Coronavirus Information and Precautions

Outdoor visitation stations with clear plastic barriers

May 14, 2021

Dear Residents and Families,

We are pleased to inform you that Heritage Rehabilitation Center continues to remain COVID-19 free. We will continue to test our residents and staff as clinically indicated.

All of us at Heritage Rehabilitation Center care deeply about the safety and well-being of our residents. Our facility has adequate staffing and an adequate supply of personal protective equipment (PPE).

We are in regular communication with LA County DPH and CDPH. We continue to implement all current CMS, CDC, and CDPH guidelines regarding COVID-19.

We encourage both residents and loved ones to continue communicating with each other by email or enjoying time on Zoom, FaceTime, or Skype. Our facility uses Zoom and we can help facilitate communicating using Zoom.

We are eager for you to visit your loved ones at our facility. We have yet to receive guidelines from the appropriate regulatory authorities which either confirm or modify CDC’s recommendations. We continuously monitor all the communication from the California Department of Public Health, County Department of Public Health, and Local Public Health authorities and will, at the very first opportunity, notify you of changes in regulation that will allow you to freely visit. We must advise you that should these flexibilities be allowed at our facility, that they are conditioned on both the visitors and residents being fully vaccinated. We shall develop policies and processes that will allow us to confirm the vaccination status of all concerned.

If you have a family member in our care and would like an update on his or her condition, please call our facility at (310) 320-8714. You can also visit our website https://hrcsnf.com/ for additional helpful information and visit these links to the CDC (https://www.cdc.gov/) and CMS (https://www.cms.gov/) websites.

Sincerely,

Roy Martinez
Administrator


In-Person Visitation

Covid Visitation Guidelines chart

We are happy to announce that we are now accepting reservations for in-person visitation. All visitations must follow CDC guidelines. Please call our facility for details about these guidelines and next steps for scheduling your appointment with your loved one or schedule your appointment by following this link: https://www.picktime.com/heritagevisitation.

Please call 310-320-8714. Thank you!

Visitor testing updates

  • For indoor and in-room visitation \A/hen the county is in Purple tier, visitors must provide proof of a negative viral test (POC antigen or PCR) on a sample taken within 2 days prior to the visit, regardless of the visitor’s or resident’s vaccination status.
  • For indoor and in-room visitation when the county is in Red, Orange, and Yellow tiers. testing of visitors within 2 days prior to the visit can be considered as an additional safety measure for residents who are not fully vaccinated regardless of visitor’s vaccination status
  • In addition, all regular visitors (essential and general) who visit the facility at least once a week or more, should be tested at the same frequency as facility staff, regardless of vaccination status.
  • All other infection prevention and control requirements, including entry screening, must be followed, regardless of negative test results and regardless of vaccination status. » The absence of test results should not prevent essential visitation.
  • Outside test results are acceptable if documentation of test date and test result can be provided.
  • If same-day on-site point of care antigen testing is utilized, please follow LA County’s SNF antigen testing guidelines, referring to the section “Use of POC Ag tests for ScreeningOnly” for asymptomatic staff: http://publichealth.lacountv.gOv/acd/ncorona2019/healthfacilities/snf/antigen/#pocscreening
  • For BinaxNOW COVID-19 Ag test kits, please reach out to our local EMSA contact at laemsadutvofficer@dhs.lacountv.gov

Other visitation updates

  • Visitors, essential and general, who regularly enter the facility should be encouraged to seek COVID-19 vaccination through the resources available in their community.
  • Fully vaccinated visitors may have brief, limited physical contact with fully vaccinated residents (e.g., a brief hug, hand holding, assisting with feeding or grooming) – Direct physical contact between an essential visitor and the resident can be considered on a case-by-case basis (e.g., compassionate care visitation) with a pre-determined plan involving good infection prevention practices -wearing full PPE, minimizing total cumulative time of direct physical contact, etc.
  • Facilities could consider providing infection prevention and control education for visitors who are regularly visiting (more than one in-person visit every 7 days).
  • Duration of visits;
    – Per CDPH, visits should be minimum 30 minutes
    – No maximum time limit on the visit. Facilities should consider scheduling visits for a specified length of time to help ensure all residents are able to receive visitors; facilities can consider shorter indoor visits and longer outdoor visits.

What remains the same for visitation

  • Essential visitors are exempt from visitation restrictions, including for indoor/in-room visitation.
  • All other infection prevention and control requirements, including entry screening, must be followed, regardless of negative test results and regardless of vaccination status.
  • Outdoor setting is preferred for visitation, communal dining, group activities when allowed regardless of vaccination status

What remains the same: core infection prevention & control

  • Core infection prevention & control guidance regardless of county tier status, facility outbreak status, vaccination status of staff visitor, or resident
    – Entry screening for fever, symptoms, recent close contact
    – Universal masking – 6 ft distancing
    – Frequent hand hygiene (5 moments of hand hygiene)
    – Frequent disinfection of high touch surfaces
    – PPE use for each cohort; including eye protection (face shield/goggles) when providing patient care <6 ft for Green Cohort residents
    – Isolation guidance for confirmed COVID-19 Infections (positive viral test result) for both staff and residents regardless of vaccination status

Take-home points

  • High vaccination coverage for both staff and residents are key to protecting your staff and residents!
  • Resume visitation, communal dining, group activities safely as these are critical for the mental and physical health of nursing home residents
  • While maintaining vigilance on core infection prevention & control practices to protect nursing home residents and staff from severe infections, hospitalizations, and death related to COVID-19 infection as well as other pathogens including MDRO’s (e.g., Candida auris)