Covid-19 - Quarryville

Coronavirus (COVID-19) Update

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Supportive Living Visitation (updated 4-3-23)

Per regulations, visitation is permitted throughout skilled nursing, personal care, and memory support regardless of outbreak status.

Visitors must continue to check in and verify they have not been diagnosed with COVID-19 in the last 10 days, they do not presently have any symptoms of COVID-19, and that they have not recently been exposed to someone with COVID-19. Visitors are no longer required to wear a facemask but may do so if they choose.

In Residential Living, we ask that visitors follow CDC guidelines by not visiting if you have tested positive for COVID-19 within the past 5 days or have been exposed to someone with COVID-19 and are currently experiencing symptoms.

If you have questions, please call 717-786-7321.

“A Lament in the Time of COVID” by Robert B. Hayward, Jr., President and CEO, and Barbara D. Hayward. You can download a printed copy here: “A Lament in the Time of Covid”

Our team was just made aware of a team member that tested positive for COVID-19 after having worked earlier this week. After an initial round of testing, all other team members and residents have tested negative.

Skilled Nursing

Surgical masks are now required for all team members in Skilled Nursing common areas and resident rooms. Visitors are not required to wear masks but are encouraged to do so. Communal dining and group activities will continue as normal at this time. All nursing team members and affected residents working in Skilled Nursing will be tested again on Monday and Wednesday. Anyone showing signs or symptoms of COVID-19 should be tested immediately and notify their supervisor.

Personal Care and Memory Support and Residential Living

We are thankful we have not been made aware of any positive COVID-19 tests in Personal Care, Memory Support or Residential Living recently.

This weekend, we had a resident test positive for COVID-19. As a result, other residents were tested, and all had negative test results. We will continue to test residents routinely and monitor closely for any signs or symptoms.

Skilled Nursing

KN-95 masks are now required for all team members in Skilled Nursing common areas and resident rooms. Visitors are not required to wear masks but are encouraged to do so. Communal dining and group activities will continue as normal at this time. All team members working in Skilled Nursing must be tested at least once per week for the remainder of the COVID-19 outbreak regardless of vaccination status. Anyone showing signs or symptoms of COVID-19 should be tested immediately and notify their supervisor.

Personal Care and Memory Support and Residential Living

We are thankful we have not been made aware of any positive COVID-19 tests in Personal Care, Memory Support or Residential Living in recent weeks.

Team Members

Current COVID-19 Testing Requirements

Team Members with Vaccine Exemption

Team Members

Partially Vaccinated

Team Members Up-to-date INCLUDING

Bivalent Booster

Weekly for Skilled Nursing Team Members during Outbreak

Everyone must test immediately if you are exhibiting signs or symptoms of COVID-19.

You may test yourself anytime at the Long Building Reception Desk (team members only) or stop by the Skilled Nursing admin hallway between 8AM and 4PM Monday – Friday.

We had 1 resident and 1 team member in Skilled Nursing test positive. The resident immediately began isolating in place upon a positive test. We believe we were able to contact trace the exposure. Residents were tested yesterday, and the tests come back negative. We will be testing additional residents today and are continuing to monitor for signs and symptoms. All team members will be required to wear KN-95 masks for the remainder of the outbreak. Visitation, activities, and dining remain open throughout Skilled Nursing currently.

Personal Care and Memory Support

Personal Care and Memory Support has no current positive COVID-19 cases. We continue to enjoy a mask free workplace due to no outbreak and community transmission status.

Residential Living

We have not been made aware of any COVID-19 positive test in RL this past week.

Team Members

Current COVID-19 Testing Requirements

Team Members with Vaccine Exemption

Team Members

Partially Vaccinated

Team Members Up-to-date INCLUDING

Bivalent Booster

Weekly for all Skilled Nursing Team Members

Weekly for Personal Care Team Members

Weekly for Skilled Nursing Team Members during Outbreak

Everyone must test immediately if you are exhibiting signs or symptoms of COVID-19.

You may test yourself anytime at the Long Building Reception Desk (team members only)
Stop by the Skilled Nursing admin hallway between 8AM and 4PM Monday – Friday

We had 1 resident in Memory Support test positive for COVID-19 this week. This resident immediately began isolating in place upon exhibiting symptoms and a positive test. All other residents have tested negative, and we are continuing to monitor for signs and symptoms.

Skilled Nursing

We are thankful that no skilled nursing residents or team members have tested positive this week. We continue to enjoy a mask free workplace due to no outbreak and community transmission status.

Personal Care and Memory Support

Personal Care has no current positive COVID-19 cases. All residents were tested this week and the results were all negative. Memory Support has 1 resident that tested positive. We will continue to monitor all other residents closely for any signs or symptoms. All Memory Support residents will be tested this week and all team members will be required to wear KN-95 masks for the remainder of the outbreak. Visitation, activities, and dining remains open throughout Personal Care and Memory Support at this time.

Residential Living

We were made aware of 2 residents in RL that tested positive for COVID-19. There are no changes to any procedures at this time.

Team Members

Current COVID-19 Testing Requirements

Team Members with Vaccine Exemption

Team Members

Partially Vaccinated

Team Members Up-to-date INCLUDING

Bivalent Booster

Weekly for all Skilled Nursing Team Members

Weekly for Personal Care Team Members during Outbreak

Everyone must test immediately if you are exhibiting signs or symptoms of COVID-19.

You may test yourself anytime at the Long Building Reception Desk (team members only)
Stop by the Skilled Nursing admin hallway between 8AM and 4PM Monday – Friday

We had 2 residents in Personal Care test positive for COVID-19 this week. They immediately began isolating in place upon exhibiting symptoms and tested positive shortly after. All other residents have tested negative, and we are continuing to monitor for signs and symptoms.

Skilled Nursing

We are thankful that no skilled nursing residents or team members have tested positive this week. We continue to enjoy a mask free workplace due to no outbreak and community transmission status.

Personal Care and Memory Support

Personal Care team members are currently wearing KN-95 masks at all times while on the units due to the positive resident. Residents are being tested weekly or immediately upon exhibiting signs or symptoms. Memory Support continues to have no positive COVID-19 test results and remains mask free per guidelines. Visitation, activities, and dining remains open throughout Personal Care and Memory Support at this time.

Residential Living

We have not been made aware of any residents in Residential Living who have tested positive for COVID-19 in the past week.

Team Members

Current COVID-19 Testing Requirements

Team Members with Vaccine Exemption

Team Members

Partially Vaccinated

Team Members Up-to-date INCLUDING

Bivalent Booster

Weekly for all Skilled Nursing Team Members

Weekly for Personal Care Team Members during Outbreak

Everyone must test immediately if you are exhibiting signs or symptoms of COVID-19.

You may test yourself anytime at the Long Building Reception Desk (team members only)
Stop by the Skilled Nursing admin hallway between 8AM and 4PM Monday – Friday

After more than three years of having to “Mask Up” when entering the healthcare area of our community, we are thrilled to announce that we are stopping this requirement beginning April 3^rd, 2023. Team Members, Residents, and Visitors will no longer be required to wear a mask while in any area of our community, though you are free to do so if you wish to for your own precaution.

Please note the following conditions in which masks must be worn per CDC, DOH or QPRC Policy.

Any team member returning to work following a positive COVID-19 test must wear a facemask at all times for days 6-10 following the positive COVID-19 test or start of symptoms, whichever is sooner.
An COVID-19 outbreak in Personal Care, Memory Support or Skilled Nursing will trigger a temporary KN-95 mask requirement in those areas until 14 days have passed with no additional positive tests.
Any individual who has had a confirmed exposure to COVID-19 and is exhibiting signs or symptoms must wear a face mask until signs and symptoms resolve and negative COVID-19 results have been obtained.
Facemasks will be required again if Lancaster County’s Transmission Rate per CDC reaches the “High” level.

While we are excited to take steps to allow our community to see each other’s smiling faces, some for the very first time, please remember that whether it is COVID-19, or other viruses, we still must use caution and ensure we are keeping those around us safe. If you may have any illness that is contagious, we encourage you to take the appropriate precautions in the spirit of loving and protecting one another.

Thank you all for the cooperation, prayers and hard work over the past three years. While COVID-19 is not over and we have not worn our last facemask, we are thankful we can take this big step forward.

Skilled Nursing

Skilled Nursing had 2 additional residents test positive, both in the same area as the existing outbreak. We currently only have 3 active COVID-19 cases left in the Skilled Nursing area. All previous COVID-19 cases are now considered recovered. We are continuing to use caution but are thankful this outbreak seems to be coming to an end.

While visiting remains open per CMS and DOH guidelines, we are strongly discouraging visitation in Skilled Nursing at this time until this current outbreak resolves. We ask that those who do choose to visit use caution and keep their mask on at all times.

Personal Care and Memory Support

Personal Care had 1 resident test positive. We will continue to monitor all other residents closely for any signs or symptoms. All Personal Care residents will be tested this week and all team members will be required to wear KN-95 masks for the remainder of the outbreak. Memory Support continues to have no positive cases. All personal care and memory support team members should be tested a minimum of one time per week for COVID-19 at this present time.

Residential Living

We have not been made aware of any new residents in residential living who have tested positive for COVID-19 in the past week.

Team Members

Updated testing requirements for team members entering Skilled Nursing during outbreak

Team Members with Vaccine Exemption

Team Members

Partially Vaccinated

Team Members Up-to-date INCLUDING

Bivalent Booster

Prior to every shift

Twice per week

Once per week

Everyone must test immediately if you are exhibiting signs or symptoms of COVID-19.

You may test yourself anytime at the Long Building Reception Desk (team members only)
Stop by the Skilled Nursing Admin Hallway between 8AM and 4PM Monday – Friday
Hudson Taylor Dining Room Wednesdays and Fridays from 2PM to 4PM

Please remember, masks must be worn AT ALL TIMES in all common areas in Long and Thompson buildings by team members. This includes on the units, at the reception desks, Sunnyside Café, etc. Masks may only be removed by team members when inside a break room, office, or closed space where no residents are present. Team Members are encouraged to be physically distanced when masks are removed.

Please do not hesitate to reach out to me should you have any questions or concerns. We will continue to monitor active cases and make adjustments as we see fit to promote the safety of our residents.

Skilled Nursing

Skilled Nursing now has a total of 25 residents with active COVID-19 in the facility. The vast majority of those have been isolated and contained to one area. By the end of this week, more than half of those individuals will be classified as “recovered” and will no longer be considered active. We have had five total team members test positive for COVID-19 since Friday, 3 of those working in direct care. We are continuing to limit interaction between residents until we are confident we have contained any additional spread and are confident we can safely resume group activities and communal dining.

Personal Care and Memory Support

We remain thankful that no residents or team members have tested positive for COVID-19 in recent weeks.

Residential Living

We were made aware of 1 positive resident in RL who tested positive for COVID-19. There are no changes to any procedures at this time.

Team Members

Updated testing requirements for team members entering Skilled Nursing during outbreak

Team Members with Vaccine Exemption

Team Members

Partially Vaccinated

Team Members Up-to-date INCLUDING

Bivalent Booster

Prior to every shift

Twice per week

Once per week

Everyone must test immediately if you are exhibiting signs or symptoms of COVID-19.

You may test yourself anytime at the Long Building Reception Desk (team members only)
Stop by the Skilled Nursing Admin Hallway between 8AM and 4PM Monday – Friday
Hudson Taylor Dining Room Wednesdays and Fridays from 2PM to 4PM

Skilled Nursing

Over the past couple days, 13 additional skilled nursing residents have tested positive for COVID-19. Team member testing on Monday revealed two team members testing positive as well. Per our procedures, any resident testing positive, or exhibiting any signs or symptoms are immediately isolated to prevent any potential spread to other residents. We are currently testing any additional residents that may have been affected and continue to test any residents immediately after they show any signs or symptoms of COVID-19. All communal dining has been suspended and all activities will be conducted at a distance to limit any additional spread.

Team members in Skilled Nursing will be required to wear a KN-95 mask or greater for the remainder of the outbreak. We will resume surgical masks once we have gone 2 weeks without any new positive cases.

Personal Care and Memory Support

We remain thankful that no residents or team members have tested positive for COVID-19 in recent weeks.

Residential Living

There have been no residents or team members who have tested positive within the past week.

Team Members

Updated testing requirements for team members entering Skilled Nursing during outbreak

Team Members with Vaccine Exemption

Team Members

Partially Vaccinated

Team Members Up-to-date INCLUDING

Bivalent Booster

Prior to every shift

Twice per week

Once per week

Everyone must test immediately if you are exhibiting signs or symptoms of COVID-19.

You may test yourself anytime at the Long Building Reception Desk (team members only)
Stop by the Skilled Nursing Admin Hallway between 8AM and 4PM Monday – Friday
Hudson Taylor Dining Room Wednesdays and Fridays from 2PM to 4PM

Skilled Nursing

We have had two residents and one team member test positive for COVID-19. Per our procedures, any resident testing positive, or exhibiting any signs or symptoms is immediately isolated to prevent any potential spread to other residents. We are currently testing any additional residents that may have been affected and continue to test any residents immediately after they show any signs or symptoms of COVID-19.

Personal Care and Memory Support

We remain thankful that no residents or team members have tested positive for COVID-19 in recent weeks.

Residential Living

While there have been occasional RL residents who have tested positive for COVID-19 over the past few weeks, there have been no significant outbreaks. No residents have tested positive over the past week. Residents are able to see Joe Greer or Deb Hoffman for a COVID-19 test Monday – Friday and are encouraged to follow all CDC guidelines for isolation and masking requirements.

Team Members

Out of an abundance of caution, we are requiring all team members working on the Skilled Nursing units to be tested weekly over the next two weeks, regardless of vaccination status. The length of weekly testing will be determined by whether or not additional COVID-19 cases are detected during testing. Below are the different testing options available.

You may test yourself anytime at the Long Building Reception Desk (team members only)
Stop by the Skilled Nursing Admin Hallway between 8AM and 4PM Monday – Friday
Hudson Taylor Dining Room Wednesdays and Fridays from 2PM to 4PM

Just as all our previous COVID-19 residents in Personal Care have recovered and been released from precautionary quarantine, we had 1 additional resident in Personal Care, 1 resident in Memory Support, and 1 resident in Residential Living test positive.

Personal Care – We have resumed normal meal service in personal care but are continuing to test residents and team members regularly. We are monitoring everyone closely for signs and symptoms to ensure there is not another outbreak of cases.

Memory Support – We are testing residents and team members regularly and monitoring all residents closely for signs or symptoms of COVID-19. Any residents exhibiting any early signs of COVID-19 are immediately identified and treated as presumed positive until confirmed otherwise as a safety precaution.

Residential Living – While no changes are being made at this time, we continue to ask that you monitor yourself for signs for symptoms of COVID-19 and get tested if you begin exhibiting any of them immediately. If you have questions or would like to be tested, please reach out to either Joe Greer or Deb Hoffman.

Skilled Nursing – We remain incredibly thankful that Skilled Nursing remains COVID-19 free. All dining services and activities are continuing as per normal as this time though we continue to monitor residents extremely closely

In Personal Care, we have confirmed that 2 more individuals are positive for COVID-19. Both of these individuals were symptomatic causing us to presume that their tests would be positive. One team member in Personal Care has tested positive. One additional residential living resident has tested positive as well.

Personal Care – We are continuing to suspend meal service in the dining room and all group activities through Saturday. We will continue to evaluate between now and then but will have a physically distanced Christmas meal in the dining room with residents on Christmas day for those who are in the community.

We ask families wishing to visit or take residents out of the facility between now and then to use caution. While visiting in the facility, families MUST wear a face mask at all times while in common areas. While it is not required to continue wearing one while in the resident’s room, it is strongly recommended at this time. When taking the resident out of the facility, it is recommended that they avoid large gatherings as COVID-19 transmission is increasing throughout Lancaster County again.

Memory Support – We remain incredibly thankful that Memory Support remains COVID-19 free. As we approach the Christmas holiday, I would again remind families to be extra cautious and ensure you are wearing your facemask AT ALL TIMES when in the common areas in the community. While the facemask may be removed while visiting with your loved one in the privacy of their room, it is still strongly recommended that you leave it on during the entirety of the visit. If you are taking your loved one out of the facility, we strongly recommend avoiding large groups of people and limiting interactions with others.

Skilled Nursing – We remain incredibly thankful that Skilled Nursing remains COVID-19 free. As we approach the Christmas holiday, I would again remind families to be extra cautious and ensure you are wearing your facemask AT ALL TIMES when in the common areas in the community. While the facemask may be removed while visiting with your loved one in the privacy of their room, it is still strongly recommended that you leave it on during the entirety of the visit. If you are taking your loved one out of the facility, we strongly recommend avoiding large groups of people and limiting interactions with others.

As always, thank you for your continued support and cooperation. While it is not an ideal time to have COVID-19 cases popping up in the community, we will do everything possible to ensure everyone is able to have the best Christmas possible. I would again ask for your help in using appropriate precautions to help us ensure we are able to offer our residents an extraordinary Christmas experience.

Merry Christmas and God Bless

Over the weekend, we were made aware of additional residents testing positive for COVID-19. Personal Care had 7 additional residents test positive over the last couple of days while residential living had 2 residents test positive over that same time. No residents in Memory Support or Skilled Nursing have tested positive. We have also had 1 additional team member in a non-direct care role test positive for COVID-19.

Personal Care – At this time, we have temporarily suspended meal service in the dining room and all group activities. Our hope is that by taking more drastic measures through Friday, we will be able to reduce the spread and allow residents to enjoy each other’s company in the dining room and activities again on Christmas Eve and Christmas Day.

We will re-evaluate on the 23^rd but will do everything possible to allow residents the ability to celebrate the Christmas holiday together. We ask families wishing to visit or take residents out of the facility between now and then to use caution. While visiting in the facility, families MUST wear a face mask at all times while in common areas. While it is not required to continue wearing one while in the resident’s room, it is strongly recommended at this time. When taking the resident out of the facility, it is recommended that they avoid large gatherings as COVID-19 transmission is increasing throughout Lancaster County again.

Merry Christmas and God Bless

We are sad to announce that we have had 1 resident and 1 team member test positive for COVID-19 in Personal Care. Immediate testing resulted in all negative results. Residents and team members will continue to be tested frequently. Individuals exhibiting signs or symptoms consistent with COVID-19 will be isolated in place even if testing negative as a precaution. Visitation, activities and dining remains unchanged at this point, though we will continue to monitor closely and make necessary changes.

Residential Living has had 1 resident test positive for COVID-19 over the past week with no additional individuals testing positive since.

We are thankful that Skilled Nursing remains COVID-19 free.

Thank you for your continued prayers. Have a Merry Christmas.

We are thankful to announce we have not had any residents test positive for COVID-19 over the past couple weeks. We have had a very limited number of team members test positive, none of which were in a direct care role. While the positivity rate in the county for COVID-19 continues to slowly decrease, we are seeing a rise in Flu and RSV cases in the county and in other communities like ours. We will notify residents and families of any major flu or RSV outbreaks that affect the operation of our community.

Team members and visitors are still required to wear a surgical mask at all times in Long and Thompson Buildings. Visitors may only remove masks when in resident rooms but are encouraged to leave them on as much as possible.

Skilled Nursing

Skilled Nursing had one team member test positive last weekend and one additional positive team member today. We were able to identify close contacts and are currently testing those residents and team members.

Personal Care and Memory Support

We remain thankful that no residents or team members have tested positive for COVID-19 in recent weeks.

Residential Living

We have been made aware of a number of RL residents who tested positive for COVID-19 over the past few days and a handful more who tested positive today alone. These tests came from individuals in both buildings and can not be traced back to any one activity or event. Please note the following.

If you test positive, you must isolate in your apartment for 5 days from the start of symptoms or the day of the positive test. Per CDC guidelines, you must also wear a mask on days 6-10 once you are out of isolation following your positive test.
If you are exposed, CDC recently altered their guidance and suggests being tested 5 days after the date of exposure. A mask should be worn for ten days following exposure, and you should monitor closely for signs and symptoms. If you develop signs or symptoms, get tested immediately and begin quarantining until symptoms resolve. (Visit gov/coronavirus for more information.)
We will be offering COVID-19 rapid testing in the Commons Great Room from 1PM to 3PM on Friday, November 4^th for anyone who would like to be tested. You are still welcome to contact Joe Greer or stop by the Long Building Reception Desk to be tested anytime.
At this time, we are not making any changes to activities or masking requirements. We will continue to evaluate this based on the number of cases throughout the community. We would recommend and ask that you use your best judgement and caution as you move about QPRC and the Community.
For any residents coming into the Long or Thompson buildings, which includes the hallway leading up to the Long Building Lobby, a mask MUST BE WORN AT ALL TIMES. This is a DOH and DHS Regulation.
For any residents that test positive, please let us know who you have been in close contact with in the past 48 hours. If you would like assistance contacting them, we can help. Close contact is defined as within 6 feet for more than 15 minutes.

Please continue to keep our community and the other residents at our community in your prayers.

As COVID-19 Continues to spread throughout Lancaster County, we continue to see spread throughout our community as well.

Skilled Nursing

Skilled Nursing remains in outbreak status after 2 additional team members have tested positive for COVID-19 over the past 7 days. We continue to test residents a minimum of once per week or if they begin to exhibit any signs or symptoms of COVID-19. Visitation is still permitted per CMS but we continue to remind visitors that face masks must be worn at all times during indoor and outdoor visits.

Personal Care

Personal Care also remains in outbreak status due to a team member testing positive within the last 7 days. We continue to test residents a minimum of once per week or if they begin to exhibit any signs or symptoms of COVID-19. Visitation is still permitted at this time.

Memory Support

Memory Support has now gone more than 14 days without any residents or team members testing positive for COVID-19 so they remain in a normal status.

Residential Living

We have been made aware of a number of RL residents who tested positive for COVID-19 over the past few days. While no policies are changing at this time, please continue to use caution, especially if you have been exposed to someone with signs or symptoms or if you yourself begin to exhibit signs or symptoms of COVID-19.

Please continue to keep our residents and team members in your prayers.

Personal Care continues to struggle through a COVID-19 Outbreak. We have had additional residents and team members in Personal Care and now Memory Support test positive for COVID-19. While visitation does remain open, we are discouraging visitation for the time being, until we can get the spread under control and go 14 days without any new cases. We continue to test team members and residents frequently in order to isolate any positive cases in attempt to limit any further spread.

There are no updates and continue to have no new positive cases in Skilled Nursing or Residential Living at this time that we have been made aware of.

We would ask that all residents, family members and visitors throughout our community continue to use caution as there is still significant spread throughout Lancaster County that can present a risk to our resident and team members when introduced to Quarryville. The safety of our residents and team members continues to be our primary concern as we continue to navigate this virus, nearly two and a half years later.

We appreciate your continued prayers and support.

We continue to have random cases of COVID-19 pop up throughout the community. We are thankful that these cases remain fairly isolated and have not resulted in any large outbreaks among team members or residents. One team member in Memory Support and one team member in the Skilled Nursing tested positive for COVID-19, both with direct care contact. One positive Personal Care Resident led to the identification of two additional positive residents. We continue to test residents and team members frequently to ensure early identification, isolation, and treatment of any positive cases. We would ask residents and team members continue to use caution as the positivity rate in Lancaster County is still high.

Supporting Living – All of supportive living remains open for visitation. Visits must take place in the resident’s room or outside (weather permitting). Visitors must wear a mask at all times during the visit and check in beforehand to verify they have not tested positive within the past 10 days and are not currently exhibiting any signs or symptoms of COVID-19. We ask that when visiting, you consider, not only the safety of the loved one you are visiting, but the safety of all our residents and team members.

Residential Living –There are no changes to any current policies or procedures. If you have any signs or symptoms of COVID, we ask that you reach out to your primary care physician immediately and use caution when around others. If you are exposed to someone with COVID-19, please let us know so we can help give direction on CDC recommended protocols.

COVID-19 Vaccine Clinic – Hershey Care Pharmacy will once again be coming to Quarryville to offer COVID-19 shots. They will be here Thursday, August 18^th at 10:30 AM in the Commons Great Room. It will once again be open to residents, team members, and family members for anyone wishing to receive a first dose, second dose, or any eligible booster doses. If you are unsure of whether or not you are eligible, please reach out to me at (717) 786-5295. In order to sign up and place your name on the list, please reach out to Robert Benson, Assistant Administrator at (717) 786-9719. Consent forms will be located at each reception desk beginning August 1^st.

Thank you for your continued prayers and support. I am sure I can speak for everyone when I express a desire for the day when COVID-19 will be a thing of the past. While it seems as though that may be wishful thinking, we continue to trust in God’s faithfulness and provision for our lives and this community.

COVID-19 continues to present a unique challenge to our community as we navigate continued regulatory restrictions, ensuring the safety of our residents and our team members, and continue to do our best to ensure we are meeting and exceeding the physical, mental, and spiritual needs of our residents. As most of you are aware, COVID-19 cases are up significantly again throughout the county and we are continuing to see the effects of that throughout our community. While we are thankful to have not had any residents within QPRC test positive for COVID-19, we have had a number of team members and team member family members test positive over the past week. Skilled Nursing, Personal Care, and Administration have all had individuals either test positive or be forced to quarantine due to a family member testing positive for COVID-19.

Supportive Living – All of supportive living remains open for visitation at this time. Visitors must either visit in the resident’s room or outside (weather permitting) and must wear a mask at all times during the visit. Visitors must check in before hand to verify they have not tested positive within the past 10 days and are not currently exhibiting any signs or symptoms of COVID-19. We ask that when visiting, you keep in mind not only the safety of the loved one you are visiting with, but the safety of all our residents and team members.

Residential Living – We are continuing to monitor cases before making any change to current procedures. If you have any signs or symptoms, we ask that you reach out to your primary care physician immediately and use caution when around others. If you are exposed to someone with COVID-19, please let us know so we can help give direction on CDC recommended protocols.

COVID-19 Vaccine Clinic – Hershey Care Pharmacy will once again be coming to Quarryville to offer COVID-19 shots. They will be here Thursday, August 18^th at 10: 30 AM in the Commons Great Room. It will once again be open to residents, team members, and family members for anyone wishing to receive a first dose, second dose, or any eligible booster doses. If you are unsure of whether or not you are eligible, please reach out to me at (717) 786-5295. In order to sign up and place your name on the list, please reach out to Robert Benson, Assistant Administrator at (717) 786-9719. Consent forms will be located at each reception desk beginning August 1^st.

This past week, we had 1 resident in Skilled Nursing test positive for COVID-19. This does not change any procedures that are currently in place. We have seen a slight decrease in the county positivity rate but continue to use caution as there are a significant number of cases throughout the county.

Skilled Nursing

Visitation continues to be permitted at all times per DOH regulations. Dining rooms, group activities and church services continue to be open for residents.

Memory Support and Personal Care

Because there were no new cases of Covid-19, we may continue visitation in Personal Care and Memory Support. All dining rooms are open and resident activities are being conducted in a group setting again.

Residential Living

We have not been made aware of any positive tests in RL over the past week. Please continue to use caution if you are feeling sick or having any signs or symptoms of COVID-19.

Thank you, team members, families, and residents, for your continued support and understanding. Please continue to keep our team members and residents in your prayers as we work diligently to ensure the health, safety, and well-being of everyone throughout our campus.

As COVID-19 continues to spread throughout Lancaster County, we are thrilled to announce that we have not had any residents across the community test positive for COVID-19 this past week. We have had a couple team members test positive due to what we believe is community exposure.

Skilled Nursing

Visitation continues to be permitted at all times per DOH regulations but we have now gone more than 14 days since the last positive resident. We have re-opened all of the resident dining rooms, and will be resuming group activities and church services immediately.

Personal Care and Memory Support

We have confirmed the last round of testing for PC and MS residents were all negative which means we can re-open regular visitation for all of Personal Care and Memory Support. The Personal Care dining room will re-open on Friday, June 17^th and all group activities and services will resume immediately.

Residential Living

We have not been made aware of any positive tests in RL over the past week. Please continue to use caution if you are feeling sick or having any signs or symptoms of COVID-19.

Thank you team members, families, and residents for your continued support and understanding. I don’t know that anyone could have imagined this pandemic creating the challenges it has more than two years after the start. While it seems as though there continue to be more questions than answers, we will continue to trust in God’s faithfulness to our community and pray for both safety and comfort for all our residents, team members, and loved ones.

As COVID-19 continues to spread throughout Lancaster County, we continue to see the effects of it on every area of our community. We have now had positive COVID-19 cases of either team member or resident in every area of the community over the past week. Team Members should review the COVID-19 PPE policy and testing requirement grid to view the most up to date requirements.

Skilled Nursing

We have had 1 additional resident in Skilled Nursing test positive for COVID-19. The resident had limited contact with other residents and is currently isolated in our dedicated COVID-19 Unit. Visitation remains open per CMS regulations, but visitors are required to check in and follow appropriate masking procedures throughout their visit.

Memory Support

We were made aware of a positive COVID-19 test this week in Memory Support as well. The unit remains in a precautionary yellow zone and we will continue to conduct regular testing to identify any other positives as soon as possible. Per regulation, visitation remains restricted to compassionate care visitors only.

Personal Care

Because a Personal Care team member tested positive for COVID-19, we must move all of Personal Care to a precautionary yellow zone. We will conduct regular testing to identify any other potential positive cases as soon as possible. Per regulation, visitation is now restricted those designated as compassionate caregivers only. We will continue to have group dining and group activities for the time being.

Residential Living

There have been a number of positive cases in Residential Living over the past 2 weeks. While at this point, we are not making changes, we strongly encourage residents to wear a mask when they are in common areas. Team Members are asked to wear a mask during any resident interaction. If we continue to have an increase in cases, we may be forced to put additional restrictions into place.

Remember, if you are having signs or symptoms, you should stay away from others and notify your primary care physician.

Skilled Nursing

Memory Support

Personal Care

Residential Living

Remember, if you are having signs or symptoms, you should stay away from others and notify your primary care physician.

Skilled Nursing and PC Memory Support have continued conducting outbreak testing as a result of prior positive COVID-19 tests. In the past week, we have had no positive tests in Skilled Nursing, Personal Care or Memory Support. We have been notified of three RL residents who tested positive for COVID-19 recently.

The community transmission rate for Lancaster County is now considered “High”. This requires additional testing procedures for team members in Skilled Nursing. Please check with your supervisor for the most up to date testing requirements.

Skilled Nursing

Though we are required to continue outbreak testing for a minimum of one more week, we will be opening the dining rooms to residents this week. All team members will be tested a minimum of 1X per week, must wear an N-95 mask and eye protection at all times, and a gown during resident care. Visitation is permitted but it is imperative that all visitors continue to wear a mask at all times while visiting and ensure they are checking in at the kiosk at the main entrance.

Memory Support

Due to recent positive tests, Memory Support continues to be open for compassionate care visitation only. All team members will continue to be tested a minimum of 1X per week, must wear an N-95 mask and eye protection at all times, and wear a gown during resident care.

Personal Care

Personal care remains COVID-19 free and is open to visitors. Team members in Personal Care should review the PPE and testing guidelines to ensure they are being met.

Residential Living

While we are not making any changes at this point to Residential Living procedures, we would strongly encourage Residential Living residents to be cautious and take precautions as necessary. We have a few positive cases in our community but also a growing number of positive cases outside our community.

Skilled Nursing and PC Memory Support have continued conducting outbreak testing as a result of recent positive COVID-19 tests. Skilled Nursing had 1 additional resident test positive this week. We currently have 2 residents in our dedicated COVID-19 Unit. All other positive residents have recovered and have been moved back to their original room. Memory Support had one team member test positive this week.

Skilled Nursing

Due to the increasing number of positive tests, we have suspended all group dining and activities throughout skilled nursing. All team members will be tested a minimum of 1X per week, must wear an N-95 mask and eye protection at all times, and a gown during resident care. We are discouraging visitation in Skilled Nursing but families may still choose to visit per CMS regulation. It is imperative that all visitors continue to wear a mask at all times while visiting and ensure they are checking in at the kiosk at the main entrance.

Memory Support

Due to the positive Team Member test this week, we continue to be open for compassionate care visitation only. All team members will continue to be tested a minimum of 1X per week, must wear an N-95 mask and eye protection at all times, and wear a gown during resident care.

Personal Care

Personal care remains COVID-19 free and is open to visitation. Team members in personal care should review the PPE and testing guidelines to ensure proper PPE and testing guidelines are being met.

Residential Living

We have not been made aware of any additional RL positive tests in the past week. We will not make any changes at this time but we would encourage individuals in Residential Living to wear a mask, and watch closely for any signs or symptoms.

Skilled Nursing and PC Memory Support have been conducting frequent outbreak testing as a result of recent COVID-19 positive tests. PC Memory Support, beginning today, has gone 7 days without a potential exposure so we are able to resume visitation again. Skilled Nursing has now had 9 total residents test positive, 8 of which remain present in our dedicated COVID-19 Unit. Skilled Nursing has had 3 additional direct care team members test positive in addition to 5 additional team members from ancillary departments who have limited resident contact.

Skilled Nursing

Memory Support

While visitation is able to be opened up beginning 4/28/2022, we will still utilize increased precautions for a minimum of 7 more days. All team members will continue to be tested a minimum of 1X per week, must wear an N-95 mask and eye protection at all times, and wear a gown during resident care.

Personal Care

Personal care remains COVID-19 free and is open to visitation. Team members in personal care should review the PPE and testing guidelines to ensure the proper PPE and testing guidelines are being met.

Residential Living

We were notified of a RL resident testing positive on 4/27. We are not making any changes at this time but we would encourage individuals in Residential Living to wear a mask, and watch closely for any signs of symptoms.

Late last night, we were made aware of a skilled nursing team member that tested positive for COVID-19. Immediate testing has been completed on team members and residents that has since identified one positive skilled nursing resident. That resident has been moved to our isolated COVID-19 unit. We are awaiting further test results at this time.

Skilled Nursing

As a result of the positive tests, we are moving both units into increased precautions. All team members will be tested a minimum of 1X per week, must wear an N-95 mask and eye protection at all times, and a gown during resident care. We have transitioned to in-room dining and suspended group activities on the second floor. First floor dining room and activities are resuming as normal for the time being. Visitation in skilled nursing is still open per CMS regulation but we ask that all visitors continue to wear a mask at all times while visiting and ensure they are checking in at the kiosk at the main entrance.

Memory Support

As a result of the recent positive team member, memory support also remains in increased precautions. Since the original positive, all team members and residents have tested negative. All team members will continue to be tested a minimum of 1X per week, must wear an N-95 mask and eye protection at all times, and wear a gown during resident care. Per Department of Human Services regulations, visitation is currently still suspended for a minimum of 7 days from the positive test unless you have been approved for compassionate care visitation. We will open for visitation again as soon as regulations allow.

Personal Care

Personal care remains COVID-19 free and is open to visitation. team members in personal care should review the PPE and testing guidelines to ensure the proper PPE and testing guidelines are being met.

Thank you all for your continued diligence. We pray this will be short-lived so that we can go back to open visitation across the community and provide meaningful and enriching dining and activity experiences throughout. Please continue to keep our residents and team members in your prayers.

Quarryville Presbyterian has been made aware of a team member from our Personal Care Memory Support Unit that tested positive for COVID-19. Per DHS regulations, we must suspend visitation for a minimum of 7 days dependent on the outcome of outbreak testing. Visitation in the Memory Support Unit will be limited to individuals who meet the Compassionate Care visitation criteria and are care-planned accordingly.

Visitation remains open in Personal Care and Skilled Nursing. With the slight uptick in cases, we remind you to please be diligent and wear a mask at all times while visiting. Weather permitting, outdoor visitation is encouraged. Indoor visitation remains limited to the resident’s room only. We are still unable to permit visitation with residents in the dining rooms or other common areas due to strict vaccination requirements.

Quarryville Presbyterian Retirement Community has had one 1 additional positive case of COVID-19. This individual did not have any resident contact in our Skilled, PC or RL areas. We continue to be thankful for no positive COVID-19 tests in our PC or Skilled Nursing Units.

Vaccine Clinic
The CDC has officially approved a 4^th shot, or a second booster dose for all individuals over the age of 50 or anyone who is immunocompromised. We will be calling families shortly to determine which Skilled and PC residents wish to receive the vaccine. All team members, residents, and family members are welcome to attend the clinic if they meet the appropriate criteria. Hershey Care Pharmacy will be arriving at 10:00 AM on Wednesday, April 20^th. This clinic will once again be held in the Great Room in the Commons Building. The end time will be determined by the number of individuals signing up. As soon as we have a good idea, we will send out further communication.

If you are interested in getting the vaccine, please reach out to Rob Benson ([email protected]) if you have any questions on eligibility for yourself, a loved one, or a family member. If you are eligible and want to come to the clinic, you will need to let us know you will be there, which vaccine you wish to have administered (first dose, second dose, 1^st booster, 2^nd booster) and which brand you would like no later than Tuesday, April 19^th at noon. We can offer Pfizer, Moderna and Johnson and Johnson in any dose.

Vaccination paperwork must be filled out prior to receiving your vaccine. Packets are located at the Long, Dyrness and McElwain reception desks.

It is always a joy to be able to announce there continue to be no more cases of COVID-19 at Quarryville since our last update. There was one individual that tested positive but had not worked during her infectious period, so it did not have any affect on the community.

Testing

No routine COVID-19 testing is required for team members that are “up-to-date” on vaccinations. Individuals who are not “up-to-date” must be tested a minimum of once per week. Direct care workers in Skilled Nursing that have an approved religious exemption must be tested a minimum of twice per week.

Due to a decrease in the testing frequency, we are reducing the testing hours. These testing hours are open to team members or residents throughout the community.

Hudson Taylor Dining Room
Mondays	7 AM to 8:30 AM, 2 PM to 4 PM
Wednesdays	7 AM to 8:30 AM, 2 PM to 4 PM

Vaccine Clinic

Hershey Care Pharmacy will be arriving at 11:30 AM on Wednesday, March 23rd for a COVID-19 Vaccine Clinic. This clinic will once again be held in the Great Room in the Commons Building. They will be leaving immediately after everyone has received their vaccine; so please arrive at 11:30 AM.

If you are interested in getting the vaccine, please reach out to Rob Benson ([email protected]) to let us know you will be there, which vaccine you wish to have administered (first dose, second dose, booster) and which brand you would like. We can offer Pfizer, Moderna and Johnson and Johnson in any dose.

All residents, team members, and family members wishing to be vaccinated and meet the criteria above are eligible. Please reach out to Rob Benson if you have any questions on eligibility for yourself, a loved one, or a family member.

Vaccination packets must be filled out prior to receiving your vaccine. They are located at the Long, Dyrness and McElwain reception desks.

Quarryville Presbyterian Retirement Community continues to remain COVID-19 free. We are thankful that we have been able to loosen some of the procedures that we had in place for so long. A memo was sent out last week detailing some of the specific changes for RL residents. We have not had any change in regulatory guidance for SNF or PC residents at this time but will continue to update everyone as we are made aware. We are able to make some changes to supportive living team member procedures at this point while remaining within the most recent state and federal guidelines. (Please note, a positive COVID-19 case or a change in the county transmission rate may change these procedures at any time)

We are excited to announce that since last Wednesday, Quarryville has had no positive resident or team member COVID-19 cases.

Skilled Nursing

Skilled Nursing continues to use precautions and remains in yellow zone due to positive tests within the last two weeks. We continue to test all residents and team members a minimum of once per week. Team members, volunteers, contractors, etc. must wear a N-95 mask and eye protection at all times while on the units.

Personal Care and Memory Support

Personal Care and Memory Support have not had any positive resident or team member tests within the past 14 days, so they currently are utilizing dining rooms, the beauty salon and participating in group activities. Team members, volunteers, contractors, etc. must wear a KN-95 mask and eye protection at all times while on the units.

Regulatory Updates/Changes

Visitors, Contractors, Etc.

Anyone entering the Long Building or supportive living must follow DOH quarantine and isolation guidelines which are stricter than the CDC. (Day 0 represents positive test day or the day of exposure)
- Must quarantine for 10 days following a positive COVID-19 test regardless of vaccination status
- Must isolate for minimum of 10 days following exposure to someone with COVID-19 if you are not “up to date” on all vaccine doses and boosters per CDC recommendations.
We will be updating the questions for our check-in process this week to reflect these changes.

We are continuing to review all the guidance and make any necessary changes to our policies and procedures. We apologize for the confusion this causes as it is a challenge on our end to follow a continually moving target. Thank you for your ongoing support and diligence. A special thank you to all our team members who go above and beyond every day to ensure our residents are being cared for.

Since our last update on 2/3/2022, one skilled nursing resident, one direct care team member and one non direct care team member have tested positive. There were no positive tests in Personal Care, Memory Support or Residential Living. Resident testing in skilled nursing was conducted on 2/8/2022 and revealed all negative results.

Skilled Nursing

Skilled Nursing continues to use precautions and remains in yellow zone due to recent positive tests. We continue to test all residents and team members a minimum of once per week. We are hoping to open dining rooms and group activities in the near future. Team members, volunteers, contractors, etc. must wear a N-95 mask and eye protection at all times while on the units.

Personal Care and Memory Support

Regulatory Updates/Changes

Visitors, Contractors, Etc.

Anyone entering the Long Building or supportive living must follow DOH quarantine and isolation guidelines which are stricter than the CDC. (Day 0 represents positive test day or the day of exposure)
- Must quarantine for 10 days following a positive COVID-19 test regardless of vaccination status
- Must isolate for minimum of 10 days following exposure to someone with COVID-19 if you are not “up to date” on all vaccine doses and boosters per CDC recommendations.
We will be updating the questions for our check-in process next week to reflect these changes.

Team Members

Testing procedures have been changed to reflect two categories, “up to date” and ‘not up to date”. Individuals who are “up to date” will have less restrictive testing requirements than individuals who are “not up to date” which is defined as being eligible for recommended boosters but not having received them yet.

Quarryville Presbyterian Retirement Community is pleased to announce that since our last update on 1/26/2022, no additional skilled nursing residents have tested positive. There have been three additional skilled nursing team members that have tested positive during that time. Personal Care and Memory Support have had no positive residents or team members since the latest update.

Skilled Nursing

Skilled Nursing continues to use precautions and remains in yellow zone due to recent positive tests. We are hoping to be able to open up the dining room, beauty salon, and group activities again shortly. We are being extra cautious due to the extreme transmissibility of the Omicron variant.

Team members, volunteers, contractors, etc. must wear an N-95 mask and eye protection at all times while in Skilled Nursing. Gowns must also be utilized when providing direct care to residents.

Personal Care and Memory Support

Personal Care and Memory Support have not had any positive resident or team member tests within the past 14 days so they currently are utilizing dining rooms, beauty salon and allowing residents to participate in group activities. Team members, volunteers, contractors, etc. must wear a KN-95 mask and eye protection at all times while on the units.

Supportive Living Visitors

With the number of COVID-19 cases throughout the county slowly decreasing, we are just asking visitors to use caution if they choose to come visit their loved ones. Visitors must check in and verify they do not have any symptoms of COVID-19 and they have not been recently exposed to COVID-19 prior to visiting. Visitors MUST keep a facemask on at all times during the visit. This is for the safety of your loved ones and everyone else throughout our community.

Thank you for your continued support during this time. Please continue to keep our residents, team members, and community in prayer as we navigate this pandemic that continues to cause weariness and uncertainty.

Quarryville Presbyterian Retirement Community continues to take important preventive measures to contain the current outbreak in Skilled Nursing and Residential Living and prevent any further outbreaks from occurring. While we have had additional Skilled Nursing residents test positive for COVID-19 since the last update, Monday’s testing showed no positive results. We are testing all Skilled Nursing residents again today and are expecting those results before the end of the week. For right now, Skilled Nursing will remain in the yellow zone.

Personal Care testing has come back all negative for the second straight week. Therefore, Personal Care will be in the green zone effective 1/27/2022.

No additional positive cases in Residential Living have been reported to us since the update last Wednesday.

There are a number of positive cases and exposures among Team Members throughout the community.

The CMS Vaccine Mandate that is applicable to our Skilled Nursing facility officially goes into effect at midnight tonight. Visitors who are visiting specific residents may still visit without being vaccinated but any visitor MUST CHECK IN AT THE FRONT DESK PRIOR TO THEIR VISIT. Team Members, please see additional communication and check with your supervisor if you were granted a medical or religious exemption. The accommodations for those exemptions must be strictly adhered to and will be strongly enforced.

Though visitation is still permitted per regulations, we cannot urge families enough to reconsider visitation during this time. Quarryville can assist with video calls, phone calls, window visits, etc. as a safe alternative that still provides interaction between our residents and their loved ones.

Quarryville Presbyterian Retirement Community is continuing to see the effect of the Omicron COVID-19 surge within our community. Continuous testing has revealed additional residents and team members who have tested positive for COVID-19.

As additional cases continue to be identified in Skilled Nursing, we will continue to establish the safest and best way to cohort all the positive individuals together to limit further spread. Any necessary room changes are done immediately. Families will be notified of any positive covid-19 tests or necessary room changes as soon as possible. Any positive cases in Memory Support or Personal Care will stay quarantined in their room until released by DOH or DHS guidance.

Quarryville Presbyterian Retirement Community continues to test team members and residents regularly to identify positive COVID-19 cases as soon as possible to ensure proper quarantine of residents and team members. Over the last two days, 8 additional skilled nursing residents have tested positive for COVID-19. Two residents in personal care have tested positive as well.

With these two additional positive cases in skilled nursing, our dedicated COVID-19 red zone unit has reached its capacity. We have identified a new location where we have created a temporary partitioned area where additional COVID-19 positive residents can be transferred. While this may require the relocation of some current residents, doing so will ensure that we are able to properly cohort all our positive cases together in effort to limit further spread of COVID-19. Representatives for residents needing to be temporarily relocated will be notified as soon as possible.

The two positive residents in personal care will remain quarantined in their rooms for the required 10 day period.

Quarryville will do its best to minimize the impact of this outbreak and necessary inconvenience on other residents while ensuring we take steps to maintain the safety of all our residents and team members.

Though visitation is still permitted per regulations, we are strongly discouraging visitation throughout our community at this time. For those that choose to visit, please remember that you are required to wear a face mask at all times during the visit.

This past week, a number of individuals within QPRC have tested positive for COVID-19. Ten additional skilled nursing residents have tested positive and are currently in our dedicated COVID-19 Unit. Five residential living residents have also tested positive over the course of the past week. A handful of team members across the community have also tested positive following the trend of a rising number of cases throughout the county.

Supportive Living Visitation

Per regulations, visitation is permitted throughout skilled nursing, personal care, and memory support regardless of outbreak status. Due to the extreme number of cases throughout our community and Lancaster County, we (QPRC) are discouraging visitation at this time. For those that do wish to visit, we are limiting visitation to 2 individuals at a time and require you follow our policies and procedures while doing so. We also ask that if you do choose to visit, you do so between 9AM and 7PM to ensure a smooth check in process.

Skilled Nursing and Personal Care

Skilled Nursing currently remains in a yellow zone. Team members, volunteers and contractors are required to wear an N-95 mask and eye protection at all times and use gowns while providing resident care.

Memory Support

Memory support has had more than two weeks with no new positive cases so they are currently in a green zone. Team members, volunteers, and contractors are required to wear a KN-95 mask and eye protection at all times while on the unit.

Residential Living

No changes are being made at this time to Residential Living procedures. We do ask that you continue to be diligent in wearing a mask at all times while in any common area or participating in any activities. Those wishing to be tested for COVID-19 as a precaution are welcome to come to the open testing times listed below. If you start exhibiting signs and symptoms, we ask that you take the necessary precautions and notify your primary care provider for further direction.

Current team member testing requirements
Vaccinated MS team members	Testing not required at this time
Non-Vaccinated MS and all PC team members	Must be tested ONCE per week
Vaccinated team members working in Skilled	Must be tested ONCE per week during outbreak
Unvaccinated team members working in Skilled	Must be tested TWICE per week ongoing
All QPRC team members	Must be tested if exhibiting signs or symptoms

COVID-19 Testing – Hudson Taylor Dining Room
Mondays	7AM – 10AM, 1PM – 4PM
Wednesdays	7AM – 10AM, 1PM – 4PM

During this past week, a number of individuals within QPRC have tested positive for COVID-19. A total of 7 team members throughout the community, with 2 of those having routine contact with Skilled Nursing Residents. Two Skilled Nursing residents have tested positive in addition to 3 residential living residents.

Skilled Nursing

Skilled Nursing currently remains in all yellow zone. Visitors are welcome anytime but are strongly encouraged between 9AM and 7PM in concordance with updated CMS regulations. Please remember, all visitors must check in at the reception desk prior to visitation and must remain masked AT ALL TIMES while visiting. Team members, volunteers and contractors are required to wear an N-95 mask and eye protection at all times and use gowns while providing resident care.

Personal Care and Memory Support

Visitation guidelines have officially changed. Visitation is now permitted in Personal Care and Memory Support regardless of outbreak status. Visitors are welcome anytime but are strongly encouraged between 9AM and 7PM in concordance with updated CMS regulations. Please remember, all visitors must check in at the reception desk prior to visitation and must remain masked AT ALL TIMES while visiting.

Due to a recent positive test, Personal Care is in yellow zone which requires an N-95 mask and eye protection to be worn by team members working on those units. Memory Support has gone 14 days with no new positive tests so Memory Support is currently in green zone. Team members can wear a KN-95 mask and eye protection.

Current team member testing requirements
Vaccinated MS team members	Testing not required at this time
Non-Vaccinated MS and all PC team members	Must be tested ONCE per week
Vaccinated team members working in Skilled	Must be tested ONCE per week during outbreak
Unvaccinated team members working in Skilled	Must be tested TWICE per week ongoing
All QPRC team members	Must be tested if exhibiting signs or symptoms of COVID-19

COVID-19 Testing – Hudson Taylor Dining Room
Mondays	7AM – 10AM, 1PM – 4PM
Wednesdays	7AM – 10AM, 1PM – 4PM

During this past week, there have been 4 additional team members that have tested positive for COVID-19 community wide. One of those team members did not work during their contagious period, Two team members had limited to no contact with residents, and the final team member works within Personal Care. As a result, Personal Care visitation is now restricted to compassionate care visitation only.

Skilled Nursing

Personal Care and Memory Support

Personal Care and Memory Support visitation is now limited to those who are care planned for compassionate care visitation. Group dining and small group activities remain in place. Team members, volunteers and contractors are required to wear an N-95 mask and eye protection at all times, and use gowns while providing resident care.

Current team member testing requirements
All PC and MS team members	Must be tested ONCE per week
Vaccinated team members working in Skilled	Must be tested ONCE per week during outbreak
Unvaccinated team members working in Skilled	Must be tested TWICE per week ongoing
All QPRC team members	Must be tested if exhibiting signs or symptoms of COVID-19

COVID-19 Testing – Hudson Taylor Dining Room
Mondays	7AM – 10AM, 1PM – 4PM
Wednesdays	7AM – 10AM, 1PM – 4PM

These will stay in effect until further notice.

Over the past few days, we have had one additional team member in Memory Support and one Residential Living resident test positive for COVID-19. Residential Living residents are welcome to come to the Hudson Taylor Dining Room during the testing times below if you wish to be tested. If you are experiencing any signs or symptoms of COVID-19, we encourage you to call your primary care physician immediately.

Skilled Nursing

Due to previous positive test results, Skilled Nursing remains in the yellow zone. Visitors are welcome anytime but are strongly encouraged to visit between 9AM and 7PM in concordance with updated CMS regulations. Please remember, all visitors must check in at the reception desk prior to visitation and must remain masked AT ALL TIMES while visiting.

Memory Support

Due to positive test results, Memory Support remains in the yellow zone. Visitation is limited to those care planned for compassionate care visitation. We are in the process of working on a plan for families to be able to see their loved ones over the Christmas holiday. We will be reaching out to families shortly with specific instructions.

Personal Care

Personal Care continues to be open for visitation, dining, and group activities. Visitors are welcome anytime but are strongly encouraged to visit between 9 AM and 7 PM. Please remember all visitors must check in at the reception desk prior to visitation and must remain masked AT ALL TIMES while visiting.

Current team member testing requirements
Vaccinated team members working in PC	No testing required at this time
Unvaccinated team members working in PC	Must be tested ONCE per week ongoing
Vaccinated team members working in MS	Must be tested ONCE per week during outbreak
Unvaccinated team members working in MS	Must be tested ONCE per week ongoing
Vaccinated team members working in Skilled	Must be tested ONCE per week during outbreak
Unvaccinated team members working in Skilled	Must be tested TWICE per week ongoing
All team members	Must be tested if exhibiting signs or symptoms of COVID-19

COVID-19 Testing – Hudson Taylor Dining Room
Mondays	7AM – 10AM, 1PM – 4PM
Wednesdays	7AM – 10AM, 1PM – 4PM

*Please note reduced hours for testing above. These will stay into effect until further notice.

During this past week, there have been 5 additional team members that have tested positive for COVID-19 community wide. We are continuing to conduct outbreak testing in Memory Support and in Skilled Nursing. We are thankful that all resident tests this past week have come back negative.

Skilled Nursing

Due to positive tests, Skilled Nursing remains in all yellow zone. Visitors are welcome anytime but are strongly encouraged between 9AM and 7PM in concordance with updated CMS regulations. Please remember, all visitors must check in at the reception desk prior to visitation and must remain masked AT ALL TIMES while visiting.

Memory Support

Due to positive tests, Memory Support remains in yellow zone. Visitation is limited to those care planned for compassionate care visitation.

Personal Care

Personal Care continues to be open for visitation, dining, and group. activities. Visitors are welcome anytime but strongly encouraged between 9 AM and 7 PM. Please remember all visitors must check in at the reception desk prior to visitation and must remain masked AT ALL TIMES while visiting.

All unvaccinated team members are still required to be tested weekly at this time.

Testing at QPRC has revealed positive COVID-19 cases in Skilled and Memory support.

2 residents in Skilled Nursing have tested positive, both are fully vaccinated. 2 residents from Memory Support have tested positive as well, both of whom are fully vaccinated. 5 fully vaccinated, and 1 non vaccinated team members at Quarryville also tested positive.

Skilled Nursing

Visitation in skilled nursing is still open after the recent directive from CMS and DOH. Visitors are required to check in and wear a face mask at all times while in the building. Visitation may only occur in resident rooms. All team members in the Thompson building must wear a N-95 Mask and eye protection at all times in addition to a gown and gloves while providing direct care to residents.

Memory Support

Regulations for Personal Care facilities have not yet changed so visitation in Memory Support is currently limited to compassionate care visitation only. Visitors are required to check in and wear a face mask at all times while in the building. Visitation may only occur in resident rooms. All team members in the Thompson building must wear a N-95 Mask and eye protection at all times in addition to a gown and gloves while providing direct care to residents.

Personal Care

Personal Care in the Long Building has not had any positive cases so visitation is still open and permitted in this area. Visitation may only occur in resident rooms. All team members in the Thompson building must wear a KN-95 Mask and eye protection at all times in addition to a gown and gloves while providing direct care to residents.

Testing

Testing for all team members working in personal care or skilled nursing will be required a minimum of once per week regardless of vaccination status. Non-vaccinated team members in skilled nursing must be tested twice per week. Testing days remain Mondays and Wednesdays from 7AM -10AM and 1PM to 4PM. Team Members must be tested or will be removed from work until they are.

We ask that all visitors and team members continue to exercise caution both inside and outside of the facility. We are thankful that none of our positive cases are exhibiting serious symptoms and are hopeful that continues to be the case. Please keep our residents and team members in your prayers as we continue navigate through this time to ensure the physical and mental wellness of our residents and team members.

During outbreak testing of Skilled Nursing residents and team members, two additional individuals have tested positive for COVID-19: One vaccinated team member and one vaccinated resident. We will continue to test all residents weekly, vaccinated team members weekly, non-vaccinated team members twice weekly. Two additional team members tested positive as well though they were not in the facility prior to the positive test.

Per updated CMS regulations, visitation is still permitted during this time. Visitors are required to check in at the front desk and MUST wear a face mask at all times while they are in the building. Per CMS guidance, we recommend all visitors be vaccinated but will not require it. We will begin asking visitors for vaccination status in the coming weeks prior to your visit but it will not change your ability to visit with your loved one.

If you are planning on taking your loved one out of the facility for the holidays, please let one of our team members know as soon as possible so we can ensure everything is in place for everyone to have a wonderful visit. A leave of absence form will need to be filled out and signed to ensure all individuals taking a resident out of the facility follow proper infection control and COVID-19 prevention best practices. The safety of our residents and your loved ones is our number one priority.

Quarryville was just made aware of a resident that has tested positive for COVID-19. The vaccinated resident remains asymptomatic and has been relocated our COVID-19 “red zone”. As a result, all other residents will be tested at minimum weekly until we have reached 14 days without a new positive.

With the recent change in CMS regulations, visitation is still permitted for Skilled Nursing residents. Visitors must continue to be screened prior to entry and must wear a mask at all times. All visitation must occur in resident rooms. No visitation in common areas or dining rooms are permitted.

All vaccinated team members will be required to be tested weekly until we have reached 14 days with no new cases. All unvaccinated team members working in Skilled Nursing must continue to be tested twice per week per current CMS and DOH guidelines.

On Friday, November 12^th, CMS released updated regulations regarding visitation for Skilled Nursing residents. These changes will go into effect for Skilled Nursing immediately and we are hoping Department of Human Services will update Personal Care regulations to match in the coming weeks, if not days.

Skilled Nursing

Skilled Nursing residents may now receive visitors in their rooms regardless of vaccination status, facility outbreak, or quarantine status. Below is a summary of the new procedures for Skilled Nursing Visitation as required by Centers for Medicare and Medicaid:

Personal Care/Memory Support

At this time, there have been no changes to the visitation procedures. As soon as new guidelines are received, we will send out a communication to all families. Vaccinated residents may receive visitors in their rooms so long as the facility is not in outbreak status. Non-vaccinated residents may only receive visitors if they are designated as compassionate caregivers.

Visitation Reminders for all Supportive Living

Visitation is strongly encouraged between the hours of 9AM and 7PM. Visitors coming outside of those hours may have to wait to be let in and ensure they are checked in and screened properly.
ALL VISITORS MUST CHECK IN AND BE SCREENED PRIOR TO VISITION. Any visitor who fails to check in and disclose any signs or symptoms of COVID-19 at that time may have visitation privileges limited in the future.
All visitation must occur in resident rooms. Visitors are not permitted to visit with resident in dining or common areas unless prior approval is received from facility administrator.
Visitors must wear a mask and remain physically distanced the entirety of the visit.

Holiday Procedures for Supportive Living

Following guidance from regulatory agencies for both Skilled Nursing and Personal Care, we will be permitting residents to leave the facility with family during the holiday season this year. We ask that families notify the appropriate facility in advance so we can plan accordingly to ensure medications, treatments, and other items are taken care of in a timely manner. Families will be asked to sign a form that outlines the policies and procedures that should be followed while the resident is out of the facility. We urge families to follow these procedures and exercise caution while your loved one is out of the facility. Possible exposures put not only your loved one at risk, but the other residents in the community at risk when individuals return. Non-vaccinated residents who leave the facility may be quarantined for up to 14 days following their return for their safety and the safety of those around them.

Please do not hesitate to reach out directly should you have any questions regarding visitation or holiday procedures for supportive living.

We are grateful to announce that Quarryville is once again COVID-19 free. While we continue to take appropriate precautions, we are thankful that all the procedures we have put into place have limited our positive cases to largely isolated cases with no large outbreaks.

Residential Living

There have been no new positive COVID-19 tests in residential living this past week. We will continue to permit residents to come up to be tested on the testing days and times listed below if you wish. We ask that you please continue to wear a face mask at all times while you are out of your apartment, especially while you are in close contact with others while riding in vehicles or attending group activities.

Skilled Nursing

Skilled Nursing has completed 2 weeks of negative COVID-19 testing on all residents and team members so we will be open for visitation, communal dining, and group activities. Visitors are welcome anytime between 9 AM and 7 PM. Please remember, all visitors must check in at the reception desk prior to visitation and must remain masked AT ALL TIMES while visiting.

All unvaccinated team members are still required to be tested weekly at this time.

Personal Care

Personal Care continues to be open for visitation, dining, and group. activities. Visitors are welcome anytime between 9 AM and 7 PM. Please remember all visitors must check in at the reception desk prior to visitation and must remain masked AT ALL TIMES while visiting.

All unvaccinated team members are still required to be tested weekly at this time.

COVID-19 Testing – Hudson Taylor Dining Room
Mondays	7AM – 10AM, 1PM – 4PM
Wednesdays	7AM – 10AM, 1PM – 4PM

*Please note reduced hours for testing above. These will stay into effect until further notice.

Supportive Living

Skilled Nursing

During our weekly outbreak testing of all team members and residents, Quarryville had a fully vaccinated resident test positive for COVID-19. Per DOH guidelines, we must continue outbreak testing for a minimum of 2 more weeks until we have 14 days with all negative tests. Visitation remains suspended during this time. Families who are care planned as compassionate care visitors may still visit. All other visitors are required to set up window or skype visits through Activities.

Residents and team members, regardless of vaccination status, will be tested a minimum of once per week until we have 2 weeks with all negative results.

Personal Care

Personal Care completed its outbreak testing resulting in the ability for visitation, dining, and activities to open back up. All unvaccinated team members are still required to be tested weekly at this time.

Residential Living

Since our last communication, there have been 2 additional residential living residents that have tested positive for COVID-19. We have either completed or are in the process of completing contact tracing to notify anyone who may have had close contact with these 2 individuals. For privacy reasons, we are not able to share any information on who these individuals are.

We have seen more positive cases over the past month than we have during the entire length of the pandemic. We are monitoring positive cases extremely closely to ensure we take all necessary action to provide for the safety and well-being of our entire community.

At this time, we do not plan to suspend activities, dining or any other group activities. We do strongly ask that everyone wear their mask at all times when outside of your room unless you are eating or drinking. This will help ensure we can limit any further spread and continue to be able to offer activities and other group events. All residents are welcome to stop by the Hudson Taylor Dining Room in the Long Building to be tested for COVID-19. If you are having any signs or symptoms, please be sure to let us know immediately.

COVID-19 Testing – Hudson Taylor Dining Room
Mondays	7AM – 11AM, 1PM – 5PM
Wednesdays	7AM – 11AM, 1PM – 5PM

*This testing schedule will stay in place until otherwise specified.

Residential Living

On Thursday, October 14^th, Quarryville was made aware of a couple who both tested positive for COVID-19. Anyone believed to have had close contact with these individuals has been notified. As a result, any Residential Living resident or team member is welcome to come to COVID-19 testing sessions in the Long Building next week. The days and times are listed below.

Skilled Nursing

Just as Skilled Nursing had completed its outbreak testing and was ready to resume normal operations, we received a positive test result from someone that works in the Skilled Nursing facility. They had very limited contact with residents but per DOH regulation, we had to go back to a yellow phase throughout which suspends visitation and group activities. Families who are care planned as compassionate care visitors may still visit. All other visitors are required to set up window or skype visits through Activities.

Residents and team members, regardless of vaccination status, will be tested a minimum of once per week until we have 2 weeks with all negative results.

Personal Care

COVID-19 Testing – Hudson Taylor Dining Room
Mondays	7AM – 11AM, 1PM – 5PM
Wednesdays	7AM – 11AM, 1PM – 5PM

*This testing schedule will stay in place until otherwise specified.

Current team member testing requirements
Vaccinated team members working in PC/MS	No testing required at this time
Unvaccinated team members working in PC/MS	Must be tested ONCE per week ongoing
Vaccinated team members working in Skilled	Must be tested ONCE per week during outbreak
Unvaccinated team members working in Skilled	Must be tested TWICE per week ongoing
All team members	Must be tested if exhibiting signs or symptoms of COVID-19

Residential Living

On Friday, October 1^st, Quarryville was made aware of a residential living couple who both tested positive for COVID-19. We are finishing the contact tracing process and will be notifying any residents with possible exposure of what they should do.

Any residential living resident or team member is welcome to come to COVID-19 testing sessions this week and next if they wish to be tested. We are testing Monday and Wednesday from 7AM -11AM and then 1PM to 5PM in the Hudson Taylor Dining room in the long building.

Skilled Nursing

There was on individual who tested positive for COVID-19 that minimal exposure in skilled nursing that fell just within their infectious period. As a result, we remain in outbreak status for the rest of this week. We are looking at a possible reopening date of mid-next week if covid-19 testing this week results in all negatives.

Non-vaccinated skilled nursing team members must be tested twice per week until the community transmission rate is lowered significantly. Vaccinated skilled nursing team members must continue to be tested once per week through the duration of outbreak testing.

Personal Care

There were no positive tests last week in Personal Care. We are awaiting on test results from October 4 before making an official announcement but we optimistic we will re-open visitation the second part of this week.

If there are no positive tests this week, vaccinated team members will no longer be required to have routine COVID-19 Testing. Team Members who are not vaccinated must continue to be COVID-19 tested weekly.

Since our last communication, no additional team members have tested positive for COVID-19. Skilled Nursing did have 2 residents test positive. They were relocated to our COVID-19 dedicated unit. Skilled Nursing, Personal Care and Memory Support all remain in “yellow zone”. Visitation for all of supportive living will be limited to window visitation and compassionate care visitation for those residents who meet the criteria.

To arrange for window visitation, please call 786-5715 for Skilled Care and 786-5702 or 786-5709 for Personal Care and Memory Support.

Weekly testing will continue for all team members and residents until there are two weeks of all negative tests. We will continue to communicate with residents and families as new information becomes available to us.

We learned yesterday the FDA has recommended the COVID-19 Pfizer booster shot for all individuals over the age of 65 after 6 months of the second dose. We are working with Hershey Care Pharmacy to schedule a vaccine clinic to deliver Pfizer booster shots. We are awaiting direction for those who received COVID-19 shots that were not Pfizer.

Please continue to keep our residents and team members in your prayers as we all work together to navigate this most recent challenge presented to us.

Over the past few days, there have been 5 additional positive COVID-19 tests throughout Quarryville Presbyterian Retirement Community. Three of these individuals had limited contact with residents, 1 had extensive contact with residents, while 1 has not worked at the community recently. Due to the recent positives, Skilled Nursing, Personal Care and Memory Support are all in “yellow zone.” Visitation for all of supportive living will be limited to window visitation and compassionate care visitation for those residents who meet the criteria.

To arrange for window visitation, please call 786-5715 for Skilled Care and 786-5702 or 786-5709 for Personal Care and Memory Support.

Weekly testing will be completed on all team members and residents until there are two weeks of all negative tests. We will continue to communicate with residents and families as new information becomes available to us.

We are in communication with Hershey Care Pharmacy who is monitoring the approval and timeline of booster shots for COVID-19 closely. We are beginning to get dates set up with them to offer the COVID-19 booster to anyone who wants it and is eligible for it. We will send out more information about this shortly.

Please continue to keep our residents and team members in your prayers as we all work together to navigate this most recent challenge presented to us.

On Saturday, September 11^th, a team member in Skilled Nursing tested positive for COVID-19. Skilled nursing was immediately transitioned to a yellow zone which suspended visitation, group dining and group activities.

Outbreak testing has already begun with residents and team members being tested a minimum of once per week until 14 days have passed with no positive tests. Visitation is now limited to those designated as compassionate care visitors and window visits scheduled through activities (786-5715) We will continue to send updates as they become available.

Visitation, dining and group activities remain the same at this time for Personal Care and Memory Support.

**It was brought to our attention that a number of individuals did not receive the automated phone call that was sent out Saturday to immediately inform families of the positive test and corresponding suspension of indoor visitation. We have identified a problem with the system that sends out those automated messages and are working with them to have it fixed as soon as possible.

I am pleased to announce that the conflicting COVID-19 tests that caused a shut down in Skilled Nursing have now been confirmed as a negative test. This means activities, group dining, and visitation may now resume.

Visitation is limited to two individuals inside and four individuals outside. Visitors are still required to check in and wear a mask at all times while visiting both inside and outside.

Thank you for your patience as we continue to act out of an abundance of caution to ensure the safety of our residents.

On Sunday, September 6^th, Quarryville was made aware of a skilled nursing team member who has now had conflicting rapid COVID-19 test results. Out of an abundance of caution while we wait for a test to confirm either positive or negative results, skilled nursing is being put into yellow zone and beginning outbreak testing. As a result, skilled nursing visitation is now limited to compassionate care visitors only. Communal dining and activities will be on hold until either a negative test is confirmed or outbreak testing produces no additional positives.

All skilled nursing residents are being tested on Monday the 6^th. All skilled nursing team members, regardless of vaccination status must be COVID-19 tested either Tuesday or Wednesday of this week. Testing will be held from 1 PM to 5 PM on Tuesday September 7^th, and 7 AM to 12 Noon on Wednesday September 8^th.

There are no changes in Personal Care and Memory Support at this time.

On Monday, August 23^rd, the Food and Drug Administration removed the emergency use authorization from the Pfizer-BioNTech COVID-19 and has officially approved it for use in individuals 16 and up. (It remains emergency use authorization for individuals between the ages of 12 and 15 and for the administration of the third dose for immunocompromised individuals.) This vaccine will now be marketed under the name “Comirnaty” so please do not be surprised if you see the new name in educational materials or memos.

Our next vaccine clinic at Quarryville is scheduled on Wednesday, September 8^th. The time and location will be determined by the number of vaccines being administered that day. Along with the newly approved Comirnaty (Pfizer) vaccine, Hershey Care Pharmacy is able to offer our team members the Moderna and Johnson & Johnson vaccines as well. If you or your family members wish to be vaccinated, please contact Monica Herbein, 786-5341, as soon as possible. We need a final list of those wishing to receive the vaccine by Friday September 3^rd.

If you meet the criteria for being immunocompromised and wish to receive a booster vaccine, you are eligible to do so at this upcoming clinic. Please contact Monica and let her know you would like to receive the booster and confirm you are immunocompromised.

For all other team members and residents, we will be offering the COVID-19 booster at a later date. Individuals are eligible for the booster 8 months following their second vaccine. Residents and team members vaccinated at Quarryville will begin to meet that timeline in October of this year. Please be on the lookout for additional information on the boosters as we continue to approach that time.

Additional information will be forthcoming regarding the recent COVID-19 vaccine mandate for nursing homes as we continue to wait for additional guidance. We encourage anyone who was waiting for official FDA approval for the vaccine to sign up for the September 8^th Clinic.

As the positivity rate in Lancaster County continues to climb upwards (7.6% this past week), non-vaccinated team members continue to be tested routinely per regulations.

We are pleased to announce that our routine testing has produced all negative results. On Monday we also offered testing to any RL Residents wishing to be tested, which again produced all negative results.

Recently we have had three team members test positive while away from the facility which posed no risk to our community. We will continue to update everyone of positive results as more testing is conducted.

Please continue to use caution and wear a mask to limit the risk to yourself and those around you.

We will be having another vaccine clinic the first week in September and would encourage those who wish to receive the vaccine to contact Monica Herbein, (717) 786-5341 as soon as possible. If you remain undecided or have any questions, please reach out to me, (717) 786-5295, and I will make sure we get you the most up to date information to help answer your questions.

Quarryville Presbyterian Retirement Community was recently made aware of our first Resident Living Residents testing positive for COVID-19. Any individuals that may have had prolonged close contact with these residents have been notified.

QPRC will be offering rapid COVID-19 testing to any RL Residents or Team Members on Monday, August 16^th. The testing will be held in the Commons Great Room from 2 PM to 3 PM. This is not required but is being offered to those that would feel more comfortable being tested.

At this time, there are no changes to activities or dining in Residential Living. Residents and Team Members must properly wear a facemask at all times while in common areas or hallways. This is for the safety of all our residents and team members. RL residents not wearing masks may be prohibited from participating in on-campus activities, including activity programs, wellness programs, in-person dining, chapel, etc.

We will continue to keep everyone informed of any additional positive cases as they arise and any changes to procedures should we continue to have more positive cases. If you are exhibiting signs or symptoms of COVID-19, please contact your Primary Care Physician immediately for guidance on what to do. You should quarantine in your apartment or cottage until you have received direction from your physician or until receiving a negative test result.

Signs and symptoms include:

Fever or chills
dry cough
Shortness of breath or difficulty breathing
Fatigue
Muscle or body aches
Headache
New loss of taste or smell
Sore throat
Congestion or runny nose
Nausea or vomiting
Diarrhea

COVID Visitation Update

On Monday, August 9^th, the CMS updated the Lancaster County Positivity Rate to 5.7%. The increase over the past week from 3.5% to 5.7% has triggered a few procedural changes throughout the community, most notably in Skilled Nursing and Personal Care.

Skilled Nursing – Effective 8/11/2021

All team members on a Skilled Nursing Unit or with a resident off the unit must wear a KN-95 or N-95 Mask and eye protection at all times.
Non-vaccinated team members are required to get a COVID-19 test once per week.
- Testing will be held at the following times each week in the Hudson Taylor Dining Room:
  - Mondays – 7AM to Noon
  - Tuesdays – 1PM to 5PM
- In-room visitation for vaccinated residents will be limited to 2 individuals at a time. Outside visitation remains unchanged. Visitors MUST keep their mask on at all times unless medical documentation has been provided to the facility indicating the inability to wear a mask.
- Resident trips outside of the facility are still permitted though are strongly discouraged at this point.

Personal Care – Effective 8/11/2021

All team members on a Personal Care Unit or with a resident off the unit must wear a KN-95 or N-95 Mask and eye protection at all times.
Non-vaccinated team members are required to get a COVID-19 test monthly.
- Testing will be held the following times each week:
  - Mondays – 7AM to Noon
  - Tuesdays – 1PM to 5PM
- In-room visitation for residents will be limited to 2 individuals at a time. Outside visitation remains unchanged. Visitors MUST keep their mask on at all times unless medical documentation has been provided to the facility indicating the inability to wear a mask.
- Resident trips outside of the facility are still permitted though are strongly discouraged at this point.

Residential Living

Residential Living residents, regardless of vaccination status must wear a mask at all times while in common areas within the facility. All other activities and procedures remain in effect.

Early indications suggest the Delta Variant is widespread in the Lancaster area. Both vaccinated and non-vaccinated individuals have been testing positive. We ask that everyone be mindful and take the necessary precautions so we can continue allowing visitation, activities and communal dining for our residents. As a reminder, if there is a positive test in Skilled Nursing or Personal Care, all visitation will be stopped with the exception of specific individuals qualifying for compassionate care.

COVID Visitation Update

On July 27, the CDC released updated Interim COVID guidelines due to the recent surge of COVID-19 and the different variants spreading throughout the country. The CDC recommends all individuals, regardless of vaccination status wear a mask indoors in areas with substantial or high community spread. Lancaster County currently falls into the category of substantial community spread. Out of an abundance of caution and commitment to following CDC guidance as we have from the beginning of the pandemic, we will be requiring masks to be worn by all individuals, vaccinated or not, at all times while indoors. When outside of the facility, fully vaccinated individuals will not be required to wear a mask though we still encourage physical distancing as much as possible.

Residential Living

The guidelines for activities, visitation, dining, fitness center, etc. are not changing at this time. The only change at this time is requiring masks to be worn by all individuals (residents, team members, visitors, contractors, etc.) while inside any of our facilities’ shared spaces, including lobbies, hallways, meeting/activity rooms, etc. While in the fitness center, you may lower your mask as needed while working out, but it must still be worn. The current guidelines with the pool will stay in effect though we will permit individuals to remove their mask while in the pool as long as you remain physically distanced from those around you. Upon exiting the pool, you must put your facemask back on.

Personal Care

There are no changes to Personal Care at this time as facemasks have been required for all team members, residents and visitors at all times. In-room visitation continues to be available to all Personal Care residents regardless of vaccination status. Visitation is still limited to 4 individuals indoors.

Skilled Nursing

There are also no changes to Skilled Nursing at this time. Facemasks continue to be worn by all team members and visitors (encouraged for residents who are able to tolerate them) at all times. In-room visitation continues with no changes for vaccinated residents while unvaccinated residents must still have supervised visitation. Compassionate caregivers are able to visit with residents regardless of vaccination status.

We ask visitors in every area of our community to please put the safety of our residents and team members first and properly wear a mask at all times while indoors. One positive resident or team member in Skilled Nursing or Personal Care has significant implications on visitation, dining, and activities for all of the residents in that care setting.

It has been a joy to experience some more freedom and do so in a safe way that has allowed for the county Covid-19 Positivity rate to continue to decline. Skilled Nursing and Personal Care remain regulated by government agencies that still have strict requirements and guidelines we must follow to avoid severe reprimand.

COVID Testing – All Skilled Nursing and Personal Care team members who are not fully vaccinated MUST be tested for COVID-19 this upcoming June 28^th and 29^th. The times are listed below. Each department supervisor has a list of unvaccinated employees we will check immediately following to ensure everyone required was tested.

Non-Vaccinated Team Member routine testing	Hudson Taylor Dining Room
Monday, June 28^th	7:00 AM to 12:00 PM
Tuesday, June 29^th	1:00 PM to 5:00 PM

Masks – Pennsylvania is planning to lift their mask requirement in the upcoming days. The lifting of this requirement does not apply to us as all team members and visitors are required to wear a mask at all times in Long and Thompson Buildings. Healthcare facilities are bound by stricter regulations due to the nature of our industry. Team members must continue to wear masks in Residential Living buildings as well.

Visitation– We are overjoyed to witness residents enjoying visitors again and see the joy that brings our residents and their loved ones. We must continue to remind visitors a few things to ensure the safety of our residents and to be able to continue to allow visitation in Skilled Nursing and Personal Care.

Visitors must wear a mask at all times while visiting, including any outdoor visits.
ALL visitors must check in at the Long building reception desk to be screened. This includes Residential Living residents at Quarryville visiting someone in Skilled Nursing or Personal Care.
At this time, visitation with families may only occur in the resident’s room or outside. Visitors are not permitted to be in common areas, join activities, or join any meals at this time.

Vaccine Clinic – The next vaccine clinic at QPRC will be held on Tuesday July 6^th. Please reach out to Monica Herbein, (717) 786-5341 to get signed up and avoid having to be COVID tested in the future.

Thank you for continuing to help us keep everyone safe. We will continue to keep everyone informed of any updates to COVID-19 related policies or procedures.

Quarryville is pleased to let you know that Residential Living will be moving into “Green” on June 21, 2021. Please take some time to review the updates to Residential Living’s Covid-19 guidelines outlined below. These changes will go into effect on June 21^st. Other previously communicated guidelines remain in effect.

Please note that Supportive Living’s guidelines are not impacted by these changes.

Visitors

Residential Living visitors are no longer required to complete a questionnaire or have their temperature taken upon arrival but are still required to sign-in at the reception desk. Temperature checks continue to be available for residents or visitors who would like to have their temperature taken.
Residential Living visitors who are fully vaccinated are not required to wear a mask. Residential Living visitors who are not fully vaccinated are expected to wear a mask except when they are in the privacy of a resident’s apartment or cottage.
With a resident present, Residential Living visitors are permitted to socialize in common areas, including the lobbies and sitting areas, and may use the amenities, including the game room and arcade. Residential Living residents who are members of the Wellness program may bring visitors to the pool during Aquatic Center hours.
Everyone entering through the Long Building is required to check-in using the kiosk, including Residential Living residents.

14-Day Quarantines

Residential Living residents who have been diagnosed with Covid-19 are expected to quarantine inside their apartment or cottage for 14 days.
Unvaccinated Residential Living residents who have been exposed to someone who has been diagnosed with Covid-19 are expected to quarantine inside their apartment or cottage for 14 days.

Resident Clubs and Interest Groups, including Prayer Groups

Information about Quarryville’s resident clubs and interest groups, including prayer groups, will be communicated soon.

Dining

Residential Living residents may have guests join them in the dining areas, including the Bistro, Joyful Scoop, and Windows on Park.
Though reservations are still required in advance, same day seating may be available in Windows on Park, depending on existing reservations. Same-day reservations are due by 4 p.m.
Up to four residents may sit together at the larger tables in the Bistro.
Neither Residential Living residents nor their guests are permitted to use the Sunnyside Café.

Activities and Events

Off-site activities, including ‘out to eats’ and other trips, will be resuming.
Program capacity limits will be determined by the type of event and location. This information will be included in program advertisements.
Quarryville buses may be used at full capacity.
Private events, such as birthday parties, family dinners, etc., remain prohibited.

As communities are starting to open up and it feels like individuals have a little more freedom in what we are allowed to do, we ask that you keep in mind our Skilled and Personal Care facilities are still regulated by the federal and state governments. Our re-opening process will look drastically different than the regular public and we ask that you respect the policies and procedures we have in place and understand they are in place for a reason.

Masks – Masks are still required to be worn at all times by all individuals while in the Long and Thompson buildings. This includes in the lobbies, hallways and resident floors. Now that we are under 5.0% positivity rate, surgical masks may be worn in resident care areas rather than the KN95 Masks. This has gone into effect immediately.

Visitation

	How to schedule	Limitations	Outbreak
Vaccinated Residents	Visitors may come to the facility anytime between 9AM and 7PM.	· Must check in at kiosk and with front receptionist · Up to four individuals per resident inside · Unlimited number of visitors outside	Visitation will be paused and must be scheduled through activities
Un-Vaccinated Residents	Visitors must schedule an appointment with PC and Skilled Nursing Activities	Must be physically distanced or have physical barrier in-between	May continue in the same manner with scheduled visits through activities
Compassionate Care	Visitation schedules should be arranged and communicated through social workers or administration	Will be communicated by social workers or administration	No changes

**Visitation is limited to outside or in resident rooms. Visitors are to go right to the resident room and not loiter in any common areas.

**Masks must be worn at all times, both indoors and outdoors by visitors regardless of vaccination status.

Vaccine Clinic – Our next vaccination clinic will be held in the Windows on Park Dining Room from 1:00 PM to 2:00 PM on Tuesday, June 15^th. If you have received your first vaccine dose here, you will already be registered and on the list for the second vaccine that day. Any residents, team members, or team member family members who wish to receive the first dose that day should contact Monica Herbein, (717) 786-5341, to get signed up.

Quarryville has updated its mask requirements based on the new guidelines recently set forth by the Centers for Disease Control (CDC). Effective immediately, residents who are fully vaccinated for Covid-19 (have received the full series of required injections, plus an additional two weeks after the last injection) are not required to wear a mask when in Dyrness, McElwain, the Commons, or the Tiffany Center.

Mask regulations for residents who are NOT fully vaccinated have remained unchanged. Those who are not fully vaccinated must wear a mask in all public areas as well as in the Long and Thompson Buildings.

Residents who are fully vaccinated and want to continue wearing a mask may do so.

All activities and amenities are under review.

Masks (and other PPE) continue to be required in the Long and Thompson Buildings for all residents (vaccinated or not).

***Regulations are subject to change with little notice.

During weekly testing for team members, I am sorry to report that we had 2 team members test positive for COVID-19. One of the team members worked in Memory Support and did come in contact with Memory Support residents. At this time, we will be continuing to conduct outbreak testing for team members and residents in Memory Support.

The other positive test was from a non-clinical team member who did not have any contact with residents.

Unfortunately, even with Mother’s Day this Sunday, we are not able to permit in-person routine visits. Visitation throughout Memory Support is limited to window visitation and compassionate care visitation. Window visits can be scheduled through the Activities Department (717-786-5709) while families of residents who meet the compassionate care criteria will be notified and contacted by nursing staff.

Please continue to pray for our residents and team members in Memory Support during these trying times.

Team Member COVID-19 Testing

As some of you may have already heard, Centers for Medicare and Medicaid have recently changed the testing protocols to account for team members that are fully vaccinated from COVID-19. When the facility is conducting routine testing, team members who are fully vaccinated will not be required to be tested for COVID-19. Team members that are not fully vaccinated will still be required to be tested based on the Lancaster county positive rate.

Please keep in mind that if there is a positive case and we are conducting outbreak testing, all team members, vaccinated or unvaccinated, are required to be tested weekly until we complete 2 weeks of testing with all negative results.

We are optimistic in hoping that all of the team member tests from 4/28 and 4/29 will come back negative and we can resume routine testing the week of May 2^nd. If we are able to conduct routine testing the week of May 2^nd, testing times will be as follows.

Type of testing (Outbreak – All Team members) (Routine – all team members who aren’t fully vaccinated)	Routine Testing	Routine Testing
Required Frequency	Weekly	Weekly
Dates	Tuesday, May 4^th	Wednesday, May 5^th
Times	7 AM – 12:00 PM	1:00 PM to 6:00 PM

If you have not been vaccinated but would like to begin the process, please reach out to Monica Herbein, Healthcare Coordinator, (717) 786-5341 as soon as possible to be put on the list. If you are fully vaccinated, we need to verify dates of your vaccines to keep track in our system. Please bring your card as soon as possible to show Monica Herbein to record the dates so we can keep track in our system. If you do not bring in proof of vaccination, you will be expected to be tested during routine testing.

**Fully vaccinated is defined as being 14 days post all required doses of the vaccine. For those who received the Pfizer vaccine at Quarryville or the Moderna vaccine elsewhere, you are considered fully vaccinated 14 days after the second dose. If you have had the opportunity to get the Johnson and Johnson vaccine in a different location, you are considered fully vaccinated 14 days prior to your only dose.

During weekly surveillance testing for Skilled Nursing team members, we had 1 team member test positive for COVID-19. Later during surveillance testing and immediate outbreak testing of residents, it was learned that 1 additional team member and 2 residents have also tested positive. The two residents were immediately relocated to our Covid-19 red zone unit and the team members have been sent home to quarantine. We are continuing to conduct outbreak testing for team members and residents.

Per CMS and DOH guidelines, indoor and outdoor visitation throughout the skilled nursing facility must be put on hold pending further outbreak testing. Window visits will be permitted and can be scheduled through Bonnie Balentine, Activities Director (716) 786-5715.

Please continue to look for further information about the ability to resume visitation in both Skilled Nursing and Personal Care.

Personal Care

Following a long stretch of being COVID-19 free throughout our community, we recently had two team members test positive for COVID-19 during required weekly surveillance testing.

These team members were serving in the Personal Care units in the Long Building. As a result, the Personal Care Units located in the Long Building must enter a precautionary quarantine per Pennsylvania Department of Human Services. There will be a pause on meals being served in the dining rooms, group activities will be postponed, and in-room visitation must also be put on hold. Window visitation can be scheduled with Joann Rineer in activities, (717) 786-5709 or Emily Wiker, Personal Care Services Coordinator (717) 786-5784. Residents that meet the compassionate care criteria for visitation may continue as per outlined in the resident’s plan of care.

Skilled Nursing and Memory Support Unit of Personal Care

There are no positive cases in these areas so visitation, dining, and activities may continue for these units. Please keep in mind that if a team member or resident does test positive at any time, visitation, group activities and dining will be put on hold per Department of Health and Department of Human Services guidelines.

Covid-19 Vaccination Clinic

The date for the second dose of the COVID vaccine is April 6. Anyone who has not yet been vaccinated may sign up for their first dose.

Please note the location change for this second clinic.

In an attempt to spread the vaccines out and not have a large rush of people at one time, we are asking that you show up during the hour-long window that corresponds to your place of residence.

Windows on Park Dining Room, Tuesday, April 6

10AM – 11 AM	McElwain Residents and Team Members
11 AM – 12 Noon	Dyrness Residents and Team Members
12 Noon – 1PM	Cottage Residents and Team Members
10AM – 1PM	Supportive Living Residents and Team Members

***You will be required to be monitored for 15 minutes following vaccine administration.

How/Where to sign up – If you received the first vaccine, there is no need to sign up again.

If you have not received the first vaccine but would like to, you must contact Monica Herbein, Healthcare Coordinator, (717) 786-5341 before Friday, April 2 to make sure you are on the list. If you are questioning whether or not to receive the vaccine for medical reasons, please reach out to your primary care physician.

Required Paperwork – Assistance will be available the day of the vaccine if you have questions or difficulty completing this paperwork.

Pre-Vaccination Checklist for COVID-19 Vaccines – This will need to be completed and handed to the pharmacist prior to receiving the vaccine. You may complete it beforehand or fill it out the day of the clinic. We will have extra copies at the clinic if you need an extra copy. Please leave the “Form Reviewed By” line blank. It will be filled in at the time of vaccination.
COVID-19 (SARS-CoV-2) Immunization Consent and Record – Please complete the top section of this form sign, print your name and date the bottom section and bring it to the clinic. Team members under the age of 18, must have a parent or legal guardian sign the bottom section. Verbal authorization will be utilized for legal guardians who are unable to sign in person. Please do not fill in the back side of this page as it is for the pharmacist administering the vaccine.
** COVID-19 Vaccine Insurance/Billing Form – This must be filled out and brought with you to the clinic. Please complete the top three sections and bring your insurance card with you to the clinic. A QPRC team member will be on hand to make a copy of your insurance card to include with this form.

** (Only needed for individuals receiving the first dose of the vaccine.

Please reach out to Joe Greer, Monica Herbein or Mark Smeltzer (717) 786-5295 with questions. We look forward to seeing you next Tuesday and taking another step towards a post-COVID-19 new normal.

Consent Forms

Covid-19 Consent page 1

Covid-19 Consent page 2

Pre-Vaccine Checklist

From the moment Centers for Medicare and Medicaid released updated visitation guidelines, our team has diligently been preparing for what those changes in visitation will look like and how QPRC can safely implement the new regulations that will allow increased visitation for residents who are fully vaccinated. You can find a copy of our updated visitation policies for Skilled Nursing and Personal Care below. After you click on the links, you will need to download the pdfs.

COVID Visitation SNF Policy

COVID Visitation PC Policy

Below are some of the key highlights: please note this is a summary only and there may be more information, requirements, etc. detailed in the full policies above.

For Residents that have been fully vaccinated (Must be 14 days post all required vaccine administrations)

Outdoor visitation is still strongly encouraged but indoor visitation in the resident’s room will be permitted.
If the resident and visitors choose, physical distancing recommendations may be set aside as long as the visitor washes their hands before and after and wears proper PPE throughout the visit.
There will be a maximum of 2 visitors at a time if inside the building, 4 at a time for visits occurring outside.
To limit the number of individuals in the building, there will be a limit to the number of visitations occurring at any given time. The times and visitation slots will be available for sign up on the Sign-Up Genius website. A link to this can be found on the COVID-19 section of our website. If you are unable to sign up online, please contact Monica Herbein, Healthcare Coordinator, (717) 786 – 5341 for assistance.
Visitors will be required to check in and be screened at the front desk, ensure adequate PPE, and be directed to the unit.
Visitation may be restricted if there is a new outbreak of COVID-19 in Skilled Nursing or Personal Care.

For Residents that have NOT been fully vaccinated

Non-vaccinated residents will follow the same visitation protocols that are currently in place.
Outdoor visitation will be conducted with indoor visitation occurring in the event of inclement weather.
No physical touch will be permitted and all visitation must be either physically distanced or have a physical barrier in-between.
Scheduling of visits for non-vaccinated residents will go through the Skilled Nursing Activities Director and Healthcare Coordinator.

Reminders

Visitors visiting residents that have been fully vaccinated will be required to wear a KN-95 Mask if medically able. On your initial visit, the receptionist will provide you with a new mask and a brown paper bag to store it in. We ask that you keep the mask in the bag and bring it with you whenever you come to visit. If it becomes soiled or you need a new one, please let us know and we can provide you with a new one.
If you have not yet come through the front entrance, there is a new automatic check-in kiosk you will need to utilize prior to entering. Please plan on arriving for your visit early to complete that process.
Face Masks and Eye Protection are required for all visitation indoors. Eye protection can include but is not limited to prescription eyeglasses, safety glasses or face shields.
Visitors MUST follow all policies and procedure regarding visitation. We are thrilled to be able to allow visitation more in line with pre-COVID-19 but we must still be cautious. If visitors are found not utilizing the proper PPE or disregarding the policies and procedures, they will be asked to leave.

Please reach out to Mark Smeltzer, nursing home administrator, at 717-786-7321 or [email protected] should you have any questions. We will continue to keep you informed of regulatory changes that will affect visitation or other aspects of care being provided to your loved ones. Please continue to keep our residents and team members in your prayers. While any progress forward brings reason to hope, we still face an enormous amount of uncertainty of what the future holds.

We are excited to announce that our conversations with Hershey Care Pharmacy have resulted in an opportunity to host a vaccine clinic for Residential Living residents. In addition, the vaccine will be offered to any QPRC team members or Supportive Living residents that have not yet been vaccinated.

We do not have a date for the second dose at this point. It will be a minimum of 21 days following the initial dose. The date will be set based on the pharmacy’s availability to return.

In an attempt to spread the vaccines out and not have a large rush of people at one time, we are asking that you show up during the hour-long window that corresponds to your place of residence.

Commons Great Room, Tuesday, March 16

10AM – 11 AM	McElwain Residents and Team Members
11 AM – 12 Noon	Dyrness Residents and Team Members
12 Noon – 1PM	Cottage Residents and Team Members
10AM – 1PM	Supportive Living Residents, QPRC Team Members

***Residents and team members will be required to remain in the waiting area up to 20 minutes following the vaccine for monitoring.

How/Where to sign up:

RL Residents – Please contact the McElwain (Ext 5230) or Dyrness (Ext 5297) Receptionist or Joe Greer (717) 786-5211 if you have not done so already to make sure you are on the list.
Team Members – Please contact your supervisor or Monica Herbein, Healthcare Coordinator, (717) 786-5341 to make sure you are on the list.

We cannot guarantee a vaccine if you do not let us know in advance you would like to receive one.

We are blessed to have been COVID-19 free for a number of weeks. During routine testing conducted this week, we identified 2 Skilled Nursing team members who were positive for COVID-19. There are no other Skilled Nursing team members or residents showing signs or symptoms at this point.

Skilled Nursing

As a result of the team members testing positive, the entire Skilled Nursing facility is back in a yellow precautionary quarantine phase. All team members will need to wear an N-95 mask, eye protection, and a medical gown any time they are on the units and for all direct care. Compassionate care visitors will be given appropriate PPE when they are visiting their loved ones. Residents will be tested weekly until there are 2 weeks of all negative tests. Team members will continue to be tested twice a week this week and next. If the positivity rate stays below 10%, team members will only need to be tested once a week beginning the week of 3/14. In order to have indoor/outdoor visitation the facility is required to have no new COVID-19 cases for the past 14 days and a county positivity rate below 10%. As soon as we meet these criteria, we will restart indoor/outdoor visitation.

Personal Care

Personal Care remains COVID-19 free. Residents are only tested if they leave the facility for a medical appointment. Team members will continue to be tested twice a week this week and next. If the positivity rate stays below 10%, team members will only need to be tested once a week beginning the week of 3/14. The criteria for indoor visitation are county positivity rate must be below 10% and personal care must have not had any new positive cases in the past 14 days to begin indoor visitation. We currently meet these criteria and are working on a plan to restart indoor visitation for Personal Care residents. Communication will be sent out shortly regarding the process for this visitation.

Reminder to families

We continue to receive a number of questions regarding changes in policies now that more residents, team members and families have been vaccinated. At this time, per DOH and DHS, there are to be no changes to policies or procedures regardless of vaccination status. Visitation policies remain the same and the same PPE must be worn for all compassionate care visitation as in the past. We are hopeful that at some point in the future, vaccination status will have an effect on our policies and procedures and allow us to return a little closer to a pre-pandemic normal.

I am sure you have all missed the infamous “COVID Update Memos” as we have not had the need to send many out lately. We give thanks to God for being weeks removed since any resident or team member had a positive COVID test. This has allowed our residents to eat together in a physically distanced setting, get long overdue haircuts, and enjoy some small group activities in the company of their friends. We are thankful for this but continue to work diligently to remain COVID-19 free at Quarryville.

Visitation

We have received numerous questions about visitation now that residents, team members and a lot of outside family members have had the opportunity to be vaccinated. Vaccination status has not changed the DOH or DHS guidelines when it comes to visitation restrictions. When the county positivity rate (currently 10.7%) drops below 10%, we will be permitted to resume indoor visitation so long as our community remains COVID-19 free. When we do fall below the 10% positivity rate, we will send more detailed communication about the process for scheduling these indoor visits and the guidelines for them.

Supportive Living Vaccinations

Quarryville has now completed two vaccination clinics for Skilled Nursing and Personal Care courtesy of Walgreens Pharmacy. Our third and final clinic will be held on MARCH 3^RD, 2021. PLEASE NOTE, NO FIRST DOSES WILL BE GIVEN AT THIS TIME. Due to the uncertainty of being able to provide a second dose in the correct time frame, we do not want to take a risk by giving first doses. The clinic will have slightly different hours due to the lower number of vaccines they have to give. THIS CLINIC WILL RUN FROM 9AM TO 1PM. Everyone who received their first dose here must come to receive their second dose during this time.

Residential Living Vaccinations

We also have what could be potentially good news for residential living residents. We are partnering with a pharmacy who believes they may be able to secure enough Pfizer vaccines to vaccinate those in RL that wish to be vaccinated. While nothing is for sure at this time, we want to be ready and be prepared should this be the case. A significant number of you signed and returned the consent form which was greatly appreciated. We are asking that anyone wishing to receive the vaccine that has not been vaccinated elsewhere call or visit the receptionist at McElwain or Dyrness to get your name put on the list. This will give us a good idea of how many people are left that want the vaccine. Please contact Joe Greer, (717) 786-5211 or Mark Smeltzer, (717) 786-5295 with any questions.

I cannot thank you enough for your kind words, continued support, and kind gestures during this pandemic. This has been a tough time for all involved and will continue to be a tough time as we navigate our way to a new normal. We ask for your continued thoughts and prayers as we work to ensure the safety and well being of our residents and team members.

It is exciting to be able to share with the community that Quarryville has now had two full rounds of COVID-19 testing with all negative results. As of this morning, we will have NO active cases of COVID-19 in our community and are thankful to be on the other side of a couple of outbreaks in our facility. Our team members continue to be tested twice a week in accordance with regulations based on the county positivity rate. The current positivity rate has declined to 11.2% which has dropped every week for the past month. We are looking forward to the positivity rate going below 10% for two straight weeks so we can move to weekly testing for all team members.

Visitation

Indoor visitation is still prohibited in Personal Care and Skilled Care unless you are a designated compassionate caregiver that has met the criteria given to us by Department of Health and Department of Human Services. Once the positivity rate drops below 10%, we will begin the process of conducting indoor visits with residents as current guidelines and restrictions allow. We are still providing for scheduled window visits between residents and family members. Visits can be scheduled through the Activities Department or any Personal Care team member.

Vaccinations

Quarryville is excited to have completed our second COVID-19 vaccine clinic on Tuesday February 9^th. The third clinic for those still needing their second dose will be held on March 3. Times for this clinic may change so please be on the lookout. We are continuing to work on securing vaccinations for residential living residents. We are at the mercy of when and where vaccines are allocated by the local and state governments. Numerous residents have been able to receive the vaccination by signing up online or contacting their physician. At this time, we recommend you explore that avenue if you wish to be vaccinated. We will continue to update you as we have additional information.

For residents, family members and team members that have been vaccinated, please keep in mind that we have been specifically instructed by DOH and DHS to keep all of our current policies in place regardless of vaccination status. Masks and eye protection still must be worn AT ALL TIMES on the units. Visitation will still be limited per current guidelines. Compassionate care visit criteria will remain unchanged and testing will still be mandatory based on the same regulations we have followed up until this point.

Thank you for your continued prayers and support as we trust that God will continue to lead us and protect us during this pandemic.

Recent COVID testing revealed 2 additional residents and 3 additional team members who tested positive. QPRC continues to test all team members twice a week in accordance with PA guidelines based on the county positivity rate. We will continue to notify residents and families of positive cases if and when they arise. We have now had two Skilled Care residents pass away after dealing with the effects of COVID-19. Five residents of the most recent outbreak are now officially recovered.

Quarryville Presbyterian Retirement Community will be holding our second vaccine clinic on February 9^th in partnership with Walgreens for all residents and team members in both Skilled Care and Personal Care. All individuals who received their initial dose on January 18 will be given their second and final dose. Any residents or team members that have not received their initial dose, will receive their first dose on the 9^th. Any resident or team member who declined the first one is able to get the vaccine this time around if they wish.

At this time, we still do not have any word on when or if Quarryville may receive vaccines to vaccinate our RL residents and team members. We encourage you to reach out to your primary care physician or register with one of the clinics that are starting to pop up around the county. If we learn more about being able to offer the vaccine at our community, we will let everyone know immediately.

As this pandemic continues to present new and unique challenges, our hearts and prayers are with our residents, their families and team members who are experiencing the loneliness that isolation and physical distancing created. Our team continues to identify ways in which we can help address the physical, mental, and spiritual toll this has had on everyone associated with our communities.

Recent COVID testing identified four additional positive residents and two positive team members. Neither team member worked during their infectious period so there is minimal exposure. QPRC continues to test all team members twice a week in accordance with PA guidelines. We will continue to notify residents and families of positive cases if they arise.

There will be some restructuring in Skilled Nursing in order to make Garden West a dedicated COVID Unit. It will have a separate team member entrance and exit and keep any positive residents even more isolated from the rest of the facility. Garden West residents who have not tested positive will be moved to one area on the second floor and where we will have special programming, activities, and training for that part of the unit. Families that are directly impacted by the restructuring will be contacted prior to resident moves. We have discussed this in length and believe it will benefit both residents and team members as we continue to deal with the challenges of COVID-19. We are currently working to secure the floor to ensure the safety of all our residents, not just those with a dementia diagnosis.

Quarryville Presbyterian Retirement Community celebrates the completion of our first round of vaccinations for all of our Skilled Nursing and Personal Care residents on Monday the 18^th. Those that consented to the vaccine were excited to be a part of such a unique opportunity. We were also able to vaccinate skilled nursing team members that wished to be vaccinated. We are looking forward to the second round of vaccinations on February 9^th for those who received their first one this week. We are also excited to be able to include our Personal Care team members in this next round of vaccines.

Please remember that just because you received the vaccine does not mean you do not need to continue using caution and wearing appropriate PPE. The first does not take effect right away and only provides roughly 50% protection. The second dose will again take up to a week or two to fully take effect and that is when individuals will receive the full benefits of the vaccine.

We have not yet been able to identify when or how we will be able to offer the vaccine to our Residential Living residents and team members. The vaccination procedures are constantly changing on the state level and at this point the distribution seems to be heavily influenced by the state. I wish we knew more at this time but we are at the mercy of our regulatory bodies when it comes to any vaccinations. We would encourage you to call your primary care physician to see when they may be offering it. Some physician practices have been allocated the vaccine to be able to distribute to the appropriate groups as identified by Pennsylvania.

Quarryville Presbyterian has continued to test all team members twice a week in compliance with federal and state guidelines. Tests from early this week have been returned and identified one positive Skilled Nursing team member and one positive Skilled Nursing resident. Both individuals are asymptomatic at this time.

A separate communication will follow for Skilled Nursing residents and team members and Personal Care/Memory Support residents who will receive the first COVID vaccination dose on Monday the 18^th. Please make sure to read that communication and reach out if you have any questions.

COVID TESTING

We are excited to share that all team member and resident tests from last Thursday came back negative. We are awaiting the results of Monday’s testing. Quarryville Presbyterian Retirement Community continues to test all team members twice a week until the Lancaster County Positivity Rate falls below 10%. The county positivity rate has decreased in recent weeks. It is currently14.8%.

Visitation in Skilled Nursing and Personal Care is still restricted until the positivity rate drops below 10%. Window visits are available and can be scheduled through the Activities Department. Compassionate care visitation is available for residents that meet certain criteria developed by the Pennsylvania Department of Health and the Department of Health and Human Services.

COVID Vaccination

The first COVID vaccination clinic for skilled nursing residents and team members is still scheduled for January 18^th. Please remember to turn in the consent forms regardless of whether you are accepting or declining the vaccine. We do not yet know when Personal Care or Residential Living will be able to receive the vaccine. Lists of those individuals scheduled to receive the vaccine on Monday, January 18^th will be given to department heads. The Vaccination Clinic will be held from 9:30 AM to 5:30 PM in the Thompson Meeting Room.

Our team has received many questions regarding the COVID-19 vaccine and the process of administration. Time has not allowed me or my team to respond to each individual, but we have kept note of all of your questions. A recorded video that attempts to answer all of those questions will be released on our website and on Channel 957. We have attached a written version of that FAQ video to this memo for your convenience. I hope this will answer many of your questions and allows for better understanding of what Quarryville does and does not know at this time.

QPRC continued to conduct routine testing on Monday, Jan 4. Results of those tests have revealed that another skilled nursing resident and two additional employees tested positive. Both employees who work outside of skilled nursing had minimal resident contact and both have been out of work due to signs and symptoms.

All of the tests completed in Memory Support came back negative which hopefully signifies a turning point in that unit. Team members working in that unit have worked diligently trying to control the recent outbreak.

A significant number of Memory Support residents that tested positive have recovered. Some have been admitted to our Skilled Nursing Unit to get more intensive rehabilitation which will allow them to return to full strength. It is with a heavy heart though that we inform our community that 5 total residents have now passed as a result of the most recent outbreak. Our prayers are with their families and friends and our team members as well.

COVID-19 Vaccination FAQs

We have received many questions from residents and their families about the Covid-19 vaccine and how it will be distributed here at Quarryville. There are still many questions that we do not have the answers to, we hope this Frequently Asked Questions memo will help.

Frequently Asked Questions

When will Quarryville be getting the COVID-19 Vaccine to administer?

Skilled Nursing Residents and Team Members: Walgreens will be conducting on site clinics January 18, February 9, and March 3. They are spaced three weeks apart to ensure compliance with the requirement that there be 21 days between the first and second dose administration.

Personal Care/Memory Support Residents and Team Members: We do not yet have a date for Personal Care or Memory Support. We believe Walgreens will once again be scheduling on-site clinics to conduct these vaccinations similar to the schedule for Skilled Nursing.

Residential Living Residents and Team Members: At this point, we have no information. We believe Quarryville will be responsible for securing and administering the vaccine to Residential Living residents and team members, but we continue to look for updates and more information.

We will provide additional information as it is available.

Will it be mandatory to get the Vaccine?

Covid-19 vaccines are not mandatory for residents or team members. It is important to make an informed decision about getting the Covid-19 vaccine. Residents and team members are strongly encouraged to discuss the Covid vaccine with their physician before making a final decision if they have specific questions or concerns.

I have not received any information yet. Where can I get information?

Information about the Covid-19 vaccine, including a letter, consent forms, and fact sheet will be available at the following locations:

Quarryville Presbyterian website
Community Apps
Long, McElwain, Dyrness building reception desks

There is so much information in this packet. What do I need to do?

Skilled Nursing: The QPRC and Walgreens consent forms must be returned to QPRC by Monday, January 11. If you have trouble with this time frame, please contact either Monica Herbein, the Healthcare Coordinator at 717-786-5341 or Mark Smeltzer, the Administrator of Healthcare Services at 717-786-5295 and we will assist you.

Personal Care, Memory Support and Residential Living: Please complete the Quarryville Consent Form and return it to Monica Herbein, the Healthcare Coordinator. Even though we have limited information on when it will be available and what the clinics will look like, completing this form will give us a better understanding of how many doses will be needed. You do not need to complete the Walgreens consent form at this time.

What do I do with the completed consent form?

For residents or team members at the community, please put completed Quarryville consent forms in an envelope clearly marked “HEALTHCARE COORDINATOR” and give it to a receptionist. Residential Living can also give completed forms to Joe Greer.

For families outside of the community, please return via mail or you can scan a copy and email it to Monica Herbein at [email protected].

How much will this cost?

Our understanding at this time is that the vaccine itself is provided by the government at no cost. Walgreens and or QPRC will be able to bill insurance companies for a vaccine administration fee which should be covered by insurance.

I have medical issues and don’t know if I should get it. What should I do?

It is important to make an informed decision about the Covid-19 vaccine. Residents are encouraged to discuss the Covid-19 vaccine with their physician if they have any medical issues or specific questions about the vaccine itself.

Do I have a choice of which vaccine I receive?

Skilled Nursing: Residents and team members will be administered the Pfizer vaccine. We have asked about the possibility of offering a choice and have learned that that is not possible at this time.

Personal Care/Memory Support, Residential Living: We do not have any indication of which vaccine will be administered to Personal Care, Memory Support, Residential Living and other team members. We also do not have any idea of which vaccine Quarryville will be able to purchase and offer.

What if I want to wait and not get the vaccine when Quarryville is offering it?

You do not have to receive the Covid-19 vaccine, nor do you have to receive it at Quarryville.

We have no way of knowing if, when, or where Covid-19 vaccinations will be available in the future or if other opportunities will be available to receive the Covid-19 vaccine on-campus.

Masks and Quarantine
1. Do I still have to wear a mask and quarantine if I get it?

Yes. All current Covid-19 procedures and guidelines will remain in place until further notice. Many procedures and guidelines are required by various state and federal agencies and cannot be changed without their direction.

We will notify you of any changes to our procedures and guidelines.

Why do I still have to wear a mask and quarantine if I get it?

It is unclear at this time how many people will choose to receive the Covid-19 vaccine and how the infection incidence rates will be impacted. There remain a number of uncertainties regarding the vaccine and the impact it will have. Everyone must continue to be diligent and use caution until we know more.

I need help reading this or filling it out. Who will help me?

Residential Living: If you need help with the forms, please contact Joe Greer at 717.786.5211 or email him at: [email protected]

Skilled Nursing and Personal Care/Memory Support can contact Monica Herbein, the Healthcare Coordinator at 717-786-5341 or Mark Smeltzer, the Administrator of Healthcare Services at 717-786-5295.

As previously mentioned, if your question is whether you should get the Covid-19 vaccine or not, please contact your physician.

Is it safe to get the vaccine?

There are risk factors and side-effects associated with many vaccines and it is important that you make an informed decision about what is best for you.

As mentioned above, a fact sheet about the Pfizer vaccine is available on Community Apps, at the Long, Dyrness, and McElwain reception desks, and on the Quarryville website.

Residents are strongly encouraged to discuss the Covid-19 vaccine with their physician before making a final decision.

What should I be doing at this point?

If you want to receive the Covid-19 vaccine here at Quarryville, complete and return the Quarryville consent form to the Healthcare Coordinator.

If you have additional questions, please contact

Residential Living: Joe Greer at 717.786.5211 or [email protected],

Skilled Nursing, Personal Care, Memory Support:

Monica Herbein, the Healthcare Coordinator at 717-786-5341 or [email protected]

Mark Smeltzer, the Administrator of Healthcare Services at 717-786-5295 or [email protected].

Forms and Additional Information:

Vaccination Letter – December 18, 2020

COVID Vaccination Consent

Walgreens Vaccination Consent

Pfizer COVID Emergency Use Authorization

In effort to keep our residents, families, and team members informed and up to date on all our COVID-19 prevention efforts, we felt the need to communicate additional information we received since yesterday’s communication.

Memory Support

Additional tests from memory support residents and team members came back negative. We continue to test residents routinely and test all team member twice a week to ensure we are identifying any additional spread immediately.

Personal Care

There are no new updates from Personal Care. All tests have continued to come back negative and residents continue to enjoy being able to enjoy each other’s company during physically distanced communal dining and limited group activities.

Skilled Nursing

We had one resident in Skilled Nursing test positive. They are showing no signs or symptoms at this time, but we have moved them to our COVID isolation unit and will continue to monitor them closely. One team member tested positive but has not worked or had any resident contact for over two weeks. Appropriate precautions continue to be taken throughout the Skilled Nursing Facility. All Residents continue to be tested weekly at this point with all team members being tested twice a week.

Great Rock Home Care

Two Great Rock Home Care caregivers tested positive as well. One of them has not had any resident exposure. The other caregiver had worked with residents during their infectious period. All residents who had contact with this individual have been notified, will be tested and will be in precautionary quarantine for 14 days to monitor them for any signs and symptoms of COVID.

COVID-19 Vaccination Update

Quarryville Presbyterian Retirement Community will be having its first vaccination day for skilled nursing team members and residents on January 18, 2021. We do not have information about vaccinating residents and team members outside of Skilled Nursing. We will keep you updated as we get new information. If you haven’t already, you should be receiving a small packet with a letter, consent forms, and Pfizer vaccine information. If you are a skilled nursing team member, resident or family member, please ensure both consent forms are returned to us no later than January 11, 2021.

It has been a tough year for everyone. We appreciate your continued prayers and support as we press on into 2021. While many questions remain unanswered and so many things remain uncertain, we can trust in God’s provision and blessings over our residents, team members and our community.

Happy New Year!

Since our update on 12/28/2020, one additional Memory Support resident has tested positive, bringing the total to 14. All other residents on the unit did test negative and will continue to be tested weekly.

We are starting to get results back from Monday’s testing of team members. One team member has tested positive thus far. Fortunately, they have not had any resident contact.

It is with a heavy heart that we inform you that one of our Memory Support residents passed away yesterday. While we do not know the exact cause of death, the resident had tested positive for COVID during this most recent Memory Support outbreak. Our prayers are with the resident’s family as well as the team members who are working diligently to care for all our residents and keep them safe.

Personal Care

Residents and team members in Personal Care have continued to test negative following their most recent outbreak. We have now gone more than two weeks with no new positives. Physically distanced communal dining and group activities have resumed. Due to the Lancaster County positivity rate, only window visitation and compassionate care visitation are permitted. Team members will continue to be tested twice a week and residents will only be tested if they exhibit any signs or symptoms.

Memory Support

The results of testing at the end of last week of Memory Support residents revealed an additional two residents and two aides who tested positive. That brings the total for Memory Support up to 13 residents. Memory Support will continue testing residents regularly to identify all positive residents as soon as possible. We have brought in extra nursing support to help monitor all our Memory Support residents. There will be no visitation allowed in Memory Support except in extreme compassionate care situations.

Skilled Nursing

Skilled Nursing had no new positive cases this past week of testing. We continue to test all residents weekly in addition to team members twice a week.

Skilled Nursing has transitioned to yellow zone throughout and will look to resume physically distanced communal dining and group activities following another week of all negative test results. Window visitation is still permitted at this time and can be scheduled by calling the activities department.

Great Rock Home Care

There have been no new positive tests for Home Care employees. They continue to be tested twice a week as a precaution due to the high positivity rate in Lancaster County.

Holiday Visitation

With New Year celebrations later this week, we want to do everything we can to ensure residents are able to enjoy virtual visits from their families. We have a number of iPads we are able to use for virtual visitation, or if you prefer to schedule a window visit, please call Skilled or Personal Care activities departments to set those up. We do ask that you call ahead to schedule so we can have team members ready and available.

Personal Care

Residents and team members in Personal Care have continued to test negative following their most recent outbreak. Window visitation and compassionate care visitation are permitted. Team Members will continue to be tested twice a week and residents will be tested at a minimum of once a week.

Memory Support

The results of testing at the end of last week in Memory Support residents revealed an additional 5 residents and one nurse who tested positive. That brings the total for Memory Support up to 11 residents. Memory Support will continue testing residents regularly to identify all positive residents as soon as possible. We have brought in extra nursing support to help monitor all our memory support residents. There will be no visitation allowed in Memory Support except in extreme compassionate care situations.

Skilled Nursing

Skilled Nursing had two nurses test positive on 12/18. One of these had been working on the units prior to her positive test. The other nurse had not worked for 2 weeks prior to testing positive.

Skilled Nursing will now transition to yellow zone throughout and begin outbreak testing weekly on all residents. Team Members will continue to be tested twice a week.

Great Rock Home Care

Testing on 12/18 revealed a positive Home Care team member who had driven a few individuals to outside appointments the prior week. These individuals have been notified and are being monitored closely.

Holiday Visitation

With Christmas later this week, we want to do everything we can to ensure residents are able to enjoy virtual visits from their families. We have a number of iPads we are able to use for virtual visitation or if you prefer to schedule a window visit, please call Skilled or Personal Care activities departments to set those up. We do ask that you call ahead to schedule so we can have team members ready and available.

Merry Christmas!

On Tuesday of this week, two residents in Personal Care/Memory Support started exhibiting symptoms consistent with potential COVID-19. All residents on the unit were immediately tested and we began taking increased measures to ensure residents stayed in their rooms and away from one another.

We received the results back from the testing and learned that 6 residents in Personal Care/Memory Support have tested positive. Another round of testing will be done today for all residents that tested negative. Residents that tested positive are isolated. At this time, 3 of the residents are exhibiting mild signs and symptoms while 2 residents remain asymptomatic and one was just sent to the hospital to as a precaution due to more symptoms starting to develop.

The results of Monday’s testing showed that all Memory Support team members tested negative. QPRC conducted testing again today on all team members and will closely monitor those results as they come in.

Team Members have been working tirelessly to keep our residents safe and are confident in their ability to continue to carry out the processes in place to limit this spread as much as possible. Please continue to keep our residents and team members in your prayers as we continue to push through this wearying time to ensure the safety of all.

This past week no residents tested positive for COVID which is a testament to the hard work and diligence of our staff in following the policies and procedures we have in place. There were 4 team members that tested positive, only one of which had direct resident contact in Personal Care (while wearing all appropriate PPE).

Skilled Nursing

Skilled Nursing continues to remain COVID free. Team Members continue to be tested twice a week accordingly to CMS guidelines due to Lancaster county having a 15.3 positivity rate. Only residents that leave the facility will be tested during this time. All team members must continue to wear a medical grade mask and eye protection at all times on the units with additional airborne precaution PPE being worn around any residents who are in isolation.

Personal Care and Memory Support

In Personal Care and Memory Support team members must continue to wear N-95 respirators, eye protection, gowns and gloves when caring for residents. Team members will continue to be tested twice a week with residents being tested once per week. We will continue to follow the procedures we have in place to limit any further spread of COVID-19.

Visitation

Skilled Nursing, Personal Care, and Memory Support will only be permitted to carry out window visitation at this time. Indoor visitation has been prohibited due to the high positivity rate within our county. Compassionate Care visitors will still be allowed if your loved one meets the criteria given to us by Pennsylvania.

Vaccinations

I am sure you have heard that there has been a COVID-19 vaccine approved for use. Walgreens Pharmacy will conduct an on-site clinic for residents and team members. We will be distributing information and release forms to residents, resident representatives and team members in the coming week or two. QPRC has no plans to make the vaccine mandatory but encourages everyone to read factual information about the vaccine and make their own educated decision. We will keep everyone updated on this as we have additional information. While reviewing data, bear in mind the direct contact with our residents and other team members who are caring for our residents. Whether you get the vaccine or not, it will not alter our COVID protocols at this time. PPE, distancing and window visitation will remain in place.

Routine testing completed Monday per CMS guidelines identified two team members with positive COVID-19. Neither of those team members have worked in the facility during their infectious period so there is extremely minimal to no exposure from those two positives. The remainder of Skilled and Personal Care team members tested negative on Monday. On Wednesday, Personal Care and Memory Support continued “outbreak” testing of residents. Two residents did test positive. Those two residents are in close proximity to each other on the same unit. The rest of the residents tested negative.

Skilled Nursing

Skilled Nursing continues to remain COVID free. Team Members continue to be tested twice a week accordingly to CMS guidelines due to Lancaster County having a 14.3 positivity rate. Only residents that leave the facility will be tested during this time. All team members must continue to wear a medical grade mask and eye protection at all times on the units with additional airborne precaution PPE being worn in any individual resident rooms who are in isolation.

Personal Care and Memory Support

Precautions in Personal Care and Memory Support are being increased even further with team members continuing to wear N-95 respirators, eye protection with gowns and gloves. Team members will continue to be tested twice a week with residents being tested a minimum of once per week. We have all of the procedures in place to limit spread already so we will continue to follow those procedures to limit any further spread of COVID-19 as we have done in the past.

Visitation

Due to further positive tests, there will be no visitation for Personal Care or Memory Support at this time. Once we are confident any spread of COVID-19 has been contained we will resume window visitation. Skilled Nursing will continue permitting window visitation. Neither are permitted to do inside visitation due to the current county positivity rate.

Additional “outbreak” testing was completed again last week prior to Thanksgiving. All Skilled Nursing team members’ and residents’ test results came back negative for the second straight week. Personal Care had three team members test positive.

Skilled Nursing

Skilled Nursing will no longer be in quarantine or performing “outbreak testing.” Team Members must be tested twice a week accordingly to CMS guidelines due to Lancaster County having a 12.6 positivity rate. Only residents that leave the facility will be tested during this time. All team members must continue to wear a medical grade mask and eye protection at all times in the units with additional airborne precaution PPE being worn in any individual resident rooms of those who are in isolation.

Personal Care and Memory Support

Personal Care and Memory support will both remain entirely in a “yellow” quarantine zone. Residents are encouraged to stay in their rooms/apartments and wear a mask any time they need to leave. Team members must wear an N-95 face mask, eye protection, and gown at all times. Due to a combination of positive tests and the Lancaster County positivity rate, team members must be tested twice a week with all residents being tested once a week.

Visitation

Visitation throughout Personal Care, Memory Support and Skilled Nursing is limited to window visitation and compassionate care visitation only while the Lancaster County positivity rate remains greater than 10%. (It is currently at 12.6%)

Window visits can be scheduled through the Activities Department while families of residents who meet the compassionate care criteria will be notified and contacted by nursing staff.

Team Members

Please remember that all team members who work in Skilled Nursing, Personal Care, Memory Support or Home Care are required to be tested twice a week. Testing days are Mondays and Thursdays and must be attended whether you are working that day or are off. Failure to comply with these federal testing guidelines will result in disciplinary action.

COVID-19 Vaccinations

We do not have specific information on the availability date of the COVID-19 vaccinations and do not know if the government will make it mandatory or not. We do know they are actively preparing for rapid deployment of these vaccines in skilled nursing facilities as soon as they have been approved. We are partnered with Walgreens to hold vaccination clinics at our facility when they do become approved. We will continue to update residents, families and team members as we have more information. Please be on the lookout for additional information as we expect more information to be communicated to us in the coming weeks, if not days.

A chart will be posted at each entrance showing the three stages related to various COVID-19 positivity rates. At 12.6% positivity rate in the county, we are well over the 10% that requires quarantine. Therefore, beginning on 11/25/2020, the QPRC Campus is in quarantine, the red phase. What does this mean?

It means:

No visitors are permitted on campus except for window visits.
All dining rooms are closed. Food is available for delivery or take out from Windows on Park or take out from the Bistro.
Chapel, Bible Study and Vespers will be broadcast only. Choir practice and chimes practice are cancelled for the time being.
All activities will be broadcast. No in-person activities in the activities center.
The pool and wellness center are closed. The exercise class will continue to be broadcast.
There will be no Friday morning shopping trip. Groceries may be ordered at the General Store. Orders will be picked up on Mondays, Wednesdays and Fridays and delivered to your apartment or cottage.
Transportation is available for essential medical appointments only.
You must properly wear your mask whenever you leave your apartment or cottage.
No more than 4 people may gather in any common areas and they must each be 6 feet apart and properly wearing a mask.
You are strongly encouraged to limit your trips to stores, restaurants and gatherings with other people.
You are strongly encouraged to avoid gatherings of multiple households.

Because of the increased positivity rate the government agencies require that all team members who have currently been tested weekly, now be tested twice a week. Testing will be done on Mondays and Thursdays. Residents in Skilled Care and Personal Care/Memory Support will continue to be tested weekly.

I understand that these restrictions are burdensome. We all agree that this has been a difficult year and we are all weary. We all want to put this behind us. But we cannot. We will need to see this through. Let’s press on together and do it in such a way that we do not add to the burden of others. Let’s walk through this in a way that glorifies God and encourages our neighbor.

Be Encouraged

“I think that you will all agree that we are living in most interesting times. I never remember myself a time in which our history was so full, in which day by day brought us new objects of interest, and, let me say also, new objects for anxiety.” Joseph Chamberlain, 1898, a British statesman and father of British Prime Minister Neville Chamberlain

Who would have thought over a year ago that we would have been celebrating Thanksgiving, Christmas and New Year’s under the challenge of COVID-19? The last five weeks of each year are often a time filled with family gatherings, friends, and celebrations. This year is different. It has been radically different since March as COVID-19 spread around the world.

We have long ago grown weary of the constant reporting of bad news, the threat of illness, sadness, separations, and lockdowns that seem to have defined this year. We are so grateful to those who continue to provide healthcare for us and those who serve us in so many other ways.

This season of strife, discouragement, and emotional separation is new for many of the younger generation. It is the first time that many of them have experienced this sort of massive change in their daily lives. For those of us who are older, we have experienced these disruptions before. I’m not aware of anyone still living who can remember the 1918 Spanish flu epidemic, but there are still some who have experienced the disruption of the Great Depression followed by World War II, the Korean War, the Cold War, the Vietnam war, and to a lesser extent, the oil crisis, the Gulf war, and the war in Afghanistan.

These were all times of sacrifice. Some sacrifices were made by all, some by just a few, but they were times when many traditions and customs were abruptly disrupted and forever changed. We are again at a time, in this COVID-19 season, when our cherished traditions of gatherings, parties, and celebrations, are being limited, eliminated, or severely shrunk.

God knows that we are facing these “interesting times” and in Paul’s letter to the Philippians, the apostle shares these words of encouragement.

Do not be anxious about anything, but in everything by prayer and supplication with thanksgiving let your requests be made known to God. And the peace of God, which surpasses all understanding, will guard your hearts and your minds in Christ Jesus. Finally, brothers, whatever is true, whatever is honorable, whatever is just, whatever is pure, whatever is lovely, whatever is commendable, if there is any excellence, if there is anything worthy of praise, think about these things. Philippians 4:6-8 ESV

Paul encourages us to pray with thanksgiving and the peace of God will guard our hearts and minds. We are to think on these things:

Whatever is true,

Whatever is honorable,

Whatever is just,

Whatever is pure,

Whatever is lovely,

Whatever is commendable,

Is there any excellence?

Anything worthy of praise?

This has encouraged me and I hope it encourages you. Since we are not able to express our gratefulness in the usual ways, let us be intentional in sharing our thankfulness with one another in the ways we can. Write a note or an email or send a text to family members, to those who serve you, to old friends, to classmates, and former work associates, and share with them your gratitude for something they have done to bless your life – no matter how small an incident and no matter how long ago. You may be an instrument of Christ’s love at just the right time.

In this season, let’s pray the words of Paul and give thanks for the things that are true, honorable, just, pure, commendable, excellent, and worthy of praise.

Over these last few months, we’ve been doing a number of little things to encourage all of us during this challenging time. The creative use of electronics, more on-line TV programs, zoom, food trucks, and small gifts. We will try to continue to do the little things that are different but safe, special and celebratory. Thank you all for your understanding, grace, and patience as we journey through these difficult days together. Let us pray that we may encourage each other to rejoice in the Lord always, again I say, REJOICE!!

Everyone should have seen or heard the communication at the end of last week regarding additional positive tests in Skilled Nursing. Additional resident and employee tests have continued to come back negative since then. We are confident the policies and procedures we have put into place continue to protect residents and team members from a significant spread of COVID-19 and contain the few cases we have had.

Personal Care and Memory Support

In light of an outside contracted worker testing positive with exposure on the Personal Care Unit, Personal Care and Memory Support will remain in quarantine until we have completed 14 days of no new positive tests. Visitation will continue to be in the form of window visits only until we are able to re-open for normal indoor visitation in the Thompson Meeting Room.

Skilled Nursing

In accordance with guidelines from CMS and DOH, Skilled Nursing units continue to remain in quarantine with weekly outbreak testing for team members and residents. We must complete two rounds of weekly testing with all negative results before we can resume visitation and other important services. We are expecting window visitation to resume on Monday and then looking forward to resuming indoor visitation with residents once we have 14 days with no new positives.

To all our Residents

We recognize the toll this is taking on you. To say we are deeply saddened and hurt to see the turmoil you have been through is an understatement. Our team has been put in a lose-lose scenario where bending the rules and regulations to provide a brief moment of emotional relief can have long-term consequences for those same residents that we were trying to help. The administrative team continues to wrestle daily with how to prioritize the safety of our residents while ensuring we meet their emotional needs. We ask for your continued prayers and support as we make decisions with the residents’ best interests at heart.

To our Team Members

All of you have been nothing short of extraordinary since the day this pandemic started. You have always done what we have asked and done so with little to no complaining. You have stepped up and remained flexible as policies and procedures continue to change on what seems like a daily basis. Most importantly, many of you have adopted the role of family to our residents who desperately need it as they have been unable to see their families often, or in some scenarios at all. I am sure I can speak for many families as I have heard from many of them how thankful they are knowing their loved ones are in the hands of team members who care so much.

If you have been following the news, you are aware that cases of COVID are rising worldwide; and alarmingly so in many parts of the US. Likewise, either because of increased testing or increased prevalence, cases in our community are rising as well. With the majority of the results back from this week’s testing, we have one Home Care team member, three Skilled Nursing team members and one Skilled Care resident who have tested positive. Only one team member was symptomatic, and that individual has not been at work for the past week.

Team, you have done well. Thank you for keeping our residents safe. You have given much over the last year and I know you are weary. But, together, we must press on, especially as the virus spreads. While we know that most people who contract the virus will recover and have only mild or no symptoms, we also know that some people decline very quickly and some die. What we don’t know is which individuals will become really, really sick.

As you know, when a team member tests positive, the residents he or she serves have further restrictions placed on them. Our residents have already suffered greatly under these restrictions – much more than we have. For some, there is an emotional weariness beyond words. Even when no one has been ill, there has been a cost. People are not designed to live in isolation, masked and untouched.

Our residents have been isolated for months. Only we can bring COVID into the community. We believe your consistent, proper use of PPE has protected our residents and each other. I want to believe that, for the sake of our residents, you have already curtailed some of your personal activities. However, with numbers increasing, I am strongly recommending that you follow these guidelines:

Do not gather with groups outside your household. I know that this will raise questions about the holidays. Gatherings of multiple households are strongly discouraged.
Limit your travel to only what is absolutely necessary.
Wear a mask whenever you leave your home.
Wash your hands and disinfect your home and personal property regularly.
Maintain a 6-foot distant from every other person.
What about church? Because it is important that we worship God with the family of God, I cannot ask you to not go to church. If you decide to attend any services at your church, I am asking you to wear a mask and maintain a 6-foot distance while you are there.

COVID testing was done on November 4^th and 5^th. The results are in and I am sorry to report that we had one positive result. The person was asymptomatic but did come in contact with Skilled Care residents. All Skilled Care residents and team members working in Skilled Care will be tested on Wednesday and Thursday this week.

Personal Care had no positive results. All Personal Care residents and team members working in Personal Care will be tested on Wednesday and Thursday this week. Should the results of Wednesday’s and Thursday’s testing be negative, they may be approved to come out of quarantine soon. We will let you know when we know.

Please pray for our residents in Skilled Care. The burden of COVID seems to have fallen most heavily on them. If it comes to mind, consider sending them a card with some encouraging verses and thoughts or maybe a little light-hearted humor to brighten their day.

We have had a lot of inquiries about the holidays. Like everything this year, the holidays will look different than they have in the past. We are working diligently to ensure our residents have an exciting and joy-filled Thanksgiving and Christmas despite COVID. Family members are encouraged to drop off special treats or gifts for loved ones.

Holiday Entertainment for all levels of care

This year, our holiday entertainment will be broadcast on Channel 957 on December 18^th from 4:30-5:30. A complimentary holiday meal will be delivered to your room, apartment or cottage prior to the performance. You will be receiving a memo with more information about this special entertainment.

Residential Living (Cottages and Apartments)

Seated dining will not be available in Windows on Park on Thanksgiving and Christmas. If you selected a meal on your meal selection form, it will be delivered to your apartment or cottage.
We expect visitation to remain unchanged, but it will depend on circumstances closer to each holiday. Currently, you may have visitors in your apartment or cottage, or you may leave the community to visit with others in their homes. Either way, you must maintain a 6-foot physical distance and wear a mask when you are with others.

Personal Care and Skilled Care

Activities in these areas are dependent on the results of the weekly COVID testing and the Lancaster County positivity rate. Right now, we are in the Quarantine Phase.

	Quarantine	Nonquarantine Phase
	Requires two consecutive weeks of no positive test results to move to Phase Nonquarantine*
Personal Care	– Virtual visitation only – No Leaves of Absence – No communal dining	– Indoor visitation w barrier – No Leaves of Absence – Distanced Communal dining
Skilled Care	– Virtual visitation only – No Leaves of Absence – No communal dining	– Indoor visitation w barrier – No Leaves of Absence – Distanced Communal Dining

*A single positive test requires quarantine.

Virtual Visitation

During virtual visitation, residents must stay inside the building behind a closed door or window and the family must remain outside the building. Residents may always visit with family members via Skype or Face Time.

Leaves of Absence

PC and Skilled residents will not be permitted to leave the facility with family or friends. This is for the safety of all.

Family Transportation

Family transport to medically necessary appointments will be permitted when the facility is not under quarantine and the county positivity rate is under 5%. If the facility is under quarantine or the county positivity rate is over 5%, the facility will provide transportation to medically necessary appointments.

On October 28 and 29 all residents, team members and contracted health care providers accessing Skilled Nursing and Personal Care were tested for COVID-19. This was done because of the monthly testing required by the Department of Health. Also, the positivity rate in Lancaster County has risen to over 5%. Because of that, we will need to test weekly until the positivity rate falls below 5% and we have no positive cases for two consecutive weeks.

Results of yesterday’s testing have started coming in. Thus far, two team members and one contracted health care professional have tested positive. Individuals testing positive and those with whom they have had contact are always notified immediately. Positive non-resident individuals will not enter the Skilled Nursing Facility for 14 days. If a resident tests positive, they will be moved to the red zone and will be quarantined there for 14 days.

Because of the contracted health care professional’s positive test results, the entire Skilled Nursing Facility and Personal Care are once again in quarantine. This will impact visitation, dining and activities for our residents – virtual visitation only and no congregate dining or activities.

Any team member in Skilled Nursing and Personal Care must wear full PPE at all times. It is crucial to remember to wear a mask at all times regardless of whether you are on the unit or not and to remain 6 feet apart from others whenever possible. It is impossible to wash or sanitize your hands too often, so please do so often. It makes a difference.

One of the team members who tested positive works in Great Rock Home Care. The team member and those who they have cared for are being notified. Visitation, dining and activities in Residential Living remain unchanged.

Our hearts ache for those who are impacted by these current positive test results. We are all weary of this. While it is easy to let our guard down, as Martin Luther says below, we do not want to be an agent that causes harm to another. Please remain steadfast in your efforts to protect others.

We are reminded again of Martin Luther’s quote shared in the 1600’s in the midst of the Plague:

“I shall ask God mercifully to protect us. Then I shall fumigate, help purify the air, administer medicine and take it. I shall avoid places and persons where my presence is not needed in order not to become contaminated and thus perchance inflict and pollute others and so cause their death as a result of my negligence. If God should wish to take me, he will surely find me and I have done what he has expected of me and so I am not responsible for either my own death or the death of others. If my neighbor needs me, however, I shall not avoid place or person but will go freely as stated above. See this is such a God-fearing faith because it is neither brash nor foolhardy and does not tempt God.”

An update from Mark Smeltzer, Senior Administrator Healthcare Services:

I am excited to announce that all the Covid tests completed last week at QPRC have come back negative. This is a huge testament to the dedication and hard work of each of the QPRC team members who have been diligently following all of the infection control guidelines mandated by the state and federal government.

Personal Care and Memory Support completed their required “routine testing” which means unless a resident or team member is symptomatic, we will not be required to continue testing again for another 4-6 weeks at this point. Personal Care and Memory Support can continue physically distanced communal dining, physically distanced activities, and visitation per the visitation guidelines that have been established.

Skilled Nursing completed the last round of “outbreak testing” that can now subside due to being COVID-19 free for 14 days. Skilled Nursing residents will now be able to eat together while physically distanced, participate in physically distanced activities, and most importantly, resume visitation with families per the visitation guidelines that have been established to ensure safety.

Please keep in mind that QPRC will continue testing any residents or team members that are exhibiting signs or symptoms or COVID-19. If there are any positive test results, they may result in scaling back of visitation and group activities again per guidelines.

Visitation times for Personal Care, Memory Support are already posted on the Sign Up Genius webpage that can be found via the link on Quarryville’s website. Skilled Nursing visitation times will be posted by tomorrow once we are able to coordinate staff to be available to monitor the visits as is required by the Department of Health. Many families have asked about the weather and where visitation will be held once the weather gets cooler. QPRC has an indoor location for visitation inside that will allow a quiet and temperature-controlled atmosphere to visit with your loved ones. Outside visits are still strongly recommended by state and federal governments so we will hold as many outdoor visitations as possible. Please feel free to call the facility or check the sign-up page the day of the visit to see if it will be outdoor or indoor. These visits will still be scheduled via the Sign Up Genius webpage but will be limited to 2 individuals.

More information will also be coming out regarding “compassionate care visits.” We are currently navigating the challenge of competing regulations which is making it difficulty to finalize our policies and procedures that we will need to follow in carrying out these “compassionate care visits.” As soon we receive clarification on what our requirements are surrounding these, team members will be reaching out to schedule and inform families that their loved ones have met the criteria for a compassionate caregiver.

Thank you for your continued support as we work diligently to navigate what is again becoming an increasingly changing regulatory environment that we must continue to change and adapt our policies and procedures to reflect. I pray we can soon be clearer and have procedures in place that are not constantly changing. Thank you for your continued prayers and support as work to provide our residents with extraordinary care.

QPRC completed testing on all skilled residents and team members on Thursday 9/24/2020. We are excited to announce there were no positive results in the skilled nursing area. We will be doing another round of testing this Thursday and hope for all negative tests. A second round of negative tests will allow us to begin the process of reopening visitation in skilled nursing.

We are thankful that team members at QPRC have remained diligent to drastically limit the isolated cases of COVID-19 we have had. On that same token, we hurt with the residents and their families who have had to endure visitation restrictions during the time of multiple isolated positive cases. While the safety of our residents and team members is our biggest concern, the emotional, and spiritual toll this is taking on our residents is extremely heartbreaking to our entire team. We pray that God will continue to bless our community in a way that allows us to provide for visitation in accordance with state and federal guidelines. This will foster the emotional connections our residents need with friends and family.

Please continue to check the website routinely for updated information which may include testing results, changes in policies or procedures, and updates on visitation. Forthcoming is a policy that will allow for compassionate caregivers in certain situations. We are waiting for further clarification on conflicting guidelines from different governing bodies. Until then, we will continue to call families who meet the current criteria for compassionate visits such as at end of life or a significant decline in functioning.

We appreciate your continued support and prayers for our residents and our team members as we all trust in God’s direction and faithfulness during this difficult trial.

An update from Mark Smeltzer, Senior Administrator Healthcare Services:

I was excited to see test results from Skilled Nursing start to come back negative on Friday evening. It made it even more crushing to see one resident out of the 200 total tests come back positive. QPRC has performed contact tracing and we do not know how the virus was introduced to the resident. We are bewildered by an immediate follow-up test of that resident that came back negative. Regardless of the circumstances, the Department of Health has confirmed we must continue to take all the precautions we normally do when a positive test occurs.

It breaks my heart that this means we must continue testing all skilled nursing team members and residents weekly until we have two weeks of all negative tests. It breaks my heart that we must continue postponing skilled nursing visitation with friends and families. We are thankful that the two residents who have tested positive have been isolated cases and there has been no additional spread; however, we are anxiously awaiting the day when we have been 100% COVID-free for 14 days so we can open up visitation again. We are thankful that Personal Care has remained COVID-free for a while and has allowed us the ability to allow modified resident visitation. Our residents and their families need the face to face interaction, and we are committed to providing that again as soon as regulations afford us the ability to do so.

Per CMS and DOH Guidelines, Lancaster County has hit a 5.1% COVID Test Positivity Rate. Anything over 5% requires weekly testing of all team members for skilled nursing and testing of any resident who has had outside contact within the past 14 days. For Personal Care, a positivity rate over 5% requires monthly testing for all team members and any residents who have had outside contact within the past 14 days. We are hopeful this number will drop back below 5% when new rates are released by the Center for Medicare and Medicaid.

You may have seen a flurry of recent guidelines and information in the news about long term care visitation which includes Skilled Nursing and Personal Care. The Department of Health and Human Services (Personal Care), Department of Health (Skilled Nursing) and Centers for Medicare and Medicaid Services (Skilled Nursing) have all released updated visitation and reopening guidelines within the past week. Our team is diligently working through those guidelines and creating/updating our policies and procedures to reflect them. These new regulations do allow for some more flexibility and opportunities for visitation which we are excited about. Some of those instances are across the board opportunities, while other visitation circumstances continue to only apply to end of life or significant resident decline situations. Once we have updated and created policies to reflect these new guidelines, we will post them on our website and distribute to the appropriate residents and resident representatives.

COVID has been an emotional roller coaster for all, with our residents, their families, and our front-line team members being impacted greatly. I am thankful that even in frustrating times like now, there is still hope for the future as we continue to safely navigate this pandemic and work towards being able to provide for our resident’s physical, emotional and spiritual needs the way God has called us to.

We are thrilled to announce that the weekly testing for Skilled Nursing completed on September 10^th has come back all negative. We are hopeful that weekly testing this Thursday will bear the same result and we will be able to start the process of opening up the Skilled Nursing units again.

As we look towards the possibility of opening up the skilled nursing units again, we would like to remind residents and families of some of the key visitation procedures for skilled nursing and personal care:

Residents and Visitors must wear masks at all times while visiting outside.
Families or friends who are visiting must check in at the white tent prior to going to the visitation booth to visit.
In order to continue to promote physical distancing, we are limiting outdoor visitation to 4 total individuals, including children.
Please see the link above to sign up for visitation. Please note there are separate times for Personal Care and Skilled Nursing to ensure residents are not crossing paths. We ask that you visit within the times you sign up for and do not show up other times or unannounced.

We understand this is not what anyone wants right now and certainly not why our team members chose to work in this industry. QPRC is committed to keeping all our residents and team members safe and following all the applicable regulatory guidelines in place.

There have been new guidelines and regulations put into place regarding visitation and reopening of Skilled Nursing and we are awaiting similar guidelines to be released for Personal Care. We are reviewing these and updating our policies and procedures to reflect these recent changes in regulations and guidelines. Please continue to check our website for the latest news and updates regarding testing and policy and procedure changes.

Thank you for your continued support and prayers as we work as a team to navigate this unique and challenging time.

QPRC completed another round of weekly testing of our skilled nursing residents and team members on September 3. We are thankful that no residents tested positive but are disappointed to learn one additional team member has tested positive. The new positive team member is asymptomatic and will be kept away from work per CDC and DOH guidelines.

Quarryville Presbyterian is currently reviewing updated guidelines from the Department of Health and updating our internal policies, specifically as it relates to reopening timelines, visitation policies, and PPE policies. We will communicate any updates made to our policies and procedures via the website as they are completed.

Quarryville Presbyterian Retirement Community continues to put the safety of our residents of the utmost importance and continues to err on the side of extreme caution to keep the residents safe and eliminate any additional spread in the community. Please continue to check the website for routine COVID-19 updates.

QPRC completed another round of weekly testing on our skilled nursing residents and team members on August 27. We are thankful that no residents tested positive but are disappointed to learn four additional team members have tested positive. These positive team members are all asymptomatic and will be kept away from work per CDC and DOH guidelines.

All skilled nursing team members continue to wear increased PPE throughout the facility. Visitation will be in virtual form only (Skype, Facetime, etc.) until the facility enters Step 1 of the reopening plan again and can resume window visitation.

Quarryville Presbyterian Retirement Community continues to put the safety of our residents first. We continue to err on the side of extreme caution to keep the residents safe and eliminate any additional spread in the community.

QPRC learned last night that one of our skilled nursing residents has tested positive for COVID-19. That resident is in the hospital. No other residents are exhibiting any signs or symptoms but are being monitored extremely closely. Team members continue using precautions and the entire skilled nursing facility will remain in quarantine with no activities, group dining, or visitation until further notice. There are no changes regarding activities, dining or visitation in Personal Care or Residential Living at this time.

The testing that had been scheduled to be completed today will still occur and will be completed as soon as possible to ensure results are returned in a timely manner and any further actions can be taken promptly.

We are confident in the processes and procedures we have put into place to limit spread as much as possible. Our team members have been diligent in caring for our residents and have followed and will continue to follow the guidance set forth by the Pennsylvania Department of Health (DOH), Centers for Disease Control and Prevention (CDC), and Centers for Medicare & Medicaid Services (CMS) to minimize the risk of Coronavirus transmission within our community.

Our prayers are with the resident and our team members as they navigate this change.

In follow-up of a recent employee who tested positive for COVID-19, QPRC completed facility wide testing of Skilled Nursing Residents and Team Members on Thursday August 20. The results of the majority of these tests have come back and identified one additional nurse as testing positive. No other residents or team members have come back positive at this point. Out of an abundance of caution, we are moving to designate all Skilled Nursing beds as “yellow zone” for a minimum of 14 days from August 20. In-person visitation will be limited to residents who are at “end of life” as directed by PA, CMS and the CDC. QPRC encourages and will help facilitate virtual visitation during this time via Facetime, Zoom, Skype, etc.

In accordance with PA guidelines, QPRC will continue to conduct weekly testing on all employees with Skilled Nursing Facility contact weekly until we have two weeks with all negative tests. Please continue to check the website for updates on visitation as we look forward to resuming our reopening plan as soon as we are able.

We are thankful the positive employee remains asymptomatic and is feeling fine. We are also thankful we continue to have no positive resident cases in the Skilled Nursing Facility.

Thank you for your continued prayers and support as we work together to keep our residents and team members safe.

Updated Visitation during Skilled Nursing Quarantine and Step 1 of Reopening Plan

Skype/Virtual Visitation

Skype, Facetime, and other virtual visitation methods will always be available and encouraged regardless of which step of the reopening process QPRC is in.
Families should contact activities or social work to set up these virtual visits

Window Visits

Window Visits for residents on First Floor will resume on 8/26/2020
Window Visits for residents on Garden West can resume immediately
Window Visits for residents outside of the isolation unit on 2^nd floor can resume immediately
Window visits with residents in the isolation section of 2^nd floor will not be permitted

Hospice Visits

Unless the facility has concluded a skilled nursing resident is unable to leave their room, all hospice visits will be conducted in the same window visit format to ensure resident’s safety.
Exceptions to this will be made when deemed necessary if agreed upon by nursing administration

Window Visitation Sign Up

In order to streamline window visitation during this time and ensure facility staff are able to focus on caring for our residents, we are asking all window visitation to be scheduled on Sign Up Genius by following the link above.
Team members will do our best to ensure there is a variety of days and times available to sign up; however, we are limited in the amount of times and slots we can offer to ensure we have the team members available to facilitate these visits while still caring for our residents.

These visitation guidelines will be in effect throughout the Quarantine Phase and Step 1 of the reopening phase. Outdoor visitation will resume once we re-enter step 2 of the reopening plan.

We have just been made aware that the team member that had been suspected of having COVID-19 has tested positive. As a result, the Skilled Nursing Facility will remain in the Quarantine Step for a minimum of 14 more days.

We have already begun the process of testing all residents and team members working in the Skilled Nursing Facility as a precautionary measure.

Personal Care and Memory Support will remain in Step 2 of the reopening process.

An update on window visitation in Skilled Nursing will be made available soon. Some residents and units are still able to carry out those visitations during this time period.

Thank you in advance for your continued support and prayers during this time as we continue to strive to keep all of our residents and team members healthy.

Today we have a team member being tested for COVID. The team member is symptomatic and learned today that other family members have tested positive. The team member did have contact with residents in skilled care two days ago.

Therefore, skilled care is once again in quarantine. This means that there will be no visitation, dining will take place in resident rooms, activities will be on an individual basis only.

If the test results are negative, we can immediately go back to Phase 2. If the results are positive, skilled care will remain in quarantine for 14 days.

We will communicate the results as soon as we know them.

Personal Care remains unchanged in Phase 2.

Gradual Reopening Plan Announced
We are pleased to announce that our Reopening Plan is now available. Each level of care (Residential Living, Personal Care, Memory Support and Skilled Care) will reopen differently.
It is important to remember that an active case of COVID-19 at any level may result in reversing some of the reopening plans. Please carefully read all the documents below:

I am happy to announce that results of the retest of the Personal Care resident have come back negative. We are once again a COVID-free community. Personal Care residents may walk in the halls, sit in the lobby and stroll outside. Personal Care residents may not go into any of the other buildings on campus.

We thank you for your patience as we navigate these ups and downs.

Have a blessed weekend.

It has been and still is our intent to be entirely transparent about COVID in our community.

I recently reported to you that all our testing was completed and that all of the test results were negative. I learned today that two of the testing vials had broken in transit. Those two individuals (one resident and one non-direct caregiver) were retested, and I learned this morning that their tests results were positive. It has been 10 days since they were tested. As a first immediate response, we have once again closed Personal Care. Residents must stay in their rooms and team members will be in full personal protective equipment to provide care. Because so much time has passed, we are awaiting direction from the Department of Human Services as to whether additional testing is required.

I understand that this may seem confusing. It is for us as well. This news may create questions in your mind. It does for us too. The delay in receiving results is truly problematic. That the only two positive results just happen to be the two vials that broke in transit is highly suspicious.

We remain committed to following the government guidelines and our priority is your safety.

As we continue to physically distance, wear masks and wash our hands, I would ask that you pray.

A Lament in the Time of Covid

To you, Oh Lord, we lift up our souls
Oh Lord, our God, we are in pain
We long to see face to face
And yet our faces are covered
We long to touch, to hold, to comfort
And yet we must distance

Our lives are as we never imagined they would be
We cannot embrace our spouses
We cannot rejoice with our children, our grandchildren and our great-grandchildren
We must be strong, when we are so afraid
Our loved ones are taken from us
And You, Oh Lord, seem far away.

We have no confidence in those who rule over us
We do not trust our government
And yet, Oh Lord, You are Sovereign
Come to us now Oh Lord and Savior
Comfort us, let us feel Your presence with us
Let Your love and Your strength flow through us
For we are so weary Oh Lord, we have nothing left to give

May we see Your Face, for You never wear a mask
May we feel Your loving arms around us
For You are never six feet away
Give us hope Oh Lord, for we have none left
All our hope is in You

When the darkness surrounds us
May we remember that we dwell in the shadow of Your wings
Our flesh and our hearts may fail
But you Oh Lord are the strength of our hearts and our portion forever
Come to us Lord Jesus and revive us again.
We will yet praise You Our Lord and our God.

I am happy to announce that all the testing required by the State of Pennsylvania has been completed and all results are negative! To the best of my knowledge, we are a COVID-free community today.

We will gradually be taking measures to reopen. We are still 15 days away from the time when we will be permitted to allow visitation in Skilled Care and Personal Care. We are making plans now for what that will look like and will communicate that to you. I know you are anxious for life to return to what it was. Thank you for your patience.

This week we had our Infection Control survey/inspection by the Department of Health. In their final report, they commended our team members for the manner in which they have handled the COVID crisis and encouraged us to keep up the good work.

Thank you, each of you, for the part you have played in seeing this through.

Praise God!! We have received the final results of our second round of mandatory testing. I am happy to report that everyone that was tested is negative.

We attribute this to God’s divine providence and the endurance of everyone in our community in following guidelines.

Romans 5:2-4 says …we rejoice in hope of the glory of God. Not only that, but we rejoice in our sufferings, knowing that suffering produces endurance, and endurance produces character, and character produces hope.

While this is a milestone, it does not signify the end. This is not the time to throw caution to the wind but rather a time to take well-thought-out measured steps towards reopening. We will keep you informed as decisions are made and steps are taken.

Visitation:
Residential Living residents may continue to visit with up to four visitors outside provided they maintain a 6-foot distance and wear a face mask.

Residents in Personal Care (PC) may now leave their rooms and sit in the lobby or outside, weather permitting. PC Residents may only visit with up to four visitors through the window in the atrium on the first floor for up to ½ hour. PC Residents may NOT visit with visitors outside.

Skilled Care remains closed to visitors, but residents may visit with up to four visitors through the windows in the Thompson lobby or the Long Building atrium for up to ½ hour.

All residents must continue to wear a mask, stay 6 feet apart from any other individual and wash or sanitize their hands frequently.

Thank you for your continued cooperation.

As required by the Commonwealth of Pennsylvania, all residents and team members in Skilled Care and Personal Care (PC) were tested for COVID-19 even if they had no symptoms. We continue to receive results.

As of today, all results for our Skilled Nursing residents are negative and only two of our Personal Care residents have tested positive (these were previously announced in a memo on June 30th.) All Personal Care residents have been re-tested and there are no new cases.

We will keep you updated as results continue to come in. We remain committed to the highest standards of safety for our residents and team members.

Please continue to pray for our residents and team members in these uncertain times. Thank you all for continuing to wear your mask, physically distance, and wash your hands.

As required by the Commonwealth of Pennsylvania, all residents and team members in Skilled Care and Personal Care (PC) were tested for COVID-19 even if they had no symptoms. On Wednesday, Thursday and Friday of last week more than 350 tests were completed and the results are now coming in.

As of today, we have received results for 103 tests – 101 are negative; 2 of our Personal Care residents have tested positive. These residents were asymptomatic (had no signs or symptoms of illness). Resident representatives have been notified and the residents have been isolated. Full personal protective equipment will be used in caring for these individuals. For now, Personal Care residents may not leave the 2nd, 3rd or 4th floor of the Long Building. Team members working in PC may only work in PC. This includes maintenance and dining team members.

We will keep you updated as results come in. We remain committed to the highest standards of safety for our residents and team members. We will continue to follow the current guidelines of the DOH and CDC and go beyond if we deem it necessary.

Thank you to all our residents and team members who have diligently followed guidelines during this time. I commend you for your steadfastness even though this has continued for months. We will see this through together.

We rejoice in the next phase of our COVID-19 journey as our governor has given Lancaster County the green light. There are many questions about what life will look like after Friday. Going green does not mean that life will return to the way it was before COVID-19. It will be different — not better, not worse — but something different than how things were before.

It will take some time and multiple memos to communicate the many upcoming changes to you. We will try to communicate in a clear and organized manner. Our team remains available to answer any questions you may have.

On Friday, 6/26/20:

The barriers will be removed from all entrances except those in front of the Long Building.
Mail and packages will be delivered directly to cottages only.
No buildings are open to visitors. However, Residential Living residents may visit with friends and family outdoors. Personal Care and Skilled Care residents may only visit with friends and family through the glass in the atrium.
You must continue wearing a face mask, washing or sanitizing your hands frequently and maintaining at least a 6 ft. distance from others.

Forthcoming:

July 6 – Opening of Clips and Curls on Main. Modifications are currently being made to Clips and Curls so that it can be opened safely. Guidance on the new procedures will be forthcoming. Appointments will be by reservation only.
July 13 – In-person Wellness Programs. Programs will be limited to no more than 10 people and will require preregistration. Additional information and guidelines will be forthcoming.
July 13 – On-campus Residential Living Activities. Events will be limited to no more than 10 people and will require preregistration. Additional information and guidelines will be forthcomng.
Residential Living Dining – We are working on how to provide an extraordinary dining experience. Additional information and guidelines will be forthcoming.

I want to share with you again a quote from Martin Luther regarding the plague of the 1600’s:

“I shall ask God mercifully to protect us. Then I shall fumigate, help purify the air, administer medicine and take it. I shall avoid places and persons where my presence is not needed in order not to become contaminated and thus perchance inflict and pollute others and so cause their death as a result of my negligence. If God should wish to take me, he will surely find me and I have done what he has expected of me and so I am not responsible for either my own death or the death of others. If my neighbor needs me however I shall not avoid place or person but will go freely as stated above. See this is such a God-fearing faith because it is neither brash nor foolhardy and does not tempt God.”

Join with me as, together, we seek to live our lives independently while at the same time protecting those who are most vulnerable.

A sincere thank you to all residents and team members who have stood with us as we have navigated the last couple of months. A world with COVID is new for all of us. While your health and safety remain our top priority, we recognize that the necessary isolation has become wearisome. “We’ll get through this together” has given way to “How long must this go on?”

I would like to give you a clear definitive answer, but I cannot. I can tell you what is, but I cannot tell you what will be.

What is:
• We are still in the midst of a pandemic.
• People over the age of 65 and those with underlying health issues are most at risk.
• We cannot allow visitors into any of our buildings.
• Residents living in cottages and apartments only may visit with family members outside.
• Residents in Personal Care and Skilled Care may only visit with family members on opposite sides of one of the windows in atrium.
• Our dining rooms remain closed to congregate dining.
• Masks are required any time you are outside of your cottage or apartment.
• As a retirement community, we do not follow the same guidelines put forth for the general population. So even though churches may be gathering in groups of 250, we cannot.
• We strongly encourage you to remain physically distant from any other people – friends, family and neighbors.
• We strongly encourage you to avoid groups of more than 10 people.
• We strongly encourage you to make only the most necessary visits to stores.
• We strongly encourage you to wear your mask.
• We strongly encourage you to maintain contact with friends, family and neighbors by phone or through a computer using Face Time, Skype or Zoom.

We thank God for his protection during this time and continue to look to Him for guidance.

In a recent directive from the Pennsylvania Secretary of Health, the state has mandated that every nursing home resident and employee be tested for COVID-19 prior to July 24, 2020. We have started implementing this testing. Compliance with all State and Federal mandates relating to COVID-19 and the safety of our residents and team members remain our top priorities.
My last communication reported that we recently had an asymptomatic team member test positive for COVID-19. Individuals (both residents and team members) who came in contact with this team member have been tested. We are happy to report that all tests have come back negative. As of now, anyone who has been tested and remains symptom-free will not need to be tested again.
We continue to marvel at God’s goodness to and protection of our community. We are grateful and trust you are too.

While we have enjoyed a COVID-free environment thus far and restrictions in our state are starting to be lifted, we must remain vigilant and cautious. This virus is an invisible enemy. Just today one of our employees tested positive for COVID-19. The employee is and has been completely without symptoms and is now at home. The team member was following the government approved protocol and was wearing appropriate Personal Protective Equipment while providing care to our residents. Because this employee was providing care in one of our resident areas, all residents who had contact with this individual will be tested. Family members of each exposed resident have been contacted.

With God’s help we will see this through. Thank you for your patience and cooperation.

We are on the verge of a transition from the red phase to the yellow phase in our county. You may be wondering how that might affect our community. Since we have no COVID cases, we are having discussions about how to facilitate some changes in a way that protects both our residents and team members. People are made for relationship and social interaction. We are considering ways we can distance physically while still being able to engage socially. We will communicate those plans in the near future.

Again, I want to thank you for adhering to the restrictions that have been put in place thus far. Please work with us as we attempt to move towards a new (ab)normal.

Even though stay-at-home orders are lifted under the yellow phase, I want all of us to be cautious. There is still little data from other states and counties that have started to reopen. I urge you to continue to be diligent in your handwashing and maintain a minimum 6-foot distance from any other person. Masks are required for entrance into many places and are still required in our community.

I hope you can find comfort in a verse from the hymn, This is my Father’s World:

“O let me ne’er forget. That though the wrong seems oft so strong, God is the ruler yet.”

As our daily memos turn to weekly memos, we look forward to the time when restrictions can ease a bit. As of right now, we remain COVID-19 free. We are grateful to everyone who has practiced social distancing, handwashing, and wearing a mask.

We have received several requests for changes, but we must continue to follow the guidelines set forth by the governing authorities. Today, Lancaster County is still in the red phase per the state. That means stay at home orders are still in place, gatherings of more than 10 are prohibited, restaurants are limited to carry-out only, travel is encouraged to be for life-sustaining purposes only. We encourage you to continue to follow these guidelines as well, even though we are all anxious for things to change.

I know the enormous toll that changed routines have on all of us – from hair care to wandering around a store just to look. Our daily and weekly routines have been suspended and it hurts. As a man under authority, I am commanded to listen and obey our authorities.

Praying that we all look to Jesus.

We rejoice that we continue to be COVID-free throughout our community. Primarily, this is because of God’s good providence and somewhat because of the diligent behavior of our team in following the practices that have been instituted.

Spring has sprung. With a forecasted high today of 84, you will have opportunities to do more. Please be careful and consider the bigger, long-term picture. We remain committed to keeping our residents and team members safe. We will consider the latest recommendations and guidelines but because our residents are most vulnerable, we may not be returning to normal as quickly as the general population.

Please continue to be diligent and conservative in keeping good practices such as distancing, hand washing, and masks which are intended to keep us safe. What we choose to do can profoundly impact those around us.

1 Corinthians 6:12 tells us, “All things are lawful for me,” but not all things are helpful. There may be times when you have the freedom to do something but for the benefit of others you may choose not to do it. The converse is also true. There may be places you go where a mask is not required, but for the benefit of our residents, your neighbors, you choose to wear one.

We are asking you to choose social distancing. Choose to wear a mask. Choose to wash your hands often. Choose to avoid crowds. Choose to consider the needs of others.

Our desire is that our residents and team members remain safe but also that they once again be able to enjoy food, fellowship and family together.

We are thankful! We are thankful that, to date, none of our residents have been diagnosed with COVID-19. We are thankful for a wonderful team of individuals who have adjusted to a new abnormal and continue to care for our residents with excellence. We are thankful for family members for standing with us as we make every effort to keep their loved ones safe. We are thankful that we can rely on God’s goodness even in the worst of times.

None of us knows what life will look like going forward, especially in retirement communities. Please pray for us as we continue to look to the future – considering options and making decisions to keep our community safe and extraordinary.

April 21, 2020

Quarryville Presbyterian Retirement Community remains vigilant in monitoring the ongoing health, welfare, and safety of our residents and team members. We want to make you aware that on Monday, April 20, 2020, we learned that a nursing staff member tested positive for COVID-19. This individual has not worked since April 12 and is currently at home and doing well. While caring for residents, this individual was wearing proper personal protective equipment. Symptoms (fever, body aches, fatigue) were first noted on April 15. Testing was done the following day. This individual will remain at home until their healthcare provider clears them to return to work.

Our prayers are with the team member and their family.

We believe the virus was contracted outside our facility. Even so, we remain diligent in monitoring our residents for signs and symptoms of illness as well as checking their temperature each shift. There are currently no residents showing signs or symptoms of illness.

Our medical director and the Department of Health have been notified. We are, and will continue, to take every step recommended by federal, state and local authorities to prevent the spread of COVID-19. We remain committed to being transparent in keeping you and your families aware of any changes in our community.

April 17, 2020

Quarryville Presbyterian Retirement Community remains vigilant in monitoring the ongoing health, welfare, and safety of our residents and team members. We want to make you aware that at 6:00PM last night, April 16, 2020, we learned that a non-caregiving staff member in a supportive role tested positive for COVID-19. The staff member has been off and at home since April 6 and is doing well. This individual will remain home for the full 14 days at which time their ability to return to work will be assessed. We will look to their healthcare provider for recommendations as to when this individual may return to work. At this time, we consider the overall risk to residents and team members to be low.

Our prayers are with the team member and their family.

We have notified public health officials as required and are following procedures recommended by the Centers for Disease Control & Prevention. We are and will continue to take every step recommended by federal, state and local authorities.

We are committed to being transparent in keeping you and your families aware of any changes regarding COVID-19 in our community.

To everyone doing their very best to maintain a clean and safe environment for our residents and team members, I want to say thank you.

Quarryville continues to do all we can to safeguard the health, well-being, and safety of our residents and team members. We are actively monitoring all our healthcare residents and team members for signs and symptoms of COVID-19 and working with the Pennsylvania Department of Health, the CDC, and the Pennsylvania Emergency Management Agency and following their guidelines.

All residents living in apartments and cottages are encouraged to self-monitor for signs of fever, persistent cough, shortness of breath, or sore throat. If you have signs of illness, immediately contact your physician and notify the Healthcare Response Attendant by calling 717-786-5207.

Residents also are strongly encouraged to follow the CDC guidelines which include washing your hands frequently with soap and water for at least 20 seconds, not touching your face, limiting social interactions, covering a cough or sneeze with your elbow, not your hand, and maintaining a 6-foot distance from any other individual.

THANK YOU to all the residents who are diligently following these guidelines. Your cooperation and commitment is critical to keeping this virus at bay.

Important reminders:

All entrances and exits to the campus are closed except for the main entrance on 625 Robert Fulton Highway. All residents and team members must enter and exit the campus at this location.
Our entire campus is closed to visitors. This means all buildings, residential apartments, cottages, personal care, skilled nursing, and memory support.
Any items that need to be given to residents can be dropped off at the Delivery Tent between 8 a.m. and 4 p.m. at the entrance to campus. Please include the resident’s name and address. Team members will deliver the items to residents as soon as possible.
Residents are encouraged to “stay at home” as much as possible and are highly discouraged from leaving campus for any non-life sustaining reason.
Since the governor and CDC have recently recommended the wearing of face masks, QPRC has made hand-sewn fabric masks available at the reception desk in your building. Cottage residents may pick up masks at the check-in tent in front of the Long Building. Remember, masks must cover both your nose and your mouth to be effective.
You are strongly encouraged to wear a mask when you leave your apartment or cottage and when you go to the grocery store or pharmacy.
Healthcare areas, including Skilled Nursing, Personal Care, and Memory Support continue to be closed except for end of life situations as directed by the Pennsylvania Department of Health. If you have questions or a family member is facing an end-of-life situation, please call 888-786-7331.

April 2, 2020

As of 5 p.m. Thursday, April 2, 2020, Quarryville Presbyterian Retirement Community’s campus will be restricted except for the following:

Residents
Team members who are scheduled to work
Pre-authorized family members providing care to a resident who has demonstrated a need for a “Family Caregiver” Pass
Authorized contracted workers
Emergency personnel

All entrances and exits to the campus are closed except for the main entrance on 625 Robert Fulton Highway. All residents and team members must enter and exit the campus at this location. The Wellness Center is now closed.

Any items that need to be given to residents can be dropped off at the Delivery Tent between 8 a.m. and 4 p.m. at the entrance to campus and they will be delivered to the resident. Please see map HERE. In addition, residents are highly discouraged from leaving campus for any non-life sustaining reason.

We are actively monitoring all our healthcare residents and team members for signs and symptoms of COVID-19 and working with the Pennsylvania Department of Health, the CDC, and the Pennsylvania Emergency Management Agency and following their guidelines.

All residents living in apartments and cottages are encouraged to self-monitor for signs of fever, persistent cough, shortness of breath, or sore throat. If you have signs of illness, immediately contact your physician and notify the Healthcare Response Attendant by calling 717-786-5207.

Our team members continue to follow the CDC guidelines to reduce the risk of further spread of COVID-19. These include strict handwashing procedures, the utilization of personal protective equipment as needed, and social distancing. We strongly encourage residents to do the same — wash your hands frequently, do not touch your face, limit social interactions, and maintain a 6-foot distance from any other individual.

Healthcare areas, including Skilled Nursing, Personal Care, and Memory Support continue to be closed except for end of life situations as directed by the Pennsylvania Department of Health.

QPRC is committed to the health and safety of our residents and team members. We continue to actively monitor developments concerning the coronavirus, and our leadership team talks daily to review the latest information and recommendations. We continue to make changes and implement new policies to proactively safeguard our community.

The governor issued a “Stay at Home” order for Lancaster County on Friday, March 27th. Details may be found here: Stay at Home Order. Residents are encouraged to shelter in place as much as possible. Please do not leave the community unless it is critical to do so.

Our entire campus is closed to visitors. This means all buildings, residential apartments, cottages, personal care, skilled nursing, and memory support. Residents and team members must enter through the Long, McElwain, or Dyrness lobbies. You cannot enter through any other door. If you have questions or a family member is facing an end-of-life situation, please call 888-786-7331.

Residents and team members entering these buildings are screened daily with a temperature check and written questionnaire. Our team members continue to follow CDC guidelines to reduce the risk of further spread of COVID-19, including strict handwashing procedures, maintaining social distancing, limiting trips outside the community to life-sustaining needs, frequent cleaning of surfaces, and use of personal protective equipment as deemed necessary.

QPRC is actively monitoring our personal care, skilled nursing, and memory support residents for symptoms of illness. Residential living residents are encouraged to self-monitor for signs of illness including fever, cough, sore throat, and shortness of breath. If you experience any of these symptoms, stay in your residence and call your primary physician immediately. Contact the healthcare response attendant at 717-786-5207. Follow your doctor’s recommendations carefully. If you are struggling to breathe, call 911 immediately, then pull your emergency pull cord. If your symptoms gradually worsen, call your primary care physician.

Thank you to all our residents for your continued understanding and for following the safety guidelines. Thank you to our dedicated team members who are serving selflessly and with joy in their hearts. You are making a difference!

Finally, we rest in the knowledge that God is sovereign over all. Selah.

Message for team members from President and CEO Robert Hayward:

Message for residents from President and CEO Robert Hayward:

Thank you to all residents who were able to tune in to President and CEO Robert Hayward’s televised communication this morning. It is a joy to serve you.

The spread of COVID-19 is progressing as expected. QPRC believes we have taken all the measures we can to protect our residents.

Some reminders:

All meals ordered through Windows on Park will be delivered to your apartment or cottage.
Meals ordered through the Bistro must be picked up.
Despite our best efforts at communicating the closing of our buildings, some residents have already taken it upon themselves to let people in through the back doors. For the safety of everyone, please, please follow the directions we have given. ALL RESIDENTS MUST ENTER THROUGH THE LONG, MCELWAIN AND DYRNESS LOBBY ENTRANCES. Do not open any doors, including those at the main entrances, to anyone who does not live in that building.
Our dedicated Activities Team is coming up with creative ways for residential living residents to entertain themselves during this unique time of isolation. Please read the email that was sent. Perhaps you will learn something new you’d like to try or learn.

Thank you for your continued cooperation and understanding.

Finally, we rest in the knowledge that God is sovereign over all. Selah.

Quarryville Presbyterian Retirement Community is committed to protecting the health and safety of our residents and team members. Thank you for your continued cooperation and understanding during this unprecedented time. We are being faced with daily changes that impact all of us.

Current precautions and changes:

OUR ENTIRE CAMPUS IS CLOSED TO VISITORS. This means ALL buildings, residential apartments, cottages, personal care, skilled nursing, and memory support.
For residents and team members, badges will only work to enter through the Long, McElwain, and Dyrness lobbies. You cannot enter through any other door. We ask that you do not open side doors allowing people in at any time. Additionally, please do not let people in the main entrances after hours.
All residents are encouraged to shelter in place as much as possible. Please do not leave the community unless it is critical to do so.
Do not gather in groups of more than 10 people. Maintain a distance of 6 feet from any other person.
Everyone entering any of our buildings will need to have their temperature checked; this includes any residents going out of one of our buildings and returning.
Meals will be delivered by team members to all Residential Living residents, including cottage residents who have ordered meals.
All dining rooms are closed.
There will no longer be meal pickup at Windows on Park. Meals will be delivered.
The Bistro will remain open for pickup.
They Joyful Scoop is closed.
The General Store will remain open.
The Wellness Center hours (both fitness center and pool) will be reduced to those times when a staff member is present (Monday thru Thursday 7 a.m. – 6 p.m. and Friday 7 a.m. – 4 p.m.) The Wellness Center is available to residents only at this time. It is CLOSED to Great Rock Wellness members and team members.
The Tiffany Center physicians (Schmitt and Trost) will do well visits in the Tiffany Center. Residents with any symptoms of illness should call their physician.
Clips & Curls is closed until further notice.
For the safety of our residents, the Coatesville Savings Bank branch at QPRC will be temporarily out of service beginning Friday, March 20th at 6 p.m., until further notice. The ATMs will continue be available 24/7. Nanci Caskey, the bank employee usually at our bank, will stop by to pick up transactions a few times a week. You may leave deposits or requests for withdrawals at the Long Lobby reception desk. The transactions will be taken care of when Nanci picks them up. If you need immediate cash, you will need to use the ATM. People with CDs will be contacted by Nanci as CDs mature.

Please continue to follow basic standard precautions to protect yourself and others:

Wash your hands with soap and water for at least 20 seconds. Use an alcohol-based hand sanitizer if soap and water are not available.
Cover coughs or sneezes with your elbow. Do not use your hands!
Clean surfaces frequently, including countertops, light switches, cell phones, remotes, and other frequently touched items.
Contain: If you are sick, stay home until you are feeling better. Consult your physician if you have questions.
Avoid contact with those who have travelled or come in contact with someone who has travelled out of the country or to an area where community-based spread of COVID-19 is occurring.

Please pray for our government officials, healthcare workers working tirelessly to keep us all safe, and for all the people working at QPRC and for the health and well-being of our residents.

Finally, we rest in the knowledge that God is sovereign over all. Selah.

Active Aging Seminar

February 27 Call 888-786-7331

February 27 Call 888-786-7331

Coronavirus (COVID-19) Update

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Covid-19 Vaccination Clinic

Consent Forms

March 18, 2021

March 10, 2021

March 5, 2021

February 26, 2021

February 27
Call 888-786-7331

February 27
Call 888-786-7331