F885 COVID-19 Reporting to Residents, their Representative and Families
|
Date |
Date |
Date |
Date |
Date |
Date |
Date |
|
7/28/20 |
7/29/20 |
7/30/20 |
7/31/20 |
8/1/20 |
8/2/20 |
8/3/20 |
Current Facility Census |
93 |
94 |
95 |
94 |
94 |
94 |
94 |
Total Positive COVID-19 residents
(cumulative) |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
Total # residents tested |
93 |
94 |
95 |
94 |
94 |
94 |
94 |
# Resident tests pending |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
# Resident in Quarantine
at the facility |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
# Resident hospitalized last 24
hours |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
# Residents hospitalized last week |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
# Residents hospitalized total |
1 |
1 |
1 |
1 |
1 |
1 |
1 |
# Resident Deaths |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
# residents recovered |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
Total # of staff tested |
74 |
74 |
75 |
76 |
76 |
76 |
76 |
# staff tested positive for COVID-19 |
0 |
0 |
0 |
2 |
2 |
2 |
2 |
# staff with pending results |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
- Continue Visitation RESTRICTIONS and MODIFICATIONS to communal
Dining group activities
F885 COVID-19 Reporting to Residents, their Representative and Families
|
Date |
Date |
Date |
Date |
Date |
Date |
Date |
|
7/21/20 |
7/22/20 |
7/23/20 |
7/24/20 |
7/25/20 |
7/26/20 |
7/27/20 |
Current Facility Census |
91 |
91 |
92 |
93 |
93 |
93 |
93 |
Total Positive COVID-19 residents
(cumulative) |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
Total # residents tested |
91 |
91 |
9 |
93 |
93 |
93 |
93 |
# Resident tests pending |
0 |
0 |
0 |
0 |
0 |
|
0 |
# Resident in Quarantine
at the facility |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
# Resident hospitalized last 24
hours |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
# Residents hospitalized last week |
0 |
0 |
0 |
0 |
0 |
0 |
|
# Residents hospitalized total |
1 |
1 |
1 |
1 |
1 |
1 |
1 |
# Resident Deaths |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
# residents recovered |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
Total # of staff tested |
74 |
74 |
75 |
76 |
76 |
76 |
76 |
# staff tested positive for COVID-19 |
3 |
3 |
3 |
3 |
3 |
3 |
3 |
# staff with pending results |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
Continue Visitation RESTRICTIONS and MODIFICATIONS to communal
Dining group activities
F885 COVID-19 Reporting to Residents, their Representative and Families
|
Date |
Date |
Date |
Date |
Date |
Date |
Date |
|
7/14/20 |
7/15/20 |
7/16/20 |
7/17/20 |
7/18/20 |
7/19/20 |
7/20/20 |
Current Facility Census |
91 |
91 |
91 |
92 |
92 |
92 |
92 |
Total Positive COVID-19 residents
(cumulative) |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
Total # residents tested |
91 |
91 |
91 |
92 |
92 |
92 |
92 |
# Resident tests pending |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
# Resident in Quarantine
at the facility |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
# Resident hospitalized last 24
hours |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
# Residents hospitalized last week |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
# Residents hospitalized total |
1 |
1 |
1 |
1 |
1 |
1 |
1 |
# Resident Deaths |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
# residents recovered |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
Total # of staff tested |
74 |
74 |
75 |
76 |
76 |
76 |
76 |
# staff tested positive for COVID-19 |
3 |
3 |
3 |
3 |
3 |
3 |
3 |
# staff with pending results |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
Continue Visitation RESTRICTIONS and MODIFICATIONS to communal
Dining group activities
F885 COVID-19 Reporting to Residents, their Representative and Families
|
Date |
Date |
Date |
Date |
Date |
Date |
Date |
|
7/9/20 |
7/10/20 |
7/11/20 |
7/12/20 |
7/13/20 |
|
|
Current Facility Census |
89 |
88 |
91 |
91 |
91 |
|
|
Total Positive COVID-19 residents
(cumulative) |
0 |
0 |
0 |
0 |
0 |
|
|
Total # residents tested |
89 |
88 |
91 |
91 |
91 |
|
|
# Resident tests pending |
0 |
0 |
0 |
0 |
0 |
|
|
# Resident in Quarantine
at the facility |
0 |
0 |
0 |
0 |
0 |
|
|
# Resident hospitalized last 24
hours |
0 |
0 |
0 |
0 |
0 |
|
|
# Residents hospitalized last week |
0 |
0 |
0 |
0 |
0 |
|
|
# Residents hospitalized total |
1 |
1 |
1 |
1 |
1 |
|
|
# Resident Deaths |
0 |
0 |
0 |
0 |
0 |
|
|
# residents recovered |
0 |
0 |
0 |
0 |
0 |
|
|
Total # of staff tested |
76 |
76 |
76 |
76 |
76 |
|
|
# staff tested positive for COVID-19 |
3 |
3 |
3 |
3 |
3 |
|
|
# staff with pending results |
0 |
0 |
0 |
0 |
0 |
|
|
Continue Visitation RESTRICTIONS and MODIFICATIONS to communal Dining group activities
HFRD Facility COVID-19 Data Collection Form
Name of Facility: Memorial Manor |
Date (Week of) |
City: Bainbridge |
County: Decatur |
Bed Capacity: 107 |
CCN/License Number: 115711 |
Email Address: manor-QC1@mh-m.org |
|
Surveyor Name : Donna Morris |
Surveyor ID Number: 39786 |
|
|
|
Date |
Date |
Date |
Date |
Date |
Date |
Date |
|
7/2/20 |
7/3/20 |
7/4/20 |
7/5/20 |
7/6/20 |
7/7/20 |
7/8/20 |
Required Information/Questions |
|
|
|
|
|
|
|
Current Facility Census |
89 |
90 |
90 |
90 |
90 |
90 |
89 |
Total Positive COVID-19 Residents (Cumulative) |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
Total # of Residents Tested |
87 |
87 |
87 |
87 |
87 |
90 |
90 |
# Resident Tests Pending |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
# Residents in Quarantine at the facility |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
# Residents Hospitalized last 24 hours |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
# Residents Hospitalized last week |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
# Residents Hospitalized total |
1 |
1 |
1 |
1 |
1 |
1 |
1 |
# Resident Deaths |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
New # Residents Recovered |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
Resident refused test |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
Staff Information |
|
|
|
|
|
|
|
# Staff (employees working at location) |
24 |
22 |
11 |
11 |
23 |
25 |
25 |
Total # of Staff Tested |
75 |
75 |
75 |
75 |
76 |
76 |
76 |
# Staff Tested Positive for COVID-19 |
3 |
3 |
3 |
3 |
3 |
3 |
3 |
# Staff with Pending Results |
1 |
1 |
1 |
1 |
2 |
2 |
2 |
Staff refused test |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
Federal Regulation F885 COVID-19 for Memorial Manor
As of Wednesday, July 1, 2020
Current Facility Census – 89
Positive COVID-19 residents (cumulative) – 0
Resident Test completed – 89
Resident tests pending – 0
Resident in Quarantine at the facility – 0
Resident hospitalized last 24 hours – 0
Residents hospitalized last week – 0
Residents hospitalized total – 1
Staff tested positive for COVID-19 – 3
Staff with pending results – 1
Continue Visitation RESTRICTIONS.
Results posted are those collected at the hospital.
More information and updates can be found at www.cdc.gov/coronavirus/2019 and dph.georgia.gov/novelcoronavirus
and dph.georgia.gov/novelcoronavirus
We are following the most current guidelines for testing provided by the Georgia Department of Public Health. As guidelines change, we will update our policy.
Federal Regulation F885 COVID-19 for Memorial Manor
As of Tuesday, June 30, 2020
Current Facility Census – 91
Positive COVID-19 residents (cumulative) – 0
Resident Test completed – 91
Resident tests pending – 0
Resident in Quarantine at the facility – 0
Resident hospitalized last 24 hours – 0
Residents hospitalized last week – 0
Residents hospitalized total – 1
Staff tested positive for COVID-19 – 3
Staff with pending results – 0
Continue Visitation RESTRICTIONS.
Results posted are those collected at the hospital.
More information and updates can be found at www.cdc.gov/coronavirus/2019 and dph.georgia.gov/novelcoronavirus
and dph.georgia.gov/novelcoronavirus
We are following the most current guidelines for testing provided by the Georgia Department of Public Health. As guidelines change, we will update our policy.
Federal Regulation F885 COVID-19 for Memorial Manor
As of Monday, June 29, 2020
Current Facility Census – 91
Positive COVID-19 residents (cumulative) – 0
Resident Test completed – 91
Resident tests pending – 0
Resident in Quarantine at the facility – 0
Resident hospitalized last 24 hours – 0
Residents hospitalized last week – 0
Residents hospitalized total – 1
Staff tested positive for COVID-19 – 3
Staff with pending results – 0
Continue Visitation RESTRICTIONS.
Results posted are those collected at the hospital.
More information and updates can be found at www.cdc.gov/coronavirus/2019 and dph.georgia.gov/novelcoronavirus
and dph.georgia.gov/novelcoronavirus
We are following the most current guidelines for testing provided by the Georgia Department of Public Health. As guidelines change, we will update our policy.