Our new and improved COVID-19 webpage is located here. This page is currently used to display all past memos.

COVID-19 Latest Memos

5/5/2021

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:

  • The resident has been moved to the containment zone to be cared for by the dedicated COVID-19 staff.
  • Residents and staff will continue to be frequently screened and tested to monitor for further exposure.
  • Visitation will continue to be suspended on the Health Center until further notice.
  • The Department of Health and the Department of Social and Health Services have been notified. The Health Center is following all guidance and recommendations from these agencies.
  • This exposure resets the quarantine and outbreak clock. The Health Center will remain in quarantine through May 24th, 2021. The outbreak on the Health Center will clear on June 7th, 2021 barring any further signs or symptoms of COVID19, or any further positive test results.

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


PDF Version Here.

5/5/2021

COVID-19 Update: 

The Health Center has just become aware of another COVID-19 positive resident on May 5, 2021 at 2:15pm.

  • The resident has been moved to the containment zone to be cared for by the dedicated COVID-19 staff.
  • Residents and staff will continue to be frequently screened and tested to monitor for further exposure.
  • Visitation will continue to be suspended on the Health Center until further notice.
  • The Department of Health and the Department of Social and Health Services have been notified. The Health Center is following all guidance and recommendations from these agencies.
  • This exposure resets the quarantine and outbreak clock. The Health Center will remain in quarantine through May 18th, 2021.
  • The outbreak on the Health Center will clear on June 1st, 2021 barring any further signs or symptoms of COVID-19, or any further positive test results.

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.

  • Scheduled visitation will resume.
  • At risk dining will resume.
  • Small group (four (4) or less), socially distanced activities will resume.

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


PDF Version Here.

4/28/2021

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:

  • A non-clinical, Assisted Living employee who last worked on April 27th, 2021, tested positive twice, using the facility’s rapid antigen testing equipment.
  • A resident on the Health Center tested positive twice, using the facility’s rapid antigen testing equipment.
  • The employee and the resident were immediately administered a PCR test to confirm the antigen test results. The test was sent to the laboratory, with results pending within the next 48-hours.
  • IF PCR testing confirms the positive cases, this will be Bayview’s first two “Break-Through” case, as both people were fully vaccinated.
  • The employee was immediately sent home after testing.
  • The resident is isolated, and in quarantine.
  • A containment tent has been erected containing the isolated resident room to prevent the risk of exposure.
  • Specific staff members are designated to care for the resident during the quarantine period.
  • Emergency PPE has been distributed to the appropriate staff.
  • The employee and resident were completely asymptomatic and did not shown any signs or symptoms of illness.
  • The employee did not have any direct contact with any resident at Bayview.
  • Contact tracing is being conducted. Employees and residents noted with potential contact will be notified and tested.
  • The King County Department of Health (LHJ), and the Department of Social and Health Services (DSHS) have been notified of the exposure, and Bayview is following all recommended guidance.
  • This situation classifies Bayview in an “Outbreak” status in accordance with the Centers for Disease Control (CDC)’s definition.
    • Visitation on the Health Center, 2nd and 3rd floor Assisted Living is temporarily stopped until further notice.
    • Activities on the Health Center, 2nd and 3rd floor Assisted Living are temporarily suspended.
    • Residents on the Health Center, 2nd and 3rd floor are strongly encouraged to remain in their apartments until further testing can be completed.
    • Employees are strongly encouraged, and schedules have been adjusted, to reduce / limit travel between the Health Center and Assisted Living Unit to other floors of the facility.
    • The quarantine does not affect:
      • The Memory Care Unit
      • Independent Living
    • Health Center and Assisted Living Residents and staff on the 2nd and 3rd floor will be tested every-other-day for, at least, the next five (5)-days to determine the extent of the potential exposure.
    • Depending upon the extent of the exposure, the self-quarantine is anticipated to last at least seven (7) days.

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:

  • Common areas on each floor of the tower.
  • The reception area on 2nd
  • The waiting area on the 1st
  • The Maintenance Shop.
  • The main kitchen door.
  • The Health Center.

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:

  1. The infection rate per 100,000 people in King County continues to climb. As of this writing the infection rate is: 229.3 which equals:
    • 5,274 people EACH DAY with a new positive COVID-19 exposure case in King County alone.
    • This level of community exposure is the highest since early January 2021 and is higher than the initial peak in April 2020.
  2. Governor Inslee is scheduled to potentially roll-back the “Roadmap-to-Recovery” phase to Phase II.
  3. Bayview has experienced a new positive case.
  4. Bayview has positive surface testing exposure.

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:

  • Independent Living in apartment visitation would be suspended.
  • Reduced limited seating for dining.
  • Reduced class sizes for activities and the fitness center.
  • Employee “to-go” meals provided only upon advanced request.

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.

  • Constant and consistent use of Facemasks when in public.
  • Consisted use of hand sanitizers.
  • Frequent sanitation of your surroundings.
  • Plan for safe OUTDOOR activities.
  • Always practice social distancing when in public.

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


PDF Version Here.

4/15/2021

COVID-19 Update: Positive Case

We regret to report that Bayview has experienced a positive COVID-19 case. Here is what we know:

  • A Health Center employee tested positive for COVID-19.
  • The employee has not been in the facility since April 8th, 2021.
  • Health Center residents, staff, and other employees associated with the Health Center will be immediately tested to determine the extent of exposure potential.
  • Health Center staff and residents are on enhanced screening protocols for the next 14-days.
  • Increased sanitation efforts have been reinstituted throughout the facility as an extra precaution.
  • Contact tracing is being conducted by the King County Department of Health alongside Bayview.
  • This positive case brings our total staff cases to eight (8) since the start of the pandemic, March 2020.
  • This information came to light this morning and we are working hard to get communication out to everyone. Aside from the Health Center, we are not changing any protocols currently in place.

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


PDF Version Here.

3/26/2021

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:

  1. Wear a well-fitting facemask.
  2. Practice good hand hygiene by frequently using Alcohol Based Hand Rub.
  3. Practice six (6) foot social distancing.
  4. Comprehensive and truthful screening practices.

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:

  • A fully vaccinated Resident / Individual is a person who has received the recommended doses of COVID-19 vaccine (two shot series for Pfizer or Moderna, one shot series for Johnson & Johnson), and 14-days have past since the last recommended dose of COVID-19 vaccination.
  • A Resident / Individual is NOT fully vaccinated prior to the 14-day post final vaccination period, or with only one dose of a two-dose series received.

OUTDOOR VISITATION:

  • It is “BEST PRACTICE” to conduct any visitation outdoors.
  • There are no changes to Bayview’s outdoor guidance.
  • Please continue to schedule outdoor visitation with the appropriate Director / Manager of each type of care level:

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.

  • Employees have been notified the visitor parking lot will be closed to employees and open for visitors beginning Monday, March 29th, 2021.
  • Please note there are parking lot exceptions for specific staff made on a case-by-case scenario and with supervisor approval.
  • Nightshift staff can still park in the visitor lot between 5 pm to 7 am.

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:

  • A fully vaccinated resident may visit with a fully vaccinated visitor.
  • A fully vaccinated resident may visit with an unvaccinated visitor.
  • An unvaccinated resident may visit with a fully vaccinated visitor.
  • An unvaccinated resident may visit with an unvaccinated visitor ONLY for compassionate care reasons as assessed on an individual basis.

The following describes when indoor visitation is NOT allowed:

  • An unvaccinated resident may NOT visit with any unvaccinated visitor.
  • It is the responsibility of the Resident to inform visitors of the resident’s vaccination status. Facility staff is unable to give this information directly to visitors as divulging Resident medical information is a violation of HIPAA regulations.

QUARANTINE:

There have been changes made to the need to quarantine.  The following is a brief description:

  • Fully vaccinated people, who are asymptomatic and have not been exposed to COVID-19 do NOT need to quarantine for 14-days upon admittance to Bayview.
  • A new risk assessment has been created which accounts for vaccination. Please refer to the new Risk Assessment form dated March 19th, 2021 to assess your risk of exposure for essential and non-essential trips outside of Bayview.
  • It is the Resident’s responsibility to notify a supervisor, or Executive team member if you believe you assessed your risk of exposure to be categorized as “high”.

FACILITY ENTRANCE SCREENING:

  • All visitors must screen at Reception at the Aloha Street Main Entrance. Visitors are not allowed entrance to the facility from any other entrance.
  • All employees must screen at the front lobby at the Aloha Street Main Entrance.
    • Once the initial employee screening is complete, employees may enter from other facility entrances throughout the facility.
    • Employees must show the current daily security sticker to the camera in order to gain entrance from other locations.
    • If the employee has lost their daily security sticker, the employee must re-enter from the Aloha Street Main Entrance AND rescreen to obtain a new security sticker.
  • It is the responsibility of the visitor and employee to answer screening questions truthfully and honestly.
  • If a visitor / employee is not feeling well, the visitor/employee should stay home.
  • If a visitor does not know the vaccination status of the resident they have come to see and have not been fully vaccinated themselves, the visitor should stay home.

TRAVEL:

In accordance with the Governor’s proclamation regarding travel to Washington State:

  • Visitors who have traveled from out of state are required to quarantine for seven (7) days post travel and test negative three (3) to five (5) days post arrival PRIOR to entry into Bayview OR;
  • Visitors who have traveled from out of state are required to quarantine for ten (10) days post travel without testing PRIOR to entry into Bayview.
  • Visitors will be denied entry to Bayview if they do not meet the screening criteria.

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.

  • In-apartment visitation is allowed; however, we continue to strongly encourage outdoor visitation.
  • Visitation in common areas inside Bayview is NOT allowed. Visitors must move directly from the screening area to the resident’s apartment.  Once visitation is over, the visitor must leave out the nearest exit.
  • Reasons for no common area visits:
    • 96% of Bayview Residents, and 81% of Bayview employees were vaccinated. While these numbers, in comparison to other facilities with rates below 60%, are exceptional, there are still unvaccinated people in Bayview that could ignite widespread exposure and illness to all.
    • There is still a 1 in 20 chance a vaccinated person can be afflicted with COVID-19.
  • Limit apartment visitation to no more than two (2) visitors at a time for proper social distancing.
    • If the Resident is unvaccinated, one (1) visitor is vaccinated, and one (1) visitor is NOT vaccinated, the non-vaccinated visitor will NOT be allowed to visit.
  • Limit apartment visitation to 1 visit a day to control the facilities overall viral exposure load.
  • Although it is not encouraged or recommended, fully vaccinated Residents AND fully vaccinated visitors may relax or loosen facemask use while inside the Resident’s apartment. However, facemask use is required at all times when outside of the residents’ apartment.
  • Although it is not encouraged or recommended, the Resident may choose to have close contact. If chosen, the Resident and visitor should:
    • wear well-fitting facemasks,
    • should limit the duration of close contact as possible, and
    • should sanitize hands before and after the close contact.
  • Visits should occur between the resident and family / visitor only and should not include other Bayview residents at the same time for the same exposure reasons listed above.

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.

  • Outside visitation is still considered “Best Practice” and should continue as previously scheduled including the 30-minute time frame, and monitors.
  • Current Phase 1 guidance eliminates the “Essential Support Person” and allows for inside facility visits in designated areas only. In-apartment visitation will be allowed as the King County infection rate improves or in specialized, and as individualized Compassionate Care Visits (CCV) allow.  For more information about CCV visitation on Assisted Living, please contact Pamela Yeo x2127 (pyeo@bayviewseattle.org or 206-281-5755).
  • Designated indoor visitation areas for Assisted Living are:
    • The TV lounge.
    • The Dining room.
  • Increase indoor visitors to two (2) people at a time.
  • Indoor visitors do not need to be designated by the resident.
  • Indoor visits do not need to be monitored, but visitors and / or the Resident should know how to contact staff in the event of a concern or need.
  • Visitors need to be escorted to and from the designated Assisted Living visitation area to control and limit exposure to others as outlined in 1 and 2 above.
  • Limit visitation to the schedule of designated areas. To schedule your indoor Assisted Living visit, please contact Pamela Yeo as listed above.
  • Increase the duration of the visit to 45-minutes.
  • Increase the frequency of visitation to one (1) visit per week.
  • Designated areas must be sanitized before and after each visit.
  • Residents may choose to have close contact, including touch. If chosen, the Resident and visitor must:
    • Must wear well-fitting facemasks during any touching.
    • Sanitize hands prior to and immediately after the close contact.
  • Current Phase 1 guidance does NOT allow for loosening of facemask use in Assisted Living. The Executive Team continuously monitors the King County rate of infection for any adjustments to this requirement.
  • After-hours visitation is allowed on a person-centered, individualized basis.

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.

  • Outside visitation is still considered “Best Practice” and should continue as previously scheduled including the 30-minute time frame, and monitors.
  • Current Phase 1 guidance eliminates the “Essential Support Person” and allows for inside facility visits in designated areas only. In-room visitation will be allowed as the King County Infection rate improves, as resident privacy allows, or in specialized, and as individualized Compassionate Care Visits (CCV) allows.  For more information on Skilled Nursing CCV visitation, please contact Janice Pate x3354 (jpate@bayviewseattle.org or 206-281-5778).
  • Designated indoor visitation areas for Skilled Nursing are:
    • The “Fish Tank” area.
    • The Dining room.
  • Increase indoor visitors to two (2) people at a time.
  • Indoor visitors do not need to be designated by the resident.
  • Indoor visits do not need to be monitored, but visitors and / or the Resident should know how to contact staff in the event of a concern or need.
  • Visitors need to be escorted to and from the designated Skilled Nursing visitation area to control and limit exposure to others as outlined in 1 and 2 above.
  • Limit visitation to the schedule of designated areas. To schedule your indoor Skilled Nursing / Health Center visit, please contact Janice Pate as listed above.
  • Increase the duration of the visit to 45-minutes.
  • Increase the frequency of visitation to one (1) visit per week.
  • Designated areas must be sanitized before and after each visit.
  • Residents may choose to have close contact, including touch. If chosen, the Resident and visitor must:
    • Must wear well-fitting facemasks during any touching.
    • Sanitize hands prior to and immediately after the close contact.
  • Current Phase 1 guidance does NOT allow for loosening of facemask use in Skilled Nursing. The Executive Team continuously monitors the King County rate of infection for any adjustments to this requirement.
  • After-hours visitation is allowed on a person-centered, individualized basis.

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.

  • Outside visitation is still considered “Best Practice” and should continue as previously scheduled including the 30-minute time frame, and monitors.
  • Current Phase 1 guidance eliminates the “Essential Support Person” and allows for inside facility visits in designated areas only. In-room visitation will be allowed as the King County Infection rate improves, as resident privacy allows, or in specialized, and as individualized Compassionate Care Visits (CCV) allows.  For more information on Skilled Nursing CCV visitation, please contact Pamela Yeo x2127 (pyeo@bayviewseattle.org or 206-281-5755).
  • The designated indoor visitation area for Dorothy’s Place Memory Care is:
    • The Living room.
  • Increase indoor visitors to two (2) people at a time.
  • Indoor visitors do not need to be designated by the resident.
  • Indoor visits are monitored, but monitors should allow for as much privacy as possible.
  • Visitors need to be escorted to and from the designated Dorothy’s Place Memory Care visitation area to control and limit exposure to others as outlined in 1 and 2 above.
  • Limit visitation to the schedule of designated areas. To schedule your indoor Dorothy’s Place Memory Care visit, please contact Pamela Yeo as listed above.
  • Increase the duration of the visit to 45-minutes.
  • Increase the frequency of visitation to one (1) visit per week.
  • Designated areas must be sanitized before and after each visit.
  • Vaccinated Residents may choose to have close contact, including touch. If chosen, the Resident and visitor must:
    • Must wear well-fitting facemasks during any touching.
    • Sanitize hands prior to and immediately after the close contact.
    • Visitors should continue to wear Personal Protective Equipment (PPE) including gowns, gloves, and eye protection during any touching.
  • Current Phase 1 guidance does NOT allow for loosening of facemask use in Memory Care. The Executive Team continuously monitors the King County rate of infection for any adjustments to this requirement.
  • After-hours visitation is allowed on a person-centered, individualized basis.

CHILDREN:

  • Children, considered ages two (2) through seventeen (17) are allowed to visit as one (1) of the two (2) visitors as long as the Resident is fully vaccinated AND the child can follow the core principles of infection control including:
    • Proper facemask use.
    • Proper social distancing.
    • Proper hand hygiene.
    • Controlled movement and behavior.
  • Infants, considered ages zero (0) to two (2) years of age, are allowed and are not counted as part of the total visitation count.
  • Residents must be fully vaccinated to have infant and child visitation.
  • Ensure strict adherence to the core principles of infection control if the fully vaccinated Resident chooses to hold the infant.

ESSENTIAL CONTRACTORS:

Essential Contractors, such as the elevator crew, or salon workers:

  • Are not required to be vaccinated.
  • Must adhere to the core principles of infection control including personal protective equipment (PPE) usage.
  • Must screen Residents prior to providing services, as applicable.
  • Must sanitize the space before and after each service.
  • Must follow the Governor’s “Healthy Washington, Roadmap to Recovery” guidance.

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:

  • A vaccinated Assisted Living (AL) or Skilled Nursing (HC) Resident would like to participate in the Independent Living (IL) knitting club. Please contact Heather Smith x2313 (hsmith@bayviewseattle.org or 206-281-5759).
  • A vaccinated AL or HC Resident would like to visit an IL Resident’s apartment. This type of “visit” is treated as such and the AL or HC Resident must coordinate with the IL Resident to ensure daily visitation limits are not exceeded.
  • An IL Resident may visit with AL or HC Residents through the scheduled visitation process. Please contact the appropriate care level manager to schedule Inter-facility visitation on AL, MC, or HC.
  • An IL Resident may meet an AL or HC resident outside on the outdoor Terrace Level during walking times (before noon, and between 2PM-4PM). These are not scheduled visits.

Examples of what is NOT allowed:

  • An IL resident may not pick up an AL resident in Assisted Living to assist or escort outside of the Assisted Living Unit.
  • AL or HC Residents are not allowed to dine in the main dining room related to current “Safe Start for Long-Term Care Recommendations and Requirements” guidance.

DINING ROOM:

  • Visitors will not currently be allowed to eat with Residents in the Dining room or any other location within Bayview.
  • Again, Independent Living visitors are only allowed in the specific Resident apartment, and not in public locations yet. Other care area visitors are allowed ONLY in designated areas within Bayview.
  • This may change in the near future dependent upon State and Federal guidance, and the decline of King County rates of infection.
  • Dan Galvin, Director of Culinary Services, will have additional information regarding dining questions and concerns in addition to this memo.

ELEVATOR CAPACITY:

Elevators 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.

For this reason, elevator capacity has not changed.

  • North Elevator: NO MORE THAN FOUR (4) people at 1 time. Each person should stand in one of the corners, as far away from others within the elevator car.
  • Tower Elevator: NO MORE THAN TWO (2) people at 1 time. Each person should stand on either side of the elevator car.
  • Bayview employees have been educated to utilize the stairs whenever possible. However, there are some tasks and medical circumstances that requires or allows some staff to utilize the elevators.
  • Elevator capacity limitations includes ALL EMPLOYEES at Bayview. If you witness more than the recommended capacity of employees within an elevator car, please contact any supervisor, an Executive Team member, Dawn Gramstad, Director of Human Resources at dgramstad@bayviewseattle.org or x3114, or me at jsmith@bayviewseattle.org or x3357.

FUTURE VACCINATIONS:

  • Residents and employees who are new to Bayview and / or did not receive or have not received the COVID-19 vaccination may now request to get vaccinated.
  • Mercury Pharmacy has developed plans for on-going vaccination clinics with Bayview.
  • In order for a clinic to occur, there must be a minimum of 20 people ready for vaccination. Please contact Janice Pate x3354 (jpate@bayviewseattle.org or 206-281-5778) at your earliest convenience to be placed on our vaccination waiting list.

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


PDF Version Here.

3/19/2021

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:

  • March 8th, 2021 – The Centers for Disease Control (CDC) published their guidance on visitation, which we then began using to shape and execute our visitation policies.
  • March 9th, 2021 – The King County Department of Health clarified the CDC guidance issuing statements that the CDC guidance pertained to the “general population” only and was not applicable to “Healthcare Settings”. This meant that it could be applicable to our Independent Living Residents, but not our Assisted Living or Skilled Nursing Residents.
  • March 11th, 2021 – The Centers for Medicare and Medicaid Services (CMS) published their guidance on visitation, which was different than the CDC guidance.
  • March 12th, 2021 – The Department of Social and Health Services (DSHS) issued a statement instructing “Healthcare Facilities” to ignore the CMS guidance as the February 1st, 2021 “DSHS Safe Start for Long-Term care” guidance was more restrictive than the CMS guidance. The “DSHS Safe Start for Long-Term care” guidance was revised and updated.
  • March 17th, 2021 – Governor Inslee publicly announced that all Healthcare facilities must open visitation immediately but provided no details of how to open visitation safely, or how to follow current DSHS restrictions at the same time.
  • March 18th, 2021 – DSHS issued a statement asking Healthcare providers to wait for new guidance to be released “soon.”
  • March 19th, 2021 – DSHS released another updated version of the “DSHS Safe Start for Long-Term Care” guidance, outlining new visitation rules and restrictions.

With each and every “update,” many tasks must occur across the entirety of Bayview, including but not limited to:

  • Obtaining a clear understanding of the changes.
  • Balancing the understood changes with the current policy in place.
  • Revising the policy to meet the most current regulations.
  • Drafting, editing, and finalizing proper communication to Residents, employees, families, and the public.
  • Implement signage, and screening device changes.
  • Teach and train staff of guidance and regulatory changes.
  • Implement physical environmental changes for successful compliance.

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


PDF Version Here.

3/11/21

COVID-19 update:  Positive case

I regret to report that Bayview has experienced another positive COVID-19 case.  Here is what we know:

  • A non-clinical, healthcare employee who last worked on Saturday, March 6th, 2021 tested positive for COVID-19 from an outside testing site.
  • The employee is asymptomatic and does not show any signs or symptoms of illness.
  • The employee has not been in the facility since March 6th, 2021 and did not have any direct contact with any resident at Bayview.
  • The Health Center is now considered to be in an Outbreak status.
  • Health Center small group activities, visitation and new admissions are temporarily suspended through March 24th, 2021.
  • Health Center residents, staff, and other employees associated with the Health Center will be immediately tested to determine the exposure potential.
  • Contact tracing reveals exposure occurred off-site, NOT at Bayview.
  • This positive case does not count towards Bayview’s infection rates.

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:

  • The reopening of the Terrace Garden Food Court. Please note we are postponing the reopening to Wednesday, 3/17/21.
  • Ability to gather in private areas with other fully vaccinated residents.
  • Allowance of Independent Living co-mingling.
  • Opening the Fitness Center 7 days a week and with increased capacity.
  • Larger outdoor fitness groups (weather dependent).
  • The return of Vespers in a limited fashion in Albertson Center.
  • Childcare children with limited outdoor Terrace level access.

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


PDF Version Here.

3/5/21

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:

  • Are fully vaccinated (>2 weeks following receipt of the second dose in a 2-dose series, or >2 weeks following the receipt of one (1) dose of a single-dose vaccine).
  • Have remained asymptomatic since the current potential exposure.
  • Are within 3 months following the receipt of the last dose.Examples of how this guidance may apply at Bayview:
  • An Independent Living Resident that meets the criteria and goes to the Emergency Room and returns to Bayview will not need to quarantine for 14-days upon return.
  • An Independent Living Resident that meets the criteria and goes to the hospital overnight will not need to quarantine for 14-days upon return to their apartment.Examples of where the CDC guidance may NOT apply at Bayview:
  • An Independent Living Resident that meets the criteria and travels out of state and returns should quarantine for 14-days upon return in accordance with the Governor’s Proclamation 20-83.1.
  • An Independent Living Resident that meets the criteria and goes to the hospital and returns to a licensed part of the Bayview such as Skilled Nursing or Assisted Living will still need to quarantine for 14-days upon return.
  • New move ins and new admissions to Bayview that meets the criteria will still need to quarantine for 14 days upon arrival to the facility.Travel Policy

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


PDF Version Here.

2/10/21

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:

  • Independent Living Residents – Second vaccination
  • Assisted Living Residents – Second vaccination
  • Memory Care Residents – Second vaccination
  • Non-Clinical Staff – Second vaccinations only
  • Clinical Staff – Second vaccinations only
  • Stragglers – Second vaccinations only

There will be four (4) different clinic sites within Bayview.  The location of the vaccination sites are:

  • First floor – Kinnear room / Albertson Hall – Independent Living Residents.
  • First floor – Studio and dining area – Staff for second vaccinations.
  • Second Floor – TV room – Second floor Assisted Living residents, Assisted Living clinical staff.
  • Third floor – Home care office – Third floor Assisted Living residents.
  • Dorothy’s Place Quiet area – Memory Care residents.

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

  • 3rd floor 10:30am
  • 4th floor 11:30am
  • 5th floor 12:30pm
  • 6th floor 1:30pm
  • 7th floor 2:30pm
  • 8th floor 3:30pm
  • 9th floor 4:30pm
  • Stragglers 5:00pm

Assisted Living Residents and Staff:

Second (2nd) floor

  • 10:00am
  1. ALU Residents first.
  2. Non-Scheduled ALU clinical staff.
  3. Scheduled ALU clinical staff.
  4. Return SNF residents.

Memory Care – Dorothy’s Place

  • 11:30am
  1. ALU DP Residents first.
  2. ALU DP Clinical staff.

Third (3rd) floor

  • 12:30pm

Non-Clinical Staff:                First floor Studio and Dining room

  • 10:30am Administration / Clinical Staff
  • 11:00am Facilities
  • 12:30pm Environmental Services
  • 2:00pm Dietary Staff
  • 3:30pm Stragglers

For clarity:

  1. THIS CLINIC WILL ONLY CONDUCT SECOND SHOTS ONLY.

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.

  1. DURING THE BAVYVIEW CLINIC, BE FLEXIBLE AND REMAIN CALM.

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.

  1. MAKE FEBRUARY 15TH, 2021 “VACCINATION DAY – PART II”!

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!

  1. DO NOT PLAN ON ATTENDING MAJOR EVENTS ON FEBRUARY 16TH, 2021.

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.

  1. VACCINATION AMBASSADORS WILL BE PRESENT DURING THE CLINIC TO ASSIST YOU.

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!

  1. DO NOT USE THE TOWER ELEVATOR UNLESS PROMPTED BY AN EMPLOYEE.

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.

  1. DO NOT LEAVE YOUR APARTMENT WITHOUT PROPERLY WEARING YOUR FACEMASK

It is essential that proper infection control procedures are adhered to during the entire vaccination process.

  1. STRAGGLERS:

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.

  1. MORE DETAILED INFORMATION TO FOLLOW

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


PDF Version Here.

02/02/21

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:

  1. Assisted Living (AL) and Memory Care (MC) outdoor, scheduled visitation.

The visitation schedule will generally be the same as before.

  • AL visitation will occur in the main parking lot tent. The AL visitation schedule will be Tuesday, Wednesday, Saturday, and Sunday at 10:15am, 1:15pm, 2:15pm, and 3:15pm.  Visits are limited to 30 minutes each with only 1 visitor at this time (due to social distancing requirements).
  • The MC visitation schedule will be Monday and Thursday at 10:15am, 1:15pm or 2:15pm. Details regarding the location of MC visitations will be shared in greater detail when scheduling your visitation.
  • As always, all visits must maintain proper social distancing at all times, must utilize strict universal source control (proper use of facemasks), and meet all screening requirements prior to visitation.
  • Foul weather may cancel scheduled visits.

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.

  1. Staff Working Multiple Care Levels.
  • Staff may work between floors and care levels beginning February 3rd, 2021.
  1. Screening and Testing.
  • IL screening will return to one (1) time per week. IL residents are reminded and encouraged to report any signs or symptoms of illness to Heather Smith – 2313, or Jamie Hart – 2107 immediately for monitoring and tracking.  IL residents are also strongly encouraged to immediately contact their Primary Care Physician (PCP) if they are exhibiting abnormal signs or symptoms of illness.
  • AL Resident testing will resume in accordance with regulated guidelines from the Centers for Disease Control (CDC), the King County Department of Health (LHJ), and Aging and Long-Term Support Administration (ALTSA).
  • AL staff testing will resume in accordance with regulated guidelines from the Centers for Disease Control (CDC), the King County Department of Health (LHJ), and Aging and Long-Term Support Administration (ALTSA). Staff working two (2) jobs will continue testing each shift.
  • Screening and tracking logs will continue to be maintained for staff members entering the facility.
  1. Small Group Activities.
  • Small groups of five (5) or less, including staff, are permitted, as long as proper social distancing can be maintained. Any group must comply with universal source control at all times, social distancing and utilize proper hand hygiene and infection control practices.
  • Vaccination does NOT reduce the requirement for facemask use. Facemasks must be worn at all times while out of resident’s apartments.
  1. Salon.
  • By appointment only.
  • Only one resident permitted in the Salon at a time.
  • Please refrain from coming down before your appointment. The salon worker will need enough time to properly sanitize and clean the area in between appointments. They will contact you when they are ready for you to come down for your appointment.
  1. Fitness Center.
  • Sign-up for gym sessions is on a weekly basis. Sign-up sheets will be put out at 8 am on Wednesday mornings for the following week.
  • Limit two sessions per week per resident.
  • Please use the sign-up sheet for gym use only. If you need to schedule an orientation or discuss programming, contact Nahleen – 3115, for a separate time.
  • If you are unable to make your scheduled time, please let Nahleen know as soon as possible so that someone else can take the spot.
  • Please refrain from coming down early for your session and arrive at your designated time.
  1. Spiritual Services.
  • Spiritual Services may follow the guidance for “Small Group Activities” listed above.
  • Scheduled spiritual care may also be made on an individualized basis. If you are interested in receiving spiritual services, please contact Juliana Bateman at 2119.

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


PDF Version Here.

1.29.21

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


PDF Version Here

1.25.21

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


PDF Version Here

1.21.21

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:

  • Independent Living Residents – First vaccination
  • Assisted Living Residents – First vaccination
  • Memory Care Residents – First vaccination
  • Skilled Nursing Facility Resident – First and second vaccinations
  • Discharged Skilled Nursing Facility Residents – Second vaccinations
  • Non-Clinical Staff – First and second vaccinations
  • Clinical Staff – First and second vaccinations

There will be six (6) different clinic sites within Bayview. The location of the vaccination sites are:

  • First floor – Kinnear room / Albertson Hall – Independent Living Residents.
  • First floor – Studio and dining area – Non-clinical staff first and second vaccinations.
  • Second Floor -TV room – Second floor Assisted Living residents, and Assisted Living clinical staff.
  • Third floor – Home care office – Third floor Assisted Living residents.
  • Dorothy’s Place Living Room – Memory Care residents.
  • Skilled Nursing Unit – Skilled Nursing residents and Skilled Nursing clinical staff.

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

  • 9th floor 10:30am
  • 8th floor 11:30am
  • 7th floor 12:30pm
  • 6th floor 1:30pm
  • 5th floor 2:30pm
  • 4th floor 3:30pm
  • 3rd floor 4:30pm
  • Stragglers 5:00pm

Assisted Living Residents and Staff:

Second (2nd) floor

  • 10:00am
  1. Residents first
  2. Non-Scheduled clinical staff
  3. Scheduled clinical staff

Third (3rd) floor

  • 11:30am

Memory Care – Dorothy’s Place

  • 12:30pm
    1. Residents first
    2. Clinical staff

Skilled Nursing Residents and Staff:

  • 1:30pm
  1. Off going clinical staff first
  2. Discharged residents for second shot
  3. Residents
  4. Non-Scheduled clinical staff
  5. Scheduled clinical staff

Non-Clinical Staff:                First floor Studio and Dining room

  • 10:30am Administration (Resident Services, ICC, Finance, Marketing, etc.)
  • 11:30am Facilities
  • 12:30pm Environmental Services
  • 2:00pm Dietary Staff
  • 4:30pm Stragglers

(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:

  1. BE FLEXIBLE.

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.

  1. MAKE JANUARY 25TH, 2021 “VACCINATION DAY”!

Unless you have a medical emergency or a pre-planned medical appointment, plan on accomplishing only one (1) task on Monday – Your Vaccination!

  1. VACCINATION AMBASSADORS WILL BE PRESENT TO ASSIST YOU.

Many employees will be readily available to guide you through the vaccination process.  If you need assistance, just ask!

  1. DO NOT USE THE NORTH OR TOWER EVEVATOR UNLESS PROMPTED BY AN EMPLOYEE.

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.

  1. DO NOT LEAVE YOUR APARTMENT WITHOUT PROPERLY WEARING YOUR FACEMASK

It is essential that proper infection control procedures are adhered to during the entire vaccination process.

  1. STRAGGLERS:

Stragglers are defined as people who had a pre-planned medical appointment, a medical emergency, or missed their scheduled time for some unforeseen reason.

  1. MORE DETAILED INFORMATION TO FOLLOW

Be on the lookout for more detailed information on the flow of the vaccination process in this weeks’ edition of the Bayview Weekly.

  1. PEOPLE WITH IMMUNO-SUPPRESSANT MEDICATIONS OR OTHER COMORBITITIES

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.

  1. ALLERGIES TO PREVIOIUS VACCINATIONS

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.

  1. FREQUENTLY ASKED QUESTIONS

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


PDF Version Here

01/19/21

COVID-19 Updates

Surface Testing:

We have received the latest surface testing breakdown just this morning. The tests reveal there is now a high presence of exposure on 6th floor, a medium presence of exposure on the 8 th floor, and a borderline detection on the 9th floor.

High = More than 2500 viral particles detected.
Medium = Between 440 and 2499 viral particles detected.
Low = Between 220 and 439 viral particles detected.
Borderline = Evidence to support less than 219 viral particles detected.

Specific items that were tested on all common area floor were:
1. Chair arm rests.
2. Small table surfaces.
3. Telephone receiver.

Even with heightened sanitation efforts, the presence of COVID-19 was still detected on surfaces.

Bayview’s actionable items:

1. We are continuing to focus our sanitation efforts on all floors with special emphasis on 6 th, 8th, and 9th floors.
2. We are continuing “enhanced, Monday through Friday Independent resident screenings.
3. We are continuing weekly resident and staff testing on the Health Center.
4. We are continuing weekly resident and staff testing on the Assisted Living area.
5. We are continuing to conduct surveillance camera footage reviews for contact tracing purposes.
6. We will be conducting targeted room surface testing beginning January 20th, 2021. We will knock on your door and ask for permission to conduct surface testing within apartments.

Quarantine Process:

Today marks the day the Assisted Living area is out of quarantine.

Here is a list of changes:
1. At risk for weight loss, Assisted Living residents will be able to dine in the Assisted Living Dining room, at individual tables. Dining areas are monitored by clinical staff to assist residents with dining to prevent or avoid significant weight loss while maintaining infection control safety.
2. Assisted Living residents are not confined to their apartments. Although we encourage our residents to stay in their apartments as much as possible, residents may transit within the Assisted Living area on an individualized, and self-directed pace.
3. Assisted Living residents may walk outside on the Terrace level during the specific Assisted Living time frames. Either accompanied by Activity staff or self-directed, all residents must continue to practice proper universal source control, hand hygiene, and social distancing. Assisted living residents are strongly discouraged from visiting with other care level residents or staff and must transit only to and from the outdoor Terrace level walking area to the Assisted Living unit.

Bayview’s “Outbreak” in Independent Living and Assisted Living continues through February 2nd, 2021 (unless new suspected or confirmed cases of COVID-19 occurs). With the positive Health Center employee, the Health Center’s “Outbreak” will continue through February 14th, 2021.

The Executive team strongly encourages you to continue your efforts to minimize your exposure by remaining inside your apartments. Travel outside should only be for essential business, and any travel should always include the proper use of facemasks, proper hand hygiene, and social distancing. Please refer to recent past memos for explanations of “essential” business.

Some Reminders:
• Please, always properly wear your facemask – EVEN WHEN NOBODY IS AROUND. Expelled vapors will be caught inside of your mask and not float in the air or onto other surfaces for others to be exposed to.
• Ensure your mask is above your nose and below your chin. Facemasks are not effective in containing vapors if only the mouth is covered. Facemasks are only effective if BOTH nose and mouth are covered at the same time.
• Please do not lower your facemask when talking on the phone. The phone will be directly exposed to contaminated vapors and will infect others who use the phone. Vapors will transmit around your cell phone onto other surrounding surfaces exposing others who travel through the same location.
• Please do not lower your facemask when talking to others in person. Your facemask is rendered ineffective at protecting others when you lower your mask to speak. The purpose of the facemask to catch vapors. Lowering the mask below your mouth and nose allows vapors to be released in the air.
• Please use filters inside the Bayview provided masks. If you have run out of filters, ask Heather Smith – 2313, or Jamie Hart – 2107 for refills. As a reminder, filters are only good for 5 days of use. They must be discarded after the 5th day of use. Filters can NOT be washed and reused.
• If you are using disposable masks, dispose at least daily or when visibly soiled. Much like filters, disposable masks can NOT be washed and reused.

Epidemiological exposure rates show an increasing trend of COVID-19 infections in King County. As of January 6th, 2021, there were a total of 759 cases of COVID-19 in one day. This is up from 52 cases in one day on December 25th, 2020. We also see the presence of COVID-19 within the walls of Bayview with our surface testing. We will attempt to identify where the exposure may come from with your assistance to test within your apartments. Requests will come to those that have been identified through contact tracing efforts by surveillance footage.

Once Bayview (excluding Health Center) clears the “Outbreak” we will follow the Governor’s new safe start initiatives for Washington State. If our Outbreak cleared today, most services and amenities would still be closed within Bayview according to the Governor’s plan. Vaccinations are on the horizon, but the pandemic is far from over.

Vaccination Process:

Bayview has finally received communication from CVS about our vaccination process.

1. January 25th, 2021 will be the date for ALL residents, including Independent Living, and staff to be vaccinated. A detailed plan will be outlined before the end of the week to communicate how the vaccination process will flow.
2. Consent forms will be filled out this week and entered into the CVS system to expedite the vaccination process. Heather Smith will work with the Independent Living residents to complete this process. Pamela Yeo is working with the Assisted Living residents and families and Janice Pate is working with the Skilled Nursing residents and families to expedite this process.
3. Unfortunately, the January 20th, 2021, February 10th, 2021 and March 3rd, 2021 clinic dates have been cancelled. There was no explanation provided to Bayview why these were cancelled.

This pandemic is not easy. I know we all wish we could waive a “magic wand” and have all of this disappear. However, it takes persistence, dedication, and constant awareness to stay safe and healthy. Thank you to all for exercising your best judgement, wisdom, and experience to safely navigate through these turbulent times as the potential consequences of our actions have become life or death.

Sincerely,

Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org


PDF Version Here

01/18/21

COVID-19 Updates

Late Friday, January 15th, 2021, another employee tested positive via antigen testing.  This test was PCR confirmed as of late January 17th, 2021.  The employee was asymptomatic.   The employee is a Health Center Administrative employee who does not provide any direct care and has very limited contact with the Health Center.  The employee was immediately sent home on Friday and will now follow the Center’s for Disease Control’s (CDC’s) “Return-to-Work” guidance.  Contract tracing has been completed and those potentially affected have been notified and are quarantining following the CDC’s Return-to-Work guidance.

The total Bayview, 2020 – 2021 positive case count is:

1 Health Center Resident   – Cleared

1 Assisted Living Resident – In the hospital recovering well.

4 Bayview employees.        – 3 cleared, 1 remains asymptomatic at home.

The nature of our latest exposure does not change Bayview’s “outbreak” date.  Only the Health Center will remain in an outbreak status longer.

It is necessary to stress the importance of Universal Source Control (proper facemask use), excellent hand hygiene, and social distancing.  We hear these terms often, and as more time passes, we may become numb to the importance of these terms.  Signage will be refreshed this week, and vaccination consents are underway for Independent Living residents.  Keep vigilant and together we will squash this virus inside of Bayview.

Sincerely,

Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org


PDF Version Here

January 14, 2021

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:

  • 5 surface testing kits are received each week to test 5 different “zones” within all of Bayview. Each kit contains 8 vials to place test swabs inside. Each vial represents a different surface within each zone to be tested. A total of 40 different “high-touch” surfaces throughout Bayview are tested each week.
  • After sending our weekly kits into the lab, results are reported back to Bayview in zones. Zones 1 through 5 are either negative or positive for the presence of COVID-19 exposure.
  • If a zone tests positive, each vial within that positive zone is further tested to determine the exact location of the positive surface.

A brief recap of the past surface testing events:

  • During our weekly, routine surface testing, there were two zones that showed the presence of COVID-19 – the zone including floor common areas and the zone including A-Level/10th Please note in our previous memo, we omitted the important detail that the zone that includes A-level also includes the 10th floor. A-Level and 10th floor are both part of the same zone.
  • Through a series of further re-testing, the individual vial testing results returned and revealed specific location of each positive surface: the 6th floor common space and the 10th

The detailed results are as follows:

Zone including Floor Common Areas:

  • Floors 3 – 5, 7-9 common space = NEGATIVE
  • 6th floor common space = POSITIVE

Zone including A-Level and 10th floor:

  • Board room – Doorknobs, computer keyboard and mouse = NEGATIVE
  • Conference Room A – Doorknobs, computer keyboard, and mouse = NEGATIVE
  • Childcare – Reception desk, thermometer, keyboards, and mouse = NEGATIVE
  • Childcare – Kitchen, refrigerator door handle, freezer door handle, microwave buttons = NEGATIVE
  • Main Employee Breakroom – Microwave buttons, countertop, and refrigerator / freezer handles = NEGATIVE
  • A-Level public restroom – changing area, sink, doorknobs, faucet handles = NEGATIVE
  • Conference room B – Doorknobs, computer keyboard, mouse, and vending machine = NEGATIVE
  • 10th floor: Sky Club / Lounge – Tabletops, microwave buttons, and chair arm rests = POSITIVE

Bayview strongly recommends the following actions:

  1. Bayview housekeeping staff have immediately begun deep sanitation efforts on the 10th
  2. Bayview housekeeping staff will continue thorough sanitation efforts throughout the facility with special emphasis on the 6th and 10th
  3. Employees have been notified to contact their supervisors if they have spent more than 15 cumulative minutes on any day between January 5th, through January 13th, 2021 on the 6th, or 10th floors for contact tracing purposes.
  4. Bayview has strongly encouraged everyone to consider being in a “lockdown” situation since January 6th, however, if you have attended informal gatherings on the 10th floor for more than 15 minutes, without the use of a facemask (universal source control) at any time during the gathering, between the dates of January 5th, 2021 through January 13th, 2021, we strongly encourage you to quarantine until January 25th, 2021. Please notify your Primary Care Physician (PCP) to determine your need for testing.  Please contact Heather Smith (2313) or Jamie Hart (2107) to arrange safe movement within Bayview to obtain testing outside of Bayview.
    1. The additional tightening of restrictions and protocols across Independent living is due to the active presence of COVID-19 shedding in predominantly Independent living spaces – 6th floor and 10th We are grateful for your patience and understanding.

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


PDF Version Here

Wednesday, January 13, 2021

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:

  • *1 AL resident tested negative utilizing an antigen test at Bayview but was later sent on the same day to the Emergency room where the resident tested positive using a PCR lab test. PCR tests are far more accurate than rapid antigen tests and are used as the standard for COVID-19 test results. The resident is still in the hospital and is doing well.
  • 2 AL residents that initially tested positive for COVID-19 utilizing an antigen test had 2 PCR tests conducted. Both PCR tests returned negative, meaning these AL residents experienced false positives and were never exposed to COVID-19.  We are saddened to report that 1 of the residents subsequently passed away related to Non-COVID-19 issues as the resident was on hospice services. Our sincere condolences to family and friends of this beloved resident. The other resident currently remains on the Health Center for a temporary basis for rehabilitative ‘tune up’ before the resident can return to the apartment on the Assisted Living.
  • The 1 staff member who tested positive utilizing an antigen test, received 2 PCR tests, both of which returned negative, meaning the staff member experienced a “false positive” and was never exposed to COVID-19.

Health Center Cases:

  • 1 HC resident is currently out of quarantine and feeling well.
  • 1 staff member has returned to work following the Department of Health’s (DOH’s) return-to-work guidelines.

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:

  • There were LOW positive results on the 6th floor common area,
  • Inconclusive results on the Bistro and Maintenance shop areas, and
  • There were MEDIUM positive results on the A-level area.
  • The following Key is a description of the levels of exposure:

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).

  • We are conducting further testing on A-level to determine the specific location(s) of potential exposure.
  • Facilities and Environmental services are emphasizing sanitation efforts throughout Bayview, with a specific focus on the 6th, Bistro / Maintenance shop, and A-level areas.
  • Enhanced Independent Level screening: Effective immediately and through January 19th, we will be conducting daily health screenings on all floors. In order to make this process efficient and least disruptive, a staff member will come by each respective apartment and will record both temperature and responses to the screening questions at the time of their visit. Thank you for your collaboration on this proactive preventative measure.

In Summary:

  • Since the beginning of the pandemic in March 2020 – to date, Bayview has experienced:
    • 3 employees with confirmed COVID-19. The cases are old and the employees have since returned to work.
    • 2 residents with confirmed COVID-19. 1 case is out of quarantine, and the other case is still in the hospital but recovering well.
    • The facility is currently in an “Outbreak” through February 2nd, 2021 if there are no other signs or symptoms of COVID-19 or confirmed cases of COVID-19.

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


PDF Version Here

January 6, 2021

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:

  • Bayview has met the Centers for Disease Control’s (CDC’s) conditions of a COVID-19 outbreak.
  • There are a total of 6 positive cases of COVID-19 at Bayview:
    • 1 Health Center resident – who remains asymptomatic and feeling well.
    • 1 Health Center, non-caregiver, employee – who is asymptomatic and has not returned to work.
    • 3 Assisted Living residents (non-memory care) –
      • 1 resident who was transported to the hospital
      • 1 resident who is exhibiting signs of illness NON-COVID-19 related
      • 1 resident who is now exhibiting signs of illness related to COVID-19 exposure
    • 1 Assisted Living, caregiver employee – who remains asymptomatic and was immediately sent home to verify the results through PCR testing.
      • There were two (2) other employees that tested positive outside of Bayview in October 2020, as previously reported. These results did not count towards Bayview’s current infection rate and total numbers.
  • The facility is in the process of working collaboratively with the families and physicians of the affected residents to consolidate and cohort the affected residents to a dedicated area on the Health Center. This will assist to reduce the chance of further exposure.  This process will be completed no later than January 6th, 2021.
  • A temporary containment field has been erected around the rooms of the affected residents on the Health Center (HC). Windows are cracked open and fans are circulating air within the rooms to reduce the potential exposure risk.
  • Dedicated staff have been reassigned to solely care for the affected residents. The dedicated staff will only care for the affected residents and no others.
  • Dedicated staff utilize different entry and screening points in and out of the facility to minimize the risk of exposure.
  • Dedicated staff utilize dedicated and quarantined areas, away from the rest of the employees for breaks and lunches.
  • Dedicated staff have been fit-tested with N-95 respirators and emergency Personal Protective Equipment (PPE).
  • Emergency PPE has been distributed among the AL and HC units for all staff to utilize following the Centers for Disease Control’s (CDC’s) emergency guidelines for optimizing PPE supplies.
  • Employees are not working between AL and HC until further notice.
  • Even though exposed residents have been moved to the Health Center, the Assisted Living Unit remains an “Outbreak” area and therefore is under strict quarantine.
  • Our testing strategy is as follows:
    • Employees working with exposed residents are tested daily.
    • Employees working with exposed residents are screened four (4) times per shift.
    • Employees not working with exposed residents are tested every-other-day.
    • Employees working in the AL or HC units and who work two (2) jobs (one at Bayview and one off-site), are tested each time they are in the facility (or daily).
    • Residents and employees identified through contact tracing as a risk for exposure are tested daily.
    • Employees with positive results have been immediately sent home to follow the CDC Return-to-Work guidelines.
  • Contract tracing is complete and the employees and residents at risk have been identified, contacted, and tested. Tests results remain negative.
  • All scheduled, outdoor visitation for Assisted Living, Memory Care, and Skilled Nursing have been ceased until further notice. Life Enrichment staff are assisting with virtual visits as able.
  • Home care has been temporarily stopped and will resume when staff are available to work Home Care schedules without the risk of cross contamination from the AL unit to other areas of the facility.
  • The Executive team is reviewing current staffing levels to determine who and how often staff may be able to work from home to limit the amount of exposure into the facility.
  • The King County Department of Health (LHJ) and the Department of Social and Health Services (DSHS) have been informed of our situation and is providing guidance as needed and necessary.
  • Beginning today, January 6, 2021, if there are no further positive cases of COVID-19, the Assisted Living and Health Center units will clear from quarantine on January 20th, 2021.
  • After January 20th, 2021, if there continues to be no further positive cases of COVID-19, the Assisted Living and Health Center units will clear the Outbreak on February 3rd, 2021.

What we do not know:

  • Our investigation of how the virus entered the Health Center is not clearly understood. Through contact tracing and testing strategies, we are unable to determine how the virus entered the Health Center.  We can make assumptions about how it may have entered, but the data and investigation do not support a clear route of exposure.
  • Our investigation of how the virus entered the Assisted Living is still under investigation but is also not showing one (1) clear path of exposure. Bayview is working diligently with the Department of Health to determine if there is more definitive information to review to determine the virus’s path to infection.

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:

  • DO NOT LEAVE YOUR APARTMENT FOR THE NEXT 14-DAYS:

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.

  • DO NOT ENGAGE OR VISIT WITH STAFF AS ITEMS (SUCH AS MEALS) ARE DELIVERED TO YOUR DOOR:

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.

  • DO NOT UTILIZE THE ASSISTED LIVING THROUGHWAY AS PASSAGE TO OTHER PARTS OF THE FACILITY:

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.

  • PHONES OFF THE HOOK, BATHROOM PULL CORDS, AND TOGGLE CALLS: These will be handled by the Facilities department. Clinical issues will be addressed by the appropriate staff on an individualized basis.

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


PDF Version Here

December 30, 2020

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:

  • We have conducted a PCR test to confirm all antigen tests. The PCR test was sent to the University of Washington Laboratory, and we should know the results of the PCR test within the next 48-72 hours. The PCR test is the recognized type of test to confirm the active presence of COVID-19.
  • We immediately tested all other residents – There were no more positive cases.
  • We immediately tested all other staff members – There were no positive cases.
  • We are continuing to conduct testing for the evening and night shift.
  • We have conducted contract tracing of staff over the past 10 days and have tested all staff with potential exposure.  All results returned negative.
  • We are awaiting the results of our surface testing conducted yesterday (Tuesday 12/29/20).
  • We have contacted the Department of Health (LHJ) and the Department of Social and Health Services (DSHS).
  • The resident with confirmed COVID-19 is asymptomatic and shows no signs of illness.
  • The resident with confirmed COVID-19 is located in a room with no roommate.
  • We have activated our emergency procedures for a viral outbreak.
  • We have constructed an isolation area around the room to mitigate the spread of infection.
  • Staff have been issued approved PPE including N-95 respirators and instructed on its use.
  • 2 staff members have been identified to care only for the positive resident. Stringent and meticulous steps have been implemented to ensure the safety of the 2 staff members, the resident they are caring for, and the staff and residents around them.
  • Testing will continue on a daily basis, at the direction of the LHJ and DSHS.
  • Admissions to the Health Center have been stopped until further notice. Hospitals and Discharge Planners have been notified.
  • Transfers from the Health Center to other locations of the facility have ceased until further notice.
  • All scheduled, outdoor Health Center visitations have been cancelled until further notice.

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


PDF Version Here

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:

  1. Bayview has contracted with CVS who is the fifth (5th) largest pharmacy in the United States to conduct our vaccination process.
  2. The vaccine we will be given is the Pfizer vaccine.
  3. CVS has reached out to us to determine the number of vaccinations we will need for the people that fall within “Phase 1A” of the national vaccination distribution plan.
  4. People that fall within “Phase 1A” are:
    1. All Bayview employees.
    2. Residents of the Skilled Nursing Unit.
    3. Residents of the Assisted Living Unit.
    4. Residents of the Memory Care unit.
  5. Vaccinations are NOT mandatory. However, it is strongly encouraged you receive your vaccination. Our goal is to filter accurate and reliable information to you at all times. Attached is a helpful fact sheet to help better identify accurate information regarding the COVID-19 vaccine.
  6. Written consent will not be necessary for residents to fill out; however, the facility will be required to document “informed consent” in the resident’s medical record about the risks and benefits of receiving the vaccine.
  7. Employees will complete a consent form indicating if the employee wants to be inoculated or not.
  8. Vaccinations will be given at the facility. A more detailed plan of how the clinic will function will be disseminated at a later date.
  9. The vaccine is a two (2) step process. An initial vaccine will be given, then a “booster” vaccine will be given 21-days later.
  10. Because the vaccine is a two (2) step process, CVS will hold three (3) clinic dates at Bayview to conduct the vaccination process. Each clinic date will be 21 days apart.
  11. Employees and residents will be vaccinated in phases.
    1. One-half of the employees and residents will be designated as “Group 1” and will vaccinated on the first clinic day.
    2. The second half of the employees and residents will be designated as “Group 2” and will receive their first vaccination on the second clinic day.
    3. Group 1 people will receive their second vaccination on the second clinic day.
    4. Group 2 people will receive their second vaccination on the third clinic day.
  12. Side effects to the vaccine are mild. Any side effects experienced within three (3) days after inoculation means your body is reacting to the vaccine in a positive way to begin the process of building your immunity.
    1. According to the FDA, most common reactions include infection site reactions (84.1%), fatigue (62.9%), headache (55.1%), muscle pain (38.3%), chills (31.9%) joint pain (23.6%), fever (14.2%).
  13. The Pfizer vaccine does not contain a “Live” virus. You will not be able to get COVID-19 from the vaccine.
  14. All current COVID-19 restrictions will still remain in place after vaccination. The positivity rate must decline before a de-escalation of restrictions can occur.
  15. Vaccinated people can still spread COVID-19. Vaccinated people could carry the actual virus and spread it after vaccination.  The vaccinated body or person will not react to the actual virus but may still expose others who have not been vaccinated.

What we do not know:

  1. We still have not received notification of Bayview’s exact vaccination dates.
  2. We do not know when Independent Living residents will be scheduled for vaccination.
  3. We do not know the long-term side effects of the vaccine.
  4. It is not known what effects the vaccine may present to pregnant or nursing mothers. It is recommended to consult the person’s Primary Care Physician prior to receiving the COVID-19 vaccination.

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


PDF Version Here

December 9, 2020

COVID-19 Updates

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


PDF Version Here

December 9, 2020

COVID-19 Updates

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


PDF Version Here

December 4, 2020

COVID-19 Updates
Revised Quarantine Protocol:

As many of you may have heard or read, the Centers for Disease Control (CDC) updated their guidance concerning the quarantine period on Wednesday, December 2nd, 2020. What is different with this recommendation is that the CDC has now accumulated enough data to associate a risk factor for each new recommendation. The recommendation reads as follows:

  • Quarantine can end after Day 10 without testing and if no symptoms have been reported during daily monitoring.
    • With this strategy, residual post-quarantine transmission risk is estimated to be about 1% with an upper limit of about 10%.
  • When diagnostic testing resources are sufficient and available… then quarantine can end after Day 7 if a diagnostic specimen tests negative and if no symptoms were reported during daily monitoring. The specimen may be collected and tested within 48 hours before the time of planned quarantine discontinuation (e.g., in anticipation of testing delays), but quarantine cannot be discontinued earlier than after Day 7.
    • With this strategy, the residual post-quarantine transmission risk is estimated to be about 5% with an upper limit of about 12%.

After stopping quarantine, people should watch for symptoms until 14 days after exposure. Always wear a mask, stay at least 6 feet from others, practice excellent hand washing, and avoid crowds.

What the above CDC recommendation shows is that Bayview’s current quarantine protocol for residents is now outdated.

As a result, the Executive team collectively decided it was time for Bayview to update the quarantine process. We realized our process was much less restrictive (14 day quarantine without a test and a 3 day quarantine with a negative test) than the CDC guidance, and given the current infection rates in King County, the Executive team feels the time is right to tighten our belts a little more to ensure our community remains free from COVID-19. Our new process will now reflect the current CDC recommendations and are effective immediately:

If a resident from Independent Living:

  • Leaves the State and returns
  • Goes to the hospital overnight
  • Goes to the emergency room for an acute medical episode or as an escort
  • Is potentially exposed within 14-days to someone who later tests positive for COVID-19
  • Attends a large gathering of five (5) or more non-household people
  • Stays overnight outside of Bayview

You will be required to:
➢ Quarantine for 10-days in a non-test-based strategy (best practice) OR
➢ Quarantine for 7-days in a test-based strategy, where testing occurs on day five (5) of the quarantine.

In all cases, Universal Source Control, proper infection control hygiene, and proper social distancing must be maintained after the quarantine process ends.

Quarantine protocols for Residents on Assisted Living & Memory Care and the Health Center (skilled nursing) remain the same: the quarantine policy is a full 14-day incubation period in accordance with the Department of Social and Health Services regulations.

Vaccinations:

In early November, Bayview enrolled with CVS for COVID-19 vaccinations. On Wednesday, December 2nd, 2020 Bayview was contacted by CVS to begin the vaccination planning process. It is still too early to specifically determine when vaccinations will be available, or what the schedule for vaccination distribution will be. Early reports show CVS may initiate the first stage of vaccinations in late December. Again, the time frame is still not clearly defined.

When the Executive team learns more specifics of the COV-19 vaccination, it will be immediately communicated with everyone via memos, letters, and social media.

Thank you so much for your incredible diligence in keeping the community safe. Please reach out with any questions.

Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org


PDF Version Here

December 4, 2020

Dear Bayview families,

We find ourselves in the midst of Governor Inslee’s announced 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 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 continue to be prohibited. However, we shifted visitation to an outdoor setting.

Starting Saturday, December 5th we will have a 10×10 white tent set up in the Visitor Parking Lot with a heater for outdoor visits. We encourage families to bundle up and dress appropriately during your scheduled visits. Visitors for AL/SNF/MC will be met by staff monitors in the parking lot outside of the tent for a pre-visit assessment.  Those residents assessed as a high risk for elopement have a separate white 10×10 tent located on Dorothy’s Place for outside visits.  Family members will be notified of the location of their visit upon scheduling their specific visit.   Please note foul weather may cancel scheduled visits.  Contact Pamela Yeo at 206-281-5755 or pyeo@bayviewseattle.org for residents in AL/MC and 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:
    • 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:
    • Monday and Thursday at 10:15 am, 1:15 pm or 2:15 pm.

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


PDF Version Here

View Deb Murphy’s letter to residents, families, friends, staff, and LeadingAge member communities here.

 

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


PDF Version Here

November 16, 2020

COVID-19 Updates:

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 your health and well-being.

Effective Monday, November 16 and until further notice, the following are closed: Beauty salon, fitness center, pool and small group activities.

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 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 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


PDF Version Here

November 5, 2020

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:

  • Assisted Living will have visits in an alcove just off of the W Aloha Street reception area.
  • Memory Care will have visits in the living room of Dorothy’s Place with the doors closed for privacy.
  • Skilled Nursing will have visits in the HUB area outside of our child care.

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:

  • Tuesday, Wednesday, Saturday and Sunday at 10:15 am, 1:15 pm, 2:15 pm or 3:15 pm.

Memory Care visitation times are:

  • Monday and Thursday at 10:15 am, 1:15 pm or 2:15 pm.

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


PDF Version Here

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


PDF Version Here

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


PDF Version Here

October 14, 2020

COVID-19 Updates:

Dear Bayview Community,

We are pleased to share that the second round of COVID-19 testing of the staff members who were suspected of exposure have yielded all negative results.  The staff member who tested positive remains in quarantine and continues to recover following the guidance of the Department of Health and physician care.

We appreciate your understanding in the temporary roll back of the opening of our food court, programming and activities, visitation, beauty salon, and the use of the fitness center and pool through Thursday, October 22nd. This timeframe allows a full incubation cycle of the virus to be completed. If there are no new symptomatic cases or other suspected COVID-19 cases, we will resume all activities stated above on Friday, October 23. We will update you as we continue to move forward with this timeline.

As mentioned in our last memo, this is a crucial reminder that we should not become complacent. Thank you for your unending commitment in the consistent and proper use of face masks, maintaining social distancing, and practicing excellent hand hygiene. We remain inspired by the strength and resilience this community exhibits each day.

Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org


PDF Version Here

October 12, 2020

COVID-19 Updates:

Dear Bayview Community,

Since the beginning of this pandemic, we committed to keeping you informed when Bayview had a confirmed case of COVID-19 in our building. The Executive Team became aware on October 11th, 2020 of a staff member that tested positive with COVID-19. The staff member is currently following quarantine precautions and is resting at home. To protect the right to privacy, identifying information will not be provided. This is the first and only confirmed case at Bayview.

The nature of the staff member’s work was assessed by executive leadership to have no exposure to residents and very limited exposure to other staff members. Therefore, we believe the risk of an outbreak to our community is very low. However, we are taking this situation very seriously and want to clearly manage expectations on what the coming weeks ahead will look like for Bayview residents, family members, and employees.

Those that had limited contact with the staff member who tested positive are quarantining at home and have undergone their first round of COVID-19 testing in which the results came out all negative. This Wednesday, October 14, they are required to undergo a second round of testing at which point, if those members test negative and are asymptomatic, will return to work in accordance with the Department of Health “Return-to-Work” guidelines.

Out of an abundance of caution in mitigating transmission within our entire campus, we will be closing the following activities below until Thursday, October 22 or until further notice. Please understand this is a target date of reopening activities if the second round of testing comes back negative, tested employees are asymptomatic, and there are no other suspected COVID-19 cases.

Effective immediately, the following will be closed until Thursday, October 22 or until further notice:

  • Food Court: We are reverting to full room delivery meal service.
  • Visitation for Assisted Living, Memory Care, Skilled Nursing Families
  • Beauty Shop
  • Fitness Center and Pool
  • Small group activities

This is a stark reminder to all that continued vigilance is necessary when fighting the spread of COVID-19.  Thank you for your continued commitment and dedication to strong infection control procedures, ensuring the health, safety, and well-being of our community and staff.

Sincerely,
Joel G. Smith
Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org


PDF Version Here

Friday, August 21, 2020

COVID-19 Updates: Assisted Living, Skilled Nursing Visitation

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:

  • Only scheduled visits will be allowed. Please contact the following staff to schedule a visit:
    • AL please contact Pamela Yeo at 206-281-5755 or email: pyeo@bayviewseattle.org
    • HC please contact Janice Pate at 206-281-5778 or email: jpate@bayviewseattle.org.
  • Visits are limited to 1 visit each week per resident as the schedule permits. We are currently scheduling visits at the following times and days:
    • Tuesday, Wednesday, Saturday and Sunday
      • 10:15 am
      • 1:15 pm
      • 2:15 pm
      • 3:15 pm
  • Staff must be present to assist with outdoor transition of residents, assist with disinfection of visitation area and maintain visual observation providing as much distance as necessary to allow privacy for the resident and visitor.
  • Select outdoor visitation spaces must be accessible without having visitors walk through the facility. Currently all visitation is outside of the W Aloha Street entrance on the red benches. Foul weather may cancel scheduled visits.
  • All visits will require residents and the essential family caregiver to wear Personal Protective Equipment (PPE) including, but not limited to gloves and facemask. Snacks and drinks are not allowed during the visit.
  • All visits will require essential family caregivers to be screened outside near the red bench prior to the visit.
  • Visitation will be no more than 30 minutes maximum and may be reduced at any time.
  • 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.

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


PDF Version Here

Friday, July 24, 2020

COVID-19 Updates: 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.

  1. Hospital stays and Emergency Room (ER) visits:

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.

  1. Overnight visits outside of Bayview and Travel:

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.

  1. Differences between Residents and staff:

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.

  1. For Staff: It is REQUIRED that any staff member who feels or exhibits signs or symptoms of ANY illness stay at home. They are NOT allowed to enter the building.  Any staff member who develops signs or symptoms of illness while at work are REQUIRED to leave the community immediately, and to quarantine in their house or apartment until three days after the last signs or symptoms of illness.  If their illness is symptomatic of COVID-19, Bayview requires a negative test result in order to return to work.  Daily employee screening, prior to working, is REQUIRED.  Employees may only enter at one location in the building.
  2. For Residents: If a Resident becomes sick, there is no place outside of the community for the resident to quarantine. The illness stays within the walls of the community and the potential for exposure to others is enormous. Staff isolate at home whereas, residents isolate at Bayview. This is the major difference.

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!

  • We have the power to protect ourselves.
  • We have the power to consistently utilize proper infection control procedures.
  • We have the power to utilize proper Universal Source Control when we open our apartment door and leave for essential business.
  • We have the power to offer assistance but give grace when unaccepted.
  • We have the power to choose what people we associate with.
  • We have the power to temper our behavior and control our actions towards those who frustrate us.

Bayview’s Executive Leadership will continue:

  • To enforce and respond to infractions of our infection control policies as we are able and notified.
  • To remind community members of their social responsibility of Universal Source Control and proper infection control practices.
  • To respond to emails and phone regarding the pandemic as quickly as possible.
  • To find new ways of navigating safely through COVID-19 and will continue to keep you up-to-date as things change and evolve.

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:

  • Only scheduled visits will be allowed. If you have a spouse or next of kin living in a different level of care, please contact the following staff to schedule a visit on:
    • AL or MC, please contact Pamela Yeo at 2127.
    • HC, please contact Janice Pate at 3354.
  • All visits will require residents to wear Personal Protective Equipment (PPE) including, but not limited to:
    • Gloves
    • Facemask
    • Gown
    • Eye Protection (if necessary)
  • All visits will require residents to be screened prior to the visit.
  • There are limits of two (2) visits allowed each week or as the schedule permits. This is to ensure staff monitors are available.
  • Visits will occur outdoors at designated locations and are weather dependent. Foul weather may cancel scheduled visits.  Visit locations will be explained during the scheduling process.
  • Visitation will be no more than 30 minutes maximum and may be reduced at any time.
  • All visits are “No Contact” visits, meaning community members shall not touch one-another during the visit and will remain socially distanced during the entire visit.
  • Visit locations will be sanitized after each visit.

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:

  • Your resident friend living at Bayview who is on a different level of care

Step 3: Scheduled, Limited Group Visitation with Outside, Immediate family members.

Immediate family members include:

  • Spouse
  • Sibling
  • Durable Power of Attorney
  • Adult children over the age of 18
  • Immediate next of kin

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


PDF Version Here

COVID-19 Updates:

Testing:

We have completed all Health Center, Assisted Living, and Memory Care staff and resident testing. All test results have been negative. As of this writing, Bayview remains Covid-19 free thanks to all your hard work and abiding by protocols. Thank you so much for your part in great infection control.

Visitation:

We have postponed rolling back visitation restrictions until we receive further guidance from state agencies. We were anticipating additional guidance this week, but it has been postponed. As soon as we learn more information, we will promptly let you know.

Terrace Garden Food Court:

Our new Food Court opening has been delayed per rising infection rates in the greater community. We are observing the data closely and will let you know as soon as we’re able to safely open our new dining venue. A “Food Court Tutorial” video will be out shortly to help everyone understand how it will work. Stay tuned!

Sincerely,

Bayview Crisis Communications & Executive Team


PDF Version Here

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


PDF Version Here

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

Attached is a fact sheet from the Washington State Department of Health regarding the use of facemasks, updated June 24, 2020 (For Web, please see link of PDF below). For more COVID-19 Information and Resources visit www.doh.wa.gov.


PDF Version Here
PDF of Fact Sheet Here

TERRACE GARDEN FOOD COURT: COMING SOON!
Safe Reopening Plan & Guidelines

Change is upon us with all things dining. We are excited to reveal a new food court model that focuses on reopening of the main dining space and expanding meal options – all while thoughtfully and judiciously maintaining infection control, physical distancing, and the overall prevention of COVID-19.

We are aiming to open the Terrace Garden Food Court early July. We are actively monitoring and evaluating our dining reopening plan in conjunction with guidelines from our state and local health agencies. Please keep in mind that the target date could extend if the data does not support us moving forward just yet. We will communicate dates and details over the next couple of weeks.

While this is an exciting step in rolling back restrictions, we are fully aware that this pandemic is not over. We acknowledge that there may be residents who are not comfortable with the potential for prolonged exposure or those who may not be able to maneuver around the food court with ease. Therefore, the option of room service will continue to be available. (You will not be charged a room service fee.) You’re always welcomed to stretch your legs, go through the food court in a timely fashion, and head right back up to your apartment. Here are some highlights of the new food court design: 

Food Court Concept

Spatial strategies:

  • Three physically distanced ordering stations with glass partitions as you enter the food court.
  • Designated and physically distanced waiting area while food order is being filled. Order will be ready and placed at ‘pick-up’ table near waiting area. (Compostable bags will be used for resident orders.)
  • A designated Marketplace offering Grab & Go meals and other retail items.
  • A separate aisle will be in place for employees to safely distance from residents where they can order food from the quick Grab & Go and exit in a timely manner.
  • Designated physically distanced seating areas for residents to enjoy their meal.
  • Garbage and reusable container stations will be placed in these designated areas with sanitation stations.
  • Our experienced food service team will be preparing fresh dishes efficiently to ensure you are on your way in a safe and timely manner.
  • Physical Distance Ambassadors will be working the floor to ensure compliance and to handle any questions.

Visual signage:

  • Easy to follow pathways with floor decals, arrows, and crowd theater ropes will be in place for residents to follow in a safe manner within as well as outside food court.
  • New signage will be posted in and around food court for easy navigation.
  • Menus will be posted outside food court with do not touch signs. Disposable one-time use menus inside.

Hours of Operations (Food court will be open twice a day for lunch & dinner)

  • Breakfast will be room service only between 7:30am-9:00am daily.
  • Lunch will be open daily from 11:30am-2:30pm.
  • Dinner will be open daily from 4:00pm-6:00pm.
  • Room Service will still be available daily during normal business hours. (You will not be charged a room service fee).

Note: All residents and staff must wear a mask at all times. Please avoid any congregation.

Thank you and please don’t hesitate to contact Dan Galvin, Director of Culinary Services via 206-284-7330 (ext. 2131) or email dgalvin@bayviewseattle.org.


PDF Version Here

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.

  • Due to the amount of cleaning between each session, we would like to reiterate that right now we can only safely open up the gym side.
  • You must sign a new form of agreement and commitment to the new policies before entering.
  • You will need to keep your face mask on while using the fitness center, covering both your mouth and nose.
  • Please maintain a physical distance of 6 ft. from another person.
  • Temperature checks will be taken before entering the fitness center. *Temp checks will ONLY be for residents who are entering the gym for their designated session.

Sign-ups required

  • The sign-up sheet will be on a table located next to the fitness center doors. *The sign-up sheets will be out on Wednesday mornings by 8 am on a weekly basis.
  • You can sign up for a maximum amount of 3 times per week.
  • Two residents will be allowed in the fitness center per time slot.
  • Starting at the top of the hour, you will get 40 minutes for your session.
  • The remaining 20 minutes of the hour will be reserved for cleaning and transition to the next session.
  • Session start times: 8a; 9a; 10a; 11a; 1p; 2p; 3p

You cannot sign up or enter if:

  • You have been diagnosed with COVID-19
  • Are currently in quarantine
  • Have had symptoms of COVID-19 within the last 24 hours
  • Have had any contact with a person suspected to have COVID-19 within the last 14 days

Sanitization

  • You will be required to wash your hands before entering the gym.
  • Hand sanitizer will be provided.
  • You will need to use the gym wipes after each exercise machine you use.
  • There will be a bin designated for weights you have used so that they may be cleaned at the end of the session, you will not have to wipe the weights.

Equipment

  • There will be limited equipment available for use.
    • No mats
    • No bands
    • No balance pads
  • Some exercise machines will be moved around to allow for more space.

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.


PDF Version Here

“All the Buzz” Salon
Safe Reopening Plan & Guidelines

Effective Monday, June 22, 2020: We are excited to re-open the salon! We will be screening each stylist daily at Reception. All residents and staff must wear a mask at all times. A hand sanitizer station will be available outside of the salon.

To comply with social-distancing requirements and to avoid people lining up outside the salon, we ask that you not come down for your appointment until your stylist calls you to inform you that they are ready for you.

If you are feeling unwell, have a fever, and/or showing signs/symptoms of COVID-19, do not make an appointment until these symptoms have been gone for at least 72 hours. If you start exhibiting these symptoms before your appointment, call the stylist to cancel and do not reschedule until you have been symptom-free for at least 72 hours.

The salon will be serving residents by appointment only. No walk-in appointments will be available at this time.

Per state guidelines: All personal service businesses have a general obligation to keep a safe and healthy facility in accordance with state and federal law, and comply with the following COVID-19 worksite-specific safety practices, as outlined in Governor Jay Inslee’s “Stay Home, Stay Healthy” Proclamation 20-25, and in accordance with the Washington State Department of Labor & Industries General Requirements and Prevention Ideas for Workplaces and the Washington State Department of Health Workplace and Employer Resources & Recommendations at https://www.doh.wa.gov/Coronavirus/workplace.

Shop Requirements:

  • Only one resident allowed in the salon at a time.
  • Only one salon Contractor allowed to work in the shop per shift.
  • Universal Source Control (USC) must be worn at all times, by both contractor and resident. This includes facial masks and gloves. Additional personal protective equipment (PPE) may be required, based on the service provided. This would include gloves, gowns, capes, goggles, face shields and facemasks as appropriate or required for the activity being performed.
  • Shampoo bowl etiquette to include covering a resident’s face with a towel while shampooing to protect their mouth, nose and eyes.
  • Glove changes and handwashing are required before and after each customer.
  • Housekeeping and Stylists will follow infection control protocol, sanitizing and disinfecting all areas and tools before and after each use.

Visual Signage:

  • Posters at the entrance to the salon.
  • Posters in the salon. 

Hours of Operations:

  • Monday –10AM-6PM (Giny – Nails Only)
  • Tuesday – 9AM-3:30PM (Ruthie)
  • Wednesday – 10AM-3PM (Roxanne)
  • Thursday – 8AM-5PM (Esther)
  • Friday – 9AM-3:30PM (Ruthie)

Contact Information:

  • Giny – 206-636-8209
  • Ruthie – 206-619-7876
  • Roxanne – 206-605-5280
  • Esther – 206-235-2575

Thank you and please contact Heather Smith, Director of Resident Services with any questions via 206-284-7330 (ext. 2313) or by email at hsmith@bayviewseattle.org.


PDF Version Here

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:

  1. Quarantine process:
    We are moving to a “Test-Based” strategy. If you visit an Emergency Room or have a hospital stay, you may take an anti-viral COVID19 test within 24-hours of returning back to Bayview. With a negative result, you will only be placed in quarantine for 72 hours instead of 14 days. If you decide not to be tested, you will be placed in quarantine for 14 days as is the current practice. Tests received prior to 24-hours of admission will not be accepted for reduced quarantine purposes. Specialized precautions and measures must be made for people who did not receive testing prior to admission and wish to be tested while in the middle of a 14- day quarantine.Independent residents who need a test to avoid the lengthy quarantine process may speak with their Primary Care Physician for testing options or may find a drive-thru testing site in Seattle that conducts rapid result testing. Test results need to be shared with Janice Pate, Director of Nursing Services in the Health Center to initiate the shortened quarantine process. All test results will be kept confidential.
  2. Employees working two (2) jobs:
    Again, we are moving to a “Test-Based” strategy. Employees that currently work on the Assisted Living Unit, Memory Care Unit, and Health Center have been specifically asked to work only one job since the beginning of the pandemic. This has placed a financial hardship on several employees, but have done so willingly as they understood the dangers of cross contamination when working at two locations. This was a temporary measure the facility enacted to keep Bayview free of COVID-19.The time has come to scale this back through “surveillance testing”. Employees that work two jobs will be able to return as long as they are tested for the presence of COVID-19 every 14-days. The incubation timeframe for COVID-19 is 14-days. Therefore, to test for the presence of the virus within this time frame will ensure the continued absence of the virus while working at Bayview. If the employee is found positive, they will follow the current “Return-toWork” guidelines from the CDC.
  3. COVID-19 Screening:
    We have re-evaluated the need to screen Independent level residents on a daily basis. Beginning Monday, we will screen residents three times a week. (Skilled Nursing, Assisted Living, and Memory Care will continue daily screenings). Of course, if you are not feeling well, or if you feel you have a change in your health, please notify the Assisted Living Unit nurse and we will screen you as needed and make recommendations for further action including, but not limited to contacting your Primary Care Physician. Any resident not feeling well should self-isolate in their apartment until the symptoms of illness dissipate.

Sincerely,

Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org


PDF Version Here

COVID-19 Updates: UNIVERSAL SOURCE CONTROL

The one lesson we have learned through the whole pandemic is Universal Source Control, or the consistent use of facemasks, is one of the best infection control strategies to prevent the spread of COVID-19. In combination with good infection control hygiene, such as the consistent and frequent use of hand sanitizers, and social distancing, universal source control completes the trifecta of best practice in keeping you, your loved one, your family and your neighbor safe and healthy. Just as recent as last Tuesday (06/09/20), the Governor’s office and the King County Department of Health released new correspondence reiterating and stressing the importance to the public of the need and benefits of consistent use of facemasks.

As of this writing, Bayview’s enduring record of zero COVID-19 cases is proof positive that our proactive stance and early implementation of universal source control for all staff and residents works! As more negative test results of our residents and staff continue to trickle in, we are witness to the resolve that our current efforts are paying off in spades!

As the Executive Team drafts Bayview’s plans of reopening phases, the one constant through the entire process is universal source control. In order for us to successfully reopen our doors to the public, it is vitally imperative that we remain extremely vigilant in the constant use and wear of our facemask. Here are some “Do’s and Don’ts” of facemasks:

DO: Wear your facemask at all times when out of your apartment.
The majority of us comply with this critical step. It is our Social Responsibility to protect ourselves and others by wearing our facemask. However, there are still some that do not understand or even ignore the importance of facemask use. Facemasks are uncomfortable. Facemasks are not natural. “Facemask Breath” is smelly! There are all sorts of reasons why we may not want to wear our facemask. The only reason that should matter for all of us to remember is: FACEMASK USE SAVE LIVES.

It has been stated several times before; COVID-19 is an opportunistic virus. No one person is immune to this disease. It can and will infect you if you do not block the entry points into your body; mainly your mouth, nose and eyes. A facemask blocks 2 of the 3 entry points when used and worn properly.

DON’T: Be complacent with facemask use.
Do not think “I will only be out of my apartment for a short time, so I don’t need to wear my mask”. Do not think, “I’m only taking the garbage out, so I don’t need to wear my mask.” Do not think “This kind of stuff happens to other people, not me”. Do not think “Oops! I forgot my mask, and it will be okay to not wear it just this one time”. Remember, It only takes one time for the virus to gain access to a host body, to infect a host, and to kill.

DO: Remind others to wear their facemask!

We are all human, and we all make mistakes from time-to-time. It is okay to remind others if you see a person not wearing their facemask. Facemask use is still relatively new. Perhaps the person forgot, or perhaps there is something wrong with their mask they are needing to fix. Reminders should not be punitive. Reminders should be gentle, friendly and informative. You are helping others remember their social responsibility and you are actually letting others know you genuinely care about their well-being.

DON’T: Take reminders from others to wear a facemask personally.
In the Health Center, we have trained our staff that reminders of proper infection control practices is considered a “No-Fault” reminder. If someone missed a step during hand hygiene, or forgot the proper way to don or doff personal protective equipment, a reminder of the correct process is not to point out failure. Nor is a reminder to single someone out as a “bad” person, or to “Boss” someone around by telling them to shape up or ship out! Rather, it is simply to ensure the safety of all. Remember, we are all in this together. Wearing your facemask shows your respect for your community, your neighbor and your neighbor’s well-being.

DO: Avoid touching, tugging or pulling on your facemask while you are wearing it.
Occasional adjustments of your facemask may be necessary from time -to-time, and can be accomplished by using the edges of the mask. Contaminates rest on the outside of the body of the mask. Every time a person touches the main body of the facemask, they contaminate their fingers or hand(s). Then, if the person does not immediately sanitize their hands, they will contaminate everything they touch from that point forward. Every time a person pulls their mask down around their chin to speak with someone, the infection control benefits of the mask are rendered useless. Contamination occurs to all people and surfaces around that person as they speak and breathe without the mask over their mouth and nose. Please believe that when you speak with your mask on, people will be able to hear and understand you! Put the mask on, leave the mask alone, and keep that mask properly in place!

DON’T: Wear your facemask below your nose.
Improper use and wear of your facemask does not protect you or others around you from potential exposure to COVID-19. Wearing a facemask below the nose is one of the most common mistakes people make while wearing a facemask. Just as much as when the mouth is uncovered, vapors from exhalations through the nose escape into the open air and contaminate surrounding areas when the nose is not contained within your facemask. If your facemask continues to slip off of your nose, gently pinch the bridge of your nose while your mask is on around your nose to allow your mask nose piece to gain a better grip on your nose. This should help for a short time. You may have to repeat the process several times throughout the day to maintain the proper placement of the mask on your face.

As you will see in this weekly and future weekly updates, the Executive team will share reopening phase plans and dates with everyone. Each plan will be released in a measured fashion, starting with the Beauty Salon and Fitness Center. The reopening schedule will depend upon everyone’s continued vigilance to Universal Source Control and proper infection control practices. Let’s keep up the great work!

Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org


PDF Version Here

Message from our CEO

I hope this week’s message finds everyone safe and well. Since our last update, there have been changes regarding COVID-19 testing. While initially working with the Department of Health (DOH) in testing our Skilled Nursing Facility (SNF/Health Center), we were following DOH guidance regarding resident and staff compliance. At the time, testing was strongly encouraged but both residents and staff could opt out of testing. Then at the end of last week, DOH in coordination with the Department of Social and Health Services (DSHS) changed their stance and staff testing became a requirement. They are now also requiring testing for any Assisted Living facility that has a Memory Care component. Staff are required to test, residents may opt out.

What does this mean for Bayview?

We went back to our staff this week who had declined testing and began testing those staff. We are also preparing to test residents and staff in Assisted Living (Danner’s Way) and Memory Care (Dorothy’s Place). Staff must comply since it is now required. Residents may opt out. Results from our initial staff testing in our Skilled Nursing Facility came back negative. As we learn the results of the remaining staff tests, we’ll let you know.

We are also awaiting further news from Governor Inslee so we can slowly and carefully start rolling back restrictions while maintaining a high level of safety for our residents and staff.

Stay tuned for updates regarding Alexa devices. Our IT firm has run into some technical obstacles on the back end and we’re waiting for the green light before we move forward.

In addition to dealing with COVID-19 our country is facing social/political stresses that can heighten our sense of isolation and anxiety. While we can’t always know what others experience, think or feel, we must always try to understand and feel empathy for others. That’s what makes us stronger as a community and as individuals.

Have a peaceful weekend everyone. Take care of yourselves and each other.

Nancy Weinbeck | CEO
Office: 206.281.5759 | nweinbeck@bayviewseattle.org

Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org


PDF Version Here

COVID-19 Update

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


PDF Version Here

COVID-19 Updates

This past week was relatively uneventful regarding COVID-19. Out of the 30 tests conducted that were faulty, only 10 of the residents and / or responsible parties consented to retesting which was conducted on May 19th, 2020. We decided to use a different laboratory this time in hopes our samples would not be rejected again. The results have returned, and all COVID19 tests are negative!

The Quality, Safety, and Oversight Group from the Centers of Medicare Services posted new recommendations to State and Local officials regarding criteria for relaxing certain restrictions and mitigating the risk of resurgence of COVID-19. The Executive Team is meeting to interpret these recommendations and formulating detailed plans for Bayview. This is a daunting task, as essentially, nothing has changed. Globally, we have surpassed the five (5) million mark of confirmed COVID-19 cases proving COVID-19 is still unrelenting. COVID19 is still opportunistic. COVID-19 is still just as deadly today as it was on March 3rd, 2020. This is the week to ask yourself “What can I do today to continue to mitigate Bayview’s risk of exposure to COVID-19?” This is the week to tell yourself “I will not give up!” So, say it loud, and say it proud! COVID-19 will not beat me! As long as we all keep these thoughts at the forefront of our minds, we will continue to remain COVID-19 free.

Trending Questions:
“I am running out of the supply of filters for the masks that were purchased by Bayview for us. Can I wear my mask without a filter?”

No. The mask supplied to you by Bayview has a “respirator valve” (the white plastic circle piece on the front, right side of the mask). Without the inside filter, this valve acts as a focused exit point for the vapors generated by your exhalations. There is not a sufficient barrier to prevent the microscopic virus particles from exiting the mask and infecting surrounding areas. If you are out of filters, please contact Heather Smith, or myself and we will give you more. Remember, one (1) filter lasts five (5) days of use. If you need help with an explanation of how to calculate usage days, please contact me at your convenience.

Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org


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COVID-19 Updates

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


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COVID-19 Updates

On Tuesday, May 5th, 2020, the skilled nursing unit underwent COVID-19 testing for the residents of the Health Center. I want to give a special “Moment of Gratitude” to the Director of Nursing Services, Janice Pate – RN, and the clinical team for her incredibly detailed leadership, preparation and execution of this event. Mrs. Pate’s team worked side-by-side with the King County Department of Health (DOH) to calmly, safely and efficiently test our most vulnerable population at Bayview.

Mrs. Pate’s guidance further strengthened our partnership with the DOH, and showed, first-hand, our commitment and culture of sound infection control practices among our staff and our residents of Bayview. Concurrently, DOH conducted an Infection Control Assessment Review (ICAR) evaluation of Bayview’s current infection control practices focused towards COVID-19. This inspection reviewed everything COVID-19 related, including policies, procedures, current counts of on-hand personal protective equipment (PPE), staffing, and physical inspections of employee infection control practice. The survey was a resounding success! DOH was truly impressed, not only with our infection control practices, but also with all of the efforts our staff and residents have put forth during this time to keep COVID-19 out of our facility. I am still awaiting the final report to be sent via email from DOH. When it arrives, I will communicate more reportable information.

The laboratory company “Lab Corps” is currently in receipt of our COVID-19 tests. They have stated results are usually obtained within 24-72 hours after receipt. As of this writing, we still do not know the results. More communication will follow when the results arrive.

As time progresses, more data is accumulated by the state and shared with the public. Below is an interesting breakdown of COVID-19 data as of 5/2/2020.

“A total of 2,894 COVID-19 cases (19% of total cases) and 507 deaths (61% of total deaths) have been identified as associated with a long-term care facility, including nursing homes, assisted living facilities or adult family homes. These cases may include residents as well as employees and visitors, and currently, we have limited ability to distinguish amongst them.”

These numbers are a stark reminder of the frailty senior communities such as Bayview faces each day. As the media continues to highlight the Governor’s plan to reopen Washington, each employment sector must meet new guidelines and criteria to reopen. We must remember Bayview falls into a completely different sector of healthcare. Criteria that may apply to other Independent Living Communities, may not apply the same as Bayview since we are a Life Plan Community and have all facets of care from Independent, Assisted, Memory, Child and Skilled care. We must meet the criteria for all levels of care. Our approach in relaxing our restrictions will be calculated, measured and follow all of the necessary recommendations and regulations.

Trending Questions: “Is it okay for me to move my mask to the side or off of my face when speaking so others can hear me?”

Even if you are properly social distance from others the risk is higher for exposing others if you move your mask away from your mouth or nose AT ANY TIME. Can you recall a time when it was really cold outside, and you could see your breath when you exhale? What you are seeing are vapor droplets coming from your body. These droplets exit your mouth and nose each time you exhale. It is these droplets, that can reach other people, or fall onto surfaces that may potentially infect others if touched and / or ingested by others.

It is not only our social responsibility to utilize “Universal Source Control” by keeping our mouth and nose covered, it is also a sign of respect and caring for others. No need to worry if people can hear you or not. They can, and if they say they can’t, it is not because of a cloth facemask! So, wear your facemask proudly knowing you care for the welfare of others, you respect other’s space and you are continuing your infection control vigilance through Universal Source Control! Be well, and stay healthy!

Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org


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COVID-19 Update

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


PDF Version Here

COVID-19 Updates

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


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Message from our CEO

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


PDF Version Here

Message from our CEO

When I first started my job as Resident Services Coordinator at Bayview in 2001, one of my first tasks was to help organize Bayview’s 40th anniversary celebration. Mayor Norm Rice was our keynote speaker, with former founding board member, mayor, and then current resident Gordon Clinton and his wife Florence in the audience. Here we are 19 years later, having just passed Bayview’s 59th anniversary, and deep into the planning of our 60th anniversary celebration.

As many of you know, Bayview opened its doors to its first residents on April 5th, 1961. Some of our current residents are friends and family members of that initial “class” of residents. If you see Bill St. Rose (“Bill in billing”) who began his career at Bayview over 40 years ago, he could share stories about some of those first residents, as could Chris Cabler Sr in Facilities. In the midst of this global pandemic we are unable to celebrate our 59th with an Annual Meeting and Dinner, as we have in years past. That just means that our 60th celebration will be that much greater!

We are deeply indebted to our founders and those that gave nurture and sustenance to this great community over these 59+ years. Bayview is so much more than a “retirement community” and so much greater than the sum of our parts. All those that have preceded us and follow us will become part of this great living, breathing, eternal whole that is Bayview. I am so blessed, honored, and humbled to be a small part of the rich and meaningful story that is Bayview. Thanks for being here. Thanks for sharing your lives with us. Thanks for being part of our rich history. Looking forward to toasting with all of you on the great occasion of our 60th anniversary when we can look back to the strength, resilience, and spirit that is Bayview with great promise and excitement for the next 60 years.

Warmly,

Nancy Weinbeck, CEO


COVID-19 Updates

Another week has flown by, and by the grace of God, and our excellent team and residents, we are still COVID-19 FREE.

The past week has seen more change; the biggest of which affects us all. As of late last Friday, (April 3rd, 2020) the Centers for Disease Control (CDC) has recommended ALL people in the United States wear a face mask. Healthcare personnel should wear medical grade masks while the general population should wear a “cloth” mask. Bayview has been able to purchase the same type of mask our employees have used for the past 3 weeks, for our residents. These masks are cotton, washable, and one-size fits all.

In efforts to continue keeping everyone safe and healthy, Bayview is requiring ALL residents to wear masks whenever you are outside of your apartment. The team is diligently doing some behind the scenes work to ensure there are enough masks for everyone and will distribute to all residents over the course of the next week. If you don’t see someone with a mask just yet, please allow each other some grace as we streamline the mask distribution process. Please also remember these masks are only for our Bayview residents and staff as supplied are limited. Family and friends will need to acquire or purchase their own masks.

Here are some more trending questions:

1. When do I need to wear my mask? According to the CDC and a newly implemented Bayview protocol, you should wear your mask anytime and every time you are outside of your apartment. Therefore, if you go to the laundry room, you should wear your mask. If you go to check your mail, you should wear your mask. If you go to the Dog Park, you should wear your mask. If you go to the grocery store, you should wear your mask. The only place you should not need to wear your mask is when you are in your apartment, or when you are alone in your personal vehicle.

2. What type of mask do I need to wear? This is a very large debate. Everyone seems to have an opinion about what type of mask is best to use! According to the CDC, and the Department of Health (DOH), healthcare personnel should wear medical grade masks. The general public may wear masks made of cloth. The CDC states, even bandanas are better than nothing! The facility is currently using Cotton masks, and saving as many medical grade masks in the event the facility experiences an actual COVID-19 case. CDC has given detailed specifications on how to make masks. To find these specifications you may visit the CDC website, request the specs from Joel Smith.

3. Is it okay to visit with the homeless? Many of us have a personal mission to assist the less fortunate. Although this is a noble cause, it is not recommended to fulfill this mission at this time. The federal government’s stimulus package addresses many of the issues surrounding the homeless, and less fortunate, and is creating space, and shelters to assist with this problem throughout the United States. Agencies are being created, space is being reconfigured, and people are being employed to assist with the homeless population. The government recognizes the homeless and less fortunate population poses a HIGH-RISK source of potential COVID-19 exposure. Therefore, to protect ourselves, our families, our loved ones, our employees and our facility, it is best to let these agencies work with this population until a more secure future can be assured in this COVID-19 era.

4. What are you doing about the thermometer used for the daily temperature checks? It doesn’t seem to be accurate. Temperature readings are recorded every day during the resident temperature checks. Supplies for the protective ear barriers are limited related to supply shortages associated with COVID-19. The facility is using baggies to cover the ear piece thus giving the data potentially abnormal readings. However, this data is still reviewed and trended daily. Even though the data may not appear to be accurate, any data noted to be “unusual” or outside of the trend is flagged for a nurse to revisit the resident and check the temperature again using a different thermometer. The facility has purchased new “No-Touch” infrared thermometers on March 13th, 2020. Shipping has been delayed as a result of COVID-19. As soon as these new thermometers arrive, they will be put into service, and the old thermometers will be saved for back-up use only.

5. There has been a recent and growing concern about how Bayview is handling new admissions into our Skilled Nursing and Rehab facility. We wanted to share with you the following:

• Bayview is not accepting anyone who has been confirmed with COVID+ or people that we suspect of having it.
• On Thursday, April 2, the Centers for Disease Control (CDC) established new guidelines for a long-term care facility: any admission, through any level of care, must maintain a 14-day quarantine and be placed on droplet isolation precautions, which means that any staff needing to interact with resident will be wearing full Personal Protective Equipment at all times. This includes residents in Independent Living, Assisted Living and Memory Care, or the Health Center who are returning from the hospital, and any new admissions into any area of the building.

We recognize the impact the ever-evolving protocols have on daily life and there is no higher priority for Bayview than protecting the health and safety of our residents. Thank you for your continued vigilance in keeping us all safe.

Sincerely,

Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org


PDF Version Here

COVID-19 Updates

As you may heard, Governor Inslee announced the extension of Washington state’s Stay Home, Stay Healthy initiative through May 4. The governor also warns Washingtonians against complacency and strongly advises everyone to continue to fully commit to mitigation efforts until the threat is fully extinguished. As of this writing, we continue to have no confirmed COVID-19 cases. Here are a few updates we would like to share:

New CDC Recommendation for Masks: In light of new data about how COVID-19 spreads, the Washington state Department of Health joined the Centers for Disease Control (CDC) in recommending as of Friday, April 3, “that people wear cloth face coverings in public settings where other social distancing measures are difficult to maintain (e.g., grocery stores and pharmacies), especially in areas of significant community-based transmission. Wearing cloth face coverings is an additional public health measure people should take to reduce the spread of COVID-19. CDC still urges that you stay at least 6 feet away from other people (social distancing), frequent hand cleaning and other everyday preventive actions. A cloth face covering is not intended to protect the wearer, but it may prevent the spread of virus from the wearer to others. This would be especially important if someone is infected but does not have symptoms. Cloth face coverings should be routinely washed depending on the frequency of use. A washing machine should suffice in properly washing a face covering. The new guidance stresses that members of the general public should not use surgical and N95 masks, because those should be reserved for health care workers. Instead, they should wear cloth masks or other makeshift face coverings.” Please visit www.bit.ly/CDCMasksInfo for more information.

How do I obtain a mask? Bayview will be distributing reusable filtered cotton masks by request due to the limited supply currently available. Please call Heather Smith at extension 2313 or email HSmith@bayviewseattle.org to be signed up to receive a mask with detailed instructions attached.

What if I have my own masks and/or am sewing masks? We thank anyone who is able to devise their own make shift cloth face covering, as we have limited supply of reusable filtered cotton masks. While we are in the process of ordering more, the generosity of our residents using their sewing talents has not gone unnoticed. In addition, as written in the April monthly, Sue Jackels and Marian Karpoff are looking for additional residents with sewing machines and those interested in helping put together masks. Please contact Sue at 2715 or 2725, or Marian at 2702.

Daily 3900 messaging line: As a reminder, we are updating our messaging line daily to announce Bayview’s COVID-19 status as well as any other pertinent updates. Simply dial 3900 on your Bayview phone line.

Now is not the time for complacency: With each memo, we have expressed cautious optimism in Bayview remaining COVID-19 free. However, health officials continue to warn individuals against complacency or relaxed social distancing rules. We should assume that anyone could be carrying the virus. If you leave home for an essential task, assume you were exposed to COVID-19. We emphasize this mentality as not to cause panic or fear but as a measure of continued diligence.

Palm Sunday Service Update: Due to technical difficulties, we are unable to show the pre-recorded Palm Sunday Service on Channel 69. As an interim solution, the recording is now available via Bayview’s YouTube at www.youtube.com/RetireAtBayview. We will continue to work on a solution for Channel 69 to play pre-recorded videos.

Lastly, thank you for your unending commitment in keeping our community safe and healthy.

Please reach out to Joel Smith, Health Services Administrator with any questions: Office: 206.281.5747 | jsmith@bayviewseattle.org


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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


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COVID-19 Update

As of this printing, Bayview continues to be COVID-19 free, thanks in large part to the hard work everybody has endured and continues to endure by staying in your apartments and remaining vigilant with excellent infection control practices. Our team has fielded many questions through emails, and telephone calls. We will continue to do our best to keep you informed through various methods of communication. Please forgive us if our responses aren’t as timely as we would hope. The sheer volume of questions, responses, and general communication is tremendous. However, communication is vital to our community and I encourage all of you to continue to call, or email with your questions or concerns. We will address each one as quickly as we are able.

Many staff members are now working from home, and most meetings occur through teleconferencing. Bayview has received new guidance from the Centers for Medicare Services (CMS) regarding inspection requirements, COVID-19 guidelines, checklists and assessments to follow. Most of the new guidelines have already been implemented, however, we continue to work diligently to meet all the newer requirements. We will be seeing State Surveyors in the facility to ensure our practices are meeting state requirements.

Our Executive team conferences daily to stay on top of new COVID-19 developments, and continuously strives to review, amend, or modify facility policy and safety protocols as the country continues to learn more about COVID-19 and how to combat this virus. Each day we learn more on how to “flatten the curve”. Each day we are COVID-19 free, we are blessed, thankful, and grateful to be healthy and we compassionately pray for the people who have been stricken with this illness. Each day that passes, we become closer to a solution to the pandemic outbreak. Thank you for all your support and keep up the good fight!

Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org


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COVID-19 Update

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


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COVID-19 Update

Every day, every hour brings new updates on COVID-19. We remain committed to being transparent, proactive, and empathetic in all our COVID-19 communications.

On Friday, March 20, we learned that a resident had developed signs and symptoms consistent with COVID-19. Our gratitude to this resident for informing staff and for taking immediate steps in seeking appropriate testing and consulting with their doctor. The resident is currently onsite, is in no acute distress or immediate danger, and has immediately enacted strict isolation protocols. We are respecting the resident’s privacy and will not disclose any personal information. Senior management is rapidly identifying potential exposure and is poised to take appropriate steps with the Department of Health and the Centers for Disease Control. We will be notified of the test results that will come back as early as Monday, March 23. To be clear, we have not received a confirmation that this is COVID-19.

At this time, out of tremendous caution, we are urging you to remain in your apartments. This means all residents should stay in their apartments, avoiding common spaces and interaction with other residents. We will continue temperature checks and meal delivery each day – with staff equipped with personal protective equipment. A building-wide quarantine is one of the most effective ways to safeguard our community of our beloved residents and staff.

Again, we will not know if we have a positive case of COVID-19 until early next week, in which case, we will either lift the voluntary building-wide quarantine or mandate a building-wide quarantine. This situation points out the seriousness of this disease and the measures necessary to ensure the safety of all residents and staff. Thank you for your part in all of this. We know these are extraordinary times in uncharted territory. We will prevail.

Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org


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A Message from our CEO

Dear Residents and Families of Bayview, First, I wanted to reassure everyone that as of this writing, we continue to have no confirmed COVID-19 cases. We know some of the measures we have in place are stricter than what is required and stricter than what some other senior living communities have initiated, but we believe these measures are helping to keep our community safe.

We have been monitoring the nation-wide shortage of personal protective equipment (PPE) supplies such as masks and gowns and have been carefully keeping track of our own supplies at Bayview. Fortunately, we were able to source a limited supply of reusable filtered cotton masks and will be distributed to staff early next week who will be trained on proper usage. Each staff member will be required to don their mask before they enter the building and wear as long as they remain on site. As well, all vendors, contractors, and all other essential personnel will be required to wear a mask once they enter the building. This is another measure we are taking to reduce Bayview’s risk of exposure and/or transmission.

For residents who would like to wear reusable masks, we are seeking additional sources, so stay tuned on that front. We will send out a notification when we have additional supplies.

In the last couple of years, we’ve learned from research what we’ve all known in our hearts to be true – that social connection is good for us. However, now we’re asked to isolate and thereby sever the very connection that nurtures us. It’s so hard. Whether experiencing moments of grief and loss, or moments of joy, the absence of hugs is perhaps the hardest to bear.

In spite of all the challenges we face right now, we are inspired and encouraged by the resilience, kindness, and encouragement of our residents and staff. Our gratitude has only grown in these days and weeks, and we are reminded of how blessed we all are to be part of the Bayview family.

We will continue to keep you updated as the situation unfolds. Until then, stay safe, and stay well.

In deep gratitude and appreciation,

Nancy Weinbeck, CEO


COVID-19 Update

Deliveries and Packages

According to the Centers for Disease Control, it may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads. In general, because of poor survivability of these coronaviruses on surfaces, there is likely very low risk of spread from food products or packaging that are shipped over a period of days or weeks at ambient, refrigerated, or frozen temperatures.

In addition, according to studies, COVID-19 may live on cardboard for up to 24 hours and hard surfaces such as plastic and stainless steel for up to 72 hours. Most deliveries take longer than 24 hours to arrive to us from wherever they are coming from. Therefore, for cardboard boxes or paper envelopes, there shouldn’t be a concern. Plastics should be wiped down as the virus can last up to 72-hours or longer. After opening a plastic package, good hand hygiene should be used. Front desk staff will continue to disinfect the surface the package was left on after pickup.

A Gentle Reminder

As we have shared with you in prior memos, King County Public Health is continuing to advise and encourage self-isolation for everyone – of all ages. Terminology like self-distancing and self-isolation can be confusing. Self-distancing involves avoiding large crowds and minimizing physical contact (but still going to work or school). Precautionary self-isolation is stricter (no public places like work, school, etc.) and involves staying on your property indoors as much as possible to curb the increase in coronavirus transmission. Governor Inslee has advised people 60 years of age and older, who are most vulnerable to the virus, as well as to people younger than 60, who can carry it asymptomatically to self-isolate. Although we are working together to employ self-isolation, we recognize the need to welcome some relief in low-risk ways– exercising in your apartment, walking by yourself along the private terrace patio, walking your dog around the block, reaching out to friends and family using telephone or social media, etc. Please reach out to Joel if you have questions on what is safe and considered low risk. The Governor has not issued a “shelter in place” order as of this writing but if he does so, then some of our recommendations may need to change. The team at Bayview is continually putting on our creative thinking caps to find ways to foster engagement amidst all of this!

Please reach out with any questions to:

Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org


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COVID-19 Update

Effective Monday, March 16, King County Executive Dow Constantine and Dr. Jeff Duchin announced the following:

  • Restaurants, bars, dance halls, clubs, theaters, health and fitness clubs, and other similar indoor social or recreational venues must cease operations until March 31, 2020.
  • Restaurants and food service establishments may remain open only for drivethrough, delivery, and pick-up only, until March 31, 2020.
  • All other retail such as groceries, pharmacies, banks, gas stations, hardware stores, shopping centers, etc. may remain open provided they meet Public Health directives in the previous Local Health Order.

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


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COVID-19 Update

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


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COVID-19 Update

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


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COVID-19 Update

Dear Bayview Community,

At Bayview, and other senior communities, we must continue to fulfill our mission while working to keep our residents and community healthy. As a reminder, we do not have a confirmed case of the Coronavirus (COVID-19) at Bayview. However, the rising cases of this disease and the risk it poses for those over the age of 60 within King County, is concerning to us all. Maintaining the health, wellness and safety of our residents is our number one priority. Here are additional steps we are taking in order to minimize exposure to this illness.

New updates and protocols effective 3.9.2020:

  • Visitation restriction: To ensure maximum safety for residents and staff, we are restricting ALL outside visitors to Bayview until further notice.
    • The exceptions are essential personnel, hospice nurses, medical and/or licensed staff, and any end-of-life family visitation. Screenings are still strictly in place for anyone who enters the building. Family members may continue to pick up relatives for medical appointments at reception.
    • We understand that connecting with family members is important and there are a variety of other ways you might consider connecting with them: telephone, email, text, Skype, social media, and Facetime are some examples.
  • Resident group activities and programs are postponed until further notice.
    • The Fitness Center and pool are still open for individual use.
    • We are not prohibiting congregate dining at this time. We are prepared for building wide meal delivery should we need to close our congregate dining venues (Terrace View Dining, Bistro, Cloud Room).
  • In response to rapidly changing circumstances, Bayview has created a onestop page dedicated to all COVID-19 updates. Please feel free to share this site with family and friends: www.BayviewSeattle.org/COVID19.

Reminder of protocols already in place:

  • Working in consultation with King County and State Department of Health agencies, The Centers for Disease Control, and Infection Control Preventionists to monitor conditions and follow the most current recommendations.
  • Adhering to universal precautions of infection control such as practicing good hygiene.
  • Increased disinfection and sterilization on all “high-touch” surfaces.
  • All van trips other than medical appointments are cancelled.
  • No classes by outside instructors for Fitness, Resident Services, and Pastoral Services.
  • Intergenerational activities have been postponed. The Children’s Center remains open with parents and students entering/exiting through the Children’s Center entrance only and undergoing the same screening process.

We fully acknowledge that these measures may be disruptive, but the health and safety of our residents and the community as a whole must take precedence. With these new protocols in place, don’t hesitate to reach out with any questions or concerns.

Thank you for your part in helping us lead with compassion, empathy, and understanding. We will continue to keep you informed as updates become available.

Sincerely,

Joel Smith, Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org


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COVID-19 Update

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:

  • We strongly discourage nonessential visitors from visiting our building including but not limited to instructors, entertainers, family and friends, volunteers, etc.
  • We strongly discourage residents and guests from visiting Skilled Nursing & Rehabilitation.
  • Screening of all people entering the building with the following:
    • Do you have symptoms of illness or have been in close contact with someone with symptoms of illness, including fever, cough, and shortness of breath?
    • Have you recently visited or come into close contact with someone who has visited the Life Care Center of Kirkland or visited Evergreen Hospital in Kirkland within the last 14-days?
    • Have you recently visited or been in close contact with anyone diagnosed or treated with COVID-19?
    • Have you recently returned from travel to any country with a CDC-issued Level II or Level III travel advisory (China, South Korea, Italy, Iran, and Japan)? If any of the above criteria apply, they will be required to postpone their visit.
  • All van trips other than medical appointments are cancelled.
  • No classes by outside instructors for Fitness, Resident Services, Pastoral services.

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


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Message to our Bayview Community on COVID-19

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:

  • Wash hands often with soap and water. Use hand sanitizer if water is not available.
  • Avoid touching your eyes, nose, or mouth with unwashed hands.
  • Avoid contact with people who are sick.
  • Stay home while you are sick and avoid close contact with others.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.

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


PDF Version Here

Where should questions be directed?

Joel Smith, Bayview Health Services Administrator
Office: 206.281.5747 | jsmith@bayviewseattle.org

Nancy Weinbeck, Chief Executive Officer
Office: 206.281.5759 | nweinbeck@bayviewseattle.org

Media inquiries should be directed to our Director of Communications, Jill Chang: Office: 206.301.4480 | Cell: 425.802.0968 |  jchang@bayviewseattle.org

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