Focus on prevention of COVID-19 virus establishes new procedures.   COVID-19 Updates

Community Updates Week of 12/7/2020

Calm, Proactive Preparedness


December 11, 2020: Update to Residents

Lorain County Reduced to Level 3 Red

Lorain County has returned to Level 3 Red, reflecting a slight reduction of new confirmed cases and availability of ICU beds.

Lorain County’s Level 3 Red designation does mean that Senior Shopping Hours are now permitted, and outdoor and designated indoor visitation spaces may again be utilized by reservation. The Ohio Department of Health reviews and adjusts the Public Health Advisory Weekly. We could easily return to Level 4 Purple again. Please be cautious with any on- and certainly off-campus activity.

Visitors from out-of-state MUST be cleared in advance of a visit by emailing Stacy/Barbara. We are still using the ratings to approve or not approve. Visitors coming from any PURPLE Ohio county are not approved either. Please do not plan any visits outdoors to friends/family in the purple counties. Purple are Richland, Medina, Summit, Portage and Stark.

Information Slowly Coming about COVID-19 Vaccination

We have been partnered with Walgreens as our provider for the COVID-19 vaccination. Walgreens will be rolling out batches to long-term care settings soon after approvals have been given by the FDA. The Kendal Health Care Team is preparing for next steps with Walgreens, and as soon as we have dates for vaccine clinics those will be announced. We expect the first batches will be intended for the most frail and vulnerable in our licensed Nursing Home and Residential Care Facility in the Stephens Care Center. Next will be our Direct Caregivers in the Stephens Care Center followed by batches for residents based on their vulnerability and for staff based on their proximity to residents.

From the Ohio Department of Health, more information on the COVID-19 Vaccination.

American Medical Directors Association Q&A on the Vaccine

1. How is a vaccine developed and tested?

  • Approval of a vaccine for use in people involves multiple phases with different goals for assessing effectiveness and safety in different populations. There are a total of 4 phases, and the vaccine must meet very intense safety criteria before completing each phase. Once a vaccine is approved for use after Phase 3, it has been tested in tens of thousands of people. If no significant harmful side effects are noted, it is considered safe for use. Phase 4 involves continued monitoring and gathering of safety data. This type of clinical trial has been used for decades to approve medications and vaccines.

2. What are the Food and Drug Administration (FDA) requirements for the safety and efficacy of a COVID-19 vaccine?

  • FDA requires 50% efficacy of a COVID-19 vaccine (the COVID-19 vaccines from Pfizer and Moderna are showing 94-95% efficacy in preventing COVID-19 disease during this trial phase). Many other companies are working on a vaccine, and we expect others will be approved by the FDA.
  • FDA requires 8 weeks of safety data on the COVID-19 vaccine.

3. How will we know it is safe?

  • Safety is the most important requirement for the vaccine and is assessed in trials by independent experts.
  • Most adverse side effects occur within 6 weeks of vaccine administration, and the FDA has required 8 weeks of safety monitoring so it can track any side effects.
  • FDA advises a minimum of 3,000 participants to assess safety. The current Phase 3 trials have 30,000 to 50,000 participants. This really demonstrates how safety is a top priority for the FDA and the medical community.

4. Who else will be evaluating this vaccine to ensure it is safe and effective?

  • There are 2 advisory committees: (1) The Vaccine and Related Biological Products Advisory Committee (VRBPAC) that advises the FDA; (2) The Advisory Committee on Immunization Practices (ACIP) that advises the CDC.
  • These advisory boards are independent. Their job is to monitor vaccines to ensure safety regardless of money, politics, etc.
  • The people on these committees are experts from academic institutions, and they are vetted to avoid a conflict of interest. Experts who may have a conflict of interest are not put on these committees.

▪ The committees will evaluate the vaccine data for safety and efficacy, and also help to determine how it will be distributed.

More COVID-19 Vaccination Q&A Coming Next Week…

Good Reads

Important Notice Regarding Therapy Appointments

We are observing an upward trend in late arrivals to therapy appointments. We respectfully ask that you honor the time of your appointment by arriving on time for the therapist. When residents arrive late to a therapy appointment, it has a cascading impact on other appointments the therapist has scheduled that day and impacts the time the therapist will be able to spend with you. We also have had instances when residents have booked themselves for an appointment in the Health and Wellness Clinic and the Therapy Department at the same time, believing they could take care of both appointments one after another. However, when you do this, one health care professional is waiting, sometimes up to 10-20 minutes while you attend to your other appointment. Please plan your appointments to Therapy and the Health and Wellness Clinic at separate times to honor the time commitment of the staff. Thank you.

Pet Salon for Saturday, December 12

At the front gate. Call or email Priscilla Steinberg for an appointment time to have your cat’s or small dog’s nails clipped.

Marimba Christmas, Sunday, December 13, at 1pm on KOTV

Don’t miss Kendal’s tradition of Marimba Christmas with Oberlin College! With a long-standing tradition of this being in the Heiser Lounge, the show will go on as a recorded treat. Our newer residents and unfamiliar with this special event should definitely not miss it!

Reminder: Johnny Comes Calling this Coming Week

Place orders on Monday and Tuesday with Terry (440-774-8215) for delivery on Thursday at 10am in front of Heiser. Please note this in your calendar.

Kendal Enrichment

Quaker Principles – Collaborative Decision-Making – the Participant’s Role: Serving as chair or facilitator of a collaborative meeting calls for a skillset to lead to a consensus embraced by the group. In part 2 of this 3-part series on decision-making, David Jones from Kendal and Jane Mack from Friends Service Alliance share tips for success with a few extra minutes on techniques to deal with disagreements. 

Hear David Jones and Jane Mack explain how you can contribute to the discussion and the eventual decision of the whole. The entire series is available here.

Reflection Questions

  • What might another participant do to encourage someone to speak up if they are silent and not engaging in a discussion?
  • Describe your experiences with participants supporting a decision outside the group that made the decision.
  • Share your thoughts about the difference between unity and unanimity.

Today’s Statistics

Kendal at Oberlin (KaO)

Independent Living Resident Cases0
Stephens Care Center (SCC) Resident Cases 
          Residential Care Facility 1
          Skilled Nursing Facility0
KaO Residents Total1
     KaO SCC Staff Cases5
     KaO Other Staff Cases 13
KaO Staff Total18
Kendal at Oberlin Total19
***In Quarantine, COVID positive5
***Recovered 14

Lorain County (as of 2PM) – Level 3 – RED

New Cases (since Wednesday, 12/9/2020 – 2 day average 165.5)             329
Total Lorain County Cases  9,355
Total in Zip Code 44074 (+9 since Wednesday , 12/11/2020)218
Total Deaths, age ranges 30-39 • 1; 50-59 • 5; 60-69 • 16; 70-79 • 31, 80+ • 57110
Total Deaths in Long Term Care Settings (updated weekly, last 12/9/2020)58

Cuyahoga County (as posted at 2PM) – Level 3 – RED

Cuyahoga County (excluding Cleveland – updated on Friday 12/11/2020)32,637
Cleveland Cases (updates at 2pm – last update 12/7/2020)15,130
Total Cuyahoga County Cases47,767
New Cases (since Wednesday, 12/9/2020 – Cuyahoga County is only updated weekly, late Fridays, skewing data)                  4,940
Total Cuyahoga County Deaths993
Total Deaths in Long Term Care Settings (updated weekly, last 12/9/2020)352

State of Ohio (as of 2PM)

New Cases in the Last 24-hours 10,359
21-day Average of New Cases9,847
Total Cases 542,209
Age Range all Cases<1-111
Median Age of all Cases42
Total Hospitalizations (cumulative)31,536 or 6%
Total Hospitalizations last 24 hours 394
21-day Average of Hospitalizations 361
Median Age of all Hospitalized67
Total ICU Admissions (cumulative)5,134, or 1%
Total ICU Admissions last 24 hours 44
21-day Average of ICU Admissions 37
Total Health Care Workers Diagnosed 35,757 or 7%
Total Tested in Ohio6,727,663
Total Deaths  7,426 or 1%
Median Age of Deaths 80
Deaths in Last 24 hours 128
21-day Average of Deaths 70
Total Deaths in Ohio Long Term Care Settings (updated weekly, last 12/9/2020)3,706

December 9, 2020: Update to Residents

Where did Ohio’s COVID-19 cases snowball in November? We have the maps

Coronavirus cases snowballed in November across Ohio and Cincinnati as the counts jumped by nearly 200% for the month to follow a 136% increase in October. But an Enquirer analysis of state data by zip code shows the increase was concentrated in less than half of the state. Five hundred zip codes, with about a third of the state’s population, saw at least half of their total COVID-19 cases during November, 7-1/2 months into the global pandemic. Read the full story and see the maps. –Mark Wert and Mike Nyerges, The Cincinnati Enquirer as in The Columbus Dispatch

More Good Reads

Coronavirus Found in Cleveland Area Sewage Suggests a Surge in Cases Is Coming, Official Says

The Ohio Department of Health has notified the Cuyahoga County Board of Health of a sustained surge in coronavirus fragments found in wastewater at two county treatments plants, which could portend a boost in COVID-19 cases in the region in the days ahead. –Cleveland.com

How to Drive Safely with a Passenger

Here is a report from Brown University showing that having two windows open in a car with two passengers (driver and passenger in the right backseat) reduced the risk of COVID transmission significantly. This may be a way to allow using residents’ cars for urgent or needed transport to medical appointments, etc. This may not be practical or comfortable in winter but could be a backup plan. shared by Don Parker

Pandemic Shaming Can Backfire- Here’s a better wayWith the holiday season continuing and the spread of Covid-19 widely expected to worsen, many of us face the same gut-wrenching decision: to gather or not to gather? Do we take comfort in familiar rituals with family and friends — or should we limit celebrations to the relative isolation of our Covid-19 bubbles?

During a pandemic that has already claimed more than 1.4 million lives worldwide, the safest strategy, unquestionably, is to abstain from festivities with those outside our immediate households. But not everyone values safety more than social connection — and public shaming and blanket demands for abstinence can backfire. How, then, can we balance our security and sanity, to ensure that we save as many lives as possible? –shared by Don Parker from Medscape

Barbara’s Exchange Zoom – Thursday, December 10, at 4pm via TV or your Zoom Program

We look forward to continuing the discussion on the likely rollout of COVID vaccines based on priorities that have been set by Ohio. We will show one of the Kendal/Friends Services Alliance films on collaborative decision-making and the role of the facilitator/committee chair, and provide an update from the New Normal Committee and other activity developments underway by resident initiatives. Join Zoom Meeting – Zoom Meeting ID: 921 4392 7958, One tap mobile 3126266799,,92143927958# US (Chicago)

Scam Advisory

“Arrr, there be scams afoot. Avast ye scalawags!” said the risk manager. Seriously, we all wish they would just leave us alone! Unfortunately, they won’t but we can stay alert and defeat these scammers. Read on…

One prolific scam is with “Apple” who calls you to state your account has been “breached.” Next it encourages you to get assistance by pressing 1 to connect with “Apple Support Services.” Don’t be fooled! Apple will not call you like this and you NEVER want to press 1 or any other number or tell your personal information.

Another common scam “afoot” is with “Amazon.com”. In this scam you get a call that you have been charged a large amount of money to your account for an expensive purchase, which of course you never made. ‘Tis the season. Don’t press 1 or give any information to the caller.

There are many more scams and robocalls out there disturbing our peace–too many to name. Just remember: Don’t engage with callers who tell you there is a problem with your accounts and ask you for any financial or private information or to do anything. Just hang up or better yet, screen your calls first and don’t return any that are unfamiliar to you. It may be irritating to receive the same calls repeatedly, but after realizing you are too smart to answer them, they will move on to someone else. from Toni Merleno, risk manager

lighted Menorah

Chanukah Kendal Events

Chanukah begins tomorrow evening, December 10, and continues for eight days through the evening of December 17. There are two ways to join with others in celebration. If you would like to stay warm and cozy, there will be a Chanukah candle-lighting and blessing on WSCC (921, 20-1 or 96-100) at 5:30pm on the first evening, at 7:00pm on Friday evening, and at 5:30pm for the next six evenings. If you want to venture out to be with a small group, part of the Heiser Lounge is reserved from 5:15–5:45 each of the eight evenings for a small gathering to light and bless the candles. To keep the number in the lounge within the required “no more than 10,” please use the sign-up sheets by the open mailboxes.from Sandi McClennen

Pet Salon Saturday, December 12, at front entrance

Call or email Priscilla Steinberg for an appointment time to have your cat’s or small dog’s nails clipped.

Local Activism, National Impact: Women’s Suffrage in Oberlin – Thurs., Dec.10 at 7:15 pm

Oberlin Heritage Center’s Museum Education and Tour Coordinator, Amanda Manahan, will present a program about Oberlinians who fought for women’s suffrage, working against discrimination on the basis of both sex and race. Drawing from newspaper accounts and historical records, this 25-minute program will take a look at activism in a small town, and its connection to the larger national movement and events that led up to Ohio’s ratification of the 19th Amendment in 1919, nationally ratified in 1920. The program will end with a Q&A session.

Join Zoom Meeting – Meeting ID: 899 4243 2630  One tap mobile, +13126266799,,89942432630#

Reminder-Daily at 5

Remember Daily at 5 runs each evening at 5pm through December 14. Feel free to drop into a community Zoom as many times as you’d like during this trial period. This is the same as walking

into the Fox and Fell and being asked if you’d like to join a table for dinner that night. Use https://us02web.zoom.us/j/6809153934 to drop in and talk with other Kendal residents WITHOUT YOUR MASK. Then give us your feedback so we can improve it for January and February. Contact Ann Fuller if you have trouble connecting to Zoom.shared by Elizabeth Hole

Today’s Statistics

Kendal at Oberlin (KaO)

Independent Living Resident Cases0
Stephens Care Center (SCC) Resident Cases 
          Residential Care Facility 1
          Skilled Nursing Facility0
KaO Residents Total1
     KaO SCC Staff Cases5
     KaO Other Staff Cases 13
KaO Staff Total18
Kendal at Oberlin Total19
***In quarantine, COVID-positive5
***Recovered14

Lorain County (as of 2PM) – Level 4 – PURPLE

New Cases (since Monday – Lorain County Public Health is reporting only confirmed cases and has removed probable cases from their count on their website.)0
Total Lorain County Cases  9,026
Total in Zip Code 44074 (+25 since Monday, 12/7/2020)209
Total Deaths, age ranges 30-39 • 1; 50-59 • 5; 60-69 • 16; 70-79 • 31, 80+ • 57110
Total Deaths in Long Term Care Settings (updated weekly, last 12/2/2020)51

Cuyahoga County (as posted at 2PM) – Level 3 – RED

Cuyahoga County (excluding Cleveland – updated on Friday 12/2/2020)28,450
Cleveland Cases (updates at 2pm – last update 12/7/2020)14,377
Total Cuyahoga County Cases42,827
New Cases (since Monday, 12/7/2020 – Cuyahoga County is only updated weekly, late Fridays, skewing data)                  489
Total Cuyahoga County Deaths883
Total Deaths in Long Term Care Settings (updated weekly, last 12/2/2020)352

State of Ohio (as posted at 2PM)

New Cases in the Last 24-hours 10,094
21-day Average of New Cases9,585
Total Cases 520,112
Age Range all Cases<1-109
Median Age of all Cases42
Total Hospitalizations (cumulative)30,690 or 6%
Total Hospitalizations last 24 hours 464
21-day Average of Hospitalizations 356
Median Age of all Hospitalized67
Total ICU Admissions (cumulative)5,059 1%
Total ICU Admissions last 24 hours 49
21-day Average of ICU Admissions 37
Total Health Care Workers Diagnosed 34,569 or 7%
Total Tested in Ohio6,602,475
Total Deaths  7,187 or 1%
Median Age of Deaths 80
Deaths in Last 24 hours 84
21-day Average of Deaths 65
Total Deaths in Ohio Long Term Care Settings (updated weekly, last 12/2/2020)3,494

December 7, 2020: Update to Residents

Buckeye Community Bank Selected to Serve Kendal at Oberlin Residents and Kendal at Oberlin as a Business

A community bank that has based its reputation on serving small- to medium-sized businesses has won over Kendal at Oberlin! The transition is underway with Northwest Bank service ending on December 14. Buckeye is gearing up to be available for appointments here at Kendal on Wednesday, December 16. Our Finance team will focus first on the resident transition and not likely move Kendal’s business until after the first of the year, a much more significant transition. We don’t know just yet when the ATM currently here will be removed and a new one installed, but it should be fairly close from removal by Northwest to installation under the new arrangement. Stay tuned for more information to come.

Good Reads

How 700 Epidemiologists Are Living Now, and What They Think Is Next – Even with coronavirus vaccines on the way, many epidemiologists do not expect their lives to return to pre-pandemic normal until most Americans are vaccinated. In the meantime, most have eased up on some precautions — now going to the grocery store or seeing friends outdoors, for example — but are as cautious as ever about many activities of daily life. In a new informal survey of 700 epidemiologists by The New York Times, half said they would not change their personal behavior until at least 70 percent of the population was vaccinated. Thirty percent said they would make some changes once they were vaccinated themselves. –The New York Times, shared by Mary Behm

COVID-19: DeWine Says Ohio’s Overnight Curfew Will Be Extended as Deaths Surpass 7,000 – With Ohio’s COVID-19 death toll breaking a grim new barrier, Gov. Mike DeWine will extend the statewide curfew of 10pm to 5am beyond its scheduled expiration Thursday. “We are now in a very dangerous stage,” he said. Noting that while Ohio and the nation await a vaccine, “December, January, February are looking very tough.” –The Columbus Dispatch

Older Adults More Resilient to COVID’s Mental Health Impact – Here’s a Medscape article reporting on a study published in JAMA conducted during earlier months of the pandemic. It has some relevant and interesting observations. A continuing longitudinal study is underway. Stay tuned. Shared by Don Parker

Amazon Prime Members BEWARE: USA Today ran an article warning about fraudulent phone calls directed at Amazon Prime Members. Amazon Prime scam tries to rob you of $800. Here’s what to know. –USAToday.com

Two More Kendal Staff Members Test Positive for COVID-19

We were informed today that two more staff members tested positive for COVID-19 at testing conducted by outside providers. Through Kendal’s proactive mitigation system and instructions on self-quarantining, no additional spread is suspected nor has it been detected. Both are isolated incidences not related to each other, but they highlight the degree of community spread beyond the Kendal campus. Neither staff member has been near a resident in a number of weeks and neither of them work in the Stephens Care Center. Kendal staff members will continue to actively practice social distancing, the wearing of masks, and excellent hand-and-surface sanitization in order to keep themselves, their families, and our Kendal Community safe.

Today’s testing with all Stephens Care Center Staff yielded ALL NEGATIVE RESULTS for COVID-19. Our next round of testing, which will also include all IL Housekeepers and Facility Services staff that enter homes, will be on Thursday, December 10.

lighted Menorah

Chanukah Kendal Events

Chanukah begins the evening of December 10 and continues for eight days (through the evening of December 17). There are two ways to join with others in celebration. If you would like to stay warm and cozy, there will be a Chanukah candle-lighting and blessing on WSCC (921, 20-1 or 96-100) at 5:30pm on the first evening, at 7:00pm on Friday evening, and at 5:30pm for the next six evenings. If you want to venture out to be with a small group, part of the Heiser Lounge is reserved from 5:15–5:45 each of the eight evenings for a small gathering to light and bless the candles. To keep the number in the lounge within the required “no more than 10,” please use the sign-up sheets by the open mailboxes. From Sandi McClennen

Reminder from Teresa Maynard-Pais for Newspaper Deliveries

Since the soft close of Kendal and due to the pandemic, newspapers have been dropped off by carriers at our main community entrance. Your newspaper is then delivered to you by resident volunteers – for which we are very grateful! If for some reason you do not receive your paper, you will need to call the newspaper’s customer service department to report this. If you call early enough, arrangements may be made to get a copy to you that same day. Otherwise you will need to request a credit to your bill. Kendal is not able to do this for you, as it is your own personal subscription.

Here are the customer service phone numbers:

  • Barron’s…………………………………………….1-800-544-0422
  • Chronicle Telegram……………………………440-329-7200 or 800-848-6397                           
  • Plain Dealer………………………………………  216-999-6000 or 800-275-7346
  • New York Times………………………………… 800-753-7795 or businesscare@nyt.com
  • Wall Street Journal……………………………  800-568-7625

There can be various reasons for shortages, such as the carrier may miscount the number of copies he drops off. This seems likely when one day we are two papers short while the next day we have the exact amount and the following day we are one short. Please know that although I am not able to obtain a credit for your bill, I do call to report shortages in the hopes that the carrier will be informed. We have also learned that a couple of residents were unaware that their subscription had lapsed but were still getting newspapers. So, please do be aware of this, too.

Many thanks again to the resident volunteers who deliver the newspapers and to Mary Van Nortwick and Donna Baznik who help to keep everyone organized!

Reminder-Daily at 5

Remember Daily at 5 runs each evening at 5pm through December 14. Feel free to drop into a community Zoom as many times as you’d like during this trial period. This is the same as walking

into the Fox and Fell and being asked if you’d like to join a table for dinner that night. Use: https://us02web.zoom.us/j/6809153934 to drop in and talk with other Kendal residents WITHOUT YOUR MASK. Then give us your feedback so we can improve it for January and February. Contact Ann Fuller if you have trouble connecting to Zoom.Shared by Elizabeth Hole

TIME—Khalil Gibran – Shared from the weekly session with Indira Palekar, Kendal’s Psychologist

  • You would measure time the measureless and the immeasurable,
  • You would adjust your conduct and even direct the course of your spirit according to hours and seasons.
  • Of time you would make a stream upon whose bank you would sit and watch its flowing.
  • Yet the timeless in you is aware of life’s timelessness,
  • And knows that yesterday is but today’s memory and tomorrow is today’s dream.
  • And that which sings and contemplates in you is still dwelling within the bounds of that first moment which scattered the stars into space.

Safety Reminder for Late Night Walkers or Bike Riders

Concern has been expressed for those who are walking/riding at night. Many are not carrying a flashlight or wearing reflective clothing. The danger is enhanced by folks walking in the roadway–a reasonable choice since the road tends to be better plowed than the perimeter path. An inexpensive solution for those who don’t want to invest in reflective clothing is to buy a roll of reflective tape and affix pieces to your existing outerwear. Carrying a flashlight is also a good idea. Some of you may have observed the flashing collar worn by Anne Palmer’s and Bruce Harker’s dog Charlie. You might look good in twinkle lights too!

Today’s Statistics

Kendal at Oberlin (KaO)

Independent Living Resident Cases0
Stephens Care Center (SCC) Resident Cases 
          Residential Care Facility 1
          Skilled Nursing Facility0
KaO Residents Total1
     KaO SCC Staff Cases5
     KaO Other Staff Cases 13
KaO Staff Total18
Kendal at Oberlin Total19
***In Quarantine, COVID Positive5
***Recovered, 14

Lorain County (as of 2PM) – Level 4 – PURPLE

New Cases (since Friday 12/4/2020, 3 day average: 242.3)727
Total Lorain County Cases 9,132
Total in Zip Code 44074 (+15 since Friday, 12/4/2020)184
Total Deaths, age ranges 30-39 • 1; 50-59 • 5; 60-69 • 15; 70-79 • 25, 80+ • 5096
Total Deaths in Long Term Care Settings (updated weekly, last 12/2/2020)51

Cuyahoga County (as posted at 2PM) – Level 3 – RED

Cuyahoga County (excluding Cleveland, updated on Friday 12/2/2020)28,450
Cleveland Cases (updates at 2pm, last update 12/7/2020)13,888
Total Cuyahoga County Cases42,338
New Cases (since Friday, 12/4/2020 – Cuyahoga County is only updated weekly, late Fridays, skewing data)                  944
Total Cuyahoga County Deaths881
Total Deaths in Long Term Care Settings (updated weekly, last 12/2/2020)352

State of Ohio (as of 2PM)

New Cases in the Last 24-hours 9,273
21-day Average of New Cases8,521
Total Cases 484,297
Age Range all Cases<1-109
Median Age of all Cases42
Total Hospitalizations (cumulative)29,569 or 6%
Total Hospitalizations last 24 hours 336
21-day Average of Hospitalizations 338
Median Age of all Hospitalized67
Total ICU Admissions (cumulative)4,943 1%
Total ICU Admissions last 24 hours 40
21-day Average of ICU Admissions 34
Total Health Care Workers Diagnosed 33,130 or 7%
Total Tested in Ohio6,502,024
Total Deaths  7,022 or 1%
Median Age of Deaths 80
Deaths in Last 24 hours 63
21-day Average of Deaths 61
Total Deaths in Ohio Long Term Care Settings (updated weekly, last 12/2/2020)3,494

Governor Mike DeWine’s regular COVID press conferences are found at The Ohio Channel.

Contact Information


If you have any questions or concerns,  please contact Stacy Terrell, Chief Health Services Officer, at 440-775-9811