the Department of Social and Health Services (DSHS) “Safe Start for Long-Term Care Recommendations and Requirements” guidance which differs from the Governor’s “Healthy Washington, Roadmap to Recovery” guidance.
DOROTHY’S PLACE MEMORY CARE RESIDENTS:
Dorothy’s Place Memory Care Residents fall under the Department of Social and Health Services (DSHS) “Safe Start for Long-Term Care Recommendations and Requirements” guidance which differs from the Governor’s “Healthy Washington, Roadmap to Recovery” guidance.
CHILDREN:
ESSENTIAL CONTRACTORS:
Essential Contractors, such as the elevator crew, or salon workers:
COMINGLING:
Comingling in general is not encouraged, however, will now be allowed on a limited basis and sometimes individualized basis. Core principles of infection control must be maintained as appropriate.
Examples of what is allowed:
Examples of what is NOT allowed:
DINING ROOM:
ELEVATOR CAPACITY:
Elevators pose a large threat of exposure related to:
For this reason, elevator capacity has not changed.
FUTURE VACCINATIONS:
There is a lot of information to absorb and there will be an array of many “What-if” scenarios. If you have any questions, please contact me at your earliest convenience. Again, thank you for your continued vigilance and support through this process.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
March 19, 2021: Visitation Update
COVID-19 Update: Visitations
There have been so many changes over the past 12 days regarding visitation. It has been more than difficult to keep up. Here is a breakdown of these changes from both the state and federal level guiding our visitation policies:
With each and every “update,” many tasks must occur across the entirety of Bayview, including but not limited to:
There is a tremendous amount of excitement regarding the prospects of reopening Bayview to visitation. In order to accomplish this task, the Executive team must take a controlled and measured approach to ensure our environment does not dimmish into chaos. The Executive team recognizes the pressure to open visitation, but also is compelled to ensure the safety of our Residents. Unfortunately, the pandemic is not over. People (unvaccinated AND vaccinated) are still being infected. People are still dying. Exposure rates, although have diminished, are still high. Variants of COVID-19 exist and are on the rise across the state and country.
For this, the Executive team has decided to postpone visitation for one (1) week. We believed we were going to open Monday March 22nd, but unfortunately due to the flurry of changes, we need to make sure proper protocols are in place. We know how disappointing this must be, but for the safety of our community, we beg for your patience as we make appropriate plans to open as safely as possible. Hopefully, state agencies will stop “updating” regulations and guidance and allow facilities such as Bayview to update policies and implement procedures in a safe manner, ensuring a healthy opportunity for everyone to enjoy visitation with our loved one.
Bayview plans to implement indoor visitation by March 29th, 2021. More communication will follow early next week outlining the changes and new processes to our visitation practices.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
March 11, 2021: Positive Case
COVID-19 update: Positive case
I regret to report that Bayview has experienced another positive COVID-19 case. Here is what we know:
This information came to light during today’s Executive team meeting in which we discussed the loosening of restrictions within Bayview. The restrictions in consideration were:
This exposure comes as a stark reminder of the dangers of COVID-19. This pandemic is not over. Even with the new guidance from the Centers for Disease Control (CDC) and the Center’s for Medicare Services (CMS) which loosen regulatory guidance and restrictions, we must remain vigilant, honoring the core principles of infection control – Universal Source Control (face mask usage), Hand Hygiene, and Social Distancing.
The Executive team has decided while we sift through the process of obtaining more information about this outbreak, we will take a cautious approach to the loosening of restrictions and wait to implement new Bayview recommendations and guidance. Make no doubt, we still have our sight on a hopeful path forward. Future memos will detail specific information of what is to come. If you have any further questions or concern, please contact me at 3357 at your convenience.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
March 5, 2021: Post vaccination update
Post vaccination update:
This week marks a pivotal week in Washington. In the course of one (1) year, over 5,000 Washingtonians have perished as a result of COVID-19. Countless of people, that we know of and love, have been touched in one way or another, by the devastating effects of exposure. In a year that has seen an unparalleled amount of turbulence, this sobering milestone highlights the frailty, yet resilience of our community.
With our final vaccination clinic under our belt and enough time for our vaccinations to take full effect, the Executive team is fielding more and more questions from residents and staff alike of “What Comes Next?”
At this point, the Governor, and the State Department of Health have “doubled down” on their COVID-19 prevention efforts. With full vaccination and an efficacy rate of 95%, 1 in every 20 fully vaccinated people can still be afflicted with COVID-19. This calculation does not consider the new variants of COVID-19 that have been found in Washington State. State agencies equate the time we are in right now to the “Seventh Inning Stretch” of a baseball game. The game is almost over, but this time serves as a pivotal point of “finishing” the game or needing to go into “Extra Innings”.
It is important to know we still need to maintain a strong resolve to see this Pandemic through the end. We must remain vigilant in our core principles of infection control, which includes Universal Source Control (proper use of facemasks), maintaining social distancing, practicing excellent hand hygiene, and avoiding crowded space and areas with poor ventilation.
State agencies have developed two different plans to follow. The Department of Social and Health Services’ (DSHS) “Safe Start for Long-Term Care Plan,” which applies to Bayview’s licensed care areas, and the Governor’s “Roadmap to Recovery” plan, which applies to Independent Living.
Of course, the two plans are not consistent, and do not match. Therefore, the Executive Team has been working diligently to blend the two plans together. Here are some examples of changes the Executive Team is implementing:
Quarantine Policy
1. Will the quarantine restrictions of 14 days change, or be eliminated if we are fully vaccinated?
As of this writing, NO but with exceptions below. Vaccinations are known to protect the vaccinated individual but not known to prevent the transmissibility of the virus. Coupled with new variants of COVID-19, state agencies continue to strongly recommend a quarantining process of 14 days.
For Independent Living residents, the Centers for Disease Control (CDC) has stated fully vaccinated people do NOT need to quarantine after known or potential exposure to COVID-19 if they meet all of the following criteria:
2. Do I need to quarantine if I travel outside of the state?
In accordance with the Governor’s proclamation 20-83.1, if you travel outside of Washington State and return to Washington, Independent Living residents should quarantine for 14-days. It is recommended for Independent Living residents that leave Bayview and return to conduct a self-assessment utilizing the Department of Health’s “Risk Assessment Template” to determine the risk of exposure and need for quarantine.
For residents that live in Assisted Living, Memory Care, and Skilled Nursing, the facility is required to implement the Department of Health’s “Risk Assessment Template.”
We understand how confusing this process is as there are many more “What If” scenarios. If you have specific questions, please email, or contact Joel Smith (ext. 3357 or206.281.5747) or Janice Pate (3354 or206-281-5778) to conduct a risk assessment to determine the risk level of exposure.
Dining Protocols
3. When will we be able to eat in the dining room again?
The Executive Team is taking a measured and controlled response to the Governor’s Roadmap to Recovery plan. We are pleased to announce a planned reopening of the Terrace Garden Food Court on Monday March 15th. More information from Dan Galvin, Director of Culinary Services, will follow in future correspondence.
Residents residing in licensed areas must follow the DSHS’ Safe Start for Long-Term Care Plan and at this time, are not able to participate in Terrace level dining activities. Communal dining for regulated areas is slated to begin in Phase 3 of the DSHS plan.
Visitation Policies
4. When will we be able to have people come into the facility and visit me in my apartment?
The Executive team is currently working on policies and procedures governing indoor visitation. Although indoor visitation is technically not allowed in the current COVID-19 environment, government agencies have designed specialized provisions for “limited” indoor facility access. These provisions include the “Essential Support Person (ESP)” and “Compassionate Care Visits (CCV)”.
An Essential Support Person (ESP) is a loved one, caretaker, or advocate for a resident of long-term care. In LTC Phases 1 and 2 of the Safe Start for Long-Term Care Plan, ESPs may visit a resident of long-term care indoors. Even though Independent Living Residents are not considered “long-term care” residents, living in a Life Plan Community qualifies all residents of the community eligible for ESP assessment.
Compassionate Care Visits (CCVs) have already been occurring at Bayview; however, new guidance has further defined the CCVs. Compassionate care visits primarily included “End-of- Life” visitation but now allow for necessary support to residents facing serious health or emotional crises.
The difference between ESP and CCV is CCV visits may qualify for in room visitation whereas ESP visits are conducted in designated indoor spaces within the building.
In order for you to participate in the ESP/CCV visitation program, all residents must be assessed to determine their ESP or CCV qualifications. There are certain restrictions and requirements governing each type of visitation. If you are interested in ESP or CCV visitation:
Independent Living Residents: Contact Heather Smith – ext. 2313 (206-281-5759) Assisted Living & Memory Care Residents: Contact Pamela Yeo –2127 (206-281-5755) or Jamie Hart – 2107 (206-301-4393)
Health Center Residents: Joel Smith – 3357, Janice Pate – 3357.
In reflection, please know, ALL efforts to prevent the spread of exposure and infection have been key to our success and know that we truly appreciate all the efforts and sacrifices you have made over the past year.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
February 10, 2021: Vaccination Process Part II
VACCINATION PROCESS PART II
Our second vaccination day held on January 25th, 2021 was a resounding success! The lessons we learned from our first vaccination day on January 4th, 2021 were applied to make the second clinic an amazing experience for a historic Bayview moment!
We aim to have our last vaccination day be just as successful. As promised, I want to communicate our basic vaccination plan on February 15th, 2021. Another round of consent forms are necessary to complete. CVS has all of the insurance information on file from the last clinic, therefore, you will only be required to complete the personal information and consent sections of the form. No insurance copies are necessary. If you have not completed your consent forms, please do so as soon as possible. For IL Residents, consent forms have already been generated and will be provided to you in line when you are sent down for your second shot. For staff, please see your manager for a copy of the consent form. The following list are the people who will be vaccinated on Monday February 15th, 2021:
There will be four (4) different clinic sites within Bayview. The location of the vaccination sites are:
The following times will be scheduled for vaccination. There will be Vaccination Ambassadors to assist in directing the location and times for you to arrive:
Independent Living Residents: Kinnear room / Albertson Hall
Assisted Living Residents and Staff:
Second (2nd) floor
Memory Care – Dorothy’s Place
Third (3rd) floor
Non-Clinical Staff: First floor Studio and Dining room
For clarity:
This clinic is actually the third (3rd) and final CVS contracted clinic to be provided for Bayview. It was an extremely arduous process to ensure all residents (IL, AL, MC, SNF) and staff (including our Child Development staff) received the opportunity to become vaccinated and we are pleased with the outcome of our efforts. The Executive team will continue to explore future opportunities for Bayview, including the exploration of renewing the CVS partnership for future clinics, partnering with our current in-house pharmacy; Mercury Pharmacy, partnering with future retail pharmacy sites, and working with other facilities that may serve as potential sources of “over-flow” vaccines. In the meantime, if you missed your opportunity for vaccination at Bayview, we strongly encourage you to speak with your Primary Care Provider (PCP) to find and schedule your vaccination at a vaccination site.
Even with the best laid plans, it will be inevitable that something will happen, and scheduled times may be delayed, expedited, or moved to accommodate unforeseen changes and events throughout the day.
Unless you have a medical emergency or a pre-planned medical appointment, plan on accomplishing only one (1) task on Monday – Your Vaccination booster shot!
Side effects from the booster shot have been documented to be stronger than the first vaccination. Please plan a day around the apartment “just-in-case” the vaccination adversely affects you. Contact your PCP if you experience adverse effects for further guidance, direction, and support.
Much like the previous vaccination day, many employees will be readily available to guide you through the vaccination process. If you need assistance, just ask!
Staff and residents alike should not use the Tower Elevator, at all, unless guided by a Vaccination Ambassador to expedite the smooth flow and process of vaccinations. The Ambassador will be directing 4 residents at a time during the vaccinations. We are moving to 4 people in the elevator ONLY on vaccination day to expedite the process.
If you must use an elevator (to walk your dog, go to an appointment, etc.), please utilize the North Elevator on this day.
It is essential that proper infection control procedures are adhered to during the entire vaccination process.
Stragglers are defined as people who had a pre-planned medical appointment, a medical emergency, or missed their scheduled time for some unforeseen reason. Please contact Heather Smith at extension 2313 to plan arrangements.
Be on the lookout for more detailed information on the flow of the vaccination process in this weeks’ edition of the Bayview Weekly.
The question on everyone’s mind is: Once we have received our second shot, is it safe to socialize with others without a mask or social distancing?
Often, we think of vaccines as working by preventing the transmission of a disease. This is not necessarily the case. The short answer to the above is “NO”. Like so many questions surrounding COVID-19, there just is not enough data yet to say whether this vaccine can stop the virus from spreading. Clinical trials of COVID-19 vaccines have primarily focused on the prevention of symptoms and the severity of being infected with COVID-19, rather than evaluating the acquisition of the virus and the potential transmission to others.
People who have been vaccinated can still contract COVID-19 and pass it to others. The Pfizer vaccine has an effective rate of 95%, which means there is still a segment of “unprotected” people. Also, being protected from symptoms of a disease is not the same as being free from infection. Asymptomatic people, including those who have been vaccinated, may still act as carriers to spread the infection through actions such as coughing or sneezing. Unprotected people, vaccinated or not, may suffer from this exposure. So, while infection rates remain high as they are now in our county, it is important to stick to public health recommendations such as social distancing and universal source control. Wear your mask, stay six feet apart, and wash your hands. Thank you for your continued support!
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
February 2, 2021 Limited Re-opening Guidelines
COVID-19 Updates: Bayview Limited Re-Opening Guidelines
As Bayview welcomes February in, we are still on track for a limited reopening of certain services and amenities as we clear our outbreak. Thank you for everyone’s incredibly hard work to quarantine during the past four (4) weeks. It has been tough, but together we made it! The below applies to Memory Care, Independent and Assisted Living Residents only. Skilled Nursing / Health Center residents remain in a quarantine status as the Health Center will clear their outbreak on February 21st, 2021.
Below is a description of services that will “reopen” beginning February 3rd, 2021:
The visitation schedule will generally be the same as before.
Please schedule your AL and / or MC outdoor visits with Pamela Yeo at ext. 2127, 206-281-5755 or pyeo@bayviewseattle.org.
Indoor visitation will not occur until the county reaches phase IV of the Long-Term Care Safe Start Guidance which primarily depends upon the county’s COVID-19 infection rate. More information will follow as infection rates decline.
Once again, I want to pause to express my gratitude to our entire Bayview community. Today and every day, we are so thankful for all that you do in keeping everyone safe, healthy, and connected. Please do not hesitate to reach out with any questions. We will continue to keep you informed with any updates.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
January 29, 2021
COVID-19 Updates
RESOUNDING SUCCESS!
Thank you to all personnel involved for making “Vaccination Day” a resounding success. In all, we vaccinated 384 people on Monday January 25th, 2021. Not only did this take detailed planning, but it also took precise coordination and implementation from many, many team members who performed flawlessly. Our partner Pharmacists at CVS were very professional and impressed with our coordination, stating “it made our (the Pharmacist’s) job easier. Everyone should take a bow or pat a “virtual” back for a job well done!
VACCINATION DAY – PART TWO
For everyone who received their first vaccination shot on January 25th, 2021 – please reserve February 15th, 2021 for “Vaccination Day – Part Two”! If at all possible, schedule all other events around this day and dedicate February 15th, 2021 as the day to receive a second shot. It is imperative to receive a second vaccination or “Booster Shot” to obtain the full effectiveness of the Pfizer COVID-19 vaccination.
Without the booster shot, Pfizer estimates the efficacy of the vaccination to be 50-55% effective at preventing COVID-19. With the booster shot, Pfizer estimates the efficacy of the vaccination to be 95% effective at preventing COVID-19.
February 15th, 2021 will be the last clinic date available to receive the vaccination at Bayview. No “first dose” vaccinations will be given at the February 15th, 2021 clinic date, only booster shots.
Pfizer and CVS recommend receiving a booster shot after 21-days of receiving your initial shot, but no later than 28-days after receiving your initial shot. Pfizer suggests, even if a person is unable to receive the second vaccination within the recommended time frame of 21-28 days, to still receive the second vaccination as soon as possible thereafter. Pfizer does not know the efficacy of vaccination as there is not enough data yet to determine specific COVID-19 prevention results.
POST VACCINATIONS
There have been many questions about what life will look like post vaccination and how quickly can we return to “normal”. The Governor has changed plans from the “Safe-Start” plan, to the “Roadmap to Recovery” plan. The Governor’s plan specifically outlines requirements for “Regions” of the state to reopen services and amenities.
The regulating agency for Long-Term Care, the Department of Social and Health Services (DSHS) has created a plan, in part in conjunction with the Governor’s Roadmap to Recovery plan for reopening services and amenities called the Long-Term Care Safe-Start plan. For the first time since the inception of the pandemic, DSHS has included Life Plan Communities in their guidance. DSHS has decided to deviate from the Governor’s plan by outlining requirements for Long-Term Care settings by “County” instead of “regions”.
Over the course of the upcoming days and weeks, you will receive more information from the Executive team on what Bayview’s reopening will consist of and look like. We are slated to reopen limited activities (Beauty Salon, scheduled outdoor visitation for Assisted Living & Memory Care, Fitness Center, Small group activities) on Wednesday, February 3rd. Scheduled outdoor visitation for Skilled Nursing families is slated to re-open on February 15th. Please be on the lookout for another memo with greater details early next week. For now, the important concept to remember is:
Even with vaccination, universal source control, social distancing and proper infection control hygiene must be maintained at all times inside and outside of Bayview’s walls.
Essentially, nothing has changed. According to the Center’s for Disease Control (CDC) and Pfizer, there is not enough data or evidence to support if vaccine prevents vaccinated people from carrying the virus. In other words, even though you may have been vaccinated, you may still carry the COVID-19 virus to others that have not received the vaccination, thus infecting others around you.
Instead, reopening relies upon Infection cases per 100,000 people over a 14-day period. The COVID-19 Risk Assessment Dashboard (www.coronavirus.wa.gov/what-you-need-know/roadmap-recovery-metrics) shows this rate which is updated almost daily. The good news is, as more people get vaccinated, the infection rate will decrease, which, in turn, will increase the services and amenities we will be able to return to and enjoy.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
January 25, 2021
Surface testing:
We received the latest surface testing results and we are pleased to report that all results have come back negative. These include all designated zones as well as all individual 6th floor resident apartments. Thank you once again to all residents who were proactive in this collective effort. It is clear our sanitation efforts have paid off. We will continue routine surface testing and will keep you updated as new information is provided.
Vaccinations:
As of this writing, vaccinations are still underway for all residents and staff. So far, the vaccine clinics throughout the building have been running very smoothly and efficiently. We are profoundly grateful to all those involved in making this moment one for Bayview’s history books. Thank you for trusting us with your care. We will be sending out more information outlining the next steps for those needing their booster shot in upcoming memos.
Let us all hold onto this moment of hope as we look into the coming weeks and months. Please continue to remain vigilant in infection control procedures such as proper use of facemask at all times, hand washing, and 6 feet social distancing.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
January 21, 2021: Vaccination Process
VACCINATION PROCESS:
As promised, I want to communicate our basic vaccination plan on January 25th, 2021. If you have not completed your consent forms, please do so as soon as possible. For Independent Living Residents, please contact Heather Smith at 2313 and for staff, please contact your supervisor for any assistance. The following list are the people who will be vaccinated on Monday January 25th, 2021:
There will be six (6) different clinic sites within Bayview. The location of the vaccination sites are:
The following times will be scheduled for vaccination. There will be Vaccination Ambassadors to assist in directing the location and times for you to arrive:
Independent Living Residents: Kinnear room / Albertson Hall
Assisted Living Residents and Staff:
Second (2nd) floor
Third (3rd) floor
Memory Care – Dorothy’s Place
Skilled Nursing Residents and Staff:
Non-Clinical Staff: First floor Studio and Dining room
(Staff who have already received their first vaccinations, please bring your vaccination card to expedite your second booster shot. Please reach out to your supervisor with any questions.)
For clarity:
Even with the best laid plans, it will be inevitable that something will happen, and scheduled times may be delayed, expedited, or moved to accommodate unforeseen changes and events.
Unless you have a medical emergency or a pre-planned medical appointment, plan on accomplishing only one (1) task on Monday – Your Vaccination!
Many employees will be readily available to guide you through the vaccination process. If you need assistance, just ask!
Staff and residents alike should not use the elevators, at all, unless guided by a Vaccination Ambassador to expedite the smooth flow and process of vaccinations.
It is essential that proper infection control procedures are adhered to during the entire vaccination process.
Stragglers are defined as people who had a pre-planned medical appointment, a medical emergency, or missed their scheduled time for some unforeseen reason.
Be on the lookout for more detailed information on the flow of the vaccination process in this weeks’ edition of the Bayview Weekly.
There are presently no indications preventing people taking immuno-suppressant medications or people with several comorbidities preventing people to receive the COVID-19 vaccination. If you have specific questions about your particular medical condition(s), please consult your Primary Care Physician for more information.
According to the first clinic held on January 4th, 2021, CVS would NOT administer the COVID-19 vaccination to people who have previously experienced allergic reactions to any other vaccinations. If you want to obtain COVID-19 vaccination and have experienced allergic reactions to any other vaccination in your past, please consult your Primary Care Physician (PCP) before Monday, January 25th, 2021. It will be necessary to obtain a written order from your PCP allowing vaccination. Present this order to the CVS pharmacist upon your scheduled vaccination time.
Attached to this memo are Frequently Asked Questions from CVS about the COVID-19 vaccination.
I would like to thank all of you that have been so patient with the Executive team on obtaining information about our impending vaccination clinics. We are all anxious to return to some semblance of normalcy, and the vaccine is the light that begins to shine at the end of the tunnel. Communication with CVS has been less than desirable, and as we see other communities receive vaccinations, read, or hear the media highlight other communities, and hear from the Governor how vaccinations will be accelerated, it is easy to become extremely frustrated with our Bayview journey towards vaccination. Vaccinations are here. We have finally made it!
SURFACE TESTING:
More results were obtained from surface tests this past week that shows an improvement of infection containment. However, there are still some inconclusive results that we are in the process of interpreting.
I would like to extend a hearty “Thank You” to all residents on the sixth (6th) floor that allowed surface testing to be conducted inside their apartment. We had a 100% participation rate, which shows our collective effort to route out this virus for the health and safety of all at Bayview. Test results should be obtained no later than Monday, January 25th, 2021 and will be shared at that time.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
January 14, 2021: Surface Testing Update
Surface Testing Update
I wanted to give a brief update of the surface testing as we have just received specific results locating the source of surface exposure.
First, a quick summary of Enviral Tech’s surface testing procedure:
A brief recap of the past surface testing events:
The detailed results are as follows:
Zone including Floor Common Areas:
Zone including A-Level and 10th floor:
Bayview strongly recommends the following actions:
Differentiation between Quarantine and Outbreak dates:
In our previous memos, two dates have been mentioned: on January 19th, the Assisted Living and Health Center units will be cleared from “quarantine” and on February 2nd, Bayview will be cleared of an “outbreak” contingent upon no further positive cases of COVID. The Department of Health (DOH) requires 14 days for individuals with a positive case of COVID to clear from a quarantine. However, because Bayview had 2 or more positive cases of COVID and met Centers for Disease Control’s definition of an outbreak, another 14 days is required to be cleared of an outbreak. February 2nd is the day in which we will re-evaluate the safe and limited reopening of activities and amenities. As always, we assess our reopening date in conjunction with the Governor’s new safe start plan and multiple local and state health agencies.
As I write this memo, I can’t help but reflect on the year that was defined by heartbreak and heroism in 2020. Much was sacrificed in what seemed to be a muted year of evolving COVID restrictions and protocols. We are two weeks into the new year, King County infection rates are on the rise again and we are still relentlessly fighting the pandemic. I still firmly believe the new year will bring new hope. Your courage, wisdom, strength, and most importantly, compassion is what keeps this community going – for both residents and staff alike.
I want to, once again, thank everyone for their continued support and vigilance to fight the spread of exposure and infection. More information will follow next week about our prospects for vaccination. We have been working diligently and daily on all-things vaccine. Hang in there, we will get through this together!
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
January 13, 2021: COVID-19 Update
COVID-19 update:
On January 6th, we reported a total of 4 positive cases of COVID in our Assisted Living (AL) residence – 3 residents and 1 staff and 2 positive cases in our Health Center (HC) – 1 resident and 1 staff, bringing a total of 6 cases. The positive cases in Health Center are now considered old, as the employee has returned to work and the resident is out of quarantine. We also wanted to share with you that 3 out of the 4 cases in Assisted Living were confirmed false positives. As of Wednesday, January 13, this brings our total count of positive cases of COVID to *1 resident in Assisted Living.
Here is a further breakdown of Bayview’s COVID-19 status:
Assisted Living Cases:
Health Center Cases:
Enviral Tech Update:
During our weekly, routine surface testing, there were two areas that showed the presence of COVID-19. Upon further testing, it was noted:
LOW Positive = Between 220 – 440 viral particles
MED Positive = Between 440 – 2500 viral particles
HIGH Positive = More than 2500 viral particles
Inconclusive = RT – PCR reaction was adversely affected by chemicals from the environmental surface that interfered with the detection – OR A very low signal was seen but was below the detection limit of the assay (below 220 viral particles).
In Summary:
We know it is a challenge to keep up with the changing numbers. Bayview’s current COVID status is 1 COVID positive case. Please note this resident is still in the hospital and is doing well.
With ever changing protocols and the constant stream of memos, COVID fatigue is real. We have to fight it and keep the good faith. Thank you for your unending resiliency. Please reach out with any questions at any time.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
January 6, 2021: COVID-19 Update
COVID-19 Update
Dear Bayview Community,
We wanted to give you an update on where we stand with the presence of COVID-19 at Bayview. We want to assure you once again, our staff has been preparing for a situation like this for the better part of 2020 and is fully prepared to meet this challenge head on.
Here is our current situation:
What we do not know:
In accordance with our Threat Level Grid, Bayview has moved to the highest level of Threat Level V. Here are the things you can do to help contain this outbreak:
Unless there is a critical emergency, you should not have to leave your apartment, at all, for the next 14-days. 14-days is one (1) complete COVID-19 virus incubation cycle. We strongly encourage you to consider Bayview being in a “Lockdown” situation. If you have upcoming medical appointments, you should call your provider and tell them of our outbreak situation and try to reschedule for a telehealth or phone visit instead. Facilities and Environmental Services will continue to transport packages from the front area to your door if you order items on-line. Your newspaper will be delivered to your front door in the morning.
As much as our staff understands the threat and dangers of COVID-19, and attempts to remain safe and healthy, employees still pose the largest exposure risk to our residents living at Bayview. Employees want to give the utmost respect to our Bayview residents. It is respectful to limit contact as much as possible to reduce your risk of exposure keeping you safe and healthy too.
If it is absolutely necessary for you to leave your apartment, do not enter second (2nd) floor for elevator use, or use the stairwell to the second (2nd) floor Assisted Living area. ASSISTED LIVING is under quarantine until further notice and entry is restricted.
It goes without saying, but we must continue to stay vigilant. Our experience these past nine months has shown us that while the virus is relentless, so are we. We will continue to update you as any new information comes our way.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
December 30, 2020: COVID-19 Update
COVID-19 Update
As part of our routine COVID-19 surveillance testing for Health Center residents, we wanted to share with you that one resident has tested positive today for COVID-19 in the Health Center. The initial test was conducted with the BinexNow antigen test kit with positive results. We confirmed the BinexNow test with a second positive test. We then conducted a third test to confirm the first 2 tests with the BD Veriator antigen test kit. The result was positive. This brings a total of two positive cases at Bayview – 1 staff and 1 resident.
Our staff have trained all year for this very situation and are fully prepared to meet this challenge. Here are the steps we are taking to mitigate further spread of infection:
In a previous memo, we were slated to re-evaluate reopening of current Bayview restrictions on Monday, January 4th. However, Governor Inslee issued today a one-week extension of the statewide restrictions that will go through January 11, 2021. In addition, with the two confirmed cases of COVID-19, Bayview met the Centers for Disease Control’s (CDC’s) criteria for an outbreak. In accordance with CDC guidance, two (2) incubation periods of COVID-19 must past from the last known COVID-19 infection, or last signs or symptoms of COVID-19 in order to “clear” a COVID-19 outbreak. Bayview will follow this guidance in conjunction with LHJ and DSHS recommendations and requirements, when considering the reopening of certain, limited activities such as the fitness center, small groups, the beauty shop, and visitation for Skilled Nursing families. The projected date for reopening will be January 13th, 2021. Again, this is contingent upon no further exposures or signs or symptoms of infections from residents or staff.
Vaccine Update
As we mentioned in the latest CEO video message, we recently received dates and times for our on-site vaccination clinics for the COVID-19 vaccine. CVS will be administering the vaccine to residents in our Health Center and Assisted Living and all staff beginning Monday, January 4th. The leadership team has quickly moved forward with providing additional details and consent forms to residents, family members, and staff. It is our hope that the COVID-19 vaccine will soon be available to all residents at Bayview.
This is a tiring and often painful road to travel. Yet we are fighting the good fight. Thank you for your enduring patience and we will continue to update you on any new information.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
December 18, 2020
COVID-19 Updates: Vaccines
Dear Bayview Community,
We have all sacrificed so much this past year, fighting COVID-19 bravely and tirelessly. While we continue our herculean efforts, we are now getting ready for the next steps. Vaccination is a vital initiative and another step in our journey.
The question on everyone’s mind is who is eligible for a vaccine in the federal response for Phase 1A of vaccine administration. We are grateful that the initial phase has prioritized residents in long-term care facilities and health care personnel. However, we discovered that while residents in skilled nursing, assisted living, and memory care will receive the vaccine, residents in independent living will not be eligible until a later phase. Here at Bayview, we are strong advocates for all our residents to be vaccinated in the initial phase and we find it disturbing that half our community will remain unvaccinated, assuming those that are eligible opt to be vaccinated. Bayview, LeadingAge Washington, and LeadingAge National have addressed this gap but to no avail. Rest assured, the group encompassing all adults 65+ will make its way into the phased sequence for vaccinations. We will continue to update you as we receive more information.
Here’s a snapshot on what we know, and don’t know about vaccinations:
What we know:
What we do not know:
We are starting to see a light at the end of the pandemic tunnel. We will continue to update you as we receive more information. Please do not hesitate to reach out with any questions.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
December 9, 2020: COVID-19 Update for Residential Living Residents
Dear Bayview residents,
Governor Inslee has announced the extension of the latest state-wide COVID-19 restrictions in response to a surge in infection rates and hospitalizations — through January 4th. Bayview will continue to follow the Governor’s latest recommended guidance. Bayview’s current restrictions will be in effect until at least January 4th or until further notice.
Thank you for your unending vigilance in the collective fight against COVID-19. Please don’t hesitate to reach out with any questions.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
December 9, 2020: COVID-19 Update for Resident Families in Assisted Living, Memory Care, Skilled Nursing
Dear Bayview families,
Governor Inslee has announced the extension of the latest state-wide COVID-19 restrictions in response to a surge in infection rates and hospitalizations — through January 4th. Bayview will continue to follow the Governor’s latest recommended guidance. Bayview’s current restrictions will be in effect until at least January 4th or until further notice.
Outdoor visitation for families with residents in Assisted Living, Memory Care, and Skilled Nursing are still in effect.
Thank you for your unending vigilance in the collective fight against COVID-19. Please don’t hesitate to reach out with any questions.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
November 17, 2020: COVID-19 Update for Resident Families in Assisted Living, Memory Care, Skilled Nursing
November 17, 2020
Dear Bayview families,
Governor Inslee announced a four-week statewide set of restrictions in response to the recent rapid spread of COVID-19 virus in Washington and across the county. In light of these new restrictions and with the holidays upon us, we believe strongly that the time is now to take extra measures in safeguarding resident health and well-being.
In accordance with the Governor’s proclamation, effective Tuesday, November 17 and until further notice, indoor visitation for Assisted Living, Memory Care, and Skilled Nursing are prohibited.
Outdoor visits are permitted. As we shift visitation to outdoors, we encourage families to bundle up and dress appropriately during your scheduled visits. Please note foul weather may cancel scheduled visits. Bayview management is working diligently behind the scenes to construct a designated outdoor setting that is protected from harsh or cold weather. In the meantime, please contact Pamela Yeo at 206-281-5755 or pyeo@bayviewseattle.org for residents in AL/MC and please contact Janice Pate at 206-281-5778 or jpate@bayviewseattle.org for residents in SNF.
• Assisted Living (AL) and Skilled Nursing (SNF) visitation times are:
o Tuesday, Wednesday, Saturday and Sunday at 10:15 am, 1:15 pm, 2:15 pm or 3:15 pm.
• Memory Care (MC) visitation times are:
o MondayandThursdayat10:15am,1:15pmor2:15pm.
Lastly, and most importantly, the most prudent thing that we all can do this holiday season is choose not to gather in person. The governor’s proclamation also includes the prohibition of indoor social gatherings with people from outside your household. Therefore, we are pleading with residents, staff, families, and the greater community to be cautious of the risk of exposure to COVID-19 during your outside travels. COVID-19 is opportunistic and will not take the “day off” during the seasonal holidays.
The postponement of any activity or life event is heartbreaking. But while everything may look a little different this year, take heart. We are on this journey together – residents, staff, and families.
Thank you for your continued trust and patience you have placed in us to help keep everyone safe throughout the holiday season. Please don’t hesitate to reach out with any questions or concerns.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
November 5, 2020: COVID-19 Update
COVID-19 Updates:
Dear residents, families, and staff heroes,
Bayview is pleased to inform you that we will be reopening on Monday, November 9th. The reopening of limited activities includes the fitness center and pool, the beauty shop, small groups and visitation for Assisted Living, Memory Care and Skilled Nursing families.
Socially distanced visits will be in the following areas:
All visits are “No Contact” visits, meaning visitors and residents shall not touch one another during the visit and will remain socially distanced (at least 6 feet between the visitor and resident) during the entire visit.
Only 1 external essential family caregiver is allowed for each visit. Visitors are still required to complete the pre-visit assessment. Face masks will be worn by visitors and residents and visits will be monitored by staff. Memory Care visitors are asked to wear cloth gowns due to the uncertainty of our residents keeping socially distanced.
Frequency and duration of visits have not changed and remains at twice a month for 30-minute visits. We continue to ask that each family designate a specific family representative that will visit the resident at Bayview for both of the visits within a month.
Assisted Living and Skilled Nursing visitation times are:
Memory Care visitation times are:
Only scheduled visits will be allowed. Please contact Pamela Yeo at 206-281-5755 or email: pyeo@bayviewseattle.org to schedule a visit with residents from Assisted Living and Memory Care. Janice Pate is the contact for Skilled Nursing at 206-281-5778 or email: jpate@bayviewseattle.org.
Throughout this pandemic we are continually reviewing the guidance provided by DOH, ALTSA, DSHS and CDC. There is a growing push to increase visitation with residents in the regulated areas of Assisted Living, Memory Care and Skilled Nursing even as county and state infection rates continue to rise. Bayview is acutely aware of the need for residents and families to be able to visit as always but especially as we come into the holiday season.
Thank you for your ongoing understanding that guidelines are subject to change at any time.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
October 21, 2020
COVID-19 Updates:
Dear residents, families, and staff heroes,
With our efforts to keep you informed of the latest information regarding our unrelated, two staff exposures: Both employees are recovering well and continue to follow the Department of Health’s (DOH’s) return-to-work guidance. All residents and staff have been tested on the Health Center. All results have returned as negative. There are currently no active signs or symptoms of COVID-19 infection at Bayview.
With the two confirmed cases of COVID-19, Bayview met the Centers for Disease Control’s (CDC’s) criteria for an outbreak as defined below:
COVID-19 outbreak definition:
a) One resident or Healthcare Person (HCP) with confirmed COVID-19. OR
b) One resident with severe respiratory infection resulting in hospitalization or death. OR
c) Two (2) or more residents or HCP’s with new-onset respiratory symptoms consistent with COVID-19 within 72-hours of each other.
In accordance with CDC guidance, two (2) incubation periods of COVID-19 must past from the last known COVID-19 infection, or last signs or symptoms of COVID-19 in order to “clear” a COVID-19 outbreak. Bayview will follow this guidance when considering the reopening of certain, limited activities such as the food court, the fitness center, small groups, the beauty shop, and visitation for Assisted Living, Memory Care, and Skilled Nursing families.
The projected date for reopening will be November 9th, 2020. Again, this is contingent upon no further exposures or signs or symptoms of infections from residents or staff. Social connection during the pandemic has been a challenging mission and we thank you for your continued and steadfast commitment to keeping our community safe and healthy.
Lastly, cases of COVID-19 are on the rise again in King County. The number has continued to climb over the past 4 weeks. This shows a very large risk of exposure occurring outside the walls of Bayview. It’s time to renew our commitment to fighting the spread of the virus in our community.
Please don’t hesitate to contact me with any further questions or concerns.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
October 16, 2020
COVID-19 Updates:
To our residents, family members, and staff heroes,
Bayview leadership became aware today of a Health Center employee who has tested positive for COVID-19, bringing a total of two confirmed positive cases at Bayview. Since our last communication, we want to thank you for your continued understanding of the extraordinary circumstances that surrounds us all. Due to confidentiality considerations, we are limited in the amount of information we can share, but we want to be as transparent as possible with this update.
We believe this exposure is unrelated to the previous known exposure at Bayview, as there does not appear to have been any contact between these two individuals.
The Health Center team has notified the Department of Health and the Department of Social and Health Services (DSHS) as required for any licensed areas within Bayview. We will implement the next steps in our policy to mitigate the spread of potential infection. To date, no other employee or resident in the Health Center has exhibited outward signs or symptoms of exposure or infection. Health Center residents were tested on October 15th, 2020 in accordance with routine surveillance testing and we will await these results for further action. Health Center staff have also undergone testing. Thus far, results have come back negative.
As a reminder, residents who do not live in the Health Center are restricted from entering the Health Center per our current and ongoing protocol. Only staff who work in the Health Center or who have essential business are permitted.
We are acutely aware of the challenges we face in the coming weeks and months. The fight against COVID-19 is far from over and the journey demands vigilance and discipline for all of us. Your messages of support and gratitude have, now more than ever, been especially encouraging. Together, we will continue to move forward in the fight against the spread of COVID-19.
We will continue to update you as we receive more information.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
August 21, 2020: Assisted Living, Skilled Nursing Visitation Memo
Dear residents and family members,
The staff at Bayview recognize the importance of visitations between residents and those that are essential family caregivers. We are pleased to be able to extend the outdoor visit opportunities to now include Saturday and Sunday starting August 29th. These visitations are on a scheduled and limited basis. Essential family caregivers are defined by Bayview as “the spouse or significant partner of a resident, next of kin and/or Durable Power of Attorney.”
Our visitation plan is in accordance with Washington Department of Health’s Safe Start Plan for Long-term Care settings. Our priority is to keep residents, staff, family members, and the greater community as safe as possible. We are grateful for your help in ensuring safety standards are adhered to during your visit with your loved one.
I have included the brief outline of our measured approach. Please understand that the following guidelines are subject to change at any time:
We have contacted DSHS and are awaiting a response to a proposed plan of action to allow visits for Memory Care residents and their essential caregivers in an appropriate setting. I know these are challenging times for everyone, we appreciate your cooperation and understanding during this time.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
July 24, 2020: Quarantine process, Facemasks and Visitation
Quarantine Process:
There has been a little confusion over the quarantine process. To help clarify, the following is broken down into three categories: 1) Hospital and Emergency Room stays, 2) Overnight visits, and 3) Quarantine differences between residents and staff.
If you visit an Emergency Room (ER) or if you stay overnight in a hospital, you will be placed on a 14-day quarantine. In order to prevent the potential spread of infection including COVID-19 this is required.
Bayview has also implemented a “Test Based” strategy. If you are tested at the hospital or ER for the presence of COVID-19, your quarantine time may be reduced to 72-hours after your results are determined AND the results are negative. Positive results will be addressed on an individual basis. If the hospital is unable to test you, contact your Primary Care Physician to obtain orders for a test. If you are still unable to obtain an order, contact Jamie Hart, Janice Pate, or myself (Joel Smith) for further instructions.
If you want to go on a trip and stay overnight outside of this community, upon your return, you will be quarantined for 14-days.
Again, Bayview has implemented a “Test Based” strategy. Your quarantine time may be reduced, if you are able to obtain a COVID-19 test upon your return to Bayview, to 72-hours after your results are determined AND the results are negative. Positive results will be addressed on an individual basis. Prior to leaving, please make arrangements with your Primary Care Physician to obtain orders for a test for when you return. If you are unable to obtain an order, contact Jamie Hart, Janice Pate, or myself (Joel Smith) for further instructions.
Please remember, the Governor’s “Stay Home, Stay Safe” proclamation is still in effect. Therefore, people should leave their apartments only for essential business and minor exercise. At this point, COVID-19 cases have increased to the highest levels in Washington State since the inception of the pandemic. Now is not the time to be planning overnight, non-essential trips. Stay Home, and Stay Safe please.
There has been a trending question regarding the difference of staff members who leave the building, go to the grocery store, go out in public, and go home then return to Bayview and do not have to be quarantined versus Residents who do essentially the same activities yet have to endure a quarantine.
The Centers for Disease Control (CDC), the Department of Health (DOH) and the Department of Social and Health Services (DSHS) have divided people in senior living communities into two categories: a) Professional Staff and b) Residents.
If you have further questions about this, please contact me (Joel Smith) at your convenience.
Facemasks:
The Governor has mandated the use of facemasks in public. This is no longer a debate in Washington State.
Every time you open your apartment door to answer the door, or leave, you MUST properly wear your facemask
Universal Source Control (the consistent and proper use of facemasks) is the key to preventing the spread of most infections or illnesses including COVID-19. Bayview is living proof of this as we have implemented Universal Source Control early in the pandemic and have stayed COVID-19 free to date. We want to keep it this way!
Bayview’s Executive Leadership will continue:
Visitation:
Our visitation plan is designed to keep our community members, residents, staff, and family members as safe as possible while being allowed to visit loved ones. This plan will include a series of steps that will allow for graduated levels of visitation. Here is a brief outline of our measured approach.
Step 1: Scheduled Internal Visitation for Spouses and Next of Kin living in different care levels at Bayview:
Beginning Monday, July 27th, 2020, Bayview will open, on a scheduled and limited basis, internal visitation between residents with a spouse or next of kin living in Independent Living (IL), Assisted Living (AL), Memory Care (MC), and Skilled Nursing (Health Center of HC).
The following guidelines below are subject to change at any time:
The remaining visitation steps are outlined below. The full, detailed visitation policy will be available soon.
Step 2: Scheduled, Limited Group, Internal Visitation for Residents (not limited to spouse or next of kin) living in different care levels of Bayview.
This includes:
Step 3: Scheduled, Limited Group Visitation with Outside, Immediate family members.
Immediate family members include:
Step 4: Scheduled, Limited Group Visitation with Outside Friends and extended family.
All visitation procedures noted above are dependent upon the community’s ability to remain COVID-19 free. If Bayview acquires a single COVID-19 positive case, visitation will immediately cease and be allowed only for end-of-life procedures only.
With the rising cases of COVID-19, and the opportunity for limited visitation, now, more than ever, is the time to be vigilant against the spread of COVID-19. Stay Home and Stay Safe. Practice excellent infection control practices. Consistently and properly utilize Universal Source Control and keep healthy and happy.
Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
July 3, 2020: Terrace Garden Food Court Update
COVID-19 Updates: Update: Terrace Garden Food Court
As you may have heard, Washington State is facing a surge of new coronavirus cases and with King County among one of the hardest hit counties. Just recently, we witnessed the state nearly setting a new record for biggest increase in a single day. With this knowledge in hand, our crisis communications and executive team have determined to pause the reopening of our main dining to later this month.
This decision to postpone our original opening date of Monday, June 6th was not made lightly. As we have mentioned in previous memos, Bayview’s record of zero COVID-19 cases is due in part by the entire community’s efforts and the consistent, prudent, and cautious steps we’ve taken in rolling out restrictions and protocols. Likewise, we want to be prudent and cautious in reversing these restrictions and avoid threatening the hard-earned progress we’ve made thus far. Our focus remains on the safety and well-being of residents and staff.
We look forward to announcing a new date in a few weeks. We are hopeful in our continued path forward!
A note: This update does not affect the latest reopening of the Salon and Fitness Center. The measures taken in the reopening of the Salon and Fitness Center are in a more restricted and controlled environment. As always, our team is diligently evaluating and monitoring current and future reopening plans.
Sincerely,
Bayview Crisis Communications & Executive Team
June 26, 2020
COVID-19 Updates:
This past week showed once again Bayview’s progressiveness in the prevention of COVID-19. Governor Inslee announced earlier this week of the Statewide requirement to wear facemasks in public. Bayview initiated this requirement for our residents in mid-March; three and one-half (3-1/2) months earlier than the State requirement. As I have stated before in previous writings, Universal Source Control is one of the main contributing factors for our continued success in preventing COVID-19 at Bayview. It is unfortunate it took this long for the State to catch on.
We have all seen, at one point or another, the debate raging on about the use of facemasks and whether Universal Source Control is actually effective and necessary. Bayview stands as a model for the state that proper, and consistent use of facemasks (Universal Source Control) is truly effective in the prevention and spread of COVID-19.
In our everlasting efforts to strive for infection control prevention perfection, the Executive team conducted Universal Source Control audits over the past week, and what we found was encouraging, however, showed there is certainly room for improvement with the compliance of facemask use. Therefore, for a limited and undisclosed timeframe, Bayview will have a Universal Source Control Ambassador traversing the hallways of each floor, conducting “on-the-spot” education to our residents about the proper and consistent use of facemasks.
Please remember the “No-Fault” discussion I referred to in last week’s memo. The Ambassador is not to point out faults, make a person feel bad, or to pick on any one individual. This is generalized training for all to ensure we are all properly educated to do our part to keep us safe and healthy. We have heard it before: “We are all in this together”. As we move towards loosening some of our restrictions, Universal Source Control becomes more important than ever.
Sincerely,
Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
June 22, 2020: Thrive Fitness Center Safe Reopening Plan & Guidelines (*Bayview residents only)
Thrive Fitness Center
Safe Reopening Plan & Guidelines
Effective Monday, June 22, 2020, Bayview’s Thrive Fitness will be open in the Gym side only and will include extensive physical distancing and enhanced cleaning in the initial phase. The pool is currently closed and there are no group classes at this time. This document applies to Bayview residents only. Bayview’s Thrive Fitness Center is currently not open to outside community members.
Sign-ups required
You cannot sign up or enter if:
Sanitization
Equipment
Please email Nahleen Salvador, Director of Wellness at nsalvador@bayviewseattle.org with any questions or if you would like to make an appointment for an orientation to the Fitness Center.
June 19, 2020: A New Beginning
COVID-19 Updates: A new beginning:
As we begin to navigate through reopening phases of the state, we have been diligently working on reopening plans at Bayview. We have updated our Pandemic Threat Level Grid and you will begin to see a measured and slow approach to opening. We are still in “Modified Threat Level IV”. All of our reopening measures are in consideration of current recommendations and standards of the Centers for Disease Control (CDC), Department of Health (DOH), Centers for Medicare Services (CMS), and Department of Social and Health Services (DSHS).
As restrictions scale back, there is always the possibility of needing to increase restrictions again in the future depending upon future rates of infection and / or regulatory requirements. As stated, many times before; the virus has not changed. COVID-19 still infects and kills many people and there is no approved vaccine as of yet. Therefore, we need to remain even more vigilant of infection control practices and universal source control as areas and services of the city and of Bayview reopen. Rest assured, we will continuously monitor our status to determine the best course of action to keep our residents healthy and safe.
Changes to our process beginning Monday June 22nd, 2020 include:
Sincerely,
Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
May 29, 2020
This past week saw the testing of Skilled Nursing Employees. So far, out of a total of 67 eligible employees, 24 employees have been tested, 23 employees have declined, and we are still waiting to hear from the 20 remaining employees. Test results have not returned yet from the completed tests, however, we have high hopes. As of this correspondence, Bayview proudly continues to be COVID-19 free.
Lately, I feel like I am more of an Insurance Adjuster than a Nursing Home Administrator! Insurance companies are always looking at ways to mitigate risk. What action or scenario will have the least amount of risk to the person? The lower the risk, the lower the cost to that person. Elements of risk are inherent in everything we are and do. For example, a 20-yearold, male driver has a higher car insurance premium than a 50-year-old female driver. Why?
Statistical data shows age and gender are risk factors that are consistent among large groups of people. In this case data shows, young, male drivers experience more accidents than older, female drivers.
With COVID-19, we must constantly weigh risk factors with all we do. My feelings of being the Insurance Adjuster come from the increased frequency of questions I am receiving of the desire to conduct activity outside of the Governor’s “Stay Home, Stay Healthy” program combined with balancing the “Safe-Start” initiative. The ramifications and consequences of our individual choices and actions could remove any choice others may have and could
ultimately destroy all of the efforts we have collectively endured together so far. Statistical data shows any movement outside of our homes inherently increases our risk of exposure. Risk incrementally increases with each choice we make while outside of our home. This is why, among other restrictions, movement has been limited to essential business only. Consistent enforcement of restrictions is necessary to protect life.
Consistency is the key to the equal treatment of all. Individual assessments or allowances to circumvent or “bend the rules, just this once” harbors a toxic undertone of favoritism, mistrust, and poor or weak leadership. Understand, any action we take outside of the restrictions is an elevation of risk. As Bayview continues to remain COVID-19 free, the threat of a false sense of security or a feeling of invincibility weaves into the fabric of our daily lives.
We must remember, choices we make to increase our personal risk is not about us, but about those whom we will affect. Shielding yourself from risk helps in the protection your neighbor.
Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
May 15, 2020
Bayview was put to the test – literally! As enumerated last Friday, the Department of Health (DOH) tested the Skilled Nursing Facility residents for the presence of COVID-19 on May 5th, 2020. During the rest of the week, we all anxiously awaited, on pins-and-needles, for the results. The results finally arrived in the afternoon of Saturday, May 9th, 2020.
The results were very anti-climatic to say the least. Out of 33 tests conducted, three (3) results came back negative for the presence of COVID-19. The laboratory stated, the rest of the tests, 30 results, did not contain enough sample to conduct an accurate test. These samples were obtained by the DOH, not by Bayview staff. Knowing these samples were obtained by trained and qualified experts, our Clinical and Executive leadership teams were highly disappointed. We knew, as outlined last week, of the problematic nature of COVID-19 testing. Little did we know it would be this troublesome. On one hand, the results are NOT positive for the presence of COVID-19, which is great, and the results we did obtain are negative, which is even better. On the other hand, the high number of inconclusive and ambiguous results leave many more unanswered questions such as; what happened? Why did this happen? What do we do now?
Earlier this past week, the White House stated all Nursing Home residents and employees will be required to test for COVID-19 nationwide. Specifics of this edict have not been outlined from the Centers for Medicare Services, the Centers for Disease Control, or the Department of Social and Health Services. We are keeping up with the latest information and will continue to inform you of any requirements as they come.
I relay this information to you as supportive evidence of Bayview’s progressive and proactive approach to COVID -19. Bayview stays ahead of the curve, implementing programs and policies before they are required or even recommended by government agencies. Our next steps in testing include obtaining clarifying information and answers to our questions from the Department of Health, and re-testing of residents whom have given consent for such testing. Then, we will begin obtaining scheduling information to screen our employees who work in the Skilled Nursing Facility. Please remember, the requirements are mandates from the White House, the Centers for Disease Control, the Centers for Medicare Services, the Department of Social and Health Services, and the King County Department of Health, and require Skilled Nursing Facilities to conduct COVID-19 testing. Skilled Nursing Facility participation is not optional. Employee consent to testing IS optional. As always, we will keep you posted on the latest results and information as it becomes available.
Trending Questions:
“Now that non-essential appointments such as eye or dental appointments are available for scheduling, can I use this appointment to visit with my loved one?”
This question has identified a clearly dangerous problem with the Governor’s “Safe-Start” program. When drafting his plan, the Governor failed to remember the effects of his plan on Senior Living Communities such as Bayview. Senior Living Communities continue to be viewed as an after-thought in governmental policy. Hospitals are the “Hero” and Skilled Nursing Facilities are the “Petri Dishes” of society. Senior Living Communities appear to fall somewhere in between, but are still forgotten when it comes to funding, support, and policy. As a result, Senior Living Communities are now place at a grave risk of exposure as some families and / or residents view this subject as a perfect way to circumvent visitor restriction mandates through the guise of “Resident Appointments”.
I don’t know if I have stated for the record that I abhor these restrictions myself; especially visitor restrictions. I see the potential negative effects these restrictions have on all of us and it bothers me. Restrictions are not fun for any of us, and as time marches on, the restrictions grow tiresome, and burdensome. However, I continue to preach the adherence of the restrictions to save human life. We must not grow weary! State COVID-19 rates of exposure have not leveled off. People are still being exposed at alarming rates, and many people are still dying from this unrelenting virus.
For us, nothing has changed with the “Stay-at-Home” restrictions. Therefore, we must continue to remain vigilant in minimizing our risk of exposure. This includes non-essential appointments. Bayview has gone through great efforts to initiate our Telehealth program. I am proud to say, a few residents of the Skilled Nursing Facility conducted their first Telehealth appointments this past week with resounding success! I look forward to more residents enjoying the benefits of our Telehealth program. It is truly a unique and amazing experience!
Let’s stay strong in our resolve together! If it is necessary that an appointment must occur outside of Bayview and you are unable to use Bayview transportation, please inform Jamie Hart, Heather Smith, Pamela Yeo, Janice Pate, or myself prior to the appointment. We will make every effort to mitigate your risk of exposure while you are out at the appointment. Thank you for your understanding. Thank you for your commitment in minimizing the risk of exposure. Thank you for your vigilance. Thank you for your patience. Thank you.
Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
May 1, 2020
As information about COVID-19 continues to evolve, one issue continues to remain at the forefront of national concern: Testing.
Our Executive Team attributes much of our success to stave off COVID-19 by “staying ahead of the curve” and implementing policy and procedures ahead of projected recommendations by state agencies. For example, Bayview implemented what is now called “Universal Source Control” at least four (4) weeks prior to recommendations and now requirements from the Centers for Disease Control (CDC), the Department of Health (DOH), and the Centers for Medicare Services (CMS). Universal Source Control is the consistent and constant use of face masks for all employees. We have further strengthened Universal Source Control in the facility by providing and requiring the consistent use of face masks to all Bayview residents while outside of their apartment. We continue to fine tune our efforts as evidenced by new elevator occupancy restrictions and the floor common area restrictions.
As the media continues to villainize nursing homes throughout the United States as the “Petri dishes of COVID-19”, there is mounting pressure for COVID-19 testing of all nursing homes across the country. Bayview has decided to once again partner with the King County Department of Health and conduct COVID-19 testing for the residents of the Health Center prior to any mandates, recommendations, or requirements. This decision is designed to identify if the most vulnerable residents in our facility have the COVID-19 virus present in their bodies BEFORE the onset of acute symptoms. With this information, the facility could implement strict contingency plans to avoid a localized outbreak and ultimately, death. The idea is to stay ahead of the virus instead of chasing it.
This decision was not made lightly. There are many “pros” and “cons” to testing. For example, one problem is we will not be able to test ALL residents. This testing is only for the residents of the Skilled Nursing Facility portion of Bayview. Residents from independent, and assisted living, memory care and child development are not included in this event. Another problem is this testing is just a “snap-shot” in time. Testing today does not mean someone is immune to contracting the virus tomorrow. Problems also remain in the testing itself. COVID-19 tests are still in development, and in the infancy of use. There is not enough data to show the true accuracy or error rates of the tests.
Ultimately, the paramount benefit of testing is: testing may save lives. For this reason alone, the Executive Team feels testing is “the right thing to do”. We anticipate skilled nursing resident testing to begin as early as next Tuesday, May 5th, 2020. Results of testing should be known by Friday, May 8th, 2020.
This is the challenge of the decade for Bayview. We are standing toe-to-toe with the devil and taking this threat to task, head-on. We will not fear test results. Through all of it, we will rise to the occasion, be measured and calculated in our process, and we will be stronger than ever in the end. Thank you for your continued support and prayers! Be safe and stay healthy.
Trending questions of the week: “Will we be notified if there is a positive case of COVID-19?”
The short answer: Yes. The long answer is Bayview is committed to transparency of all our COVID-19 efforts. The more communication, the better. If there is a positive case, we will inform Residents and Employees of the current situation, and what our plans will be moving forward. CMS has enacted new, mandated, notification requirements for residents of skilled nursing facilities. Much like many of the preemptive decisions made surrounding COVID-19 at Bayview, the Executive Team contends clear and transparent notification has always been the “right thing to do” and will continue this practice.
“Will employees be tested for COVID-19?”
The short answer: Not initially. The long answer requires a little more detail. As with the residents, only employees that work on the skilled nursing unit would be eligible for testing. The DOH has stated since skilled nursing employees have utilized Universal Source Control measures for over a month, (the constant use of face masks), employee testing will only occur if a resident on the skilled nursing unit tests positive for COVID-19. Skilled nursing employees will have the choice to participate in COVID-19 testing. There is no reprisal for employees that opt out of COVID-19 testing. In other words, they will be allowed to continue to work under the current guidelines and restrictions already in place even if the employee chooses not to participate in COVID-19 testing.
“Is it okay for residents to go into other resident’s apartments?”
The short answer: No. The long answer: The Governor issued a “Stay-at-Home” order. We are able to leave our home only for essential business such as mild exercise or to pick up something that can’t be delivered to us that is necessary to sustain your life. Even though Bayview is considered our home, Bayview is actually a “Senior Living Community”. Our individual apartment is actually our “home”. Utilizing universal source control (constant and consistent use of face masks) and strict adherence to proper infection prevention measures (such as hand hygiene) could reduce the risk of exposure, however, until the Governor removes the stay-at-home order for Senior Living Communities (the final phase of the governor’s plan, as outlined last week’s memo) we should refrain from entering other resident apartments. Non-essential business should be conducted by phone, or by video conferencing (via your phone or tablet) only until further notice.
Sincerely,
Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
April 24, 2020
As we approach the 60th day since the first reports (02/27/20) of Corona Virus were initially reported in Kirkland, so much has transpired in such a relatively short period of time. If you are like me, you are probably exhausted of hearing about “social distancing” and “COVID-19”. Last week, the Governor released initial plans and phases to reopen the state to stave off the growing public unrest and apparent unwillingness to follow a sustained stay-at-home protection order. Media reports seemingly fuel this unrest as mounting death tolls and ever-increasing exposure rates are no longer “breaking” news. Closer to home, Bayview tightened policies this week to ensure the safety and well-being of our COVID19 free facility. As I’ve stated before, each week that passes without a case of COVID-19 at Bayview is a true blessing. The latest reports from the Department of Health (DOH) stated there were 201 facilities with known exposure of COVID-19 in Washington State. There are only 213 total nursing homes in Washington State. Bayview is 1 of only 12 other facilities in the entire state that have not been touched with COVID-19. This incredible feat can only be accomplished with the continued vigilance and sustained effort of each and every one of us. Thank you for your continued support and hard work to be well and stay healthy.
Trending question of the week:
Now that Governor Inslee is making plans to reopen the state, when will we be able to get back to “normal”? The Governor’s plan consisted of three phases and operates on the premise to reopen the state in the reverse order of the steps that were taken when the state initially progressed through the pandemic. The Executive team has reviewed the Governor’s plan and understands Bayview is not included as part of the Governor’s reopening until the last phase (phase 3) of the plan. Essentially, Senior living communities, Assisted Living, Memory Care, and Skilled Nursing Facilities house and care for the most vulnerable and at-risk population to be adversely affected by COVID-19.
With this in mind, the Executive team is in the process of reviewing our threat level grid, and developing a plan, in conjunction with the Governor’s plan, to reverse our steps over time. Bear in mind, the considered time frame is “months”, not weeks or days. We must remember, this is a marathon, not a sprint. As much as we want our lives to return to the way things were, COVID-19 is opportunistic. Any loosening of restrictions could allow COVID-19 to strike at Bayview and destroy all of our efforts to keep our community free of this horrible virus. Our reverse process must be systematic and measured, allowing for time to observe the potential effects of policy changes not only at Bayview, but throughout Washington State and the country. We must realize and be prepared to understand our day-to-day life will never be as it was before. A “new normal” will be established, and we will collectively, as a group, and as a society, will be stronger than ever before.
Sincerely,
Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
April 17, 2020
As of this writing, Bayview remains one of the few senior living communities that remain COVID-19 free, due in large part to the vigilance of residents and staff in following infection control guidelines and the measures we’ve put in place. The longer we are in “lockdown,” the harder it becomes to remain vigilant, but it is more important than ever.
Yes, we hear that Washington is “flattening the curve.” But make no mistake, the virus continues to spread, though it appears to be spreading at a slower rate. The virus is opportunistic: as people let down their guards, maybe ignore social distancing here and there, maybe not wear masks here and there, maybe not hand sanitize here and there, people will start getting sick again. And we’re seeing at other retirement communities when one person gets sick with COVID-19, it rarely stays with that one person because of the highly contagious nature of this virus. It spreads. Quickly. And remember, transmission can occur when people are asymptomatic. This is the devious part of the virus.
DO NOT ease up on infection control measures. Continue to abide by the measures we’ve put in place as well as the Governor’s order. I was just on a call with health officials from Seattle King County Department of Health, Department of Social and Health Services, and other state health care agencies. They stressed that the governor’s intent with his Stay Home Stay Safe proclamation was not to gather as long as we’re 6 feet apart – it was not to gather. Period. If you have to, make sure you’re at least 6 feet apart.
At the same time, we know that this too shall pass, and at some point we’re going to go back to “normal” life here at Bayview. We are planning for that as well, and our plan will probably look similar to the Governor’s plan of easing out of restrictions in phases. Stay tuned on that front. As always, our number one priority is your safety and well-being.
I continue to be honored and humbled to be part of such an amazing community. Stay safe, stay well. Your smiling eyes (above your masks) lighten all of our hearts. Have a great weekend, everyone.
With love and gratitude,
Nancy Weinbeck, CEO
COVID-19 Update
As another week passes, Bayview continues to be COVID-19 free. It is hard to describe what an incredibly large accomplishment this is. Through all of this, we each continue to struggle to find a new “normal”. We are being forced to develop new routines, and patterns of behavior, many of which we don’t like, all in hopes that this new routine is temporary.
As time passes, some of us are finding this “new era” of “social distancing” or “social isolation” difficult to adapt to. These times are challenging to all of us. Globally, from the leaders of nations, to locally, Governors of states, and even closer to home, the Executive Team and front-line leaders are being challenged every day to meet the normal standards, expectations and even regulations while the entire world around us changes, day-by-day, and sometimes hour-by-hour. Individual perception of what is “right” and what is “wrong” is being tested more than ever, and finding the strength within of patience, forgiveness, and understanding for not only others, but for ourselves is proving to test the limits of our human nature as a collective group.
It is easy to get caught up in the finer details of right and wrong, and with high stress and anxiety, these details may appear to us as “failures”. I want us all to keep the perspective and realize the accomplishment we have all made, together to remain COVID-19 free. We MUST keep this knowledge in the forefront of our minds. We are NOT failing. We ARE succeeding! Together we must all keep adapting, remaining vigilant, and keep fighting the urge to “bend the rules”. Do not waiver in our resolve. Only together can we keep safe. Only together can we stay healthy.
More trending questions:
1. “I have seen other people not following CDC or facility guidelines, and it scares me. What should I do, or what can be done to make these ‘other’ people utilize proper infection control procedures?”
Our frustration at the above issue stems from the loss of control of our own environment. COVID-19 has turned our lives upside-down. At this point, none of us want to be “told” what to do, or how to behave. However, as we have seen life around us dramatically change, coupled with fear about the seriousness of our current situation, we have this innate drive to control everything around us in order to stay safe and stay alive.
Quite simply, we cannot control the actions and behaviors of others. We can politely remind people of our collective social responsibility to utilize proper infection control practices, however, when reminders fall upon “deaf ears”, we need to make the choice to stay in control of our own actions. We should choose to socially distance ourselves away from those people. Please continue to utilize proper infection control procedures including proper hand hygiene. Continue to inform the executive leadership of situations that you feel are unsafe, or against our current policy. Continue to ask for clarification of our processes, and our leadership team will continue to educate and work with the small segment of people that have a more difficult time following proper guidance. We will also continue our sanitation rounds. Together, we will make a difference.
2. “Will I be forced to move out of my apartment if I contract COVID-19?”
Our top priority is the safety of all our residents at Bayview. Our leadership team has developed contingency plans if people contract COVID-19. There are measures in place to quarantine, consolidate (move people of like illness in the same area of the facility) and to cohort (move people of like illness in the same room) within areas of Bayview, including but not limited to, the Health Center. Our preference is Bayview people stay in Bayview. Please keep in mind, if Bayview acquires a COVID-19 positive case, the King County Department of Health (DOH), and the Department of Social and Health Services (DSHS) will be notified. DOH will notify the Washington State Department of Health, who will then notify the Federal Centers for Disease Control (CDC). These four (4) agencies will descend upon Bayview and temporarily direct our COVID-19 operations. It will be the executive team’s responsibility to work collaboratively and in conjunction with these agencies to ensure the safety of all of our residents. Even with our current contingency plans, if the State and Federal agencies recommend moving infected residents to other locations such as hospitals or acute care settings, we will follow their guidance and notify the appropriate responsible parties at that time. Bayview residents who have fully recovered from COVID-19 will not lose their apartment. I want to reiterate, Bayview remains COVID-19 free as of this writing.
Sincerely,
Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
April 3, 2020
Heroes in our midst – A message from our CEO
The number of senior living communities that have residents and/or staff testing positive for COVID-19 is growing larger and larger (per a Seattle Times article, at least 90 facilities in the state had confirmed coronavirus outbreaks as of Tuesday). At this point Bayview is in a rather small pool of unaffected communities, as far as we know as of this writing. We know coronavirus is all around Seattle. All we can do is continue to follow the protocols we’ve put in place and trust in our residents and staff to follow all guidelines so that we all stay safe.
On Monday March 23rd, we started a new protocol with staff – every staff person must wear a mask from the time they enter the building until the time they leave. While these are cotton filtered masks, not medical grade masks, they will protect others from transmission because the mask will catch any sneeze or cough droplets. They will also protect staff by helping them to keep their hands away from their faces, which is how the virus enters the body. We are now requiring any outside visitors (only essential visitors are allowed) to wear masks. They must provide their own masks, as we do not have excess supplies. The guidance on masks continues to change and we will notify residents as we change any protocols.
Every resident that follows guidelines is a hero, by keeping themselves safe and keeping others safe. We are so grateful and thank you beyond words. But I also wanted to call attention to our amazing staff, who put themselves on the front lines every day to make sure that our residents are receiving the services they need to stay safe and healthy. I frequently write and share with the Board how our residents inspire all of us every day. And that continues to be true. But it is also true of our staff. I am inspired each and every day by our staff that come to work, day in, day out, to make sure our residents and the entirety of Bayview survives and thrives as we continue to work our way through this unprecedented challenge.
As we come upon Passover, Easter, and holidays of your tradition during this season, I wish you all the blessings in the world so that you and your loved ones stay safe and well as we get through this together (socially distanced).
With love and gratitude,
Nancy Weinbeck, CEO
COVID-19 Update
As I sit here working from home writing this message, I am astonished at the sweeping and rapid changes in American culture. It has been five short weeks since the first deaths occurred at the Life Care of Kirkland facility, and we find ourselves in the midst of a “virtual” revolution in the way we conduct our daily lives. From work, to social life, to daily routines of eating, greeting, and cleaning; everything has changed in monumental ways. Almost all of these changes will have lasting repercussions as how we “human beings” conduct our lives from here on out. With this being stated, never have I been prouder to be a part of the Bayview family. As of this writing I am so pleased and humbled to inform that Bayview is still COVID-19 free. This could not be possible without the sustained and consistent vigilance for adherence to the Governor’s “Stay-at-Home” proclamation, and our commitment to excellent infection control practices and the enforcement of the safety protocols and policies by our residents and staff alike. All of us should be very proud of the efforts we have accomplished and the sacrifices we have made to keep us all safe and healthy.
In understanding our situation, it may become easier to believe or feel the threat of COVID-19 is not real, and the precautions we are taking are too extreme. The thought of “COVID-19 won’t happen to me” may begin to surface in our mind. We must discourage this attitude. I can assure you, every day, members of the executive team are saddened by the growing list of communities that are affected by this virus. Every day, we all see the reports of the numbers of people infected locally, regionally and globally on the television; and the death toll keeps rising. NOW IS NOT THE TIME FOR COMPLACENCY! We must rise to this occasion and continue our perseverance of remaining free of this virus. It can be done!
The past week has seen lots of movement taken by Congress to pass many needed relief measures for the American people, and the healthcare industry as a whole. Executive team members attend daily conference calls with State and National agencies to stay apprised of the latest information and regulations surrounding COVID-19. Our team is tirelessly working to stay informed and make the necessary changes and adjustments to our operations and policy to keep up with the swiftly evolving information coming from the Centers for Disease Control (CDC), the Department of Health (DOH) and from the Centers for Medicare Services (CMS). We are continually planning for the possibilities of the future. In our efforts to stay informed, we are doing our best to keep you informed of any changes or information that comes our way. Please continue to call or email, and we will answer any questions you may have as quickly as we can. Common questions that are frequently asked are:
1. When will COVID-19 testing be available to the public? The CDC and the DOH continues to maintain that only people who are symptomatic of COVID-19 should be tested at the request of a physician. There is a growing movement within government agencies to push for testing of all residents and healthcare workers in facilities with known COVID-19 positive cases, but this has not been made official, and as of this writing, does not apply to Bayview.
2. Will Bayview require all residents to wear facemasks? The CDC is conducting studies to determine whether a change in policy will occur recommending the general public wear face masks at all times when out of the home on essential business. If and when this change occurs, Bayview will determine the next course of action to assist our population in meeting this recommendation.
As other common questions arise, I will address those concerns in future Weekly Newsletters. Thank you for your continued support and observance to the safety measures in place. Even though the “American way of life” may have permanently changed, the strict measures in place at Bayview today are temporary until a new “normal” is found. Stay safe and be healthy!
Sincerely,
Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
March 23, 2020
As you are aware, a resident met the criteria for testing for COVID-19 last Friday. Bayview is pleased to announce today that negative results were returned. We are grateful for the resident who demonstrated proactive action as well as the compassion and vigilance exhibited by the individual and the entire Bayview community. As of Monday, March 23, there is still no confirmed case of COVID-19 at Bayview.
While we are grateful the individual does not have COVID-19, we must continue to take current protocols and prevention efforts seriously. We are continuing to ask everyone to stay on precautionary self-isolation.
Precautionary self-isolation includes eliminating nonessential needs and tasks as much as possible. We understand there are certain essential functions that are necessary and may include taking out your garbage, relieving your animal, or getting essential shopping done. Walking out in Bayview’s Terrace Lawn is considered essential as it is beneficial in mind and spirit to get fresh air but please do so by maintaining social distancing of 6 feet or greater. If you see more than 10 people then please refrain from going out and try again at another time. We recognize that there will be many questions on what is considered safe and what is not. Ultimately, we ask that any non-essential needs be reduced as much as possible, if not eliminated.
In the event you must head out to purchase essential items, several chains have established special shopping hours to help those 60 and over safely get groceries. Here are the dedicated opening hours for seniors. Please call ahead as times are subjected to change.
• Safeway/Albertsons: Tuesdays and Thursdays from 7:00 am-9:00 am
• Metropolitan Market: Monday through Friday, 7:00 am – 8:00 am
• Whole Foods: Daily, 7:00 am – 8:00 am
• Target: Every Wednesdays, 7:00-8:00 am
• Walmart: Every Tuesday, one hour before stores open to general public. March 24 – April 28.
A friendly reminder: Bartell’s is continuing to deliver. Please reach them at 206-284-1353. Safeway, Metropolitan Market, Amazon Fresh and other grocery chains have delivery solutions as well.
We truly thank everyone for taking critical steps to ensure we remain COVID-free.
Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
March 16, 2020
Effective Monday, March 16, King County Executive Dow Constantine and Dr. Jeff Duchin announced the following:
Governor Jay Inslee has also urged that anyone over 70 years old to self-isolate immediately.
We are asking Bayview residents to remain in their apartments and isolate themselves, especially during meals, and try not to leave any more than you have to in an effort to continue to keep Bayview free from COVID-19. We will be delivering memos with meals, as well as checking temperatures in your apartments. Check your mail a few times a week instead of everyday. Our population is the most at-risk, and isolation like this may save your life and your neighbor’s life.
Furthermore, in an effort to minimize your exposure and mitigate risk, we are taking steps to limit resident contact with staff. Non-essential and high-risk staff will be working from home or have limited hours at Bayview.
Some of you may be volunteering your time with those less fortunate outside Bayview. Considering these circumstances, you are putting yourself and your fellow residents and staff at risk.
We are looking at opportunities to accommodate needs – this includes food delivery, programming, Skype and livestreaming, and more. We realize the importance of social connection and are doing our best to find ways to provide this without putting anyone at risk.
Thank you for your continued patience and understanding with these changes.
Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
March 13, 2020
As a reminder, no one at Bayview has shown any signs or symptoms of COVID-19. According to the King County Department of Health, the best way of determining if someone has an infection is by taking the individual’s temperature. 100.4 degrees is the threshold specifically recommended by the Department of Health and a reading of 100.4 degrees or above means you should not enter if you are a staff member, and should self-isolate or be placed on “contact precautions” as a resident. Staff members sent home will not be allowed into the building until 14 days after discovery. If staff are sent home, we recommend the staff member consult with their physician about testing if their symptoms continue to grow and are consistent with COVID-19 symptoms. With staff screening and temperature readings already in place, we have recently learned as of Friday 3/13, new Centers for Disease Control (CDC) recommendations:
The CDC has recommended we take the temperature of all residents at Bayview. Starting Monday 3/16, we will be providing daily temperature readings of all Independent Living residents. In order to carry out this measure and be as least disruptive to your schedule as possible, we will conduct temperature screenings starting around 9:30 am. Those unavailable at that time will have their temperature taken in the afternoon following lunch. While this is voluntary, we strongly recommend your participation to ensure Bayview remains free from COVID-19. Residents in independent living who have a result of 100.4 or higher will be recommended to isolate to their apartments and contact their primary care provider for further guidance.
As an additional note: To date, the CDC and the Department of Health have not mandated testing for COVID-19 for the public. Testing only occurs when indications of COVID-19 symptoms are prevalent, and when ordered by a physician. Due to HIPAA rights, we are not at liberty to say if people have been tested or not at Bayview.
We thank all of you – residents and staff – for continuing to remain vigilant at this time. Please continue to practice good handwashing techniques and follow the recommended guidelines in place by Bayview, the CDC and the State of Washington.
Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
March 10, 2020
Gov. Jay Inslee announced new rules today for nursing homes and assisted living facilities that focus on increased protection for older adults – a population more likely to be hit by COVID-19. The rules go into effect today, March 10th, and will remain in effect until midnight on April 9, 2020 in accordance with Gov. Inslee’s proclamation. While Bayview has enforced many of the protocols already, we would like to share two new measures:
1) Congregate dining will be closing in all three venues (Cloud Room, Bistro, Terrace View Main Dining). We will officially begin room service for dinner Wednesday, March 11th . Beginning Thursday, March 12th, all three meals (breakfast, lunch, dinner) will be room service only until further notice. We will be delivering during the following hours.
Breakfast: 7:30am-9:00am
Lunch: 11:30am-1:00pm
Dinner: 4:45:6:30pm
We will be offering a choice when we arrive to your door. If you know you will not be available during these mealtimes, please inform food services (ext. 2131). Special diets will be accommodated as always.
For Assisted Living residents, room and tray delivery service will also be in effect. For Skilled Nursing residents, a modified dining schema will accommodate the 6’ social distance requirement.
2) All employees must be screened for COVID-19 symptoms at the start of each shift. There will be one point of entry at the front desk located on the second-floor entrance in which staff will fill out a questionnaire. While Bayview has been screening staff already, we are now implementing more frequent documentation.
As of this writing, ten senior communities have confirmed cases of COVID-19. We are continually sending our thoughts and prayers to all those impacted. Extraordinary circumstances call for extraordinary measures. These are the measures we are implementing to reduce your risk of exposure.
Thank you for your unending patience and understanding with these changes.
Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
March 4, 2020
We are vigilantly monitoring guidance from Public Health agencies regarding COVID-19 and updating our protocols accordingly.
From Public Health Seattle and King County: “State and local officials announced today new recommendations to King County residents aimed at reducing their risk of exposure to COVID-19. We understand these actions will have a tremendous impact on the lives of people in our community. We are making these recommendations in consultation with CDC based on the best information we have currently to protect the public’s health. This is a critical moment in the growing outbreak of COVID-19 in King County and these measures can potentially impact the spread of the disease.”
It is our responsibility to leverage further Bayview-wide initiatives to ensure the health of our residents.
Effective immediately:
At this time, we are not prohibiting internal activities or congregate dining. Should guidance change, we will make necessary adjustments.
Thank you again for your continued patience and understanding as we work together in protecting the community.
Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
March 3, 2020
Dear Bayview Community,
As you may have heard, additional cases of coronavirus disease (COVID-19) have been confirmed in King and Snohomish County, including six deaths. Our heartfelt sympathies go out to all those who have been affected by these losses and to anyone directly impacted by this outbreak.
We recognize that media and rapidly evolving conditions related to COVID-19 create fear, uncertainty and anxiety. It is important to emphasize that while the number of cases are increasing, the vast majority of the illnesses around the world are mild, with fever and cough and the immediate health risk for the general public is still relatively low.
Currently, no members of the Bayview community have been diagnosed with COVID19. We want to share with you information, resources, and examples of proactive steps Bayview is taking to help safeguard and protect the health of our community.
What is Bayview doing to proactively keep our community as healthy as possible? Bayview continues to adhere to universal precautions of infection control such as practicing good hygiene. We are also increasing our disinfection and sterilization daily routine on all “high-touch” surfaces. These are measures and techniques we employ already, every day. However, as a precautionary measure, we are making the same types of preparations that we would normally make for any potentially disruptive situation, such as an outbreak of pandemic flu. This includes working with management and senior leadership to maintain our operations and services in the event of a disruption. We are also working in consultation with King County and State Department of Health agencies, the Centers for Disease Control (CDC), and Infection Control Preventionists to monitor conditions and follow the most current recommendations. We are also taking preventative measures to minimize exposure by limiting events and activities involving the outside community. Even if these measures prove to be unnecessary, they will protect our community now and moving forward.
What can we do as a community to help prevent the spread of illnesses like flu and coronavirus? The best way to prevent illness is to avoid being exposed to this virus. However, as a reminder, CDC always recommends everyday preventive actions to help prevent the spread of respiratory diseases, including:
Considerations for Overseas travel: We strongly advise that anyone planning personal travel overseas consult current CDC Travel Notices before departing. Because the situation is changing daily, it is possible that the CDC will add more countries to the list.
Stay informed: Information is changing frequently. We recommend the following resources for ongoing updates:
Public Health Seattle & King County Coronavirus webpage: www.kingcounty.gov/COVID
WA State Dept. of Health Coronavirus webpage: www.doh.wa.gov/Emergencies/Coronavirus
Centers for Disease Control: http://www.cdc.gov/covid19
Remain calm and show compassion: This virus poses a global challenge – compassion, empathy, and sense of togetherness is required in these extraordinary times.
Where should questions be directed?
Joel Smith, Bayview Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org
Janice Pate, Bayview Director of Nursing
Office: 206.281.5778 | jpate@bayviewseattle.org
We will continue to monitor COVID-19 updates closely and will share new information or details as they become available. Remember, continue to follow daily personal hygiene best practices!
Sincerely,
Joel Smith, Health Services Administrator