IMPORTANT MESSAGE FROM THE EXECUTIVE DIRECTOR January 3, 2022

Dear Residents, Families and Employees:

The COVID transmission rate in Pennsylvania is between 15 – 19.9%. For Bucks County, the transmission rate remains high and the 7-day metric for positivity as of today is 15.99%.

Unfortunately, the recent surge with COVID-19 cases in our state and county has not spared WEL Doylestown residents and staff. Since my last communication to you on December 27, 2021, we have had continued cases of COVID-19 in all areas, Independent Living (IL), Health Center (HC) and Personal Care (PC) that are summarized below, totaling 7 residents and 7 employees.

Residents	Date(s) of Positive Result	Employees	Date(s) of Positive Result
1 IL	12/27/2021	1 IL	12/27/2021
1 IL	12/28/2021	1 HC	12/28/2021
1 IL	12/29/2021	2 IL & 1 HC	12/30/2021
1 PC	12/31/2021	1 HC	1/1/2022
1 PC & 1 IL	1/2/2022	1 IL	1/2/2022
1 PC	1/3/2022

We have been doing contact tracing and are testing between 5 – 7 days post exposure as advised by CDC. Through the contact tracing, we have notified those residents and/or employees who were potentially exposed.

All indications from various sources are that January is going to be a hard-hitting month with the continued surge. Unfortunately, this has led me to decide to make changes in our daily operation. Please know this was not an easy decision, but one that is necessary to reduce the spread of COVID-19. We will continue with these modified operations until the community has gone 14 days without a new case.

Dining Services (while sitting and eating together, you cannot mask, which increases the risk to spread the virus)

Independent Living

As of dinner tonight, the Bistro will only be available to place your order and bring it back to your apartment. We will not provide options to sit down and eat. Additionally, the bar will be closed.
Effective tomorrow, January 4^th, the Bistro and Bar will be closed. Also, Sunday Brunch is cancelled.
Call 215.895.1178 to place your dinner order. If no one answers, please leave your order on the recording. We need all dinner orders 24 hours in advance, for example have your dinner order for Thursday called in by Wednesday 2pm. Everyone should have already received the weeks menu in their inhouse mailbox.
- Dinners will be delivered to the tables on your floor by the elevators. Time frame is 4pm-5:15pm.

Personal Care and Health Center Residents

Breakfast trays will be delivered between 8am-9am
Lunch trays will be delivered between 12pm – 1pm
Dinner trays will be delivered between 4:30pm-5:30pm
- For us to be able to maintain the delivery times, all orders must be handed in to the nursing station or dining room 24 hours in advance. In Personal Care, all menus will be put on the doors in advance so there is time to fill out the menus. In the Health Center, the nursing team will distribute the menus and then collect them.

Enhanced Living Programming/Activities (need to maintain at least 6 ft. of distancing)

We are currently working on a plan to reduce the number of residents that can attend a specific program based on the size of the room in which the program is being held. I will have more information out tomorrow. For example, in the Health Center, due to the size of the Activity Area, the maximum number of residents would be 5. We must be able to socially distance by at least 6 feet. Masks MUST be always worn that cover both the mouth and nose, except when eating and drinking. If you do not have your mask on, or worn properly, we will kindly remind you.

Lastly, for any resident or employee who did not get the COVID-19 booster, we can provide it. I would need for you to inform the front desk of your interest. I truly appreciate your understanding and patience as we continue to work through the barriers we are faced with regarding the Pandemic. For any questions, you may contact me at ldukert@wesleyenhancedliving.org or 267-895-1132. Internally, my extension is 502.

Respectfully,

Lynne Dukert

Executive Director

COVID-19 EDUCATIONAL QUICK SHEET

COVID-19 affects different people in different ways. Most infected people will develop mild to moderate illness and recover without hospitalization. The CDC does not list different symptoms for the Delta, Omicron variant or others.

Most common symptoms include:

Fever
Dry cough
Tiredness/Fatigue

Less common symptoms:

Aches and pains
Sore throat
Diarrhea
Conjunctivitis
Headache
Loss of taste or smell
A rash on skin, or discoloration of fingers or toes

Serious symptoms:

Difficulty breathing or shortness of breath
Chest pain or pressure
Loss of speech of movement

Seek immediate medical attention if you have serious symptoms. Always call before visiting your doctor or health facility.

On average it takes 5–6 days from when someone is infected with the virus for symptoms to show, however it can take up to 14 days.

VISITING IN THE HEALTH CENTER

Visitors are allowed indoor visitation at all times, as permitted under regulations, without registering/scheduling a visit in advance, without limited length of visits and without limited number of visitors.

Visitors who are not fully vaccinated are encouraged to visit outdoors if the resident’s medical condition health status allows for outdoor visits and weather permitted. Outdoor visits generally pose a lower risk of transmission due to increased space and airflow.

Visits may be conducted in residents’ rooms, with the following exceptions:

If one resident is not fully vaccinated and the other resident is fully vaccinated, visits may not take place in the room.
If one resident is immunocompromised, regardless of the vaccination status.

Core principles of COVID-19 infection prevention must be always adhered to. Visitors who are unable to adhere to the core principles of COVID-19 infection prevent will be asked to leave; and or, they will not be permitted to visit.

Core Principles of COVID-19 Infection Prevention:

Visitors who have a positive viral test for COVID-19, symptoms of COVID-19, or meet the current criteria for quarantine should not enter the facility. All visitors who enter will be screened to determine visitation exclusions.
Hand hygiene (use of ABHR [alcohol basked hand rub] is preferred).
Face covering or mask (covering mouth and nose) and physical distancing at least six feet between people, in accordance with CDC guidance.
Instructional signal throughout the facility and proper visitor education on COVID-19 signs and symptoms, infection control precautions, other applicable facility practices:
- Hand hygiene and screening at entrance
- Visiting in designated areas only
- Do not enter other residents’ rooms; limit visits to your loved one only
Cleaning and disinfecting high frequency touched surface in the facility often, and designated visitation areas after each visit.
Appropriate staff use of personal protective equipment (PPE)
Effective cohorting of residents (e.g., separate areas dedicated to COVID-19 care)
Resident and staff testing conducted as required by regulation.
If a visitor wishes, we can do a RAPID COVID-19 test prior to entering the Health Center. We do ask that you call in advance to request this service to our nurse’s station at 267-895-1179.

COVID-19 Outbreak Investigation:

It is safer for visitors not to enter the facility during an outbreak investigation; CMS has stated visitors must still be allowed in the facility.
Visitors should be made aware of the potential risk of visiting during an outbreak investigation.
During an outbreak investigation, visits will take place in resident’s rooms only with no common area visits, regardless of the vaccination status.

Vaccinations:

CMS strongly encourages all visitors to become vaccinated.
The facility strongly encourages all visitors to become vaccinated.
This facility will assist you in setting up an appointment for a vaccination through Friendship Pharmacy if you require assistance.
Friendship Pharmacy contact information: 215.624.0440