Country Arch Care Center currently has 3 residents and 0 staff members positive for COVID-19.
We are continuing to regularly test staff and residents.
Visiting hours are 7 days a week from 8:00 am – 8:00 pm. Arrangements can be made to visit 24 hours a day.
Please read our updated visitation protocol prior to your visit.
* If the nursing home’s county COVID-19 community level of transmission is substantial to high, all residents and visitors, regardless of vaccination status, should wear face coverings or masks and physically distance, at all times.
Out on Pass: Fully vaccinated residents may schedule off-site excursions with their families. While off site care should be taken to avoid crowds and poorly ventilated areas. Infection control protocol should be adhered to at all times. Unvaccinated must quarantine upon return.
Indoor Dining: Indoor dining is available to all residents. Residents may choose to dine in-room or in our dining room.
Church Services: Church Services is held weekly at the facility.
Barber/Beautician: Our Barber/Beautician is available to schedule appointments. Please call Suellen at 908-735-6600 ext. 3035 for an appointment.
Entertainment: Our residents are enjoying indoor entertainment from an array of entertainers.
*Please check back here for updates on COVID-19 in our facility, or contact Administrator, Maureen Graf at 908-735-6600.
Country Arch Care Center Outbreak Response Plan
The purpose of the Outbreak Plan is to protect our residents, staff, and visitors in the event of any disease or other type of outbreaks that may occur in the facility and or community in compliance with New Jersey law.
The outbreak plan includes general components applicable to most outbreak situations. These components have been incorporated into our infection control and emergency preparedness programs. This outbreak plan will be adjusted as appropriate to reflect specific actions if an outbreak occurs. Each component of the plan is described below.
Surveillance, Assessment, and Mitigation of Infectious Diseases
· A facility self-assessment tool is conducted as part of the infection control program to identify, track, trend, and implement prevention techniques to prevent and mitigate disease outbreaks. The Infection Control Preventionist conducts ongoing surveillance for Healthcare-Associated Infections (HAIs) and other epidemiologically significant infections that have substantial impact on potential resident outcomes and that may require transmission-based precautions and other preventative interventions.
· If an infectious disease outbreak occurs the facility has disease specific interventions that are implemented to mitigate the outbreak and prevent the spread. If the disease is a novel organism the Infection Control Preventionist works closely with the NJDOH, CDC, and CMS regarding actions to be taken.In all cases the facility maintains a list of key contacts at the local, county, and state health departments and monitors CDC, CMS and NJDOH guidance.
· An all-hazards assessment is completed and reviewed annually as part of the facility emergency management plan that identifies known emerging pathogens and the level of risk for a potential outbreak at the facility. The emergency plan also includes procedures for addressing specific pathogens and mitigating the spread of disease as required by state and federal regulations.
· The facility routinely monitors Residents for disease specific symptoms and follows existing protocols should any symptoms be identified, that might be indicative of outbreak. Ongoing and intensified assessment of all residents will be done to evaluate potential for spread. Nursing assessment guidance will be established by the nurse leaders, infection control preventionist, medical director and consultant nurse practitioner. All outbreaks will be properly reported in conformance with regulations to appropriate agencies and a list of those affected submitted as required.
· Residents will be educated about symptoms to immediately report to a nurse during an outbreak. Nursing staff will assess residents for signs and symptoms as appropriate should an outbreak occur. Facility staff will receive disease specific education and procedures to follow in the event of an outbreak to protect residents and themselves from exposure.
· Telehealth evaluation of residents will be considered to aid in rapid assessment while minimizing the risk of facility and community spread. Staff will explain and provide reassurance and answer residents’ questions related to the disease and the use of telehealth. Care plans will be updated to reflect the current needs of each affected resident during the outbreak period and interventions implemented and reviewed with the resident to ensure they are person centered.
Transmission Based Precautions Protocol
· Transmission based precautions are followed based on the mode of transmission of an infectious organism. Staff receive education about standard, contact, droplet, and airborne precautions on hire and annually. The type of precautions used are specific to each disease.
· The facility maintains a list of common infectious diseases and the required precautions required to prevent spread. The type of precautions may also affect visitation, equipment use, isolation requirements, and visitation, and will be communicated to residents, staff and family through a variety of alerts including signage on facility entrance doors, unit entrance doors and resident rooms as required by CDC and federal and state regulations.
· Cohorting is the practice of grouping residents by actual infection with or exposure to an infectious agent. Those who are infected with the same organism will be confined to a designated area; those exposed but not symptomatic or diagnosed will be restricted to a designated area until assessed or tested as appropriate, and those not ill who have not been exposed will be grouped separately to prevent exposure or illness. The cohort plan will be implemented when required using three basic groupings :
o Cohort Red- Strict in-room isolation. Resident is confirmed affected and has active symptoms
o Cohort Yellow- Isolation - Resident is not ill but has potentially been exposed
o Cohort Green- Unaffected residents. Resident is not ill and not exposed
· Staff are also assigned to a cohort group during an outbreak when feasible to prevent the spread of infection. Equipment will not be shared between cohort groups and will be disinfected between resident uses within each cohort.
· Notification about outbreak will be posted via website so resident’s, families, visitors, vendors, volunteers, physicians, and staff will have immediate information the event of an outbreak. Notification includes provision of information regarding the type of outbreak, restrictions on visitation, educational materials, specific resident impacts, actions implemented to mitigate the spread of disease, and changes in routine daily care and services delivery.
· Group notification and outbreak updates and guidance will be posted on the facility web site based on the disease specific requirements and guidance from NJDOH and CDC. The Social Service and Activity departments will coordinate phone, facetime, and skype visits during outbreaks if requested.
· Individual notification of residents, families, and physicians is also completed when a resident is diagnosed with or has been exposed to the organism. Residents and staff will be notified of an outbreak, the extent of the outbreak within the facility, actions implemented to mitigate the outbreak, notification of any restrictions such as visitation, or communal dining or activities. Education will be provided in easy-to-understand language regarding the disease, required personal protective equipment, and alternatives to restrictions.
· Phone tree notification may be established by the Administrator and the Social Service department to inform all residents’ primary contacts when needed. Written notification mailings will be considered. Notifications and updates will be posted on social media, particularly the facility’s website. Notifications will be posted at the facility entrance as required and on entry doors to affected units and as appropriate Resident rooms. Resident rights and privacy will always be maintained, and notifications will be in aggregate only.
Housekeeping & Laundry Protocols
· Disease specific cleaning and disinfecting protocols are in place to ensure facility cleanliness and mitigation of spread of infectious organisms. The facility maintains a supply of cleaning products approved by EPA for cleaning and disinfecting. Additional products can be purchased through vendor contracts in an outbreak that may require a special product.
· Housekeeping staff follow written protocols for general cleaning and disease specific protocols are implemented as appropriate that may require increasing cleaning passes, cleaning of high touch surfaces, and use of cleaning products when needed that are disease specific.
· Housekeeping staff will properly dispose of trash per CDC guidance in the event of an outbreak.
· Laundry will be processed based on the specific disease organisms in the event of an outbreak following CDC and NJDOH guidance. During an outbreak it may be necessary to restrict family laundering of resident clothing to prevent community spread.
· Meals will be served using disposable paper goods and utensils to mitigate the possibility of cross contamination from resident care units to the kitchen.
· Dietary staff are not permitted on any resident care unit affected by the outbreak.
· Staff from other areas of the facility will not be permitted to enter the kitchen.
· All vendor deliveries will be placed outside on the loading dock and dietary staff will bring the deliveries into the facility.
· Only essential employees will be permitted into the facility and onto the units affected by an outbreak in compliance with CDC and NJDOH guidance based on the type of outbreak and organism.
· Staffing protocols address employee work restrictions, return to work requirements, and provide alternative plans to staff the facility if shortages occur. The use of personal protective equipment by staff and residents if appropriate will be implemented in an outbreak to minimize the spread of infection between employees and residents.
· Staffing schedules may be temporarily changed to ensure resident care needs are met.
· Assigned tasks may be identified/prioritized by department directors that can temporarily be modified during an outbreak should a staffing shortage occur. Administration will make every effort to have routine employee unit assignments whenever possible during an outbreak.
· Contracts are in place to utilize outside agency assistance if needed. When allowed the facility can also hire temporary staff from out of state when they have a multistate licence and is allowed by the NJDOH and appropriate NJ licensure boards.
Employee Screening Protocol
· All employees will be screened for signs or symptoms in the event of an outbreak when they report to work. Employees are required to notify their supervisor or director if they develop symptoms before reporting to work. Employees are also required to notify their supervisor or director of any potential exposure at work or at home.
· Employees that become symptomatic at work will be removed from duties and given guidance on appropriate medical follow up and sent home. This may include provision of PPE and testing Information.
· Employees will be tested based on the community transmission report, CDC, CMS or NJDOH directive. Results will be reported as required.
· Sick leave policies will be followed but may be modified to allow flexibility and consistency with public health guidance. Return to work will be determined by standards set by CDC and are disease specific. The Medical Director, Director of Nursing, Infection Preventionist and Administrator will enforce these guidelines.
· Employees receive infection control education on hire and annually that includes discussion of all components of the outbreak plan.
· Employees will receive disease specific education to ensure protocols for use of PPE, cohorting and interventions are followed to prevent and mitigate the spread of the disease in the event of an outbreak. Education will also dispel concerns and prevent unwarranted call outs.
· Re-education will be given to all employees covering disease specific infection control practices specific to their job responsibilities including handwashing, personal hygiene, donning and doffing PPE during an outbreak.
Laboratory and Radiology Testing Protocols
· When infection or colonization with epidemiologically important organisms is suspected, cultures may be sent, if appropriate, to a contracted laboratory for identification or confirmation. Cultures will be further screened for sensitivity to antimicrobial medications to help determine treatment measures.
· Radiological testing may also be required that may include onsite x-rays. All findings will be discussed with the attending physician and reported as required to local, county and state public health agencies.
· Disease specific testing protocols are implemented to quickly identify all affected individuals, initiate infection control actions, and implement treatments. Lab and radiology testing are disease specific and these decisions are guided by CDC and NJDOH directives
· Designated legally responsible parties will be notified of individual testing results and findings documented in each individual resident’s medical record.
· Public Health Reporting Protocol
· All infectious disease outbreaks are reported to public health officials in accordance with applicable laws and regulations. Public health officials also provide the facility with directives and guidance during an outbreak and provide support, guidance, access to testing and specific PPE if needed.
· Facility administration monitors updates from regulatory agencies including CDC, NJDOH and CMS. Communication with public health agencies is conducted as required and includes reporting outbreak statistics and a daily line list of affected individuals. The Administrator, Director of Nursing, Infection Preventionist and department directors will meet daily and review all directives to ensure implementation as required.
· Our facility Healthcare abides by all laws and regulations. Outbreak concerns are immediately reported to the local, county and state health department, as required, the Ombudsman (if applicable) and any other government agencies that may be required based on the outbreak.
Resident Quality of Life & Visitation Protocols
· Visitation will remain open unless directed by the Department of Health.
· Activities will not be restricted unless directed by the Department of Health. Our facility recognizes the importance of socialization and meaningful activity for our residents. To prevent loneliness, the use of humor, engagement in activities of choice, and mental activity provided with a large dose of kindness is also healing. Keeping up morale and using distraction to reduce stress is equally important during a crisis as providing excellent physical care.
Supply Inventory Protocol
· Supply par levels are maintained and reviewed by the Administrator, Director of Nursing, and Infection Control Preventionist in the event of an outbreak. PPE supplies, food, cleaning products, disposable resident care products, and equipment needs are monitored weekly and replaced based on need.
· In the event of a communicable disease supply inventory needs may be increased and will be purchased from our established vendors or supplied by regional support. If any supply needs cannot be met/purchased through our established vendors, then administration will inform the corporate staff and will contact the local and NJ State Department of Health for guidance.
· A sign is posted at the entrance door regarding COVID-19 status of the building. Any changes with visiting, safety, handwashing, and germ prevention will be added as needed.
· Visitors and vendors will sign in with the receptionist. Completion of a brief questionnaire will be required before being allowed to visit.
· Visitors will be provided with needed PPE and instructed in use, and proper isolation requirements will be maintained.
*More detailed information and specific procedures are available at the facility.
 Cohort groups may be added based on the organism per CDC and regulatory guidance.
Visitation: Indoor and outdoor visitation is available for all residents not under quarantine. Visiting hours are from 8am-8pm, 7 days a week. No appointment is necessary.
*Please check back here for updates on COVID-19 in our facility, or contact Administrator, Maureen Graf at 908-735-6600.