September 15, 2021
Stephens Care Center
At this writing, all COVID antigen testing performed on Kendal staff since Saturday has been negative. There are no additional residents that have tested positive for COVID. All Kendal Stephens Care Center staff, as well as all Kendal Waitstaff, Housekeepers, Facility Services staff members, Receptionists, and other staff members with routine resident contact, are being tested twice per week, regardless of vaccination status. This is part of our preplanned, orchestrated response. Our next testing cadence is Thursday, and this will be a PCR test.
Independent Living COVID Concerns
We have received several phone calls and emails from Independent Living resident concerns about potential exposure to COVID. As it has been throughout the pandemic, it remains important that all residents continue to self-monitor for signs and symptoms of COVID. Kendal staff are checked upon reporting to Kendal every day and residents in the Stephens Care Center have been and continue to be monitored daily.
Early Learning Center COVID Case
Kendal was informed yesterday that a child enrolled in the Kendal Early Learning Center (ELC) tested positive for COVID-19 via a rapid antigen test. Jeni Hoover, ELC Director, is working with the family in order to confirm the positive antigen result via a PCR test. With this news, Jeni immediately consulted with Lorain County Public Health (LCPH) and was advised to inform parents and monitor the classroom children for any developing symptoms. LCPH did not advise that we close the program unless we had more children test positive. However, Jeni further consulted with Beth Stewart, RN, and Kim Leek, RN (both certified Infection Preventionists). Then, as a proactive measure, the ELC was closed today in order to perform a deep clean of the classroom. Additionally, all families were instructed to have their children tested for COVID today. Children may return tomorrow to the ELC with documented negative test results. All ELC staff members were tested, and everyone tested negative for COVID. We will continue to monitor this situation closely with consultation with our Kendal Infection Preventionists and Lorain County Public Health.
Special COVID Update provided to residents on Sunday, Sept. 12:
If you missed this update on Sunday, access this link to view: https://www.youtube.com/watch?v=ApfRqCetL_8
What are the signs of COVID?
This is what the Centers for Disease Control and Prevention (CDC) lists: Fever or chills, Cough, Shortness of Breath, or difficulty breathing, Fatigue, Muscle or Body Aches, Headache, New Loss of Taste or Smell, Sore Throat, Congestion or Runny Nose, Nausea or Vomiting, and Diarrhea.
Regarding a fever, the CDC reminds us that a warning sign for COVID-19 would be if a temperature registers 100.4 or higher — meaning it would be almost 2 degrees above what’s considered an average “normal” temperature of 98.6 degrees.
This list does not include all possible symptoms. The CDC will continue to update this list as we learn more about COVID-19. Older adults and people who have severe underlying medical conditions like heart or lung disease or diabetes seem to be at higher risk for developing more serious complications from COVID-19 illness.
When is a COVID Test Administered?
We do not have the ability to provide a COVID test upon demand. As we shared on Sunday afternoon’s Zoom call, we must manage our testing supplies wisely. If you are exhibiting any symptoms listed above, please reach out to the Health and Wellness Clinic (440-775-9819) during business hours or the RN Nurse Manager (440-775-9800) during the evening or on weekends. They will assess and determine your concern and make the determination if a COVID test is necessary. One key indicator we look for is the elevated temperature of 100.4 or higher.
The CDC lists the criteria for considered close contact to COVID
- Someone who was within 6 feet of an infected person for a cumulative total of 15 minutes or more over a 24-hour period or;
- provided care at home to someone who is sick with COVID-19 or;
- had direct physical contact (hugged or kissed) with someone who has COVID-19 or;
- shared eating or drinking utensils with someone who has COVID-19 or;
- been sneezed on or coughed on by someone who has COVID-19.
Lorain County Remains at a High Level of Transmission
The CDC informs us that to maximize protection from the Delta variant, and prevent possibly spreading it to others, wear a mask indoors in public if you are in an area of substantial or high transmission. Lorain County is currently at a HIGH level of transmission.
With the high level of transmission in Lorain County, and in most areas of the country, we remind all residents and staff:
At Kendal, we continue to remember the basics while remaining Calm and Proactive:
- Wear a mask over your nose and mouth.
- Stay at least 6 feet away from people who don’t live with you.
- Avoid crowded areas and poorly ventilated spaces.
- Wash your hands often with soap and water or use hand sanitizer with at least 60% alcohol.
Other protective measures:
- Consider delaying planned travel, especially to other HIGH Level transmission areas, https://covid.cdc.gov/covid-data-tracker/#county-view
- For Independent Living residents hosting visitors and overnight guests. We continue to advise that you do not host visitors from Level 4 or HIGH Transmission Counties.
- Avoid crowds.
- Avoid eating inside restaurants – curbside or outdoor dining is preferred.
The risk, as we have experienced this past week, is that we are seeing breakthrough cases among fully vaccinated individuals.
Update on COVID Boosters
We are contracted with the CVS Pharmacy in Oberlin. Once the FDA has approved the COVID Booster for distribution beyond the immunocompromised, we will be setting and announcing COVID Booster Vaccination dates, which will be available here, at Kendal at Oberlin.
High Dose Influenza Clinics for Independent Living
We have contracted with CVS Pharmacy in Oberlin to conduct our High Dosage Flu Clinic for Independent Living. High Dosage Flu Clinic dates will be Thursday, October 7, Friday, October 8 and Thursday, October 14. More details will be announced, as they are finalized.
Don’s Article Gems:
This report cites an article in The Lancet which showed that breakthrough cases were twice as likely to be asymptomatic as unvaccinated cases. The authors discussed public health implications and the need for vaccinated people to practice good prevention methods.
Interestingly, it was people over 60 that showed the highest number of breakthrough cases that were asymptomatic.
Medscape interviewed two experts on the current concern about the Mu variant of the SARS=CoV-2 virus. Basically, it’s a mixed bag of more or less worries and a healthy helping of “we don’t know yet.” BTW, Mu is pronounced as if you were a cat.
New study: Nursing home residents, health care workers lose more than 80% of their COVID-19 immunity six months after Pfizer vaccine
Case Western Reserve University researchers, in partnership with Brown University, examine vaccine’s effectiveness over time on seniors and their caregivers:
A recently released study showed undeniable benefit of masks in a real world setting. The study has been hailed as definitive proof of mask wearing to prevent COVID-19. The debate should stop here.
THURSDAY- KORA Council Meeting via Zoom and KOTV
Thursday September 16 at 10:00am; https://kendal-org.zoom.us/j/82424310903
Or One tap mobile: US: +13017158592,,82424310903# or +13126266799,,82424310903#
SAVE THE DATE – Health Services Forum on Wednesday, September 22 at 4 PM
Our Quarterly Health Services Forum returns this September 22, at 4 PM, on Zoom. Our topics will include:
- Supports for Neighbors in Need / How the Continuum of Care Works
- Building Mental Health Resiliency
- COVID Boosters
- Q and A with our Medical Director
Our Zoom Link for the Health Services Forum: https://kendal-org.zoom.us/j/83883736087
2022 Budget Kickoff Meeting
Held for residents on September 8, access this link to view the recorded meeting: https://youtu.be/8qN3f3t_0xg
Bird Feeding Update
The Ohio Division of Wildlife is lifting its previous recommendation to stop feeding birds. However, caution and vigilance are always necessary to help prevent further spread of diseases at bird feeders.” – (Thanks to Nancy Lombardi and Doug McClennen for alerting us.)
Healing Democracy – An Eight Part Lecture Series from Oberlin College
The first lecture, “Imperfect Union: Slavery, Settler Colonialism, and America’s White Republic” is tonight at 7pm on KOTV. The next lecture, “The Principles and Practices of America’s ‘Democratic’ Elections” is scheduled for next Tuesday, Sept. 21, also at 7pm on KOTV. The lecture will be given by Michael Parkin, who is the Erwin N. Griswold Professor of Politics. He examines the principles and practices of democratic elections and explores ways in which elections in the U.S. could be more democratic. His research focuses on the relationship between political candidates, the media, and voters in the United States. He is particularly interested in how candidates use ‘‘new media’’ (e.g., the internet, entertainment television) and the effect this has on voters. Parkin’s research has appeared in American Political Science Review, Journal of Politics, Political Research Quarterly, and Political Communication. He teaches courses in American politics that deal with political psychology, media and mass political behavior, campaigns and elections, and quantitative research methods.
Kendal at Oberlin (KaO)
|Independent Living Resident Cases||1|
|Stephens Care Center (SCC) Resident Cases|
|Residential Care Facility||5|
|Skilled Nursing Facility||2|
|KaO Residents Total||8|
|KaO SCC Staff Cases||17|
|KaO Other Staff Cases||26|
|KaO Staff Total||43|
|Kendal at Oberlin Total||51|
|***In Quarantine, COVID Positive||8|
|Kendal at Oberlin Vaccination Overall Rate||546 of 565, or 96.6%|
|Total Kendal Residents Vaccinated||347 of 347 or 100%|
|Total Kendal Staff Vaccinated (this number will go up with staff getting vaccinated and hiring, it will go down with staff attrition)||199 of 218, or 91.3%|
Lorain County (as of 9/14/2021)
|New Cases (since Monday, September 6, 2021 – 7 day average: 103.1per day)||722|
|Total Lorain County Cases||23,307|
|Total in Zip Code 44074 (+11 since Monday, September 6, 2021)||658|
|Current Lorain County Positivity Rate, High Transmission Rate||13.4%|
|Total Deaths, age ranges 20-29 • 1; 30-39 • 3; 40-49 • 8; 50-59 • 22; 60-69 • 77; 70-79 • 141; 80+ • 213||465|
|Total Deaths in Long Term Care Settings (updated weekly, last 9/8/2021, +1)||240|
|Lorain County Vaccinations Started||176,223 or 56.7% of population|
Cuyahoga County (as of 9/14/2021)
|Cuyahoga County (excluding Cleveland)||91,559|
|Cleveland Cases (not updated for past two weeks)||35,280|
|Total Cuyahoga County Cases||126,839|
|New Cases (since Monday, September 6, 2021)||1,800|
|Total Cuyahoga County Deaths||2,463|
|Total Deaths in Long Term Care Settings (updated weekly, last 9/8/2021)||872|
State of Ohio (as posted on 9/14/2021)
|New Cases in the Last 24-hours||5,568|
|21-day Average of New Cases||5,735|
|Age Range all Cases|
|Median Age of all Cases||40|
|Total Hospitalizations (cumulative)||68,431 or 5%|
|Total Hospitalizations Last 24-hours||232|
|21-day Average of Hospitalizations||194|
|Median Age of all Hospitalized||66|
|Total ICU Admissions (cumulative)||9,088 or 1%|
|Total ICU Admissions last 24-hours||19|
|21-day Average of ICU Admissions||19|
|Total Health Care Workers Diagnosed||70,297 5%|
|Total Tested in Ohio||15,497,252|
|Total Ohio Resident Deaths||21,154|
|Median Age of Deaths||79|
|Ohio Resident Deaths in Last 24-hours||0|
|21-day Average of Deaths||22|
|Total Deaths in Ohio Long Term Care Settings (updated weekly, last 9/8/2021)||7,736|
|Statewide Vaccinations Started||6,182,195 or 52.9% of population|
If you have any questions or concerns, please contact Stacy Terrell, Chief Health Services Officer, at 440-775-9811