November 24, 2020
To the Community of Taos,
We are continuing to navigate these difficult times. The Taos Living Center is continuing to surveillance test non-positive residents and staff using PCR testing. Polymerase chain reaction (PCR) is a chemical reaction harnessed to detect and identify trace bits of DNA, from the COVID-19 virus. This form of testing is performed weekly and processed by Tricore Laboratories.
We are continuing to administer a Point of Care (POC) test to any resident or staff member who is suspected of having Covid-19. Point-of-care (POC) tests, such as some rapid tests for diagnosing infectious disease, provide results within minutes of the test being administered, allowing for rapid decisions about patient care.
We have had 11 residents test positive this week. TLC has a total of 34 active cases. Many of our residents are recovering from the virus. We are continuing to battle this virus. With great sorrow, 7 more of our beloved residents have lost their battles with COVID-19.
Taos Living Center has established a bereavement hotline that is staffed by chaplains 24 hours per day. This service is provided free to the community.
If you have any comments or questions that we have not addressed, please feel free to contact me.
Dave Armijo Administrator
November 17, 2020
To the Community of Taos,
We want to start by thanking you for the tremendous support we have received. We are continuing to battle the COVID-19 pandemic. It is a relentless disease . Despite following CDC guidelines, 49 residents who have tested positive for COVID-19. Many are on the road to recovery.
Nevertheless it is with great sorrow to inform you that 7 residents have lost their battle with COVID-19.We have had 37 members of our team test positive for COVID-19, 12 of whom have recovered.
To help with the recovery we have increased the level of licensed physical and occupational therapists in order to provide a higher level of care during these times. We have also onboarded 3 new registered nurses. We continue to work hand in hand with Holy Cross Medical Center through to coordinate care. Holy Cross had graciously provided nurses to help provide a higher level of care for our residents.
We are very thankful for the team approach that Holy Cross has taken during these times. We would also like to recognize the great work by Ems first responders and than them for their constant support. We would also like to thank KOKOs for donating lots of goodies for our night crew and Ms. Whitney Lake for making some delicious posole and Dr. Marshall for donating pizza to keep our frontline caregivers going. We all appreciate it very much.
Rest assured we are committed to the care of our residents as always; and will operate with transparency and gratitude for our community. If you have any comments or questions that we have not addressed please feel free to contact me.
Dave Armijo Administrator
November 16 , 2020
Gov. Michelle Lujan Grisham and state health officials on Friday announced the state of New Mexico will temporarily re-enact a statewide order closing in-person services for all non-essential activities in order to blunt the unprecedented spike of COVID-19 illnesses and to attempt to relieve dramatically escalating strain on hospitals and health care providers across the state. The heightened restrictions statewide, enacted through an amended emergency public health order issued by the state Department of Health, will be in effect for two weeks.
November 10, 2020
To the Community of Taos:
Our constant goal is to serve and protect our residents. As the incidence of the COVID-19 pandemic dramatically impacts all 50 states, we continue to mitigate the spread of the COVID-19 virus at TLC. To isolate cases, we have established three COVID-19 positive care areas and three COVID-19 negative care areas. Additionally, as recommended by the CDC, we continue to test both residents and staff weekly. We use the PCR – polymerase chain reaction – test. This is a diagnostic test that determines if a person is infected by analyzing a sample to see if it contains genetic material from the virus. Our protocol has identified 19 residents who have tested positive for COVID-19. We are sad to report that despite our best efforts two of these residents have died this week. We are continuing to work diligently to provide a high level of care to our residents and to protect our residents from COVID-19.
New Mexico, like much of the US, is experiencing a tremendous surge in community cases. Twenty-two counties in New Mexico have positivity rates greater than 5%, with Taos County at 4.9%, which correlates to a higher risk of infection for vulnerable populations. We encourage the entire Taos community to follow all CDC guidelines and regulations; social distance, wear a mask, and stay home when possible.
We would like to thank our staff, as well as our colleagues at Holy Cross Medical Center, who day-after-day risk their health to serve the entire community.
TLC is committed to operating transparently during these difficult times. I am available to answer any questions you may have.
Dave Armijo Administrator 505-718-8640
November 02, 2020
Taos Living Center has had confirmed cases of COVID -19. Early this year, Taos Living Center implemented a rigorous testing schedule. Knowing that 46 of the 71 homes in NM have tested positive for COVID19, we remained vigilant with our protective equipment, our continuous testing program, and our facility quarantine procedures. Our testing process consists of testing a percentage of our population every single week to quickly identify any cases of COVID19. When a positive test comes back in our scheduled testing, we then test 100% of our population. Last week, our testing schedule identified a positive case. At the same time, an employee who was tested outside of our facility after experiencing symptoms also tested positive. We were able to quickly perform testing on 100% of our population to identify any positive cases and appropriately quarantine and protect our residents and employees using point of care rapid tests. We are currently PCR( polymerase Chain reaction) testing to confirm positive cases. This test is a collection taken by Taos Living Center and processed by Tri-core laboratories. We have initiated emergency procedures and have canceled all window and compassionate care visits. We are working closely with Holy Cross Hospital and are in continued contact with our medical community to ensure we take all necessary precautions to protect our community and provide the highest level of care. We would like to thank our incredible staff, our partners at Holy Cross, and our entire community for their support.
Taos living Center i currently allowing one in person visit per resident per month. We are also in certain instances allowing compassionate care visits. We do however encourage families to utilize window visits and face time visits
August 06, 2020
We have completed an additional round of testing we have not had any more positive test results. The governor just announced allowing long term facilities to permit visitation. Because we have had a previous positive staff member we are unable to provide in-person visits at this time. As soon as we allow in-person visits we will notify residents and families
We have completed this weeks round of testing and all residents and staff have came back negative
July 23, 2020
First round of testing has been completed. We have had o positive cases in residents and 1 positive case in a staff member. We will continue to test 100 percent of staff and residents until we have 2 rounds of 100 percent negative.
This week a Taos Living Center employee has tested positive for COVID-19. This employee was not a direct caregiver. Taos Living Center will immediately begin testing all residents and staff members. If any tests are positive we will notify Residents and Families. We will conduct 100 percent testing until we have 2 rounds of testing without any positives. if you have any questions or concerns please call Dave Armijo 505-718-8640
July 10, 2020
We have completed weekly surveillance testing. All staff and residents that were tested have had negative results. We will continue to test 25% of staff and 25% of residents weekly.
All residents and staff have been tested. All residents and staff tests have come back negative. Second round of 100 percent testing has been completed. We will resume surveillance testing of 25% of staff and residents weekly.
We have completed the first round of testing for Residents and staff. All Residents have tested negative. We will administer second round of testing next week.
June 23, 2020
All residents have been re tested. Staff testing in currently in process. Results will be available in 48-72 hours.
During recent testing at the facility we have had one staff member who tested positive for COVID-19. The staff member had not had recent contact with residents. The staff member had been in contact with persons who had traveled out of state. The staff member was on a voluntary quarantine prior to being tested. Taos Living Center will begin testing all staff and residents immediately. Please call or email with any questions or concerns.
Residents and Families,
Taos Living Center is currently implementing new practices to better accommodate guidance issued from The Department of Health on COVID-19. Today we are suspending group dining and group activities. We are also asking that all resident wear a mask when not in their rooms. We will be providing masks when they become available. Taos Living Center has tested all of our residents and we have zero cases. We have tested a majority of staff and will continue until everyone has been tested. If you have any questions or concerns please feel free to call or email me.
MARCH 26, 2020
In response to concerns regarding novel coronavirus 2019 (COVID-19), nursing facilities, including but not limited to, skilled nursing facilities, nursing homes, assisted living facilities, adult day cares, hospice facilities, rehabilitation facilities with older adults patients, and intermediate care facilities for individuals with disabilities are directed to take measures to restrict facility access for all visitors, non-medical health care providers, vendors, and other non-essential individuals. Facilities must screen anyone who enters a facility for signs of respiratory infection (fever, cough, shortness of breath, or sore throat) except EMS workers responding to an emergency health need. Those with symptoms of a respiratory infection should not be permitted to enter the facility at any time. Staff who work in multiple locations should be identified and limited to one location if possible.
Facilities must notify potential visitors to defer visitation until further notice. Acceptable notification includes posting notices at the facility entrance, sending written notice via mail or electronic means, etc. Facilities need to facilitate resident communication (by phone or other format) with families, the Ombudsman program, or any other entity per 42 CFR &483.10 (f)(4)(i).
Resident visitation is limited to certain end-of-life care situations. Decisions about visitation during an end of life situation should be made on a case by case basis. All visitors shall be screened according to the Department of Health (DOH) Public Health Ordered issued on March 13, 2020. Visitation in these situations should be made with strict guidelines, such as being limited to a specific room. Personal Protective Equipment (PPE), such as facemasks, should be provided if they are available. Provide instruction on performing hand hygiene, limiting surfaces touched and use of PPE according to current facility policy while in resident rooms.
All staff should be screened at the beginning of their shift for fever and respiratory symptoms. Their temperature should be actively taken and any respiratory symptoms should be documented. If a healthcare worker shows symptoms of respiratory illness, they should be screened for COVID-19 risk factors (i.e. respiratory illness in the last 14 days and direct contact with a person confirmed to have COVID-19) to determine if exclusion from the facility is appropriate.
Employees who have a presumed confirmed diagnosis of COVID-19 should be excluded from the facility and should only return to work under the following guidelines:
- Non-test-based strategy. Exclude from work until:
- At least 3 days (72 hours) have passed since recovery, defined as resolution of fever without the use of fever-reducing medications and improvement in respiratory symptoms (e.g., cough, shortness of breath); and,
- At least 7 days have passed since symptoms first appeared
- Test-based strategy, if tests are available. Exclude from work until:
- Resolution of fever without the use of fever-reducing medications and
- Improvement in respiratory symptoms (e.g., cough, shortness of breath), and
- Negative results of an FDA Emergency Use Authorized molecular assay for COVID-19 from at least two consecutive nasopharyngeal swab specimens collected ≥24 hours apart (total of two negative specimens)
All residents should be screened for fever and respiratory symptoms.
Certain precautions should be taken when admitting new residents to a facility. Facilities should admit any individual that they would normally admit to their facility, including individuals from hospitals where a case of COVID-19 was/is present. If possible, facilities should dedicate a unit/wing exclusively for any residents coming or returning from the hospital. This can serve as a step-down unit where they remain for 14 days with no symptoms (instead of integrating as usual on short-term rehab floor or returning to long-stay to their original room).
READMISSIONS AND RETURNS
A facility should readmit a resident after hospitalization. If the resident was diagnosed with COVID-19, they should be admitted under transmission-based precautions for COVID-19. If a facility is unable to comply with the requirements for transmission-based precautions, readmission must wait until these precautions are discontinued. Facilities are advised to avoid unnecessary discharges and transfers at this time to discourage and limit spread of illness between facilities. To the extent a discharge or transfer of a patient is necessary, facilities must ensure the patient can be discharged in a safe manner.