Community Updates Week of 3/8/2021

Calm, Proactive Preparedness

March 12, 2021: Update to Residents

Lorain County Remains Level 3 Red

Lorain County has been under a Level 3 “red” public health advisory since December 10, and that didn’t change in the Ohio Department of Health’s weekly update of its tiered system Thursday. Nine Ohio counties, however, made the drop from red to the Level 2 “orange” advisory Thursday, primarily due to a decreasing number of coronavirus cases. Ohio now has 65 red counties, 22 orange counties and one county, Meigs, under the Level 1 “yellow” public health advisory.

Lorain County remains under the red advisory due to its incidence rate of 159.12 coronavirus cases per 100,000 population over the last two weeks. Besides exceeding the new cases per capita threshold, the only other alert indicator flagged in Lorain County is the proportion of cases not in a congregate setting. That indicator is flagged if more than half of the county’s new COVID-19 cases were from outside congregate settings in any of the last three weeks, and it is viewed as a sign of community spread levels. With just two alert indicators flagged, the only thing keeping Lorain County from dropping to the orange advisory is its incidence rate, which must stay below 100 cases per 100,000 population for two weeks. —The Chronicle-Telegram

New Normal Committee Updates

Resident Masks Yesterday’s discussion by the New Normal Planning Committee focused significantly on the consideration of wearing masks in Heiser now that all except a couple residents are fully vaccinated. There are common or community spaces in Heiser which we all share by necessity—hallways, Heiser Lounge, library, reception desk, mailboxes, entrances. In these spaces we share by necessity, we must continue to wear masks since we might meet people who prefer to remain masked. 

There are common spaces which we share by choiceGreen Room, Crossroads Room, Auditorium, Art Studio, Craft Room and Woodshop. Since the Centers for Disease Control and Prevention (CDC) has said vaccinated people can gather safely unmasked in small groups, the meeting group can decide whether to wear masks or not in these “by choice” areas. For example, if you sign up to meet others for Tuesday at Two or a book club in the Green or Crossroads Rooms, your group can decide to be masked or not. It is your choice, reached by consensus.

Outside, including in the covered walkways, those vaccinated can safely be unmasked. But if we approach someone who is masked, we should out–of courtesy–pull up our mask. This necessitates your carrying your mask or having it positioned ready to use.

If you are uncertain about asking people to mask up, here’s a suggested script: “I’m uncomfortable going without a mask. Would you please wear masks for this meeting? Thanks.”

Staff Masks – Staff will continue to wear masks working inside resident homes. We ask if you have a staff member in your home, you too are asked to wear a mask. Staff will continue to have the extra PPE who are not vaccinated and staff who are vaccinated will continue to wear masks. We did make an exception for staff outdoors doing groundskeeping work: any time near staff or residents they must pull their mask up and into position.

We can never say we are risk-free – There will now be more individual choice and responsibility.

We are still making discoveries about COVID-19; however, we know the positivity rate is decreasing and the vaccination is effective in most cases for preventing serious illness and death. We know that, quoting a scientist, “You are MOST unlikely to die or be hospitalized.” As we continue to ease our restrictions, we must all be aware we cannot be completely risk-free.

Auditorium – The Auditorium is the one space we are increasing capacity to 25 total people. The German class can now meet without masks for conversation if all are in agreement and no one is uncomfortable. Dancers, and Table Tennis players with the normal multiple table set-up also may be unmasked if all are in agreement.

Dining – Dining staff are training for a slow reopening of Fox and Fell on March 18 and 19 for Newcomers/Mentors. March 22-April 16 (Monday-Friday) will be available for other Independent Living residents by reservation using SignUpGenius (details to follow). Residents should expect to put in 2 or 3 reservations per month depending on how many other residents request reservations. The Langston will open later in April, expanding capacity and allowing an overflow at lunch into the Fox and Fell, increasing capacity. Many more details to follow.

Personal Gardening We are working toward the same gardener options we offered last year (Paul Argo and his helper). The same crew will provide consistency on what happens on the campus and knowledge of approved procedures. Residents were satisfied last year with the service, quality, and pricing.

Pool and Exercise SpacesWe are seeking more outside public health counsel since this is an area of more vigorous exercise.

Tents will be available on campus just like last year for outdoor visitation. We have purchased the tents this year instead of renting them.

March 29: Your Visitors Coming “INTO” Kendal whether it is Family or Kendal Independent Living Residents – As of March 29, visitors may visit you in your home, including in the apartments. You will be able to have up to 2 visits each day in your home (could be a car group) as long as the total home capacity does not exceed 6 people (resident(s) plus guests). We will be preparing a new pass for you to send to anyone making a visit to your home. This new form will include questions that are currently asked by our entrance staff. Sending out the questions ahead of time will reduce waiting time at the front gate where visitors will turn in their completed form and simply have their temperature taken.

We still need to approve OUT-OF-STATE VISITORS, requiring all Visitors from Level 4 Counties to delay their visit. Please email either Barbara Thomas or Stacy Terrell for this approval.

As of March 29, visitors will also be welcome to walk on campus with you. Visitors must be masked whether vaccinated or not.

Please Tell Your Guests Before Their Visit – NO visitor is to be visiting on Kendal’s campus IF they have symptoms or have had a COVID test and are awaiting results. If any visitor has tested COVID- positive, they may not visit until they have been cleared by their Public Health Department and/or test negative for COVID-19.

Follow Up After Visit – We ask that you reconnect with your guests 5 days after their visit to see if any COVID symptoms have emerged. Also ask your guests to call you if any symptoms emerge at any time after your visit. If any symptoms are reported to you, immediately report them to Julie Carpenter in the Health and Wellness Clinic, or 775-9807 Monday-Friday and to the Stephens Care Center 775-9800 on weekends.

NOW…Visits “OUT” to Family/Friends: We are now allowing visits away from Kendal to your family friends/1-Household, not gatherings of multiple households together. Again, let people know you want to check in 5 days later to be sure no one has developed symptoms who were part of that visit. They should call you if anyone does develop symptoms so you can be alerted and notify Kendal.

Operationally – We are looking forward to scheduling services on campus, such as window-washing (primarily an outdoor service). All vendor employees on campus are required to be masked. Deep cleans will also be scheduled this year. Please give Greg Zehe and his team time as they work out the scheduling details on these services.

These changes will necessitate a lot of detail work in the Frequently Asked Questions; the Visitor Packet; and written procedures for staff to follow. Thank you for your patience as we work out these details.

Grocery Shopping in Transition

Plans are underway to bring an end to shopping in the style of the last year. There are many options to think about how residents not able to shop for themselves can accomplish this. Small group meetings are being planned.

*Here is the zoom link for those who have been contacted by Priscilla for a meeting on Monday, March 15, at 1:30pm. (Join Zoom Meeting – Meeting ID: 971 0254 9911) *Those who do not have Zoomwill meet in the Auditorium on Tuesday, March 16, at 1pm. Anyone who feels they might need help to get their groceries and have not been contacted, please call Priscilla.

Centers for Disease Control Announces New Regulations for Nursing Home Visitation

Updated guidance from the Centers for Medicare and Medicaid Services will allow facilities such as our Stephen Care Center to allow “responsible indoor visitation” regardless of vaccination status of the resident or visitor. Core principles of COVID-19 infection prevention will continue to be key to safety and success. This includes effective screening of all who enter the facility, hygiene, face covering or mask, and social distancing. Conducting visits outdoors will also continue.

The Ohio Department of Health will be providing additional guidance next Tuesday so that Kendal’s Stephens Care Center and licensed care settings throughout the state will understand how to implement these new guidelines.

Kendal at Oberlin will continue to adhere to CMS and Ohio Department of Health regulations and guidance for routine staff testing, testing of individuals with symptoms, and outbreak testing. When a new case of COVID-19 among residents or staff is identified, Kendal will immediately begin outbreak testing and suspend all visitation until at least one round of facility-wide testing is completed.

Next Steps for the Stephens Care Center Residents

With the news that CMS announced (see above), Kendal at Oberlin is continuing to work with LeadingAge Ohio and other advocacy groups to plan for not only “responsible visitation” in the Stephens Care Center but also for other activities as well, including the ability for Stephens Care Center residents to visit the Kendal Resale Shop, the Heiser Community Center, the Library, the outdoor grounds, orchestrated outings, and more. We are pleased that 2021 will be a much different year than last year! As these plans are developed, we will be keeping you informed. We thank everyone for your patience as we develop procedures in light of this current phase of the pandemic.

Spring is Almost Here – from Rachel Duncan

Sharing some photos of our first blooms

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 Cases14
     KaO Other Staff Cases 18
KaO Staff Total32
Kendal at Oberlin Total33
***In Quarantine, COVID Positive0

Lorain County (as of 3/11/2021) Level 3 RED

New Cases (since Tuesday 3/9/2021, 2 day average: 43.5)87
Total Lorain County Cases  17,717
Total in Zip Code 44074 (+4 since Tuesday 3/9/2021)498
Current Lorain County Positivity Rate (trending down)5.40%
Total Deaths, age ranges 20-29 • 1; 30-39 • 1; 40-49 • 5; 50-59 • 17; 60-69 • 56; 70-79 • 109, 80+ • 180 (reflects ODH correcting county of residences for deaths)369
Total Deaths in Long Term Care Settings (updated weekly, last 3/10/2021)204

Cuyahoga County (as of 3/11/2021) Level 3 RED

Cuyahoga County (excluding Cleveland)          69,957
Cleveland Cases 27,261
Total Cuyahoga County Cases97,218
New Cases (since Tuesday 3/9/2021)            369
Total Cuyahoga County Deaths 2,012
Total Deaths in Long Term Care Settings (updated weekly, last 3/10/2021)644
Lorain County Vaccinations Started 57,856 or 18.5% of population

State of Ohio (as posted 3/11/2021)

New Cases in the Last 24-hours 1,448
21-day Average of New Cases1,788
Total Cases 984,934
Age Range all Cases<1-111
Median Age of all Cases42
Total Hospitalizations (cumulative)51,323 or 5%
Total Hospitalizations Last 24 hours112
21-Day Average of Hospitalizations 108
Median Age of all Hospitalized67
Total ICU Admissions (cumulative)7,255 or 1% 
Total ICU Admissions last 24 hours 10
21-day average of ICU Admissions 12
Total Health Care Workers Diagnosed 57,127 or 6%
Total Tested in Ohio10,366,545
Total Deaths in Ohio (not updated by ODH)17,662*
Median Age of Deaths 80
Deaths in Last 24 hours0
21-day Average of DeathsData incomplete
Total Deaths in Ohio Long Term Care Settings (updated weekly, last 3/10/2021 – ODH adjusted this number) 6,790
Statewide Vaccinations Started2,157,525 or 18.5% of population

March 9, 2021: Update to Residents

Governor Mike DeWine Proclaims March 9 as a Day of Remembrance

Ohio Governor Mike DeWine has declared March 9, 2021, a day of remembrance in Ohio to honor the more than 17,500 Ohioans who have died from COVID-19.

March 9 marks the one-year anniversary of the first confirmed coronavirus cases in Ohio. In response, a State of Emergency was declared in Ohio and the State Emergency Operations Center was activated that same day.

Since then, more than 979,000 people have tested positive in the state.

In his proclamation, the Governor also acknowledged Ohioans who, early on, helped to flatten the curve, the minority communities that were disproportionately impacted, the “true heroes” that emerged during the pandemic such as health care and essential service workers, the lives that were saved, and the more that 17,500 Ohioans that have been lost due to COVID-19. 

Read the Full Proclamation.

Centers for Disease Control and Prevention

The Centers for Disease Control and Prevention has issued new guidelines for those that are fully vaccinated. These guidelines are helpful and will inform us as we continue to navigate this pandemic. Our New Normal Planning Committee has been busy discussing our next steps in light of these new guidelines and will be making announcements soon. Unfortunately, these guidelines do not supersede the rules in place in the Stephens Care Center by the Centers for Medicare and Medicaid Services or the Ohio Department of Health.

Staff COVID Testing is Now Decreased to Once Per Week

In light of our Lorain County Positivity being 5.4% and recognizing we have now gone 5 ½ have weeks since the last staff case of COVID-19, our staff testing will now be once per week on Mondays.  No testing will take place on Thursday, March 11. Our next testing will take place in the Auditorium on Monday, March 15. Great work Kendal…continue to stay safe on and off campus!

Purchasing Spring Plants

With residents now fully vaccinated and the public increasingly so, our Grounds team cannot afford the time to facilitate ordering and delivering spring plants for everyone on campus. We encourage you to use a curbside service such as Thome Farm on Rt. 58, shopping early and avoiding areas with other shoppers. Remember by being part of Kendal’s “Ride-Share” Program, you can ask for services to get your curbside groceries or garden supplies. 

In Loving Memory of Norm Craig

Card and notes of condolence to Ann Craig may be left in Jameson House mailbox in the Heiser Community Center.

Oberlin IGA

Leo Braido has reported he is working toward launching curbside service starting in April. Stay tuned!

Thursday Afternoon Zoom at 4:00pm

Just a reminder that our Zoom link is the same each week.

Join Zoom Meeting – Meeting ID: 921 4392 7958 – One tap mobile, +13126266799,,92143927958# US (Chicago)

We will devote this meeting to more discussions on how Kendal is evolving post-vaccination. While guidance continues to come from many sources, we need to recognize that our stages of reopening are tied to improvements in the larger community (levels of vaccination, number of cases per 100,000, State guidelines, Ohio regulations for health care and congregate centers, etc.)  We have a lot of new activity on campus as a result of changes since February 25. Please be patient as we work on this together as a community to move toward our much desired normal.

March 18 – Next week’s Weekly Exchange will have Oberlin City Manager Rob Hillard to address the process underway for a new City Comprehensive Plan.

Girl Scout Cookies will be delivered on Thursday by resident volunteers

Thank you to: Ann Francis, Nancy Lombardi and Dorothy MacIntyre.

Additionally, if there are any residents who would still like to order cookies there are plenty of extras. If you are interested, call Esme at 440.787.5802. Or, you can order online.

A Week at the BEE

Kendal has a TEAM and will “bee” participating in one category, the “signature event” of United Way- SPELLEBRATE! This year’s proceeds will be supporting students of Lorain County. Kendal is a sponsor of the event and invites residents and staff to get behind the team by voluntarily going to the Crowdfunding Page which we’ll provide later this month. Thank you to Robin Laurén, Nancy MacRae, Kari Inglis, Rebecca Cardozo, and Kim Preston.

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 Cases14
     KaO Other Staff Cases 18
KaO Staff Total32
Kendal at Oberlin Total33
***In Quarantine, COVID Positive0

Lorain County (as of 3/8/2021) Level 3 RED

New Cases (since Thursday 3/4/2021, 5 day average: 19.6)98
Total Lorain County Cases  17,630
Total in Zip Code 44074 (+5 since Thursday 3/4/2021)494
Current Lorain County Positivity Rate (trending down)5.40%
Total Deaths, age ranges 20-29 • 1; 30-39 • 1; 40-49 • 5; 50-59 • 16; 60-69 • 56; 70-79 • 105, 80+ • 176 (reflects ODH correcting county of residences for deaths)360
Total Deaths in Long Term Care Settings (updated weekly, last 3/3/2021)191

Cuyahoga County (as of 3/8/2021) Level 3 RED

Cuyahoga County (excluding Cleveland)          69,627
Cleveland Cases 27,222
Total Cuyahoga County Cases96,849
New Cases (since Thursday 3/4/2021)           874
Total Cuyahoga County Deaths 1,990
Total Deaths in Long Term Care Settings (updated weekly, last 3/2/2021)614
Lorain County Vaccinations Started 54,708 or 17.7% of population

State of Ohio (as posted on 3/8/2021)

New Cases in the Last 24-hours 1,823
21-day Average of New Cases1,825
Total Cases 981,618
Age Range all Cases<1-111
Median Age of all Cases42
Total Hospitalizations (cumulative)51,097 or 5%
Total Hospitalizations Last 24 hours132
21-day Average of Hospitalizations 112
Median Age of all Hospitalized67
Total ICU Admissions (cumulative)7,240 or 1% 
Total ICU Admissions last 24 hours 17
21-day Average of ICU Admissions 14
Total Health Care Workers Diagnosed 56,904 or 6%
Total Tested in Ohio10,307,352
Total Deaths in Ohio  17,662
Median Age of Deaths 80
Deaths in Last 24 hours160
21-day Average of DeathsData incomplete
Total Deaths in Ohio Long Term Care Settings (updated weekly, last 3/3/2021 – ODH adjusted this number) 6,602
Statewide Vaccinations Started2,035,203 or 17.4% of population

Contact Information

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