As of August 2, 2021 – please check back for future updates.

Current JSL COVID-19 Plan:

These plans to be evaluated on an ongoing basis.

JSL will follow the requirements of all applicable Governor Executive Orders and Michigan Department of Health and Human Services (MDHHS) Emergency Orders, Orders from the Local Health Department, and Centers for Disease Control Guidance.

The current effective CDC Guidance updated July 27, MDHHS Orders and guidance dated May 21, May 5, April 2, 2021 (revised July 29,2021) and QSO 20-39-NH can be found here:

CDC Guidance updated July 27th

https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated.html

May 21st Order

https://www.michigan.gov/documents/coronavirus/5.21.21_RCF__Final_726030_7.pdf

May 5th Order

https://www.michigan.gov/documents/coronavirus/5.5.21_RCF_testing_order__724451_7.pdf

QSO 20-39-NH (revised 4-27-2021)

https://www.cms.gov/files/document/qso-20-39-nh-revised.pdf

April 2 MDHHS Guidance revised July 29, 2021

https://www.michigan.gov/documents/mdhhs/MDHHS_Guidance_to_Protect_Residents_of_Long_-Term_Care_Facilities_721564_7.pdf

 

JSL will continue to follow the protocols below:

Assisted Living (AL) Communities (Fleischman Residence and Coville Apartments)

Screening and Testing Protocols

  • All staff, residents, and persons entering the facility will continue to be screened. Staff or residents with symptoms or signs of COVID-19, must be tested immediately, whether or not they have been vaccinated.
  • We request that visitors provide evidence of vaccination and/or conduct rapid point of entry (POC) testing (or proof of a negative PCR test within 72 hours) whenever possible.
  • If the above is not possible, we will request evidence of a negative PCR test within 72 hours or that a POC test be performed prior to entry.
  • We will not deny entry based on either vaccination or testing status, but we are requesting your cooperation in either providing vaccination or negative PCR test evidence or taking a POC test if requested, in an effort to ensure the safety of our residents and staff.
  • Initial testing will occur for all new or returning residents who have not been vaccinated to an AL community and newly hired staff who are unvaccinated and have not been tested in the last 72 hours prior to intake or start date.
  • Fully vaccinated staff are no longer required to be tested per MDHHS. However, due to the surge in the Delta variant all fully vaccinated staff are required to test weekly.  Unvaccinated staff will now be required to test bi-weekly.
    • Staff who decline to participate in testing will not be permitted to have contact with residents and will be redeployed to other duties, if available.
  • Staff or residents who have recovered from COVID-19 within the last 3 months do not need to be tested whether or not they have been vaccinated. Medical documentation of the diagnosis will be required to be sent to Human Resources or maintained in the electronic health record.
  • Regular testing as required by MDHHS of all residents and staff will occur when an AL community is experiencing an outbreak (any facility acquired positive cases among residents or staff) until 14 days after the last new positive case, regardless of vaccination of staff and residents.
    • Residents or their responsible party are required to consent to testing and must sign and return the consent form that was sent to them from their building Administrator.
    • Residents who decline testing, even if asymptomatic, will be placed on Transmission-Based Precautions for COVID-19 per the Centers for Disease Control (CDC) guidelines. This means that the resident would not be able to participate in communal dining or programming.
    • During these outbreak periods, we may now resume communal dining and programming after one round of testing yields no additional cases. We are permitted to take into consideration our own unique circumstances when deciding when to reopen communal dining and programming.
    • In the event of an outbreak, we will communicate with you via VoiceFriend or email when we are in outbreak mode and when we will re-open programming and dining.
  • Records of vaccination will be maintained for staff and residents and can include AL community’s electronic medical record system reflecting a resident’s receipt of the vaccine, Michigan Care Improvement Registry (MCIR) or other official immunization record from a doctor, local health department, hospital, pharmacy or health system or a copy of a valid CDC vaccination card.

 

Testing

On July 29, 2021 MDHHS updated its April 2nd, resident testing guidance as follows:

 

Visitors – Indoor and outdoor visitation is now permitted except as provided below.  The following protocols will be observed:

  • Visitors are required to wear a mask upon entry and when in the common areas of the community.
  • Outdoor visits are preferred but not required, regardless of vaccination status.
  • Except as provided below, and subject to the following, indoor visits are permitted for all residents (regardless of vaccination status) following a person-centered approach.
    • Visits are by appointment only, cannot exceed 45 minutes and will be scheduled according to each community’s staffing ability.
    • Visitors must enter at permitted entrances only and must log their arrival and departure times and provide contact information – this is so we can trace any potential exposures.
    • Visitors are limited to those age 13 and over.
    • All visitors must enter and be screened as currently practiced. Those with symptoms or exposures will be excluded.
    • Visitors who refuse or are unable to wear a face mask in the public areas or follow hand hygiene, will be excluded.
    • Visitors must follow social distancing of 6 feet in the public areas.
    • Visitors must travel directly to the resident’s apartment for the visit.
    • Cleaning and disinfection will occur after a visit.
    • No more than two persons may visit a resident in a scheduled visit.
    • Overall visitors in the building must be limited based on space, and infection control capacity.
    • Visits are requested to take place outdoors or in the resident’s apartment.
    • Visitors must go directly to the resident’s apartment and limit movement within the building.
    • Residents and visitors are advised not to share food.
    • If the resident and visitor are fully-vaccinated they can choose to have close contact (including touch) when in their apartment and may also choose not to wear source control (masks) when in their apartment.
    • If the resident is fully-vaccinated but their visitor is not, the safest approach is for everyone to maintain physical distance and to wear a mask while in their apartment. However, if the resident is fully-vaccinated, they can choose to have close contact (including touch) with their unvaccinated visitor(s) while both continue to wear a well-fitting mask.
  • Window visits will be accommodated upon request.
  • An employee trained in infection control will be available for consultation at all times during visits.

Indoor visits (other than for compassionate care as certified by a licensed health care professional will NOT be permitted under the following circumstances:

  • If the COVID-19 County positivity rate is greater than10% and less than 70% of residents in the facility are fully vaccinated (Fleischman Residence and Coville Apartments exceed this limit).
  • For vaccinated and unvaccinated residents with SARS-CoV-2 infection until they have met criteria to discontinue transmission-based precautions.
  • For vaccinated and unvaccinated residents in quarantine until they have met criteria for release from quarantine.

 

If indoor visits are not permitted due to circumstances described above, the following types of visits WILL BE permitted:

  • Window visits.
  • Compassionate care visits which are not limited to end of life care nor for whom death appears imminent, but which require determination by a licensed health care professional. This includes visits that support activities of daily living (ADL).
  • Medical service providers such as hospice providers, podiatrists, dentists, durable medical equipment providers, etc.
  • Resident physicians or other clinical students

 

Volunteer and Service Provider Testing

  • Testing of service providers such as consultants, contractors, volunteers, and caregivers who provide care and services to residents on behalf of the facility must participate in testing pursuant to protocols for staff, if they are unvaccinated.
  • JSL is currently only permitting volunteers who are vaccinated to provide service.

 

Notification of COVID-19 Positive Cases

  • All residents, guardians and healthcare proxies will be notified when there are any staff or resident cases of COVID-19 as required by the MDHHS order(s). This notification will be transmitted via Voice Friend text messaging or email and the information will also be placed on the jslmi.org website under the Response to COVID-19 banner and then proceed to the specific community impacted.
  • A notice will be posted in a visible and obvious place near the main entrance of the facility indicating the presence of a confirmed COVID-19 positive employee or resident. The notice will continue to be displayed for 14 days after the last positive COVID-19 test result for an employee or resident in the facility.
  • Prospective residents and staff will be advised of the presence of a confirmed COVID-19 positive employee or resident.
  • Anyone with a known close contact with an individual diagnosed with COVID-19 will be notified per Centers for Disease Control guidelines.
  • All notifications per MDHHS order will be made (local health department, electronic reporting system).

 

Dining and Programming – Efforts will be made to allow communal dining and group activities to occur, unless prohibited.  Currently, the following will be in place for such activities:

    • Physical distancing for residents is not required when all residents are vaccinated. This could be changed if infection rates increase in the county.
    • Wearing of masks is required as residents move through the facility. The option to remove face covering is only permitted when in a private room with no other staff/resident present and both resident and all visitors are vaccinated, and during communal dining and group activities where all participants are vaccinated.
    • Access to hand hygiene will be available.
    • Compliance with QSO-20-39-NH as described in the MDHHS order.
    • Residents who wish to continue to receive meals in their apartment will be accommodated.
    • Vaccinated and unvaccinated residents with SARS-CoV-2 infection, or in isolation because of suspected COVID-19 cannot participate in activities or dining.
  • When the facility is in outbreak mode due to a positive test for COVID-19 among staff or residents we may now resume communal dining and programming after one round of testing yields no additional cases unless, taking into consideration our own unique circumstances, we determine it is not yet safe to do so.

Quarantine

On July 29, 2021 MDHHS revised its April 2, 2021 guidance for the quarantine of residents in Assisted Living as follows:

Independent Living (Meer, Hechtman, Prentis and Teitel Apartments)

Masking and Social Distance

Due to the surge in the Delta variant, beginning August 2nd masking is required by all residents, staff and visitors in common areas and public spaces unless dining.    We will continue to follow CDC recommendations to wear a mask indoors in public when our area is in substantial or high transmission rates per the CDC.

We recommend continued use of face masks and social distancing as best practice when out in public or visiting friends and family whose vaccination status is not known to you, particularly if you have any health concerns.

If rates of infection in Oakland County continue to rise, we will consider resuming additional restrictions.

 

Screening and Testing Protocols

All residents, unvaccinated staff and persons entering the facility will continue to be screened. Staff with symptoms or signs of COVID-19, must have a PCR test immediately regardless of vaccination status. Staff will be excluded from work until they are clear to return to work by Human Resources. Residents are not required to test if they have signs or symptoms of COVID-19 but are urged obtain a PCR test per CDC guidelines regardless of vaccination status.  Visitors with symptoms will be excluded from entering the facility until they can provide evidence of a negative COVID-19 test.

All vaccinated staff will be tested monthly. All unvaccinated staff will be tested twice a month.

 

Notifications of COVID-19 Cases

We will notify all residents, guardians and healthcare proxies when there are any staff or resident cases of COVID-19 in the community as soon as possible via Voice Friend and on our JSL website (jslmi.org) under the Response to COVID-19 banner.  Notices of positive cases will be posted in a conspicuous place in all communities as per JSL protocol and HUD guidelines.  Anyone with a direct exposure will be notified.  The Oakland County Health Department will be notified of any COVID-19 cases among staff or residents.

 

Visitors

All visitors must enter and be screened and logged in at permitted entrances only.  Those with symptoms or exposures will be excluded.

 

Quarantine

MDHHS released guidance on April 2 for quarantine that included independent living.  The following guideline from MDHHS will be followed:

As we do not maintain information on the vaccination status of our residents nor are we always aware of when residents leave the building for more than 24 hours, we are asking you, as residents in an Independent Living community, to follow the guidelines above.   If you have questions and are unsure of what you should do, please contact your Resident Service Coordinator who can assist you in determining how you should proceed in your individual situation.

 

Dining and Activities – Communal dining and group activities will be permitted with no additional protocols required, although wearing of masks and social distancing is recommended and will be accommodated.  Currently, the following protocols will be observed:

  • Access to hand hygiene will be available.
  • Residents who wish to continue to receive meals in their apartment will be accommodated.

 

Salon and Wellness Center – Open with masking required.

 

Transportation – Transportation will be offered for medical appointments, essential appointments and social appointments where and as available.

 

For All JSL Communities

Miscellaneous

  • JSL staff are required to follow our MIOSHA/OSHA work plan.  If you would like to see a copy of our plan please speak with your building Administrator.  Topics covered in this plan include the following:
    • Engineering controls – barriers between the worker and exposure to the virus including masks and facial coverings.
    • Administrative controls – policies, procedures and practices such as staggered work schedule, teleworking and increase social distancing measures.
    • Basic infection prevention measures – handwashing and facility cleaning, in accordance with CDC guidance.
    • Health surveillance – screening protocols to identify known or suspected COVID-19 cases at the start of work shifts, employees should report any signs or symptoms of COVID-19.
  • Training – employers should provide COVID-19 exposure prevention training to employees, including steps to report signs and symptoms of COVID-19.
  • Non-essential amenities where dining occurs such as Marvin’s Bistro, Krolik Café are currently open for carry out only beginning August 23.
  • Boutiques, where provided, will be open to residents and staff of the community where it is located for limited times.  Hechtman Apartments residents must make appointments to visit the Fleischman Boutique.
  • No hosting of outside meetings in communities.
  • Tours available by appointment and on a walk-in basis.
  • Move-ins and move-outs are permitted and subject to protocols and policies for the same.
  • Continued vigilant sanitation building-wide.
  • Congregating in common areas of the buildings is permitted.
  • Residents in assisted living communities in shared suites will be separated into individual apartments, if available. Couples to be offered option for separate apartments/suites, if available.
  • Staff members who test positive for COVID-19 will be restricted from reporting to work and will follow, at a minimum, CDC guidelines for return to work. 

 

For Residents with COVID-19 positive diagnosis or signs and symptoms:

  • In Independent Living, residents will be quarantined in their apartment and personal protective equipment (PPE) will be utilized by anyone required to enter the apartment.
  • Residents in Independent Living will be encouraged to be evaluated and seek medical treatment with their own primary care physician.
  • In Assisted Living, medically unstable residents will be transferred to the hospital for evaluation. Medically stable residents will be quarantined in their apartments and will be monitored closely for changes in condition.  Should their medical condition change, residents will be transferred to the hospital.  Attempts to transfer the resident to a Care and Recovery Center will be considered on a case by case basis, if they are still being utilized.
  • Personal protective equipment (PPE) will be utilized by anyone required to enter the apartment.
  • Residents in Assisted Living will be evaluated by nursing staff who will consult the primary care physician.
    • JSL will coordinate transportation for resident to be taken to the hospital for treatment, if needed and follow 911 protocols.
    • JSL will assist with tracking any contact betweenan impacted resident and those with whom they may have interacted.
    • JSL will work with hospital to track resident’s results and progress as appropriate and permitted and discharge plan accordingly.

 

Plan of action in the event of an outbreak of multiple cases of COVID-19 at a JSL Community:

  • Take instruction from the Oakland County Health Department and follow recommendations.

If you have questions about any of the above information, or require additional information or clarification please contact your building administrator.