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
Screening Information
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
Resident Deaths – 0
residents recovered – 0
Total staff tested – 75
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
Screening Information
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
Resident Deaths – 0
residents recovered – 0
Total staff tested – 74
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
Screening Information
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
Resident Deaths – 0
residents recovered – 0
Total staff tested – 74
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.