On March 13, visits to all skilled nursing centers – Ciena Healthcare facilities included – were restricted by the federal government, with the exception of certain compassionate care circumstances such as an end-of-life situation.
Outdoor Visitation Update
A recent Emergency Order from Robert Gordon, Michigan Department of Health and Human Services (MDHHS) Director, outlined steps for possible outdoor visitation at nursing homes beginning September 15. Facilities must meet criteria specified in the order, including having had no new COVID-19 cases within the previous 14 days, in order to host outdoor visitation.
After a self-assessment by our clinical and operational teams, we have concluded that we are unable to accommodate outdoor visits at this time as our facility currently does not meet all of the necessary benchmarks developed by MDHHS.
Please know there is a possibility our visitation status will change! All nursing homes will be required to constantly assess and reassess visitation status. Our eligibility for hosting visits will be determined based on our ability to meet the standards outlined by MDHHS. We will review our status weekly and communicate changes on this site accordingly.
Ciena Healthcare facilities are committed to effective communication during this unprecedented time in our history. We regularly apprise residents, families, and employees to changes in facility status and policy as needed and as deemed appropriate. This COVID-19 Resources page is an extension of these efforts and also serves as a means to update the communities we serve.
We have been humbled by the support we’ve received from the local community and we truly appreciate everyone’s continued cooperation and understanding.
The Centers for Medicare & Medicaid Services (CMS) issued "QSO-20-29-NH" on May 6, 2020, with the subject "Interim Final Rule Updating Requirements for Notification of Confirmed and Suspected COVID-19 Cases Among Residents and Staff in Nursing Homes." It is expected that on May 9, 2020, CMS will publish an interim final rule with a comment period.
In summary, the memorandum states: "In an effort to support surveillance of COVID-19 cases and increase transparency for residents, their representatives and families, CMS has established reporting for confirmed or suspected COVID-19 cases at §483.80(g3) as follows:
CMS goes on to state: "We understand that state and local health departments may currently require nursing homes to report certain COVID-19 related information to them. A key difference between the state/local reporting and this new national reporting requirement is that reporting to state/local health departments allows them to understand the status of their local environment and intervene (e.g., direct staffing and supplies), whereas this national requirement provides standardized information to assist with national surveillance on the status of COVID-19 in all nursing homes."
The regulation states, "there are a variety of ways that facilities can meet this requirement… such as web postings. We do not expect facilities to make individual telephone calls to each resident's family or their responsible party to inform them that a resident in the facility has laboratory-confirmed COVID-19. However, we expect facilities to take reasonable efforts to make it easy for residents, their representatives, and families to obtain the information facilities are required to provide."
Our Reporting Notification Process
Our facility strives to continue its efforts for transparency in communications with all interested stakeholders. It is in this effort we are creating a place for residents, families and responsible parties and our associates to look to for updated facility-specific information.
Our communication will include information on mitigating actions we are taking to prevent or reduce the risk of transmission, which can be found on this resources page.
Our data will never include personally identifiable information. It will include information about our residents and staff for the following aspects of COVID-19 reporting:
We expect to update our data according to the guidance which is by 5 p.m. the next calendar day following the occurrence of either a single confirmed infection of COVID-19, or three or more residents or staff with new-onset of respiratory symptoms occurring within 72 hours of each other. Further, we will include a cumulative update at least weekly.
Our facility is committed to providing updated and current information for our residents, families and responsible parties and associates. To these important stakeholders, if at any time you have questions about the information you see on our website or would like to discuss it further, please reach out to the Administrator of this facility.
**UPDATE** Beginning June 22, this facility will conduct COVID-19 testing in compliance with the June 15 Emergency Order from MDHHS Director Robert Gordon. The testing guidance released requires all skilled nursing facilities in the state of Michigan to conduct COVID-19 testing as follows:
The text above was last updated on: June 19, 2020
Our facility is taking appropriate measures, consistent with the guidelines and directives from the Centers for Disease Control (CDC) and the Centers for Medicare and Medicaid (CMS), for the prevention and control of Coronavirus (COVID-19). COVID-19 is a viral infection that is caused by a distinct Coronavirus. The incubation period is two to fourteen (2-14) days, with the average being four (4) to five (5) days. This virus may be mild, moderate, or severe, and can be potentially life threatening.
This facility endeavors to follow CDC and CMS guidance and to collaborate with State and Local health departments in its mitigating actions as we work through the necessary response to this unprecedented pandemic together.
Visitation and Family Communications Efforts
As of March 13, 2020, visits to all skilled nursing centers – ours included – have been restricted by the federal government, with the exception of certain compassionate care circumstances such as an end-of-life situation. We apologize for this inconvenience and thank you for your understanding and cooperation.
The facility has taken measures to provide virtual visits with loved ones, virtual family council meetings, and an enhanced facility website for increased communications during this period of restricted visits.
All associates, essential health care vendors and emergent visitors will be screened and documented as directed by CDC and CMS guidance.
Our staff is monitoring residents daily for change in condition, including the presence of elevated temperatures and respiratory illness in our facility. Any residents showing signs consistent with the virus are monitored each shift or more frequently as needed.
Staff are being screened for elevated temperature and respiratory illness prior to and after each shift, and we are requiring staff to stay home if they are sick or display symptoms of the virus.
Mitigating Actions Implemented to Prevent or Reduce the Risk of Transmission
The facility has several measures in place to prevent or reduce the risk of transmission, including, but not all-inclusive, as follows:
Reminding those in our facility that they must:
Last updated: May 28, 2020
How has Ciena worked to stop the potential spread of COVID-19?
What happens if a resident tests positive for COVID-19?
Will the facility update me on the status of my loved one during visitation restrictions?
How can I stay in contact with my loved one during visitation restrictions?
Why hasn't the facility tested my loved one for COVID-19?
Does Ciena have PPE?
Why are skilled nursing facilities like Ciena continually in the news?
How can I stay informed of what is happening at the facility?
Last updated: May 28, 2020
At Ciena, there is nothing we take more seriously than the safety and well being of our guests and our dedicated associates who care for them. We are doing everything in our power to keep your loved ones safe and healthy during this crisis.
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Last updated: May 8, 2020