We know that you may have questions during these extraordinary times. Here are some frequently asked questions and answers to provide more information during this time.
We will update this information regularly as the situation changes, and please do not hesitate to call us with questions.
Q: Should I take my personal care or skilled nursing family member home?
Personal care, skilled nursing, and assisted living residents receive additional services. While at home within our community they are able to receive the around the clock care they need at all times, which may be difficult for family members to provide during these stressful times.Close
Q: Does Paul’s Run have any positive residents?
At this time, Paul's Run does have a positive resident. They are being treated according to guidelines from the Pennsylvania Department of Health (DOH), Centers for Medicare & Medicaid (CMS) and Centers for Disease Control (CDC). We have taken steps to keep our residents safe throughout the community. It is important to note that we have taken these steps prior to requirements from the Pennsylvania Department of Health (DOH), Centers for Medicare & Medicaid (CMS), The Department of Human Services and the Centers for Disease Control (CDC).Close
Q: Does Paul’s Run have staff members that have tested positive for COVID-19?
At this time Paul's Run has had positive cases among its staff. We are prepared and are adhering to the Pennsylvania Department of Health guidelines for all staff members who have tested positive no matter their role.Close
Q: What are the guidelines for healthcare workers to return to work after testing positive?
An employee who tests positive will remain at home for minimum of 10 days from onset of symptoms with at least 24 hours fever free without fever reducing meds and symptom improvement. If asymptomatic Employee to remain home for 10 days from test.Close
Q: Was my loved one exposed to a positive staff member?
At this time, we are treating all residents in Healthcare and Personal Care staff as if exposure has occurred. We are monitoring residents every day for Temperature/Pulse Ox/assessment of respiratory issues. Staff are also monitored twice per day and asked to self-monitor when home. Staff have been wearing masks and gloves since 3/28/20.
Our staff in Independent living keep a close eye on the residents for any concerns. If an Independent Living resident is exposed, their family is notified and they are quarantined. Wellness staff will monitor the residents’ vital signs, especially oxygen saturation and temperature. Exposed residents are tested using the guidelines from The Philadelphia Department of Public Health (PDPH). Those guidelines state that the exposed person should be tested 5-7 days post exposure. The resident is tested, but regardless of the test results, must remain in quarantine.Close
Q: When will visitors be allowed back in Paul’s Run?
Independent living residents may have visitors in their apartments, as well as outside the community.
- The number of visitors has increased to 4 visitors at this time. Please be mindful that for smaller apartments 4 visitors might be too many to allow for social distancing.
- All visiting family members are asked to enter at the front door for screening and temperature taking. (Please do not enter or exit through a patio door).
- Please remember to wear your mask the entire visit and practice social distancing. (Hugs and kisses still have to wait a little while longer)
- Inside visits are currently limited to the resident’s apartment only. (Our common areas and the Beauty Salon, Medical Office, General Store, Liberty Grille, etc. are still for residents only at this time)
- All visitors are asked to get a final temperature check and check out at the front desk before exiting at the front door.
Personal Care & Skilled Nursing
On March 12, 2021 the Pennsylvania Department of Health announced new visitation guidelines for personal care and skilled nursing. These new practices went into effect on Monday, March 15, 2021.
Here is what will not change:
- All protocols for infection prevention and control MUST continue. This includes everyone wearing masks, social distancing (remaining at least 6 feet apart from everyone you encounter including the resident you are visiting).
- All visitors must be screened (loading dock) before entering including temperature checks, health status questions and responding to questions related to potential exposure to COVID-19. A visitor may be denied access depending on the results of the screening.
- Visitation outside is still the preferred location for visits for the protection of all residents, visitors and staff.
- We are still responsible to ensure that at any given time there are not too many visitors in our community that would prevent good infection prevention and control protocols to be followed.
Here is what is new per the CMS/DHS guideline:
- All residents living in our nursing households may have visitors at anytime
- Visitors should limit their movement in the facility to go directly to the resident room
- A resident who is fully vaccinated can choose to have close contact (including touch) with their visitor while wearing a well-fitted mask and performing hand hygiene before and after. Regardless, visitors should physically distance from other residents and staff while visiting.
- We cannot require that visitors have been tested for COVID-19 or have been vaccinated for COVID-19.
- WE DO STRONGLY ENCOURAGE ALL VISITORS TO GET VACCINATED AND TO CONSIDER WAITING UNTIL THEY ARE TWO WEEKS PAST THEIR LAST SHOT WHETHER THEY RECEIVED A ONE DOSE OR TWO DOSE VACCINE. This is what is being recommended for everyone but it is particularly important as we open up our communities that provide a home for so many older and often frail seniors.
- IF YOU HAVE NOT BEEN VACCINATED WE STRONGLY ENCOURAGE YOU TO GET TESTED 2-3 DAYS PRIOR TO COMING FOR A VISIT.
- Due to the anticipated volume of visitors we will no longer schedule visits for either inside or outdoors.
- When you come to Paul’s Run to visit someone in our community you will be screened and you can then go directly to the room of the resident you will be visiting.
- If the weather permits we request that you then escort the resident you are visiting to an outside visiting area.
- In anticipation of increased demand we will set up (weather permitting) additional outside visiting areas in the Secret Garden for skilled nursing and the B courtyard for personal care.
- We ask that after your visit you use the available supplies to wipe down any touched surface in the visiting area.
- Visits will be limited to 45 minutes to an hour to allow for a maximum number of families and resident to use the outdoor spaces for visiting.
- We suggest that you do not visit during mealtimes.
- We now can continue visits in households that are separated from other households if there is only an outbreak (defined as one new positive case) in one household. We will let you know via signage if we have an outbreak occurring somewhere in the community.
- If an outbreak occurs in more than one household we will need to close again to visitation until testing results in no new positive cases for the required period.
- Because we cannot require proof of testing or proof of vaccination you will potentially be encountering others who have not been vaccinated or tested.
- There are instances where a resident may not have indoor visitation related to our county positivity rate and/or residents with COVID and/or in quarantine.
We ask for your continued partnership in keeping our community safe by doing the following:
- Wear a mask
- Practice social distancing with everyone in the community
- Wash your hands
- Do not visit if you are not feeling well
- Strongly consider getting vaccinated
Strongly consider getting a COVID test 2-3 days before visiting if you have not been vaccinated or are not two weeks past your last vaccination.
Q: Can I visit my family member as a Compassionate Caregiver?
The Pennsylvania Department of Health and the Department of Human Services have released guidance that includes information on Compassionate Caregiver visitation. Here is some important information for you that is included in the guidance:
Compassionate Care visitation is allowed in limited situations per CMS FAQs on Nursing Home Visitation. Care can be provided by Compassionate Caregivers if there are two or more documented “significant changes” in a resident’s condition. A significant change is defined in 42 CFR & 483.20(b)(2)(ii) as: A major decline or improvement in a resident’s status that: 1) will not normally resolve itself without intervention by staff or by implementing standard disease-related clinical interventions; the decline is considered “self-limiting…”, 2) impacts more than one area of the resident’s health status; and 3) requires interdisciplinary review and/or revision of the care plan.
Paul’s Run will contact the family of residents who may qualify to receive Compassionate Caregiver visitation to discuss options. If you feel that your family member living at Paul’s Run qualifies to receive Compassionate Caregiver visitation and would like to designate a Compassionate Caregiver for a skilled nursing resident please contact Dolores Redner at [email protected], and for personal care residents please contact Dana Guyton at [email protected]. Our clinical team will determine if Compassionate Caregiver visitation is appropriate based on the guidelines we have received.
Due to the current positivity rate in Philadelphia at 5 %, we require weekly tests for compassionate caregivers and skilled nursing staff. Test results are good for one week.
Please be aware that the CMS FAQs state that they do not believe these visits should be routine and they should be allowed on a limited basis as an exception to restricting visitation.
We ask that you carefully consider your request as we all continue to partner in keeping COVID outbreaks controlled in our communities. Please remember that it only takes one positive case in a staff person or a resident to send us back to pre-opening plans that will limit dining, activities and visitation for all.Close
Q: What confirmation do you need for negative test result?
A copy of the test result.Close
Q: Can I bring a package to my loved one?
Yes, it can be left with security at the main entrance—we are discouraging cooked foods/ perishable items, especially in our licensed areas. When bringing a package, please write the resident's name and room number on your bagClose
Q: How is Paul’s Run’s staffing?
Paul’s Run’s staffing remains strong.Close
Q: What plans have been implemented to engage residents during this time?
Some things we are doing at Paul’s Run for the residents are:
- Providing continual communication with residents, families and staff
- Posting weekly inspirational signage throughout the building
- Helping residents to see family via FaceTime and Zoom
- Providing a listing of websites such as virtual tours of art museums, exercise videos, lessons on learning a new trade, university lectures, etc.
- Weekly Brain Busters keeping the minds sharp
- Adapting group activities to individual programs
- Happy Hour beverages and snacks are now on traveling carts, bringing cheer door to door
- Group crafts are now individual craft kits to do on your own
- Group trivia and game show fun are now daily activity sheets consisting of crosswords, trivia, Sudoku, etc.
- Working with families to acknowledge resident birthdays and celebrations from a distance.
Q: If my loved one becomes ill—are you still sending residents to the hospital?
Although it is always our goal is to treat in place, if hospitalization is absolutely necessary we will transfer a resident.Close
Q: Is Paul’s Run still allowing admissions?
Paul's Run is accepting new admissions for residents. New residents must test negative for COVID-19 prior to moving. The safety of our residents is among our highest priorities and a second test is administered on the move-in day. We are asking new residents to quarantine within their apartment home until the results of the second results are received. After receiving a negative test result the new resident may join community activities and dining.Close
Q: Will you be testing all residents and staff?
On a daily basis we will continue to follow the guidance of the Centers for Medicare and Medicaid Services (CMS) and the Pennsylvania Department of Health (DOH).
Based on the mandate from the Pennsylvania Department of Health that went into effect on June 9th we are testing all skilled nursing residents and staff. We are also following the mandate, which was announced on June 26th, to test all personal care residents and staff.Close
Q: Are you doing antibody testing?
We are not doing antibody testing. There are many studies being conducted and to date there have been no reliable results for antibody testing. We will continue to follow CDC and Pennsylvania Department of Health guidelines for testing.Close
Q: What is the personal care reopening plan for Paul's Run?
Q: Where can I find information on the COVID-19 vaccine?