COVID-19 UPDATE:
INFORMATION DONATE
Call today to learn more: 503-535-4000 SCHEDULE A TOUR TODAY

IMPORTANT UPDATE REGARDING VISITATION AT CSP: July 14, 2020:

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

Yesterday afternoon CSP received anticipated guidance and recommendations from the Department of Human Services (DHS) Safety and Quality Oversight Division (SOQ) regarding “the possibility of limited, structured outdoor visitation utilizing best practices for physical distancing. This is a precursor to a forthcoming long-term care reopening plan which will be based on guidance from CMS and Governor Brown. This limited outdoor visitation policy is intended to offer specific guidelines under which structured outdoor visitation can be accommodated” on campus (different from the window visits where residents and family are separated by the glass and masks which may be continued at this time).

According to Governor Brown and DHS/SOQ, “the guidance for outdoor visits on site is based on currently available best-practice recommendations and evidence, and may be updated as additional information becomes available.”

According to DHS/SOQ: “At least 24 hours before commencing outdoor visitation, the facility must submit via email to SOQ copy of the visitation plan that indicates the facility has a location designated for outdoor visitation, sufficient staff, a mechanism for appointments and sufficient PPE to permit visitation.”

Until our plan is approved, the only visits permitted on campus are “window visits”, compassionate care and/or end of life visits. We respectfully expect 100% compliance to protect our residents, staff and each of you.

CSP leadership and consultants at both RSM and RJHC/HSCL are working diligently to develop respective plans and will submit to the SOQ for approval once the following elements have been met and translated into appropriate policy:

  • All visitors must be screened for symptoms.
  • Any visitors with symptoms of COVID-19 infection (subjective or objective fever equal to or greater than 100.4 F chills, cough, shortness of breath or difficulty breathing, sore throat, fatigue, muscle or body aches, headache, new loss of taste or smell, congestion or runny nose, nausea or vomiting, or diarrhea) will not be permitted to visit with a resident.
  • All visitors must practice hand hygiene (including alcohol-based handrub) prior to their visit with the resident.
  • Both the visitor and the residents must wear a mask or cloth face covering for the duration of the visit.
      • Residents may have exceptions due to underlying medical conditions.
  • A visitor log with contact information, for the purpose of contact tracing should the need arise, must be maintained by facility staff.
  • Utilize appointment times in an effort to minimize the flow of foot traffic and allow for greater control over the number of visitors at any given time. The number of visitors and residents allowable should be determined according to the available outdoor area.
  • There should be visual reminders of required safety precautions and both the resident and the visitors should be reminded of best practices;

An inability to honor these requirements could negatively impact the ability to schedule future visits for the non-compliant guest.

  • Limit the number of visitors that may visit a resident at any given time
    (two per resident at once).

      • Minor children and visitors must be in the control of adults who
        bring them and must also comply with physical distancing
        requirements.
  • Create safe spaces by placing chairs at least 6 feet apart, marking the ground with tape, using a see-through separation wall, or by stationing physically distant tables in an outdoor seating area.
  • The designated visiting area must be accessible without requiring the visitors to enter the facility.
  • When needed, resident transfer to and from the visitation area must be provided by facility staff, not resident visitors.
  • A facility staff member familiar with the required protocols shall monitor visits to assure risk prevention procedures are being followed during visits.
  • Facility will ensure all visiting stations are cleaned and disinfected between visitor sessions.
  • Food is not permitted during the visits. Visitors may bring their own water which cannot be shared with the resident.
  • If a resident is being observed due to presence of COVID-19 symptoms the visit should be delayed until a later date.
  • If any visitor has been actively recovering from confirmed or suspected COVID-19, they will be not be allowed to visit until:
      • At least 3 days (72 hours) have passed since recovery defined as resolution of fever without the use of fever-reducing medications and improvement in respiratory symptoms (e.g., cough, shortness of breath); and,
      • At least 10 days have passed since symptoms first appeared.
  • If a resident has been actively recovering from COVID-19, visits can be allowed once the resident has met CDC criteria for recovery.
  • A building that is currently under Executive Order due to confirmed COVID-19 or pending test results shall not allow visitation (visitation may resume once the Executive Order is lifted).

Once our plans are approved, CSP will share the plan in writing and your respective administrator will host a question and answer (Q &A) Zoom meeting.

As always, if you have any questions, please feel free to contact the campus administrators or me. We will assist you in any way possible.

RSM: Vivian Villegas: 1-360-936-2694
HSCL/RJHC: Krista Mattox: 503-320-0807

With love, honor, and respect,

Kimberly Fuson
Chief Executive Officer
503-504-5277

IMPORTANT INFORMATION AS OF July 9, 2020:

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

Over the past week we learned that Oregon and the Portland metro area in particular continues to experience increasing cases of COVID-19. This morning we learned that Phase 2 opening for Multnomah County has been placed on hold. This is not unexpected as we try to resume social and business activity to support community and the economy in a society where individual choice is a fundamental right.

Reflecting this week about balancing the choice of the one with the needs of the many as it relates to this pandemic. There are so many opinions, recommendations and guidelines from our plethora of government and non-government agencies, “think tanks”, social media, newspapers, and magazines. Add to this the mandates from our well-meaning government agencies that often contradict one another and change so frequently it can make your head spin.

The simple truth is that we still do not have solid insight into COVID-19; we do not know how to stop this virus. It’s going to be with us for the foreseeable future. We have a little bit of knowledge about how to mitigate the spread….and we need to embrace that knowledge both at Cedar Sinai Park and as a society if we are to move forward in our quest to be together:

  • Wear a mask/face covering in indoor areas outside your home (this includes common areas in nursing homes, assisted living, apartment and condominium complexes). One physician’s perspective on masking:

https://www.upworthy.com/masks

  • Be thoughtful about where you go and with whom you commune.
  • Maintain AT LEAST six feet of distance between yourself and others.
  • Wash your hands often and for at least twenty seconds each time.
  • Stay home if you’re sick.

CSP Staff: I am deeply grateful for your dedication and diligence in learning about and your commitment to using personal protective equipment (PPE), particularly medical grade masks; it is not natural, easy or comfortable. You amaze me every day as I witness your caring commitment to keep one another and our residents, tenants and clients as safe as possible through your thoughtful practice of infection control and your loving approach with one another, our residents, tenants, clients, families, and essential visitors, encouraging them to do the same.

Residents, Tenants, and Clients: Wearing masks/face coverings outside your homes (including campus common areas) and distancing on campus and in other public areas are imperative to give CSP the greatest chance of mitigation. We wear masks to protect ourselves and one another. It is a gesture of Gemilut Hasadim, of loving kindness. As we plan for a time where we can dine, play together and visit with loved ones again, distancing and masks/face coverings will be required (except while dining of course). Gratitude to those of you who are our champions for masking/face covering!

Families and Friends: We are cautiously hopeful and planning for the time when you can once again visit your loved ones beyond the window; please know that those visits will be scheduled in advance and each person will be required to attest to safe practices before visiting; masking/face covering and distancing will be required.

We appreciate those of you who have honored our request to allow our residents to move freely in our outdoor spaces and not come “hang out” at our front park areas. Those of you who have visited despite our request, please be prepared for the formalization of this process. Again, this is to protect our residents, staff and each of you.

Campus Services Update:

  • Administrators are working with our stylists to develop a safe plan to re-open our salons. Date to be determined by what happens in our county over the next 1-2 weeks.
  • Spiritual Life, Life Enrichment, Culinary and Administration are collaborating with our board and community volunteers to develop a plan for High Holy Days.

Update for Testing of all Residents and Staff in Long-Term Care:

  • The Department of Human Services (DHS) and the Oregon Health Authority (OHA) continue work on finalizing an Oregon Administrative Rule (OAR) for the Long-Term Care Facility Testing Plan. The focus of the OAR is on initial baseline testing only. Ongoing testing protocols and timelines will be drafted later this summer.

Ongoing testing does not need to start 30 days after initial testing has been completed. Although this was in the original plan, the timeline has been modified. The latest communication states that ongoing testing will start on October 1, 2020. Final dates will be forthcoming. The initial testing plan timeline remains June 1 through September 30, 2020.

We expect the draft rule filing to occur at the end of this week.

News About Vaccines/Clinical Trials:
https://www.mcknights.com/news/clinical-news/new-nih-network-to-recruit-thousands-for-late-stage-covid-19-vaccine-trials

As always, if you have any questions, please feel free to contact the campus administrators or me. We will assist you in any way possible.

RSM: Vivian Villegas: 1-360-936-2694
HSCL/RJHC: Krista Mattox: 503-320-0807

With love, honor, and respect,

Kimberly Fuson
Chief Executive Officer
503-504-5277

IMPORTANT INFORMATION AS OF July 6, 2020:

Considering traveling within the United States or abroad? Check out the latest guidelines and recommendations here: https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html. 

IMPORTANT INFORMATION AS OF July 2, 2020:

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

Since our last communication, we are pleased to share that the remaining four staff COVID-19 test results at RSM were received and all four (4) were NEGATIVE.

Deep gratitude and appreciation to RSM Administrator Vivian Villegas, Health Services Director Aaron Diester and the RSM team for your diligence and dedication.

We must also give great thanks to our affordable housing management Nathan Burgess, Quinn Black, Deborah Theisen and their teams, as we have not had a single reported staff or resident/tenant case of COVID-19 at Kehillah House, Rose Schnitzer Tower, Park Tower, The Lexington or The 1200 building to date.

Our teams are persistently vigilant in maintaining infection control standards, including daily rounds in each department, ongoing teaching and training, and staff support and reminders to one another. While we know cases are increasing across the state and that COVID-19 is sneaky and could overtake us at any time, currently, our CSP “village” is successful at keeping the virus at bay.

We continue to await the state of Oregon’s plan to initiate first round testing for all residents and staff in nursing homes and assisted living and ongoing monthly testing for all staff. While we wait, the CSP leadership team is collaborating with our trade association and business partners to explore resources for testing and funding of these tests. While there are strong lobbying efforts to cover the cost of testing, supplies, and increased financial resources for staffing, there is yet to be any solid resolution.

Should our state and federal governments stand by their current plan that each organization pay for the mandated monthly testing for all staff, the expense to CSP would be $500,000 annually at the current testing rates.

Resident testing is covered by Medicare. Currently, Medicare and most Medicare Advantage plans have waived any co-pay for COVID-19 tests.

We know that our staff health plan, Kaiser Permanente (KP), has waived any co-pay for staff testing due to exposure or onset of symptoms. According to our insurance broker, KP is still deliberating regarding partnering to provide coverage for mandated monthly staff testing.

For those of you considering travel (NOT recommended by any public or private agency at this time), the New York Times published the following article about travel to Europe. Please note, the USA is not on the list of currently approved countries.

https://www.nytimes.com/article/eu-travel-ban-explained-usa.html

Within the article is the link below sharing the rationale and plan for entry. The lists are to be updated every two weeks. Page nine (9) lists countries currently approved and page ten (10) defines potential exceptions for unapproved countries.

https://data.consilium.europa.eu/doc/document/ST-9208-2020-INIT/en/pdf

On a lighter note, we celebrated staff and residents this week with giant hand-made Oreo ice cream sandwiches from Dairy Hill Ice Cream Parlor.

As we enter the holiday weekend, please join me in saying a Bracha (prayer) (or poo, poo, poo) that the blessing of being COVID-free endures.

As always, if you have any questions, please feel free to contact the campus administrators or me. We will assist you in any way possible.

RSM: Vivian Villegas: 1-360-936-2694
HSCL/RJHC: Krista Mattox: 503-320-0807

Be safe, wear a mask, love, and respect our diversity from a distance.

Kimberly Fuson
Chief Executive Officer
503-504-5277

Covid-19 Announcements

IMPORTANT INFORMATION AS OF July 1, 2020:

See COVID Risk Levels by County:
Check out The Harvard Global Health Institute’s new risk level map that shows detailed information on COVID-19 cases for all counties in the United States.

IMPORTANT INFORMATION AS OF June 26, 2020:

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

We must begin this week’s update with heartfelt gratitude to Dru Rosenthal, Development and Communication Director, Grace Hollandsworth, Events and Communication Manager and Alison Burger, Executive Assistant for their FABULOUS work developing and debuting CSP’s 100th Annual Meeting of the Members a la Zoom.

Despite the distance, the energies of warmth, humor and hope were felt by those who attended. We loved seeing all of you!

Elise Brickner-Schulz, Mazel Tov on your election to serve as Cedar Sinai Park’s Chair of the Board of Trustees. I anticipate a bright future together.

Ivan Gold, thank you so much for your dynamic leadership. We look forward to a lively strategic planning process with your guidance in your new role as Immediate Past Chair.
If you missed the meeting or want an encore performance, click on the link below:

https://www.youtube.com/watch?v=jgFHDE3yEEU

On the COVID-19 front, here’s what we’ve learned since last week:

In Oregon:
As we finish the first week of phase one opening in Multnomah County, new modeling shows that COVID-19 is spreading more rapidly in Oregon based on data through June 18, 2020. CSP continues to monitor this rise closely.

https://www.oregon.gov/oha/ERD/Pages/NewestModelingSuggestsConsiderableRiseInCOVID19Transmission.aspx

Nationally:
On June 23, 2020, the Centers for Medicare and Medicaid (CMS) issued additional guidance on “reopening” long-term care communities for communal dining, activities, and visitation. Each long-term care community must work in conjunction with the state, county and specific locality to determine best and safest practices prior to initiation of any plan.

What does this mean for CSP?

  • Currently, all federal and state safety measures remain in place (I know this is starting to sound redundant).
  • We will continue to develop plans to restart communal dining, activities and visitations with our nurse consultant, medical director, Oregon Health Authority (OHA) and the Department of Human Services (DHS) in readiness.

What you can do as a colleague, resident, family and friend:
From Dean Sidelinger, MD, Oregon State Health Officer:

  • Think hard about your choice of activities.
  • Ask yourself: how can I reduce my risk and the risk I might pose to people around me?
  • Do what you can to suppress the virus:
    • Stay 6 feet away from other people.
    • Wear a mask.
    • Avoid large gatherings.
    • And if you are in a group setting — like a holiday barbeque — stay outside, keep your distance and use a face covering when you’re not eating.
    • Wash your hands frequently.
    • Stay home if you’re sick.

As always, if you have any questions, please feel free to contact the campus administrators or me. We will assist you in any way possible.

RSM: Vivian Villegas: 1-360-936-2694
HSCL/RJHC: Krista Mattox: 503-320-0807

Shabbat Shalom,

Kimberly Fuson
Chief Executive Officer
503-504-5277

IMPORTANT INFORMATION AS OF June 22, 2020:

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

Due to the indefatigable efforts of the Rose Schnitzer Manor (RSM) team, our consultant Patti Garibaldi, RN and our medical director Kirsten Carr, MD in conjunction with the Oregon Health Authority (OHA), we are pleased to share the following update regarding COVID-19 testing of all RSM residents and staff:

  • All RSM resident test results have been received: ALL NEGATIVE
  • All RSM staff members except four have been received*: ALL NEGATIVE
    *Four staff pending results

What does this mean?

  • RSM move-in hold is now lifted (all move-ins still require a COVID-19 negative test prior to move-in).
  • Because all residents tested negative and continue to be asymptomatic and the four residents that were placed in isolation due to the level of potential exposure were serial tested (tested twice) and both sets of results were negative, OHA has agreed to forgo the second serial testing at RSM.
  • This testing at RSM will count as the first testing required by OHA and most likely will be reimbursed by the State of Oregon.

Please note: All federal and state safety measures
in place for RSM and RJHC/HSCL remain the same.

Please see the link below for reminders and resources from the Centers for Disease Control and Prevention for our staff, residents, families and our general community about preventing the spread of COVID-19 (in a multitude of languages):

https://www.cdc.gov/coronavirus/2019-ncov/communication/print-resources.html

As always, if you have any questions, please feel free to contact the campus administrators or me. We will assist you in any way possible.

RSM: Vivian Villegas: 1-360-936-2694
HSCL/RJHC: Krista Mattox: 503-320-0807

Wishing all an early Shabbat Shalom and Juneteenth!

With love, honor, and respect,

Kimberly Fuson
Chief Executive Officer
503-504-5277

IMPORTANT INFORMATION AS OF June 18, 2020:

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

What an incredible week it has been for our country, state and CSP! This morning, the Supreme Court ruled that the Dreamers can still dream (for now). Monday, the Civil Rights Act of 1964 was expanded to include our LGBTQ family and friends. We continue to experience the not-so-steady re-opening up of our state……and tomorrow Multnomah County moves to phase one reopening followed by required masking/face-covering in indoor public areas June 24, 2020.

At CSP, as shared last week, we initiated COVID-19 testing for all RSM residents and staff. As of 9:00 a.m. this morning:

  • We have received 92% of resident results: ALL NEGATIVE
  • We have received 61% of staff results: ALL NEGATIVE

We continue to be cautiously optimistic regarding the remaining pending results and are keeping in close contact with the Oregon Health Authority as we move through this process.

All Long Term-Care Staff and Resident COVID-19 Testing Update:
We received the expected guidance regarding the testing plan late in the evening June 15, 2020. Below is the summary followed by links for those who want a deep-dive:

  • Initial testing of all residents and staff in Nursing Homes and Assisted Living (based on the guiding principles of cultural competence and trauma informed care) must be completed by 09/30/2020.
  • Nursing Homes are the first wave, Assisted Living the second wave.
  • Initial testing will be paid by the state of Oregon (we are working to get the initial RSM testing covered even though it occurred before the plan was final)
  • Ongoing testing is required for all staff each month (25% each week). Currently the state infers that each organization will absorb the cost of ongoing tests, but our trade associations and other advocates are working on this as we speak.

https://content.govdelivery.com/accounts/ORDHS/bulletins/290ea16

https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/le2721.pdf

Multnomah County Phase One Reopening: What does it mean for CSP?
All current measures in place for RSM and RJHC/HSCL remain the same for the next 14-21 days per recommendations/guidelines from the Governor’s Office, Department of Human Services, Oregon Health Authority, the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid.

Stay tuned: Next week’s update will include more detail as we know more about the success of Multnomah County’s phase one reopening.

As always, if you have any questions, please feel free to contact the campus administrators or me. We will assist you in any way possible.

RSM: Vivian Villegas: 1-360-936-2694
HSCL/RJHC: Krista Mattox: 503-320-0807

Wishing all an early Shabbat Shalom and Juneteenth!

With love, honor, and respect,

Kimberly Fuson
Chief Executive Officer
503-504-5277

IMPORTANT INFORMATION AS OF June 11, 2020:

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

Since our last communication June 7, 2020, there have been many new updates and guidance to long term care communities as well as our own updates here on campus. Here’s what we know today:

On our Cedar Sinai Park Campus:

    • We have completed first round COVID-19 testing of all residents at Rose Schnitzer Manor. Four results returned thus far and all negative.
    • We have initiated first round COVID-19 testing for all Rose Schnitzer Manor staff.
    • We are awaiting results of testing for the private duty staff that serve our residents at RSM.
    • We anticipate testing all residents and staff at RJHC/HSCL and RSM on an ongoing basis within the next 2-4 weeks based on the following information:

In Oregon:

    • On the evening of June 9, 2020, Governor Brown announced a plan for comprehensive COVID-19 testing of all residents and staff in long-term care facilities, prioritizing those facilities at greatest risk for outbreaks. She directed the Oregon Health Authority (OHA) and the Department of Human Services (DHS) to implement the plan, stating that expanding testing is an essential first step to allow for the examination of how visitation policies can be safely and incrementally eased. See the Governor’s announcement.

Steps that need to be taken prior to launching of the plan include initiating a communication strategy for informing facility operators, health care providers, and laboratories about the new plan, and updating testing guidelines. OHA and DHS will also be working with long-term care facilities to implement recommended best practices for ongoing monitoring.

On June 10, 2020, Adult Protective Services (APD) Interim Director Mike McCormick, sent a communication to stakeholders reminding them to remain diligent in their efforts to prevent new infections including continuing with current infection control strategies. He indicated that as of now, all of APD’s COVID-19 policies remain in place recognizing the hardship it creates, but adding that “we must be very cautious about potential exposure, especially in large, congregate long-term care facilities, as the consequences can be dire.”

Mike indicated that in the coming days, OHA and DHS will release full details of the testing plan. He added that APD will soon have more information on how visitation policies will adapt as counties throughout the state enter Phase 2 of reopening. APD is also drafting rules to reimburse facilities for testing of staff.

For more details: https://www.oregon.gov/newsroom/Pages/NewsDetail.aspx?newsid=36767

Nationally:

    • As we know, on June 3, 2020, the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare and Medicaid (CMS) began posting collected information regarding COVID-19 presumptive and positive test results from nursing homes. We are now able to see those results on the CMS Data website. We have reviewed the data and it is still listed incorrectly. There are several other nursing homes experiencing the same concerns:

https://www.medpagetoday.com/infectiousdisease/covid19/86967

We will continue to monitor the site and follow up to make sure our data gets corrected. If you wish to follow along:

https://data.cms.gov/Special-Programs-Initiatives-COVID-19-Nursing-Home/COVID-19-Nursing-Home-Dataset/s2uc-8wxp/data

As always, if you have any questions, please feel free to contact the campus administrators or me. We will assist you in any way possible.

RSM: Vivian Villegas: 1-360-936-2694
HSCL/RJHC: Krista Mattox: 503-320-0807

With love, honor, and respect,

Kimberly Fuson
Chief Executive Officer
503-504-5277

IMPORTANT INFORMATION AS OF June 7, 2020:

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

Since our last communication June 5, 2020, we are relieved to share that our resident in post-acute care and both CSP staff members have all tested negative for COVID-19.

That being said, late last night we learned that an RSM resident’s private duty caregiver from an outside agency has tested positive for COVID-19. Two other staff members from this agency are affected and are testing and self-quarantining at this time.

We have notified public health officials as required and are following procedures recommended by the Centers for Disease Control & Prevention (CDC). We are taking every step as recommended by authorities and some additional steps we believe are important as an organization to contain the spread at this time. We want to make residents, their families, and our dedicated staff aware of this situation and reassure everyone that we are on top of it:

  • Per guidance from the Oregon Health Authority (OHA), at this time, RSM will not be accepting move-ins through June 17, 2020.
  • We are requiring full PPE (N95 respirators, shields/goggles, gowns, gloves) for staff who directly interact with resident(s) directly exposed and limiting the staff who care for those residents (i.e. Health Service Staff to perform care, meal delivery, housekeeping and laundry) until we are clear.
  • While OHA is not requiring testing of all RSM residents and staff at this time and no residents or staff are exhibiting symptoms to date, after reviewing our initial contact tracing and conferring with our assigned OHA epidemiologist, medical director, infection control consultant and RSM leadership, out of an abundance of caution we will be testing all RSM residents and staff. Please note this may take up to 72 hours to complete first round testing as we obtain the additional 400 tests needed to complete initial and follow up tests (14 days after results received from first test).

As I’ve said before (and there’s really no better way to say it clearly), developments are changing day by day, minute by minute. Our focus remains on the health and well-being of our community. We must also continue to recognize our team for the concern and commitment they have shown to our residents during this challenging time. Truly, our mission has never been more meaningful.

We want to assure you that we have educated our staff on infection control processes and procedures to keep our residents and employees safe and will continue to take the necessary precautions. We ask that you do the same.

We ask that our colleagues, residents, families and staff stay positive, have faith and do all that we can to support our community by following the recommendations set forth by the CDC. Thank you all for your support.

https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/index.html

We will provide updates as we learn more from our testing.

As always, if you have any questions, please feel free to contact the campus administrators or me. We will assist you in any way possible.

RSM: Vivian Villegas: 1-360-936-2694
HSCL/RJHC: Krista Mattox: 503-320-0807

With love, honor, and respect,

Kimberly Fuson
Chief Executive Officer
503-504-5277

IMPORTANT INFORMATION AS OF June 5, 2020:

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

As you know, in compliance with the Centers for Disease Control (CDC) and the Centers for Medicare and Medicaid CMS guidelines, we have been actively screening employees and assessing/screening residents for symptoms of upper respiratory illnesses since the advent of the COVID-19 pandemic. Additionally, we have been following all CDC and CMS guidelines for infection control and prevention, including enhanced sanitization of community spaces, modification of services to promote social distancing, and the provision of personal protective equipment for healthcare personnel.

Per guidance from the Oregon Health Authority (OHA), CDC and CMS, we are writing to inform you that we are awaiting test results for two staff (one from Robison and one from RSM) and one resident. Neither staff member is symptomatic but both reported they were exposed to a family member that tested positive. As a preventive measure, we have already asked these individuals to self-quarantine at home, and we are working closely with OHA to track and identify any other people with whom these staff members may have had close contact. Please note that our staff member from Robison has not been on campus for the last nine days and therefore the risk of transmission to other staff or residents is considered low.

It is out of an abundance of caution we are testing a resident from RJHC post-acute for the fourth time in two weeks (the first three test results were negative). This resident has underlying conditions.

If either employee or our resident is confirmed to have a case of COVID-19, we will follow all CDC and OHA instructions.

Developments are changing day by day, minute by minute. Our focus remains on the health and well-being of our community. We must also recognize our team for the concern and commitment they have shown to our residents during this challenging time. Our mission has never been more meaningful.

We ask that our residents and staff do all that they can to support our community by following the recommendations set forth by the CDC:

• Social Distancing/staying home if possible – at least six (6) feet away from others
• Washing Hands for 20 seconds with soap and water
• Avoid touching your face
• Self-isolating if showing any signs or symptoms of COVID-19
• Seek medical assistance as necessary

We want to assure you that we have educated our staff on infection control processes and procedures to keep our residents and employees safe and will continue to take the necessary precautions. We ask that you do the same. Thank you all for your support. We will provide updates once we receive results.

As always, if you have any questions, please feel free to contact the campus administrators or me. We will assist you in any way possible.

RSM: Vivian Villegas: 1-360-936-2694
HSCL/RJHC: Krista Mattox: 503-320-0807

With love, honor, and respect,

Kimberly Fuson
Chief Executive Officer
503-504-5277

IMPORTANT INFORMATION AS OF June 4, 2020 Evening Update

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

This week the Centers for Disease Control (CDC) posted first round COVID-19 information from their new reporting system for nursing homes and assisted living communities. Based on information from the CDC, Oregon Live yesterday posted an article that questioned whether eight Oregon nursing home staff members had died from COVID-19. THAT INFORMATION IS NOT ACCURATE.

We have traced the inaccurate information to an innocent data entry error by one of our staff members who was completing the new CDC data request for the first time. The error has been corrected with the CDC and the Oregon Live reporter, State Ombudsman Office, the Oregon Department of Human Services and Oregon Health Authority have all been advised.

Please know that no Cedar Sinai Park staff or residents have died as a result COVID-19 to date and only two members of our staff have tested positive to date.

We know our status can change from one moment to the next. Our staff continue to be vigilant in monitoring all residents, staff and essential professionals for signs and symptoms.

I want to assure you that we will continue to communicate with you in the most clear, complete, timely, TRANSPARENT and ACCURATE manner.

We sincerely apologize for any undue concern this has caused.

With love, honor, and respect,

Kimberly Fuson

Chief Executive Officer

503-504-5277

IMPORTANT INFORMATION AS OF June 4, 2020

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

The past week has been especially difficult as we not only faced the continuation of the coronavirus pandemic but a worsening of the societal infection that is known as racism and discrimination.

This is a perfect time to reflect on what has made Cedar Sinai Park one of the most highly regarded senior communities in the country for a century. And that answer is very simple — our people. Our people come from diverse backgrounds — we are every color and every gender; we are from every religious and spiritual practice. Each and every day we come together in compassion to care for our most venerated elders.

I want to express my deepest gratitude to the 300 members of our Cedar Sinai Park team — our colleagues— because you truly represent the best of the best. Working in healthcare is one of the toughest jobs there is — there is no question that the people of Cedar Sinai Park are extraordinary!

I began my career in long-term care in 1990 as a social worker. The universal lesson learned over the past 30 years is that every person working with seniors in healthcare are heroes. We understand that together we make a profound difference to those whose lives we serve. That is why I can say with great sincerity that this is both a thank-you note and a love letter to my colleagues at Cedar Sinai Park:

Thank you for working together so diligently every day to make sure others are able to receive the care they need to be safe. Thank you for understanding that our differences make us stronger. You all are superheroes. Know that each day you go to work you inspire me, our residents, families, and community.

Residents, Families and Friends: Please join me in expressing love and appreciation for our healthcare heroes by sharing some words of encouragement via email at:
staff.appreciation@cedarsinaipark.org
We’ll share your notes with our colleagues and community!

With love, honor, and respect,

Kimberly Fuson

Chief Executive Officer

503-504-5277

IMPORTANT INFORMATION AS OF May 28, 2020

Dear Colleagues, Residents, Families and Friends,

As Oregon begins Phase 1 of its re-opening plan, we are seeing lower incidences of COVID-19 in long-term care settings. This morning we learned Multnomah County is looking to June 12, 2020 to begin phase 1 re-opening. Please remember that nursing homes and assisted living are considered part of phase 3. This means we will continue our current practices around group activity, dining, and visitation.

This past week, The Centers for Medicare and Medicaid (CMS) released guidance directed to state leaders towards developing their policies related to nursing homes and re-opening. Each state will issue their guidance/recommendations specific to that state’s long-term care communities, including assisted living and memory care.

Additionally, the Centers for Disease Control (CDC) released two updated resources related to blanket testing of staff and residents in nursing homes. This is a topic that continues to evolve and can vary from state to state and county to county.

Last Friday night, we learned the Oregon Department of Human Services (DHS) is in the process of carefully reviewing White House, CMS and CDC guidelines and developing long-range plans that meet Oregon’s specific needs around long-term care admissions, large-scale testing of residents and staff and “re-opening” long-term care gatherings such as dining, group activities and visitors. This plan will most likely “trump” some of Oregon’s current scenarios and change some of our current (and developing) policy. We continue to work with our county and state officials in addition to hospitals, labs, and other partners on implementing testing protocols for residents/patients who are being newly admitted to long-term care settings. We and our long-term care colleagues in the field believe this will take parties 2-4 weeks longer to clarify and map the plan and will revise our policy to reflect changes once the state has decided its regulatory pathway.

Please remember: This is new territory for us all. There is no precedence.
There are still so many uncertainties and considerations. It’s challenging.
COVID-19 is costly, both in lives and dollars.

Colleague Update: We are grateful each member of our team is healthy with no signs or symptoms of COVID-19. We have adequate amounts of PPE and continue to procure to assure we are ready for the future. Full PPE (National Institute for Occupational Safety and Health (NIOSH) approved N95 respirators, shields/goggles, gowns and of course, gloves) are being used only in the special admission neighborhoods at Robison for staff caring for new residents at this time.

In all other care areas and departments, CSP is using primarily KN95 masks for staff use as face masks (not respirators) as approved by the Oregon Health Authority. If you require accommodation for paper surgical masks, please see your supervisor. We are using the KN95 for the following reasons:

    • To help staff get used to this type of face covering in case of an outbreak (we would distribute and fit test NIOSH approved respirators in this case per CDC guidelines).
    • OSHA allows for an extended use (7 days) while there is a shortage of PPE available (paper surgical masks can only be used for one day per OSHA extended use).
    • To allow CSP to continue to procure enough PPE for the foreseeable future of COVID-19 to protect our wonderful staff and residents.

Resident Update: We continue to rigorously monitor all residents each shift and strongly encourage appropriate distancing and the use of masks during care and when in common areas.

Please note: The CDC clearly states the use of masks is not meant
to insinuate full prevention from catching COVID-19,
but reduces the chance of exposure.

Tonight, at sundown we celebrate Shavuot, the spring harvest and God’s giving of the Torah to the Jewish people at Mt. Sinai. As so eloquently shared by the deeply thoughtful, wise, and passionate women in my Rosh Chodesh group, it is a holiday of giving and receiving. Wearing a mask while out in public is a beautiful expression of giving and receiving in our community.

As always, if you have any questions, please feel free to contact the campus administrators or me. We will assist you in any way possible.

RSM: Vivian Villegas: 1-360-936-2694
HSCL/RJHC: Krista Mattox: 503-320-0807

Chag Shavuot Sameach,

Kimberly Fuson
Chief Executive Officer
503-504-5277

Many of you have asked for additional information. Below are links to a collection of resources and articles we hope you find helpful.

https://www.newyorker.com/science/medical-dispatch/the-coronavirus-vaccine-is-on-track-to-be-the-fastest-ever-developed

https://www.ltsscenter.org/whats-the-evidence-for-wearing-masks

https://www.nytimes.com/2020/05/27/opinion/coronavirus-masks.html

https://www.mcknights.com/marketplace/the-good-news-about-person-centered-care-in-the-midst-of-covid-19/

https://www.bendsource.com/bend/make-masks-cool/Content?oid=12274199

http://seniorhousingnews.com/2020/05/18/senior-living-providers-fear-hardest-weeks-of-covid-19-lie-ahead

https://govstatus.egov.com/OR-OHA-COVID-19

https://www.oregon.gov/dhs/Pages/index.aspx

https://www.leadingageoregon.org/coronavirus-updates-resources

https://leadingage.org/covid19

https://www.nia.nih.gov/

https://www.cms.gov/files/document/nursing-home-reopening-recommendations-state-and-local-officials.pdf

https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care.html

 

We would love you to follow us on Facebook:

https://www.facebook.com/CedarSinaiPark

IMPORTANT INFORMATION AS OF May 22, 2020

Invitation to Annual Meeting to all Cedar Sinai Park Colleagues, Residents, Families, and Friends,

IMPORTANT INFORMATION AS OF May 21, 2020

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

Last Saturday night we were to gather together at Pure Space for the “Birthday Bash of the Century,” celebrating Cedar Sinai Park’s 100th Anniversary. Please join me in giving a BIG virtual hug to our Chair, Marcy Tonkin, Steering Committee Members Michelle Eastern Gradow, Eddy Schuldman, Karen Blauer, Liz Lippoff and each member of our Anniversary and Events Committees for their hard work and effort in bringing life and passion to all events to date. A significant part of our 100th year is the newly launched “Our Stories” project. Next time you “see” Eddy Schuldman or Karen Blauer, give them an air high five to thank them for their vision in bringing Portland authors together to capture the heart and soul of our rich history.

While we were not able to celebrate in person, I am humbled and inspired by our communities’ outpouring of love, well wishes and financial support. Our fundraising efforts are more important than ever as we seek to meet the needs of those who are depending on us during this challenging time.

Staff Update: Our dedicated staff member who tested positive for COVID-19 retested negative and is happy to be back working with our residents.

Resident Update: We continue to rigorously monitor all residents each shift and encourage appropriate distancing and the use of masks during care and when in common areas.

Regulatory Update: There is much in the news about reopening long-term care. Until there is clear guidance, process, support and supplies from our state and federal partners, Cedar Sinai Park will continue to exercise an abundance of caution and maintain our current protocols.

On that note, this week I’m honored to share my weekly column with Dr. Kirsten Carr, Cedar Sinai Park’s Medical Director:

Testing in the Age of COVID-19
We have now been in the world of the COVID-19 for over two months here in the state of Oregon. My family has been mostly homebound with the occasional nature walks. I have been grateful that this pandemic occurred in the Spring. The rebirth of nature, with the flowers and trees coming back into bloom, has given a daily reminder that our world is capable of regrowth and beauty even when things are not as we planned.

We have learned much about this new virus and how it works. However, effective treatment and a vaccine remain months away as scientists and physicians test and treat patients throughout the world. We know that we will need effective treatments, testing, and tracking before we can return to a more normal state of being. Because testing is something that is available at this time, some have asked the question, “Why not test everyone at this point so we know where we are here on our campus at Cedar Sinai Park?” The reality is, at this point in time, testing is not the best way to keep Cedar Sinai Park safe from infection.

Testing kits are not widely available yet. Although the state and federal governments are trying to secure more testing kits for long term care communities, there is still a significant shortage of available testing kits. We are fortunate to have a stock of testing kits on our campus that would allow one-time testing of residents only. This would not, however, allow for testing of staff nor would it allow for retesting on a regular basis.

Testing for active disease is not 100% accurate. At this time, the testing that we have that is the most accurate for detecting the presence of the disease is a swab of nasal or throat mucous. This test has less than ideal sensitivity (true positive) with a false negative rate of up to 35%. The test is also not completely specific (true negative) with a false positive rate of up to 5%. This means if we tested 200 people on campus, we could potentially tell 70 folks they were negative when they weren’t and they could go to dinner each night and get everyone else sick or on the flip side tell 10 folks that they were positive and move them to a COVID facility in error. The best way to increase accuracy of testing is to test only those with clear symptoms (fever, cough, shortness of breath, etc.) or a known exposure to a known COVID positive person for long periods of time (household contacts).

There is also antibody testing available. Rather than testing for active disease, this test reports if you have had the disease in the past. Antibody testing has the same challenges with accuracy and the FDA has warned that many of these tests have not gone through enough rigorous testing yet to be considered valid. We are also unsure, although we suspect, if having had the disease prevents you from being able to contract it again. We are still waiting for data to support this and to help us understand if this is a lifelong protection or a short-lived protection.

There may come a time when the State or Federal government requires testing. The White House has already suggested nation-wide testing of all nursing home facility residents. This would most likely be one-time testing for the entire campus of residents and ongoing periodic testing of the staff. Each state will decide if this makes sense based on medical evidence as outlined above. If we move to this sort of testing, however, it will not take the place of current infection control measures for the reasons listed. I want to prepare you for these sorts of mandates and the potential downside of them including false reassurance that nobody on campus has COVID. This sort of testing will also not likely change any of the current guidelines related to visitation or congregating in public for long term care facilities.

The most important tools that we have now for preventing spread of this disease are the same ones we have been using for the last two months: hygiene, social distancing, good infection control practices in the community (cleaning), wearing masks, and vigilance. It remains very important to not come within 6-12 feet of another person with whom you don’t share a living space, especially indoors. Please wear at least a cloth mask whenever you leave your room/home to protect your neighbors (and if they wear them, they are protecting you). Wash your hands with soap and water for at least 20 seconds regularly and in particular after returning to your room from the community or outdoors. We ask that you avoid using public restrooms if possible. Please follow the “one mensch to a bench” guidelines inside and outside.

These are challenging times. Change is hard. But we are a community that is capable of dealing with hard times. There is creativity and ingenuity and a sense of togetherness despite the different look of the world.

“Happiness can be found, even in the darkest of times, if only one remembers to turn on the light.”

As always, if you have any questions, please feel free to contact the campus administrators or me. We will assist you in any way possible.

RSM: Vivian Villegas: 1-360-936-2694
HSCL/RJHC: Krista Mattox: 503-320-0807

With love, honor, and respect,

Kimberly Fuson                                                  Kirsten Carr, MD

Chief Executive Officer                                       Medical Director

IMPORTANT INFORMATION AS OF May 14, 2020

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

Gratitude to all who made Mother’s Day one to remember on campus. So many poignant moments of love were shared and felt by our residents and staff. The most important gift our families gave was enduring mindfulness of the importance of keeping our residents, staff, and one another safe by respecting physical distancing requirements.

Staff Update: Our dedicated staff member who tested positive for COVID-19 has continued to be asymptomatic for 14 days and is retesting as we speak.

Resident Update: We continue to rigorously monitor all residents each shift and encourage appropriate distancing and the use of masks during care and when in common areas.

This past week there have been many updates and revisions from our regulators. The most important information includes:

  • Per the Centers for Medicare and Medicaid, COVID-19 testing may soon be mandated routinely for all nursing home residents and staff.
  • New reporting requirements from the Centers for Medicare and Medicaid through the CDC’s National Healthcare Safety Network portal for nursing homes/skilled nursing, long-term care for the developmentally disabled, and assisted living facilities: https://www.cdc.gov/nhsn/ltc/covid19/index.html
  • KN95 masks cannot be used as respirators in Oregon (CSP has all types of face coverings in stock; we continue to build our reserves).

For those of you who would like a glimpse into what safe reëntry into community might look like, please read the New Yorker article linked below by Atul Gawande, MD, MPH: https://www.newyorker.com/science/medical-dispatch/amid-the-coronavirus-crisis-a-regimen-for-reentry

As always, if you have any questions, please feel free to contact the campus administrators or me. We will assist you in any way possible.

RSM: Vivian Villegas: 1-360-936-2694
HSCL/RJHC: Krista Mattox: 503-320-0807

With love, honor, and respect,

Kimberly Fuson

Chief Executive Officer

IMPORTANT INFORMATION AS OF May 7, 2020

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

We continue to travel together through the COVID-19 pandemic. We continue to work diligently to maintain a COVID-19 free environment through our infection control practices that follow Federal, State and Public Health guidelines to keep our residents, families and staff as safe as possible from this virus and want you to know that as of today we have no active cases of coronavirus on campus.

This is an update today as a follow up with the goal to keep you fully informed. To date, on campus, we have had two COVID-19 positive staff members. One staff member early in the month of March and one staff member that tested positive last week. With each positive case, Multnomah County Public Health Department reviews extensive infection control practices with the facility staff to assure all appropriate infection control vehicles are in place for health management. Per the Multnomah County Public Health Department, neither of these cases rose to the level of a COVID-19 outbreak and full facility COVID-19 testing was not required.

Neither employee was symptomatic while working on campus. One staff member developed symptoms three days after they last worked on campus and tested positive and remained off work until fully recovered. Our second staff member was asymptomatic and remains asymptomatic. That staff member will remain off campus and will not return to work per appropriate guidelines until after 14 days with no symptoms and with validation of a negative COVID-19 test.

As a campus, we map all residents, staff and others that may have come in contact with or who were potentially exposed to a positive COVID-19 case. We have done that retrospectively 14 days prior to a positive testing and continue to monitor forward. To this date, we have no symptoms of COVID-19 that we are monitoring on campus. We add to symptom monitoring as CDC notifies us of additional symptoms to look for and we do that during each shift for all residents and staff on the campus, and we keep in constant contact with Multnomah County Public Health Department regarding the infection control status of the campus.

We immediately report any positive COVID-19 case or any residents or staff with symptoms of COVID-19 to the State of Oregon Health authorities as well as to Multnomah County Public Health Department as mandated. We also update all of these entities on an ongoing basis. Again, to date, all residents and staff remain asymptomatic of any signs and symptoms of COVID-19.

We want you to know that all of our staff have been trained to detect and inform the nurses and administrative staff on campus, should they note any changes of condition in our residents or staff and we continually thank them for their diligence and compassion.

With that said, we want to extend our heartfelt wishes to all the mothers, grandmothers and the great women that we honor this Mother’s Day weekend. We know that it is a time of celebration and joyful family visits, but at this time, we must continue to strictly adhere to the emergency orders put in place by the Department of Human Services that are still in effect and include restrictions for social distancing, communal dining, essential visitors and screening for all individuals. Families will need to understand that if their mother, grandmother or anyone else residing in the community leaves the facility for an outing during this time, they will be placed in quarantine for 14 days on their return.

These restrictions do not mean the day cannot be meaningful. Please contact us so that we can help in any way to support you in celebrating your loved one.

If you have any questions, please feel free to contact the campus administrators or me. We will assist you in any way possible.

RSM: Vivian Villegas: 1-360-936-2694
HSCL/RJHC: Krista Mattox: 503-320-0807

With love, honor, and respect,

Kimberly Fuson

Chief Executive Officer

IMPORTANT INFORMATION AS OF May 2, 2020

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

Today, a case of COVID-19, the illness resulting from the novel coronavirus, has been diagnosed in an employee of our community.

The staff member is in quarantine at home. We have notified public health officials as required and are following procedures recommended by the Centers for Disease Control & Prevention. We are taking every step as recommended by authorities to contain the spread. We want to make residents, their families, and our dedicated staff aware of this situation and reassure everyone that we are on top of it.

Developments are changing day by day, minute by minute. Our focus remains on the health and well-being of our community. We must also recognize our team for the concern and commitment they have shown to our residents during this challenging time. Our mission has never been more meaningful.

We ask that our residents, staff and families continue do all that they can to support our community by following the recommendations set forth by the Centers for Disease Control and Prevention:

  • Colleagues: Wear required PPE as designated by your administrator.
  • Residents: Wear a mask during care as appropriate.
  • Colleagues/Residents/Families: Wear a mask in public
  • Physical Distancing/staying home if possible – at least six (6) feet away from others.
  • Washing Hands for 20 seconds with soap and water.
  • Avoid touching your face.
  • Self-isolating if showing any signs or symptoms of COVID-19.
  • Seek medical assistance as necessary.

We want to assure you that we have educated and continue to educate and monitor our staff regarding infection control processes and procedures to keep our residents and employees safe and will continue to take the necessary precautions. We ask that you do the same.

The Health Insurance Portability and Accountability Act (HIPAA) requires Cedar Sinai Park (CSP) to protect the health information of the clients it serves and its employees. Employees of CSP are required by the mission of Cedar Sinai Park and by HIPAA to ensure and promote the privacy of residents and staff.

Thank you all for your support. We will provide updates regularly. If you have any questions, please feel free to call me or our administrators directly:

RSM: Vivian Villegas: 1-360-936-2694
HSCL/RJHC: Krista Mattox: 503-320-0807

With love, honor, and respect,

Kimberly Fuson

Chief Executive Officer

IMPORTANT INFORMATION AS OF April 30, 2020

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

On behalf of our residents and colleagues, I want to thank our families and friends for all the love at last Sunday’s Joy Ride Parade, for honoring our request to maintain a safety zone and doing your part to help mitigate spreading the Coronavirus on campus.

We continue to be deeply grateful to each of our CSP colleagues for your dedication and diligence in providing care to residents round the clock. Your continued rigor in infection control practices including ongoing assessment of residents and ourselves for signs and symptoms has kept our residents COVID-19 free to date and mitigated our staff incidence to only one positive case to date. YOU ARE OUR HEROES.

We are pleased to share that CSP has maintained an adequate supply of personal protective equipment for daily use throughout the pandemic and that we continue to expand our back up and emergency stock. Our pharmacy, oxygen, and food orders and deliveries have not been affected. Most cleaning supplies have been accessible; we have a backup supply of 100 gallons of hand sanitizer should our Purell supplies run out.

Through the generous donations and handiwork of our community as of tomorrow, we will have received enough cloth masks to provide to all residents on our Boundary Street campus, at our affordable housing communities, and to staff for personal use while off-campus.

This Shabbat marks the end of our seventh week navigating the waters of this COVID-19 pandemic. The Talmud says, “The highest form of wisdom is kindness.” Thank you all for being so kind during this most trying time.

With love, honor, and respect,

Kimberly Fuson

Chief Executive Officer

IMPORTANT INFORMATION AS OF April 23, 2020

Dear Cedar Sinai Park Colleagues, Residents, Families and Friends,

Due to the mindfulness of our incredible team, the patience and trust of our residents, and by the grace of God, Cedar Sinai Park remains COVID-19 free as of this writing.

You may have heard that the White House has issued a document called “Opening Up America Again”. This document is a guide to be followed when the appropriate time comes and we can begin to return to a more “regular” routine in our society. https://www.whitehouse.gov/openingamerica/

Please know that now is NOT the time to open up our country, or Cedar Sinai Park.  Now is the time we must continue the deeply conscientious loving care and special attention we give to our residents and one another.

Our state and federal mandates to restrict communal dining, activities and visitation on campus continues at this time. Only essential medical and emergency personnel, attorneys, guardians, vendors for the purpose of maintaining essential services and visitors to residents who are at the end of life may enter Cedar Sinai Park.

Recently some of our families have visited with residents who were enjoying the beautiful weather outside on campus. Our campus is an open one with outdoor spaces accessible to everyone. However, given current health and safety concerns, we need to maintain a safety zone throughout “the Park”.

Please refrain from “hanging out” with residents outdoors on campus.

It greatly increases our risk of exposure to COVID-19.

We know these restrictions are hard on the hearts and souls of us as a community, but are essential to mitigate the spread of disease.

With the partnership of The Jewish Federation of Greater Portland, we’ve arranged a safe way for us to get together! 

Please join us Sunday April 26, 2020 from 2:00-3:00 pm for a

Joy Ride Parade:

“How wonderful is it that nobody need wait a single moment before starting to improve the world.”

With love, honor, and respect,

Kimberly Fuson

Chief Executive Officer

IMPORTANT INFORMATION AS OF April 14, 2020

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

Pesach on campus this year deeply touched our hearts and souls. Although we celebrated physically apart, residents were able to virtually connect to family, our beloved volunteers (really family) Amy Shapiro, Jeff Olenick and Barbara Slader, and to staff who filled residents’ cups with Chesed.

As long as this time of COVID -19 and resulting restrictions persist, our goal is to keep everyone healthy in body, mind and spirit. It continues to take our “village” to make this happen. We remain COVID-free at this moment.

My most profound gratitude to our families and friends for your understanding that distance not only makes the heart grow fonder, but makes all the difference in our ability to keep the virus at bay; to our trustees for your constant support and encouragement; and most importantly, to our staff, all of whom are heroes and to our residents, for YOU are the inspiration that guides and motivates us to see each day as a new beginning.

“Let the good in me connect with the good in others, until all the world is transformed through the compelling power of love.”

With love, honor, and respect,

Kimberly Fuson

Chief Executive Officer

IMPORTANT INFORMATION AS OF April 9, 2020

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

While we were celebrating the holiday last night, a story appeared on OregonLive, the on-line property of The Oregonian, that examined the spread of coronavirus through senior care homes across the state. It contains INACCURATE information regarding Robison Jewish Home.

Please know that no Cedar Sinai Park resident has been diagnosed with COVID-19 to date and only one member of our staff has tested positive to date. That person has been in quarantine since the onset of symptoms, recuperating at home and has now been cleared to return to work. Our staff is working diligently to keep it that way.

We know our status can change from one moment to the next. Our staff continue to be vigilant in monitoring all residents, staff and essential professionals for signs and symptoms.

I want to assure you that we will continue to communicate with you in the most clear, complete, timely, and ACCURATE manner.

With love, honor, and respect,

Kimberly Fuson

Chief Executive Officer

IMPORTANT INFORMATION AS OF April 7, 2020

Dear Cedar Sinai Park Colleagues, Residents, Families, and Friends,

As the eve of the Virtual Pesach of 5780 draws near, we are delighted to share the COVID-19 quarantine has been lifted.

Like Moses, we must be relentless in our efforts to free ourselves of this virus (dare I say plague). We must vigilantly take good care of and protect ourselves and one another by continuing to practice physical distancing and extra attention to hand washing and hygiene in our homes.

We know how hard it is to be separated. While we want to hug all of you,

we must remain mindful and careful until this virus has truly passed!

RJHC/HSCL and RSM will maintain room service dining and activity per the continued guidance of the CDC, CMS and our local authorities. There is now additional guidance regarding covering the mouths and noses of residents during care encounters to further mitigate risk of exposure. Through your Gemilut Hasadim, we are gathering enough cloth masks for our beloved residents.

We are humbled by the selfless generosity of our families, friends and community, by the limitless courage and devotion of our staff and by the wisdom, humor, and resilience of our residents.

“Together forever, never apart, sometimes in distance but never in heart.”

Chag Pesach Sameach,

Kimberly Fuson

Chief Executive Officer

IMPORTANT INFORMATION AS OF April 2, 2020

Dear Cedar Sinai Park Residents, Clients, Families and Colleagues,

It is such a privilege to be counted as a member of our CSP family; the devotion and dedication of our staff to one another and our residents, clients and patients through this challenging time is an inspiration!

While this can be a scary time, please know the leadership team is working day and night to assure we have what we need to keep our staff, residents, clients and patients’ hearts, minds, souls and bodies safe.

Since our last communication March 26, we are pleased to share the Norovirus quarantine has been lifted. One virus conquered, one to go.

Keep Doing All the Right Things at CSP and at Home:
  • Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
  • If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol.
  • Avoid touching your eyes, nose, and mouth.
  • Clean surfaces around you.
  • Get a good night’s rest.
  • Exercise routinely.
  • Eat healthy.
  • Know you’re loved!
With the utmost gratitude, love, honor, and respect,

Kimberly Fuson

Chief Executive Officer

IMPORTANT INFORMATION AS OF MARCH 26, 2020

 

TO:       All Cedar Sinai Park Colleagues, Residents, Families, and Friends

FROM: Kimberly Fuson, Chief Executive Officer

RE:       Positive Case of COVID-19

 

Dear Colleagues, Residents, Families, and Friends,

Today, a case of COVID-19, the illness resulting from the novel coronavirus, has been diagnosed in an employee of our community.

The staff member is in quarantine at home. We have notified public health officials as required and are following procedures recommended by the Centers for Disease Control & Prevention. We are taking every step as recommended by authorities to contain the spread. We want to make residents, their families, and our dedicated staff aware of this situation and reassure everyone that we are on top of it.

Developments are changing day by day, minute by minute. Our focus remains on the health and well-being of our community. We must also recognize our team for the concern and commitment they have shown to our residents during this challenging time. Our mission has never been more meaningful.

We ask that our residents and staff do all that they can to support our community by following the recommendations set forth by the CDC:

  • Social Distancing/staying home if possible – at least six (6) feet away from others
  • Washing Hands for 20 seconds with soap and water
  • Avoid touching your face
  • Self-isolating if showing any signs or symptoms of COVID-19
  • Seek medical assistance as necessary

We want to assure you that we have educated our staff on infection control processes and procedures to keep our residents and employees safe and will continue to take the necessary precautions.  We ask that you do the same.

Thank you all for your support. We will provide updates regularly. If you have any questions, please let me know.

With love, honor and respect,

Kimberly Fuson

Chief Executive Officer

IMPORTANT INFORMATION AS OF MARCH 25, 2020

 

Since our communication on March 17, we are pleased to share there is no known COVID-19 at Cedar Sinai Park and that the gastrointestinal outbreak at RJHC/HSCL is resolving at a rapid pace. We continue to work diligently to keep our residents, patients, participants, clients and staff safe, in good spirits, and virus-free.

I am very proud and humbled by the great heart and dedication of our staff. We are working to assure their health and welfare as we navigate the unprecedented waters of this pandemic, including access to personal protective equipment (PPE) as well as hand sanitizer and antiviral cleaning supplies.

While we cannot gather in person for Pesach this year, please stay tuned for information regarding our special Seder and Easter plans 5780/2020.

A reminder that visitors continue to be restricted except for essential legal, medical, and emergency personnel and visitors to residents who are at the end of life.

We are joining hands with the Jewish Federation of Greater Portland (JFGP) to support the needs of our Jewish community during this critical time. Please consider supporting these efforts by making a donation to the COVID-19 Relief Fund. https://www.jewishportland.org/covid19relief.

Please stay in close touch; it’s our community connections that keep us strong and positive; you are each a blessing.

With love, honor, and respect,

Kimberly Fuson

Chief Executive Officer

IMPORTANT INFORMATION AS OF MARCH 17, 2020

 

Since our communication on March 14, 2020, we are pleased to share there is noCOVID-19 at Cedar Sinai Park.

This afternoon the Oregon Department of Human Services increased restrictions on visitation policies for all assisted living communities, nursing homes, residential care facilities, adult foster homes and group homes for people with intellectual and developmental disabilities to further prevent the spread of COVID-19.

DHS is taking this action in consultation with the Oregon Health Authority (OHA) at the request of Governor Brown. OHA and DHS have determined that, given the increase in COVID-19 cases, these additional restrictions are essential to protect those at greater risk of the most severe outcomes of this disease.

The updated restrictions limit all visitors except essential medical and emergency personnel and visitors to residents who are in the end of life.

We know these restrictions are hard on the hearts and souls of us as a community, but are essential to mitigate the spread of disease.  We will continue to nurture the social, spiritual and emotional needs of our residents via special room service programs and assistance in connecting with family and friends via technology.

For more information about what’s happening in Oregon: https://content.govdelivery.com/accounts/ORDHS/bulletins/281a5b5

With love, honor, and respect,

Kimberly Fuson

Chief Executive Officer

IMPORTANT INFORMATION AS OF MARCH 14, 2020

President Trump has declared a national emergency as a result of COVID-19. This development triggers heightened infection control practices and protocols as recommended by the Centers for Disease Control (CDC). Please know that maintaining the health, wellness, and safety of our residents and staff is our number one priority.

Once the County Health Department lifts the current gastrointestinal quarantine at RJHC/HSCL, we will continue to restrict visitation as required by the Centers for Medicare and Medicaid Services (CMS) for COVID-19. Effective immediately, RSM is joining RJHC/HSCL in restricting visitation. Based on federal guidance, no visitors will be permitted into our community except for essential medical personnel and certain compassionate care situations, such as a family member’s end-of-life.

 Per CMS recommendation HSCL and RSM will join RJHC, in implementing the following additional safeguards:

  • All meals will be served in the privacy of resident rooms.

(Note: Working quickly with this new information, we began this during today’s lunch hour and while there were a few bumps, we now have what promises to be a smooth system in place).

  • Communal/Group activities are suspended.

Please know that the news about the spread of this new disease is concerning for us all. In addition to restricting visitation to prevent the illness on our campus, we are also focused on infection control best practices with our staff and residents. Staff have been trained on the symptoms of the coronavirus (COVID-19), CDC recommended infection prevention techniques, and have clear protocols for staff to stay home and not come to work if they are ill or symptomatic.

Additional Impacts from the National Emergency Declaration

  • Three-Day Stay Waiver

The President announced during his press conference declaring a national emergency, that he was suspending the Medicare’s three-day stay requirement before a SNF admission. We have not yet seen anything in writing about this from CMS and will forward to you when we receive any more information.

  • CMS Releases MAC-by-MAC Medicare Part B COVID-19 Test Billing Rates

 

  • MDS Completion and Submission Waivers

CMS is waiving 42 CFR 483.20 to provide relief to SNFs on the timeframe requirements for Minimum Data Set (MDS) assessments and transmissions. CMS has not yet issued technical guidance on how to implement.

  • SNF Part A 100-Day Benefit Waiver

For “certain beneficiaries who recently exhausted their SNF benefits, the waiver authorizes renewed SNF coverage without first having to start a new benefit period.” CMS has not yet issued technical guidance on how to implement.

  • House Relief Package

Separately, the House of Representatives passed a relief package late yesterday. It still must be passed in the Senate, but it includes a temporary 6.2% FMAP increase to state Medicaid programs, paid sick leave for employers with 500 employees or less, tax credits, and funding for certain tests. We will continue to monitor this legislation and keep you posted about possible implementation.

We continue to monitor information and guidance from CMS, CDC, and the Oregon Health Authority, and are working with state and local public health and emergency preparedness officials to prevent the illness and strengthen our preparation for and response to outbreak.

For additional information, please visit the CDC’s coronavirus disease information page at https://www.cdc.gov/coronavirus/2019-ncov/ or the Centers for Medicaid and Medicare Services (CMS) at https://www.cms.gov/About-CMS/Agency-Information/Emergency/EPRO/Current-Emergencies/Current-Emergencies-page.

We will keep you updated.

With love, honor, and respect,

Kimberly Fuson

Chief Executive Officer

I am text block. Click edit button to change this text. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

NEWSLETTER SIGN UP

Stay In Touch & Learn More

We respect your privacy and will never share your information.