- Monitoring high-risk Assisted Living and Memory Care residents closely for symptoms
- Restricting visitors ro protect our residents
- Placing hand sanitizer throughout the community (pending supply availability) in addition to our many hand washing areas
- Placing extra tissue boxes around the community
- Frequently sanitizing all doorknobs, trash cans, and non-porous surfaces with CDC-approved cleaning products
- Providing telehealth program to allow residents to receive care from Nurse Practitioners and Medical Director from communities with on-site clinics
- Training all staff on infection control
- Retraining designated nursing staff on the use of Personal Protective Equipment if or when isolation is needed
- Providing meal deliveries (room service) at no additional charge from a complete restaurant-style menu to residents on meal service
- Providing essential shopping for Assisted Living and Memory Care residents as needed
- Making and delivering activity and treat bags to independent living residents
- Delivering packages dropped off by residents’ family and friends
- Engaging residents with live music, entertainment, fitness activities and conversation on social media
- Touching base with residents through phone calls or one-on-one visits
- Connecting residents with loved ones through technology
- Sharing educational information about the virus
PROTECTIVE AND PRECAUTIONARY POLICIES AND PROCEDURES FOR ALL JUSTUS SENIOR LIVING COMMUNITIES
Per state and federal agency recommendations, we have implemented the following protective and precautionary policies and procedures:
Visitation Restrictions –
For Community Buildings with Assisted Living and Memory Care — Per the Indiana State Department of Health, Justus Senior Living is restricting visitation of ALL visitors and non-essential healthcare personnel. The only exception for visitors is for compassionate care situations, as in end of life. Decisions about visitation during an end of life situation are made on a case-by case-basis, which includes careful screening of the visitor (including clergy, bereavement counselors, etc.) for fever or respiratory symptoms. Those with symptoms of a respiratory infection (fever, cough, shortness of breath, or sore throat) will not be permitted to enter the Justus communities at any time (even in end-of-life situations).
Those visitors who are permitted will be:
- Instructed before entry to the facility of the need to be screened for temperature and symptoms;
- Limited to a specific location (the resident’s room or other designated location);
- Required to perform hand hygiene and wear personal protective equipment (PPE) including gloves and a standard surgical facemask, if available.
In addition, visitors and any individuals who enter the community are informed that they should be monitored for signs and symptoms of respiratory infection for at least 14 days after leaving the community. If symptoms occur, the visitor should self-isolate at home, contact a healthcare provider and immediately notify the community of the date and person visited.
The only exceptions to the restrictions are healthcare workers (community staff) and government surveyors.
Justus Senior Living is also following the guidance of CMS:
- Cancel group dining and activities (both in and out of the facility)
- Implement Active Screening of residents and staff for fever and respiratory symptoms
- Remind residents to practice social distancing and perform frequent hand hygiene in lieu of in-person visits, please do your best to facilitate increased video calls and phone calls for your clients in order to help minimize the negative psychological impact of restricted visitation.
All common areas are restricted to residents only. Residents are encouraged to Facetime or video chat with their friends and family during this time.
For Independent Living Residents Housed in a Community Building that Includes Assisted Living or Memory Care — These resident will follow the same visitor restrictions due to the risk factors associated with the age group. All entry to such building is limited to the front entrance. Independent Living residents are strongly encouraged to only leave the building for essential appointments. If they choose to leave the building, they will be scanned for fever and answer a questionnaire upon return.
For Community Buildings that are Independent Living Only — Visitation is also restricted based on Indiana State Department of Health guidelines on visitation for Housing with Services Establishments, the designation of all our Independent Living Communities.
- Visitation is restricted to ALL visitors and non-essential healthcare personnel. The only exception for visitors is for compassionate care situations, as in end of life.
- Doors will always be locked to the outside.
- Where possible, entry will be limited to the main entry.
- Residents will be informed to limit their visits to those that are medically necessary or those who help with activities of daily living.
- All caregivers are required to wear masks.
- All caregivers must remain in the resident apartment.
- All visitors will be screened.
- During office hours, visitors must report to the Assited Living building (Crestwood South) or Suites building (Crestwood North) to be screened.
- They will answer a 4-question survey to determine health risk factors.
- Those with symptoms of a respiratory infection (fever, cough, shortness of breath, or sore throat) will not be permitted to enter any of the Justus Senior Living communities.
- They will have their temperature screened.
- They will receive a sticker that indicates the date and that they are approved for entry.
- During off hours, the Independent Living community buildings are unable to monitor visitor entry.
- The residents will be responsible for following the visitor restriction and allow only medically necessary healthcare professionals.
- The resident will not allow anyone (even a healthcare professional) to enter the building if they have respiratory symptoms.
- The resident must arrange for entry of medically necessary visitor.
- The visitor must remain in the resident apartment.
- The medial professional is required to perform hand hygiene and wear personal protective equipment (PPE) including gloves and a standard surgical facemask, if available.
- If the restrictions are not followed, it would be considered a violation of the lease.
Staff Screening & Temperature Checks — Staff and medically necessary caregivers are screened for temperature and symptoms daily before starting their shifts. As an extra preventative measure, a daily screening questionnaire is also required.
Sanitization – Performing consistent sanitization procedures will remain a priority within high-traffic resident areas, common areas, lobbies and offices. Additional measures have been taken to regularly disinfect high-touch surface areas including elevators, doorknobs and laundry equipment. We will remain vigilant on consistently practicing proper hand and respiratory hygiene and implementing sanitization protocols recommend by the CDC.
Dining — Congregate dining has been suspended in compliance with guidance from both the federal and state agencies. We understand how important not only the food, but the dining experience is to our residents. Therefore, residents will continue to have a full restaurant-style menu with a variety of choices. We are trying our best to deliver all meals to the residents’ door without changing the menu. Our teams have been working around the clock to meet the dining needs of the residents.
Life Enrichment Activities — The CDC recommends social distancing. Therefore, all life enrichment activities including small and large group events, fitness classes and outings are postponed until further notice. We know our residents look forward to these activities. As an alternative, our Life Enrichment team is ensuring senior living residents have puzzles, games, books and delivering surprises to their apartment doors!
Fitness Centers – All fitness centers in our senior living communities are closed in compliance with state guidelines. In the meantime, in-home fitness activities are strongly encouraged! In-home fitness resources are available to each resident.
Outpatient Therapy — Outpatient Therapy clients may be seen in their apartment when medically necessary.
Clinics — The Medical Director and Nurse Practitioner will be consulted or will make visits to residents when medically necessary. Telehealth will be utilized when available to reduce risk.
Transportation & Shopping — For Assisted Living residents, we offer transportation to medically necessary appointments. For Independent Living residents without available transportation or support, we offer grocery delivery assistance on a bi-weekly basis for essential need items. If residents need additional assistance, a list of resources for shopping, grocery and meal delivery services has been provided to our senior living residents.