COVID Week in Review: February 12-18, 2021

Vaccinations

An impressive total of 827 people have received their COVID-19 vaccinations at BRC (scroll down for details.) Most have received both doses. For those who got their first shots on 2/10, a final vaccine clinic is scheduled for March 3. 

Assisted Living, Memory Support, and Nursing

Good news! There have again been no COVID cases this week. In accordance with best practices, team members continue to wear KN95 masks while in the nursing households.

The Salon at 302 (our beauty shop) and restorative care are open for Nursing residents. Genesis rehab is open for residents, as is Skyline Dining Room in AL.

Visitation continues to be restricted in Nursing, AL, and Memory Support in accordance with the regulatory guidelines we must follow. The no-visitation policy has been particularly difficult for BRC residents with spouses living separately at BRC in different parts of our community. We are delighted that we can currently facilitate internal spouse visits ONLY between BRC residents living Nursing, Assisted Living, and Memory Support.

HOWEVER, outside and Independent Living visits to Nursing, Assisted Living, and Memory Support must continue to be prohibited due to the local positivity rate. It must get below 10% in Rockingham County to allow visitation.

Dining Team

One dining team member tested positive this week. The individual did not work closely with residents, so we believe there was minimal chance of exposure. As a precaution, dining and AL team members have been added to this week’s routine testing. 

Village Residents

There have been no new COVID cases among Independent Living Residents. Dining venues, fitness center, library, and salon are open with appropriate infection prevention measures observed.

Testing

Team members: Because the local positivity rate remains above 10%, Nursing team member testing continues twice a week, usually on Mondays and Wednesdays. This week, Assisted Living and Dining team members are included. For team members throughout BRC, testing is available for symptoms and on an as-needed basis.

Residents: Testing is available for any BRC resident with symptoms and as needed.

Vaccinations at BRC On-site Clinics

  # Vaccinated Total in Community % Vaccinated
*Nursing Residents 119 (112 current) 117 96%
Assisted Living Residents 48 50 96%
Memory Support Residents 14 16 88%
Independent Living Residents 331 351 94%
TOTAL BRC RESIDENTS 512 534 95%
Team Members 267 370 72%
**Others 48 NA NA
TOTAL PEOPLE VACCINATED 827    
*The total number of Nursing residents vaccinated includes seven individuals who no longer reside in BRC nursing households.
**”Others” includes direct care providers and key volunteers who work closely with residents on the BRC campus.

 

COVID Week in Review: February 5-11, 2021

Vaccine Clinic 2/10

All went smoothly despite the threat of winter weather (which did not end up causing icy roads or pathways, thank goodness, but we were prepared for anything). We hope to have more precise numbers soon, but we estimate that between 500 and 600 shots were administered. This included second doses for the vast majority of Assisted Living and Independent Living residents. Most Nursing residents had already received both doses, but 12 did get the inoculation. Also participating were161 team members, key volunteers, and private caregivers who support BRC residents, for their first or second shot. 

A great big thanks to everyone to chose to get the vaccine, especially those who were nervous about it but did it anyway to support BRC, our residents, and our broader community. 

No allergic reactions were reported, and so far all reports of side effects fall into the normal range.

The follow up clinic for anyone who still needs a second shot will be March 3.

Assisted Living, Memory Support, and Nursing

Good news! There have been no COVID cases this week. In accordance with best practices, team members continue to wear KN95 masks while in the nursing households.

The Salon at 302 (our beauty shop) and restorative care are open for Nursing residents. Genesis rehab is open for residents, as is Skyline Dining Room in AL.

Visitation continues to be restricted in Nursing, AL, and Memory Support in accordance with the regulatory guidelines we must follow. The no-visitation policy has been particularly difficult for BRC residents with spouses living separately at BRC in different parts of our community. We are delighted that we can currently facilitate internal spouse visits ONLY between BRC residents living Nursing, Assisted Living, and Memory Support.

HOWEVER, outside and Independent Living visits to Nursing, Assisted Living, and Memory Support must continue to be prohibited due to the local positivity rate. It must get below 10% in Rockingham County to allow visitation.

Dining Team

One dining team member was discovered to have tested positive on January 20. This was not handled at BRC, and the individual had not been at work during their contagious period so there was not risk of exposure.

Testing

Team Member Testing: Because the local positivity rate remains above 10%, Nursing team member testing continues twice a week, usually on Mondays and Wednesdays. Routine testing is not currently needed in Assisted Living and Memory Support. For team members throughout BRC, testing continues for symptoms and on an as-needed basis.

Resident Testing: Testing is available for any BRC residents who experience COVID symptoms. 

 

COVID Week in Review: January 29-February 4, 2021

Next Vaccine Clinic Feb 10

At the next vaccine clinic on February 10, second doses will be administered for everyone who received their first shots on January 20. In addition, any residents or team members who have have not yet gotten the first dose may do so as a final clinic will be scheduled in March to administer second doses.

This will be the last scheduled opportunity for BRC residents and team members to get a first dose of the vaccine at an on-site clinic. BRC strongly encourages all who have not yet gotten the vaccine to be sure to get their first dose on February 10.

Consent forms need to be completed for both the first and second dose.

We know that, going forward from February 10, there will be new team members and residents who will want the vaccine. We are working on how to make that happen but do not yet have any details.

Assisted Living including Memory Support

Good news! There have been no COVID cases this week among AL residents. However, one team member has tested positive. Dining venues and the beauty shop remain open. 

Nursing

Good news! We are completely out of outbreak status. There have been no new COVID-positive residents in Nursing, and no new COVID cases among Nursing team members since January 25. Following clinical best practices, team members wear KN95 still masks while in the Nursing Households.

We are delighted that the beauty shop and restorative care are now open for Nursing residents. Genesis rehab is scheduled to open on Monday, February 8 depending on good results for the team member testing that day.

The no-visitation policy in Nursing, AL, and Memory Support, which is dictated by federal and state regulation, has been particularly difficult for BRC residents with spouses living separately at BRC in different parts of our community. We are delighted that, because of no new COVID cases here, we have been able to resume internal spouse visits ONLY between BRC residents living Nursing, Assisted Living, and Memory Support.

HOWEVER, outside and Independent Living visits to Nursing, Assisted Living, and Memory Support must continue to be prohibited due to the local positivity rate. 

Dining Team

One dining team member was discovered to have tested positive on January 20. This was not handled at BRC, and the individual had not been at work during their contagious period so there was not risk of exposure.

Testing

Team Member Testing: Because the local positivity rate remains above 10%, Nursing team member testing continues twice a week, usually on Mondays and Wednesdays. However, next week we will test on Thursday 2/11 because of the vaccine clinic on 2/10. Routine testing is not currently needed in Assisted Living and Memory Support. For team members throughout BRC, testing continues for symptoms and on an as-needed basis.

Village Resident Testing: Testing is available for Village residents who experience COVID symptoms. Contact Resident Services for more information.

COVID Week in Review: January 22-28, 2021

Next Vaccine Clinic Feb 10

At the next vaccine clinic on February 10, second doses will be administered for everyone who received their first shots this week. In addition, any residents or team members who have have not yet gotten the first dose may do so as a final clinic will be scheduled in March to administer second doses.

This will be the last scheduled opportunity for BRC residents and team members to get the vaccine at an on-site clinic. BRC strongly encourages all who have not yet gotten the vaccine to be sure to get their first dose on February 10.

We know that, going forward from February 10, there will be new team members and residents who will want the vaccine. We are working on how to make that happen but do not yet have any details.

Assisted Living including Memory Support

Good news! There have been no COVID cases this week among AL residents or team members. Dining venues and the beauty shop remain open. 

Nursing

Almost all nursing residents have now had their second dose of the vaccine, and we are very grateful to have gotten to this point where their risk of contracting COVID is greatly reduced.

All nursing residents again tested negative this week. Although there were nursing team members who tested positive, they had not been at BRC in the period they could have been contagious, so there is very minimal risk of exposure. Tranquility House will come off isolation on Friday 1/29 as long as there are no positive COVID-19 results associated with that house.

As long as there are no new additional cases by Monday 2/1, we are delighted that we will be able to open the beauty shop and restorative care on that day.

Family visitation between residents living in Nursing, Assisted Living, and Memory Support will resume on February 1 as long as no outbreak occurs before then.

Outside and Independent Living visits to Nursing, Assisted Living, and Memory Support must continue to be on hold due to the local positivity rate. 

Testing

Team Member Testing: Because of the local positivity rate, Nursing team member testing continues twice a week. Routine testing is not currently needed in Assisted Living and Memory Support. For team members throughout BRC, testing continues for symptoms and on an as-needed basis.

Village Resident Testing: Testing is available for Village residents who experience COVID symptoms. Contact Resident Services for more information.

 

COVID Week in Review: January 15-21, 2021

Vaccine Clinic January 20

Residents and team members from all areas within BRC participated in this week’s vaccine clinic, and it was a true success. About 750-760 vaccinations were administered by the CVS team with excellent support from team members throughout BRC. This included first doses for Independent Living and Assisted Living residents, first or second doses for team members, and second doses for residents of the Nursing Households. At the next clinic on February 10, second doses will be administered for everyone who received their first shots this week.

Many thanks to everyone whose thorough preparation and on-site assistance helped everything go so smoothly. 

We are all looking forward to allowing Nursing and Assisted Living residents to visit in person with their loved ones, to being able to schedule outings and events, and to be able to volunteer together to support our broader community. Having so many here at BRC vaccinated is an important first step in being able to get back to normal. But it is only the first step, and we have a long way to go until the pandemic is quelled. We must continue to follow our infection prevention protocols, such as wearing masks and not having group activities. As a reminder, visitation policies for Nursing and AL are set by regulatory guidance from CMS (Center for Medicare and Medicaid Services) and the Virginia Department of Health and are linked to the local positivity rate (see below). Therefore we do not anticipate that policies will change significantly in the near future.

However, it is clear that even one dose of the vaccine confers a significant benefit, and its effectiveness increases to over 95% after the second dose. One of the benefits of the vaccine as demonstrated by the clinical trials is that the small percentage who end up getting COVID-19 after vaccination do not develop severe cases. So even for those people who do get sick there is a distinct advantage to having had the vaccine.

Post Vaccine Guidance from our Director of Nursing

From Barb Frye: 

Systemic signs and symptoms, such as fever, fatigue, headache, chills, muscle pain, and joint pain, can occur following COVID-19 vaccination. Preliminary data from mRNA COVID-19 vaccine trials indicate that most systemic post-vaccination signs and symptoms are mild to moderate in severity, occur within the first three days of vaccination (the day of vaccination and following two days, with most occurring the day after vaccination), resolve within 1-2 days of onset, and are more frequent and severe following the second dose and among younger persons compared to those who are older (>55 years). Cough, shortness of breath, rhinorrhea, sore throat, or loss of taste or smell are not consistent with post-vaccination symptoms, and instead may be symptoms of SARS-CoV-2 or another infection.

Unless contraindicated, Tylenol (acetaminophen) may offer relief for headache, muscle pain and joint pain. Additionally, get plenty of rest, drink lots of fluids, and eat a well-balanced diet.

Assisted Living

Good news! There have been no COVID cases this week among AL residents or team members. Skyline Dining Room and beauty shop are open. 

Nursing

One team member in Tranquility House tested positive this week, so we are in outbreak status in that household. Fortunately, all Nursing residents in all households tested negative on Monday, and Tranquility residents tested negative a second time on Thursday. Full PPE is being used in Tranquility.

Team members and residents will be tested again next week. The results will help BRC determine when to start to open back up for beauty shop, restorative care gym, and visits.

Visitation continues to be restricted in Nursing, Assisted Living, and Memory Support due to the local positivity rate.

 

COVID Week in Review: January 8-14, 2021

Next Vaccine Clinic January 20

Who is included?

  • All BRC team members for first or second dose: Lantz Chapel from 10 am to 4 pm
  • Residents living in Nursing for first or second dose: administered in the households
  • Assisted Living and Memory Support: Specifics to be communicated early in the week of 1/18
  • Independent Living Residents (Villagers): Watch Wellzesta for specific instructions early in the week of 1/18

Consent forms are required for both first and second doses. Anyone receiving their second dose should also bring their vaccination card from the first clinic.

Which vaccine will be administered?

The Pfizer BioNTech vaccine will be administered by a team from CVS, our partner in providing the vaccine for our community.

Vaccines for Independent Living Residents
Our goal is to have an on-site clinic for IL residents in the very near future, and we hope to announce the date soon. To ensure that we are ready to have it go smoothly, paperwork is being completed in advance. More than 300 of our 340 residents have completed their paperwork and are prepared to get the vaccine.

Assisted Living

Good news! There have been no COVID cases this week among residents or team members. Skyline Dining Room and beauty shop are open. 

Nursing

It’s been a good week. We had an unannounced Infection Control State Survey on Tuesday, and we passed with flying colors as not a single deficiency was identified. Congratulations to all our dedicated team members! All residents previously in the COVID isolation area have moved back to their homes. We did our weekly testing of Nursing residents on Monday, January 11, with 100% negative results. If they all test negative again next Monday, we will be able to discontinue gowns and goggles in Joy House. Of course, face masks are worn no matter what.

Visitation continues to be restricted in Nursing, Assisted Living, and Memory Support due to the local positivity rate.

Testing

Team Member Testing: Because of the local positivity rate, Nursing team member testing continues twice a week. Routine testing is not currently needed in Assisted Living and Memory Support. For team members throughout BRC, testing continues for symptoms and on an as-needed basis.

Village Resident Testing: Testing is available for Village residents who experience COVID symptoms. Contact Resident Services for more information.

 

COVID Week in Review: January 1 – 7

Assisted Living: Good news! All active COVID-19 cases among Assisted Living residents, including Gardner House (Memory Support), have been resolved. The Dining Room has re-opened as has the beauty shop. Nursing Households: The outbreak in Nursing continues to move toward resolution. All but three residents have been moved out of the COVID isolation area, and they seem to be doing well. Vaccine Clinics: Our next COVID-19 vaccine clinic is scheduled for January 20. Those who received their first doses on December 30 will receive their second dose. We are working out the details on who will be included for first doses on this date. (Priorities are determined by our vaccination partner, CVS, in accordance with guidelines from the Virginia Department of Health.) Watch for more information next week. Team Member Testing: Because of the local positivity rate, Nursing team member testing continues twice a week on Mondays and Wednesdays. Routine testing is not currently needed in Assisted Living and Memory Support. For team members throughout BRC, testing continues for symptoms and on an as-needed basis. Village Resident Testing: Testing is available for Village residents who experience COVID symptoms. Contact Resident Services for more information. Visitation continues to be restricted in Nursing, Assisted Living, and Memory Support. 

COVID Week in Review: December 25-31, 2020

First, some good news! On Thursday, December 30, both residents and direct care team members in our nursing households were able to receive the first dose of the COVID-19 vaccine. In total, over 230 residents and team members received vaccinations. This is a huge step forward in our community’s efforts to combat the virus, and we are beyond grateful to our partners at CVS who administered the vaccine on our campus and to the many brilliant minds who developed this safe and effective vaccine.

We are continuing to work with our partners to schedule additional clinics for other team members and residents (including those in assisted living) according to availability and priority as determined by the Virginia Department of Health. We will share details of upcoming clinics as soon as we can. 

Nursing Households: The outbreak in nursing seems to be calming down. This week, three additional residents and two additional team members tested positive. Thankfully, everyone either remains asymptomatic or is experiencing only mild symptoms. As of today, all residents not currently in isolation have tested negative in surveillance testing. Therefore, team members in all households (with the exception of Joy) will discontinue wearing full PPE. All team members will continue to wear KN95 masks.

Assisted Living: Gardner House (Memory Support) remains in outbreak. We continue with heightened precautions and isolation procedures in Gardner. Team members in Gardner House will continue wearing full PPE. Team members in other areas of Assisted Living will continue wearing KN95 masks. 

Visitation continues to be restricted in Nursing, Assisted Living, and Memory Support. 

First Vaccine Clinic 12/30

This is what we have been waiting for! We have scheduled our first on-site vaccine clinic with CVS for December 30. With the priority set by CVS according to guidelines from the Virginia Department of Health, this first round of vaccines will include all residents in Nursing and the team members who support them. We may be able to include Assisted Living residents but that is not certain at this time.

We also don’t know exactly when the rest of our team members and IL residents can expect to have access to the vaccine. But we will keep working to make that happen and keep you posted.  

COVID Week in Review: December 18-24, 2020

Nursing Households: We continue in outbreak mode in the Nursing Households, with a total of seven residents testing positive and currently in isolation in the COVID area. Team members observe heightened precautions including wearing full PPE:

  1. All team members working in Nursing wear full PPE (gowns, gloves, KN95 face mask, and goggles/face shields).
  2. Residents are encouraged to stay in their rooms at mealtimes and as they are able or as safety allows.
  3. Therapy/fitness: All activities are done in the households; no gym or fitness areas may be used.
  4. Beauty shop is closed.
  5. Residents will be tested every three to seven days.
  6. Residents with direct exposure to someone who is COVID-positive are on isolation for seven days and may come off isolation on Day 8 pending a negative rapid test and no symptoms.

Village/Independent Living: One additional team member tested positive this week. While we believe there was minimal risk to any residents, any who have even a slight chance of exposure have been contacted directly.

Assisted Living: This week two residents in Gardner House (Memory Support) and one in Assisted Living tested positive. We continue with heightened precautions and isolation procedures in these areas.

Routine testing : On Monday December 28, we will conduct testing for all residents in Nursing, Assisted Living, and Memory Support; and for all team members in Nursing, Assisted Living, Memory Support, and Dining.

No Visitation in Nursing, Assisted Living, and Memory Support. 

Update 12-22-20

In the Nursing Households, several additional team members and residents tested positive over the weekend. The prevalence of cases has been in Joy House, with isolated cases in Serenity and Tranquility. We are so very thankful that so far everyone is either asymptomatic or experiencing mild symptoms, so our main concern is to prevent further spread. We continue to follow heightened precautions throughout Nursing, and we have moved all residents who tested positive into the designated COVID isolation area in Wellness.  All Nursing residents were tested yesterday.

Because of our outbreak status and the positivity rate in the local community, unfortunately we are unable to allow any holiday safe visits this year in Nursing Households, Gardner House, or Assisted Living.

If you have gifts or care packages for a loved one in AL, Gardner House, or Nursing, we ask that you bring them to the foyer in the Administrative Center (302 North Second Street) no later than 2 pm on Christmas eve, so that we can ensure they are delivered that day.

COVID Week in Review: December 11-17, 2020

VACCINES: The news about the COVID-19 vaccines is incredibly positive—it’s the powerful tool we’ve been waiting for to stop the spread of the virus that has so profoundly disrupted our lives and our work. Not to mention the fact that the pandemic has had very real consequences for the quality of life our residents experience. But now there is a light at the end of the tunnel.

Even better news is that BRC will soon be able to provide the vaccine to Nursing and Assisted Living residents and the team members who support them. This is truly a cause for celebration.

We are not yet sure of the details, but we expect to be able to schedule a vaccine clinic in the next few weeks. We also don’t know exactly when the rest of our team members and IL residents can expect to have access to the vaccine. But we will keep working to make that happen and keep you posted.  

Nursing Households: We are now considered to be in an outbreak in the Nursing Households, since a team member from Genesis Rehab who worked with 10 residents within the households has tested positive. In addition, one administration team member and one household leader have tested positive. The residents who were directly exposed have been tested, with negative results, and have started isolation to protect other residents. 

Update 12/18: One Nursing resident has tested positive during routine testing. They are asymptomatic and doing well!

As a result, the following heightened precautions are being observed:

  1. All team members working in Nursing wear full PPE (gowns, gloves, KN95 face mask, and goggles/face shields).
  2. Residents are encouraged to stay in their rooms at mealtimes and as they are able or as safety allows.
  3. Therapy/fitness: All activities are done in the households; no gym or fitness areas may be used.
  4. Beauty shop is closed.
  5. Residents will be tested every three to seven days.
  6. Residents with direct exposure to someone who is COVID-positive are on isolation for seven days and may come off isolation on Day 8 pending a negative rapid test and no symptoms.

Village/Independent Living: BRC is also experiencing an outbreak in our Village maintenance and grounds teams with a total of five individuals testing positive beginning on 12/11.

Assisted Living: One additional team member tested positive this week. AL is already following heightened precautions as reported last week, including: 

  • All AL team members are wearing increased PPE.
  • AL residents are eating meals in their rooms.
  • Group activities, beauty shop, and fitness/therapy have been postponed.
  • All residents will be tested again tomorrow, to follow up on last week’s testing.

Routine testing of Nursing team members: With the local positivity rate remaining above 10% (see below), we continue to test all Nursing and AL team members twice a week along with other team members who support residents in these areas in accordance with VDH and CMS guidance.

COVID Week in Review: 12/4/20 – 12/10/20

Original post 12/10/20

Assisted Living: This week one team member and one resident tested positive for COVID-19, in addition to the two team members who tested positive last week. Therefore we are following heightened precautions including:

  • All AL team members are wearing increased PPE.
  • AL residents are eating meals in their rooms.
  • Group activities, beauty shop, and fitness/therapy have been postponed.
  • All residents will be tested again tomorrow, to follow up on last week’s testing.

Weekly testing of Nursing team members: With the local positivity rate remaining above 10% (see below), we continue to test all Nursing and AL team members twice a week along with other team members who support residents in these areas.

Additional team member testing:

Team members who work in Independent Living or Administration have the option to test weekly.

Current Positivity Rates  (14-day period) 12/11/2020 11/27/2020
Rockingham County 16.3% 9.2%
Harrisonburg 8.9% 2.9%
Augusta County 21.1% 13.0%
Staunton 13.0% 11.3%
Waynesboro 16.4% 8.9%

Update 12/11/20:

In Assisted Living, one additional team member and one resident tested positive in today’s routine weekly testing. 

In Independent Living, two team members tested positive today. As a result of contact tracing interviews, BRC’s clinical leadership has determined that there was minimal risk of exposure to residents because masks were worn appropriately and the team members were not within 6 feet of residents for any significant period of time.

However, because one of the team members who tested positive works in the Fitness Center, as a precaution we have closed the Fitness Center until 12/21. In addition, as a reassurance for our community, BRC provided rapid testing for any residents who exercised in the Fitness Center during the window when exposure could possibly have occurred. All IL residents tested today had negative results. 

COVID Week in Review: 11/27/20 – 12/3/20

Good news! In the context of a nursing household, even a single COVID-positive team member takes us into official outbreak mode, and that is what happened two weeks ago in the 3rd floor Households (Unity House and Joy House). This “outbreak” did not result in any additional cases of COVID and officially ended on Wednesday 12/2/2020 with all residents testing negative as well as all team members.

Weekly testing of Nursing team members: We tested on Tuesday and Wednesday 12/1 – 12/2. All test results were negative.

Assisted Living Dining Team: There are currently 2 team members who have tested positive for COVID-19. Anyone considered to have been exposed has been notified. We began testing other dining team members today, with no further positive results. Assisted Living residents will be tested by the end of this week.