COVID-19 Update

At Issaquah Nursing and Rehabilitation, we care deeply for the health, safety, and well-being of our residents. As healthcare professionals, the staff at Issaquah Nursing and Rehabilitation is committed to providing the highest level of care to protect our residents and to contain the spread of covid-19. On this webpage we will continue to post updates a couple of times each week. 

Since we learned of our first resident with a presumptive positive test for covid-19, we have worked closely with Public Health - Seattle & King County and Centers for Disease Control and Prevention (CDC). On March 7th, we started working directly with public health and the CDC. They evaluated and endorsed the infection control protocols we have in place to prevent the spread of an outbreak in our facility.

 

Updates 

Update 5/29/2020

This week a single employee tested positive for covid-19. That employee is at home in quarantine. The employee wore personal protective equipment (PPE), and followed established infection control measures to mitigate exposure risk that are in line with CDC and Public Health - Seattle & King County guidelines.

The current number of residents who are still considered covid-positive is two. Our additional mitigation efforts include the no visitors policy per state and federal regulation, screening of staff at the beginning of each shift, rigourous hand washing, and a number infection control measures including donning and doffing of PPE, and environmental cleanings throughout the day.

More residents are showing signs of recovery. Only a small group still has coronavirus symptoms. We remain hopeful that they will feel better soon.

Our residents are an inspiration. While we know it is difficult to not be able to hug family, we are continually in awe of their resilience.

Window visits from family and loved ones are encouraged! Please call ahead at 425-392-1271 to help coordinate your visits. Best times for window visits are:

Tuesday 11 am - 12 noon

Thursday 11:30 am - 12:30 am

Friday 1:30 pm - 2:30 pm

Saturday 2:30 pm - 4:30 pm

Sunday 12 noon - 1 pm

 Our activities calendar has taken on a life of its own. We’ve got art projects, brain games, sports and regular trivia, word puzzles, an entire cart devoted to choose-your-own activities, and aroma therapy selections. Of course, there is weekly BINGO with giggles, chatter, prizes, and bragging rights.

With the mild temperatures and sunshine many residents are getting outside. Residents can stroll with staff and spend time sociallydistanced on the patios.

 

May 22, 2020 

It has been 35 days since a resident tested positive for covid-19. We are hopeful that as residents recover we will be able to announce that our facility is free of coronavirus.

 

Coronavirus Testing

We anticipate that Governor Inslee will issue a mandate for covid-19 testing in all nursing facilities soon.  If so, we are well positioned to comply with the mandate.

Shortly after identifying the first covid-positive case in our facility, we advocated for broad testing of residents and staff. As a result, we were included in an early testing program with the CDC and Public Health -  Seattle & King County.  It is our understanding that we helped make the case for broad testing in skilled nursing facilities nationwide.

 

Resident Health & Safety

All residents of our facility have been tested for covid-19. Any resident with a positive test result has been cared for by a dedicated care team. Residents with positive test results are re-tested according to established care guidelines and direction from medical care providers.

The emotional well-being of our residents is a valid and important concern.  Family members are encouraged to stay in regular contact and make window visits. We anticipate the continuance of our no visitors policy in alignment with state orders.

The Stay Home – Stay Safe order has prevented many of our normal activities.  In response, we designed and expanded a new activities schedule. In doing so, our residents are engaging in brain challenges, enjoying music, sharing memories with each other, playing games, and picking favorite goodies from our snack cart.  BINGO has become a weekly highlight.

 

Staff Safety

We are extremely fortunate to have dedicated managers and caregivers who come to work every day with the goal of providing exemplary care. Our leadership team meets each workday to review resident medical conditions and departmental tasks to care for our residents. 

Our on-site staff is continuing with the covid-19 testing process. Staff follows federal and state guidelines, and stringently uses personal protective equipment (PPE). All staff members inside of our facility wear masks and eye protection.

 

Communication with You

The week of May 25th will be our final week of providing weekly resident primary contact clinical care updates via telephone.  Our nursing leaders are glad to know you all better. As we near 100% resident recovery we would like to reallocate nursing staff hours to supporting resident discharges when possible.

We will continue to provide updates to primary contacts when a resident’s condition changes. Our web site, Facebook page, and dedicated phone message line will continue to provide broad status updates on a weekly basis.

 

 

May 15, 2020

Our residents and care team remain in good spirits. This past week has been filled with sunshine and activities. Our hearts are lighter and laughter has been heard coming from many of the resident rooms. Highlights this past week include:

  • On Wednesday we invited residents who are able to engage in doorway visits. Social distancing was observed, masks were worn, and folks chatted about their favorite vacations. Then, we played tropical music and enjoyed Italian sodas in the afternoon.

 

  • The patios have been open. Residents who can and wish to go outside are able to spend time on the patios, socially distanced by at least 25 feet from other residents. Fresh air and sunshine are wonderful mood boosters.

 

  • Our craft, game, and cookie carts have created enthusiasm. Weekly BINGO is a big hit bringing out the competitive nature of some residents and major giggles from others.

Our residents living with Coronavirus are exhibiting fewer symptoms, and while recovery can be slow, it seems to be happening for many. We are thankful for your continued encouragement and support.

 

May 8, 2020 

It’s Mother’s Day weekend. Our residents are being honored and celebrated in many ways. 

May 10th, Sunday 9:30 am - 1pm: Families are encouraged to schedule window visits.  Please call us at 425-392-1271 to let us know when you would like to come.  Scheduling in advance helps us manage social distancing and make sure that you have a meaningful visit with your loved one.  The activities team will give special gifts to all of our female residents.

May 10th, Sunday, 2:30pm - 4pm: residents enjoy our Coffee Cart featuring iced Starbucks Frappuccino drinks. 

May 8th, Friday 1:45pm - 2pm: The United States Air Force is flying over our building in a salute to healthcare workers. We’ll be looking out the windows for a tip of the wings and listening for the roar of jets. 

May 8th, Friday afternoon: The good folks from Lowe’s Home Improvement are bringing flower baskets to brighten up our surroundings. 

Beyond the festivities, we continue to care for our residents, many of whom are showing signs of recovery. Our weekly schedule continues to engage residents, inspire new ideas, and create opportunities to laugh. 

 

May 1, 2020

Like many of you, we are carefully listening to the governor. We continue to follow clinical best practices and public health guidelines for skilled nursing facilities. Our no inside visitors policy remains in place. 

Here are some recent highlights: 

  • There are fewer residents exhibiting coronavirus symptoms. 
  • Programming is being expanded and enhanced in an effort to bring more joy into the lives of our residents. 

We opened our patio. Residents are enjoying the fresh air and sunshine, and are always a minimum of 25-feet apart from one another. 

For Mother’s Day on May 10th, we’re encouraging all families that want to come for window visits to please call us at 425-392-1271 by Thursday, May 7th. This way we can plan for your visit to ensure proper social distancing of all family members and friends. Please remember that you are required to stand 6-feet apart and use your phone to call your loved one inside. Additionally, if you have a gift to drop-off, please label it with the resident’s name and call to arrange for drop-off.  We’ll deliver your gift to your loved one. 

 

April 23, 2020

Social workers are working with each resident at least once per week to support their emotional, behavioral, and psychological health needs during this time of isolation. We are grateful to our social workers and appreciate the importance of their good work. 

Our nurse practitioners and nurse managers continue to provide health updates to primary contacts of each resident at least once per week, and as developments happen. We are grateful for their continued dedication and care of our residents. 

This week’s activity highlight is BINGO. Thanks to our intercom system, all residents who want to play BINGO can do so from the comfort of their rooms.  Those who get a B-I-N-G-O receive a prize. We give out really good prizes

 

April 16, 2020

The sun is a welcome sight.  We’re enjoying its warmth and watching the trees bloom all around our facility.

Testing for Coronavirus continues. We are thankful the number of cases is stable. Some of our residents who tested positive are starting to show signs of recovery. Others remain symptomatic. All residents who received a positive COVID-19 test result are attended to by a dedicated team of care professionals.

Our daily schedule of activities is creating bright moments and our residents are generally in good spirits. Residents and staff appreciate the many acts of kindness from our community. Several faith leaders include us in their prayers, and special blessings were said for us during the Easter and Passover holidays. Some resident families dropped by holiday gifts or came for window visits. Many neighbors and friends boost our spirits with their words of kindness and encouragement. We are grateful for our community. 

 

April 9, 2020

With Easter just around the corner, we are welcoming limited contact for our residents from their immediate family members and closest loved ones. Please call the front desk to coordinate the following: 

  • Easter gift drop-offs
  • Window visit
  • Easter Facetime or Zoom video calls

If a resident’s church is offering video or YouTube services or mass please be sure to mention it. We will make every effort to make the service available to the resident.  Additionally, if a resident observes Passover or another holiday this time of year please be certain to let us know. We are happy to help honor all faith traditions.

 

April 2, 2020

We continue with the testing process when clinically indicated.

Some residents who tested positive for COVID-19 are showing signs of improvement. We are grateful to be able to care for them and continue to pray for recovery. 

The majority of our residents feel well. To brighten spirits we have added programming each day of the week. This includes:

Monday Music - Residents request music that we play in their rooms and the hallways.

Tuesday Trivia - All residents receive a page of trivia questions. Answers are shared in the afternoon over the intercom.

Wednesday Whacky Jokes - A page of jokes is distributed. In the future, we will be reading some of the jokes over the intercom.

Thursday Thankful Thoughts –Today Department Heads and Managers ended their daily meeting by stating one thing for which they are grateful.Most were grateful for working with such a great team! Residents each received a card or letter from a community member.  Please keep the cards, pictures/drawings and letters coming.

Friday Refreshments - Time for a drink and a munch. Requested snacks include Cheez-Its, Pringles, and candy. 

Saturday Sports - The game is on.

Sunday Spiritual Connection - Honoring the beliefs of residents is important. Prayer, medication and spiritual considerations are emphasized    

 

March 26, 2020

We are grateful for the continued diligence and collaboration with Public Health - Seattle & King County. Our residents are being tested and retested for Covid-19.

Those who are Covid-19 positive are attended to by a dedicated care team. We have an adequate supply of personal protective equipment (PPE) and are assured by the team from public health and the CDC that our staff is taking all proper precautions.

Our residents remain in isolation, as this is part of our containment plan. Each day, our staff makes an effort to lighten and brighten spirits through acts of support and kindness. Your messages of encouragement on our Facebook page are appreciated by residents and staff.

 

March 20, 2020 

Approximately 10 days ago we requested coronavirus testing for all residents and staff. Public Health - Seattle & King County and the CDC prioritized our facility. We tested all consenting residents for Covid-19 and several staff members. The majority of test results are negative.

Each of our residents, and their primary contacts, are in regular communication with our managing nurses. We are handling communication in a subjective, private, and dignified manner.

Through this process, we have learned that Covid-19 is unpredictable. There are Covid-19 positive residents with:

  • no symptoms
  • one symptom
  • more than one symptom

Any resident who tested Covid-positive is being attended to by a Covid-dedicated care team. Additionally, residents who tested negative for Covid-19 are being retested today. We expect this process of testing and retesting to continue for some time.

 

March 18, 2020 

Our residents, and their primary decision-makers, are enrolled in our update system. Our managing nurses make briefings to them via telephone on a regular basis.

At each briefing, we encourage primary decision-makers to share requests for things that will brighten the resident’s day. For instance, we learned that one resident enjoys fruit so we provide mandarin oranges and bananas as snacks. Another resident has a favorite author, so we ordered books for that resident's Kindle. Most of our residents are in communication with their family members and enjoy using Skype and Facetime to connect. Our staff helps facilitate those conversations when needed. 

 

March 13, 2020 

Our staff is working diligently to provide resident care. Collaboration with Public Health – Seattle & King County and the CDC continues and we appreciate the support from these agencies.

Beginning today we will provide updates as needed. We respect the dignity of the residents in our care. We are in direct contact with our residents and their loved ones, providing detailed information about health status, care needs, and ways to connect.

If you have a family member in our care and would like an update on his or her condition, please call 425-392-1271. This phone number is for authorized resident family members only.

 

 

March 12, 2020

Today we learned that a resident who went to the hospital on Tuesday, March 10 has tested positive for COVID-19.

We have requested that COVID-19 testing for all of our residents be prioritized. Additionally, we would like all staff members to be tested and have relayed this request to the agencies addressing the COVID-19 situation in our facility.

Our team continues to collaborate with Public Health - Seattle & King County, the CDC, and the Washington State Department of Social and Health Services (DSHS). All agencies have visited our facility and affirmed our infection control protocols and patient care processes.

Congresswoman, Dr. Kim Schrier, King County Councilmember Kathy Lambert, and Mayor of Issaquah Mary Lou Pauly are in communication with us. They have inquired about our residents and their needs, offered support for our requests, and continue to provide their constituents with helpful information about our facility. We are grateful for the support of our community and its leadership.

 

March 11, 2020

Public Health- Seattle & King County tested several residents for COVID-19 on Sunday, March 8. The department returned positive test results for five residents. Residents who are COVID-positive are in isolation and attended to by a dedicated care team.

Our staff is in contact with the families of residents who received positive test results. We continue to collaborate with Public Health – Seattle & King County and maintain daily communication with the CDC.

We appreciate the many kind messages and encouraging notes we have received from the community. Thank you for lifting our spirits.

 

March 10, 2020

Our patients are resting comfortably and enjoy hearing from their loved ones. Yesterday, the Issaquah Fire Department delivered flowers. We have distributed the flowers to the residents adding cheer in their rooms.

Today, there were no new residents with symptoms. We received COVID-test results for five members of our nursing care team; all tested NEGATIVE.

We continue to work in partnership with CDC professionals on-site and continue to receive affirmation that our protocols are excellent.

An ambulance did visit our facility for a non-coronavirus related incident. We will continue to update this page daily.

 

March 9, 2020

We regret to share that a resident who tested positive COVID-19 last week passed away over the weekend. Our hearts are heavy with grief.

To date, we have two COVID-positive residents in onsite quarantine, three COVID-positive residents in off-site quarantine, and two COVID-positive staff in off-site quarantine. We are awaiting test results for two additional staff members who are in off-site quarantine.

Today, there were no new residents or staff members with symptoms.

In partnership with the CDC we are reaching out to visitors and vendors who have been in our facility. Our contact includes anyone who visited between February 1 and last week.

The CDC is in communication with us daily. Our team met with a medical director from the CDC and a team of doctors. The CDC is also providing us with additional personal protective equipment. We are grateful for the help and support they have provided.

 

March 8, 2020

At Issaquah Nursing and Rehabilitation Center our focus is to provide exceptional care and services. Everyone at our facility cares deeply about our residents, staff and family members. We are concerned about our hospitalized residents. Our thoughts and prayers are with them and their families during this difficult time.

We regret to report that one additional patient was transferred to a local hospital on March 5th. Today, we learned that resident received a presumptive positive test for COVID-19. King County Public Health or the CDC is expected to respond and confirm the result once the state laboratory releases their findings.

Issaquah Nursing and Rehabilitation continues to be in close contact with representatives from King County Public Health and the CDC.  We have allowed them full access to our facility and we welcome any recommendations they have have to further protect our residents and staff.

Most specifically, physician representatives from the CDC were in the facility Saturday, March 7. They observed and affirmed our cleaning and care-taking protocols. The CDC team also responded to questions. We are thankful for their expertise and their help is alleviating staff concerns. 

We will continue to update our web site daily

 

March 7, 2020

We are writing to provide an update on COVID-19 as it relates to Issaquah Nursing and Rehabilitation Center. The CDC and King County Public Health representatives were at our facility on 3/6/20. They reviewed our infection control practices and provided testing of a few patients who have exhibited cough and who now are on droplet precautions and isolation.

We were not given any recommendations or mandates to change ANY of the processes we are currently performing. We also were not given any mandates or recommendations to implement any new interventions.

The CDC Infectious Disease physician stated that the CDC highly recommends and encourages facilities implement visitor restrictions, therefore we will continue with our NO VISITOR policy.

All staff who have any symptoms of infectious disease have been prohibited from working at our facility.

Two residents who were transferred out of the facility to a local hospital on March 5th have been reported to have presumptive positive Covid-19 results. Those results are not final and remain to be confirmed by the state laboratory.

One resident was tested and is reported to be Covid-19 negative.

We do not have any residents in our facility who have tested positive for Covid-19 at this time. We will continue to provide updates as we receive more information.

Lisa B. Stubenrauch RN-BC BSN CDONA/LTC RAC-CT NHA
Administrator
Issaquah Nursing and Rehabilitation Center

 

March 6, 2020

We have learned that a resident in our facility who was transferred to the hospital earlier this week, on Tuesday March 3, was subsequently tested and determined to have COVID-19. Prior to the transfer and testing of this resident, we had already implemented infection control protocols to protect our residents, staff and families. We are working with medical experts and state health authorities to ensure we are taking the appropriate steps and following the recommended protocols. We have asked family and visitors not to visit our facility at this time. The safety and health of our residents is our top priority as we continue to vigilantly follow infection control best practices.

No visitors at this time.

For updates regarding your loved one, feel free to continue to call their primary nurse or nurse manager. For facility updates please call 425-392-1272.
Go to our Website: www.issaquahnursing.com or follow us on facebook.

Lisa B. Stubenrauch RN-BC BSN CDONA/LTC RAC-CT NHA
Administrator
Issaquah Nursing and Rehabilitation Center