Memorial Manor Federal Regulation F885 COVID-19

F885 COVID-19 Reporting to Residents, their Representative and Families

	Date	Date	Date	Date	Date	Date	Date
	04/21/21	04/22/21
Current Facility Census	81	81
Total Positive COVID-19 residents (cumulative)	59	59
Total # residents tested	72	72
# Resident tests pending	0	0
# Resident in Quarantine at the facility	1	1
# Resident hospitalized last 24 Hours	0	0
# Residents hospitalized last week	0	0
# Residents hospitalized total	13	13
# Resident Deaths	11	11
# residents recovered	48	48
Total # of staff tested	72	72
# staff tested positive for COVID-19	34	34
# staff with pending results	0	0

F885 COVID-19 Reporting to Residents, their Representative and Families

	Date	Date	Date	Date	Date	Date	Date
	04/14/21	04/15/21	04/16/21	04/17/21	04/18/21	04/19/21	04/20/21
Current Facility Census	80	80	79	81	81	81	81
Total Positive COVID-19 residents (cumulative)	59	59	59	59	59	59	59
Total # residents tested	72	72	72	72	72	72	72
# Resident tests pending	0	0	0	0	0	0	0
# Resident in Quarantine at the facility	0	0	0	1	1	1	1
# 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	13	13	13	13	13	13	13
# Resident Deaths	11	11	11	11	11	11	11
# residents recovered	48	48	48	48	48	48	48
Total # of staff tested	72	72	72	72	72	72	72
# staff tested positive for COVID-19	34	34	34	34	34	34	34
# staff with pending results	0	0	0	0	0	0	0

F885 COVID-19 Reporting to Residents, their Representative and Families

	Date	Date	Date	Date	Date	Date	Date
	04/06/21	04/07/21	04/08/21	04/09/21	04/10/21	04/11/21	04/12/21
Current Facility Census	81	81	81	80	80	80	80
Total Positive COVID-19 residents (cumulative)	59	59	59	59	59	59	59
Total # residents tested	74	74	74	72	72	72	72
# Resident tests pending	0	0	0	0	0	0	0
# Resident in Quarantine at the facility	1	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	13	13	13	13	13	13	13
# Resident Deaths	11	11	11	11	11	11	11
# residents recovered	48	48	48	48	48	48	48
Total # of staff tested	72	72	72	72	72	72	72
# staff tested positive for COVID-19	34	34	34	34	34	34	34
# staff with pending results	0	0	0	0	0	0	0

F885 COVID-19 Reporting to Residents, their Representative and Families

	Date	Date	Date	Date	Date	Date	Date
	3/30/21	3/31/21	04/01/21	04/02/21	04/03/21	04/04/21	04/05/21
Current Facility Census	83	82	82	82	82	82	82
Total Positive COVID-19 residents (cumulative)	59	59	59	59	59	59	59
Total # residents tested	74	74	74	74	74	74	74
# Resident tests pending	74	0	0	0	0	0	0
# Resident in Quarantine at the facility	2	1	1	1	1	1	1
# Resident hospitalized last 24 Hours	0	0	0	0	0	0	0
# Residents hospitalized last week	2	2	2	2	2	2	0
# Residents hospitalized total	15	15	15	15	15	15	15
# Resident Deaths	11	11	11	11	11	11	11
# residents recovered	49	49	49	49	49	49	49
Total # of staff tested	67	67	67	67	67	67	67
# staff tested positive for COVID-19	34	34	34	34	34	34	34
# 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
	03/23/21	3/24/21	3/25/21	03/26/21	03/27/21	03/28/21	03/29/21
Current Facility Census	84	83	83	83	83	83	83
Total Positive COVID-19 residents (cumulative)	59	59	59	59	59	59	59
Total # residents tested	74	74	74	74	74	74	74
# Resident tests pending	74	0	0	0	0	0	74
# Resident in Quarantine at the facility	2	1	1	1	2	2	2
# Resident hospitalized last 24 Hours	0	2	0	0	0	0	0
# Residents hospitalized last week	0	0	0	0	0	0	2
# Residents hospitalized total	13	15	15	15	15	15	15
# Resident Deaths	11	11	11	11	11	11	11
# residents recovered	49	49	49	49	49	49	49
Total # of staff tested	67	67	67	67	67	67	67
# staff tested positive for COVID-19	33	33	33	33	34	34	34
# staff with pending results	0	0	0	0	0	0	0

Dining group activitiescontinue Visitation RESTRICTIONS and MODIFICATIONS to communal

F885 COVID-19 Reporting to Residents, their Representative and Families

	Date	Date	Date	Date	Date	Date	Date
	03/16/21	03/17/21	03/18/21	03/19/21	03/20/21	03/21/21	03/22/21
Current Facility Census	85	85	84	84	84	84	84
Total Positive COVID-19 residents (cumulative)	59	59	59	59	59	59	59
Total # residents tested	65	65	65	65	65	65	74
# Resident tests pending	65	0	0	0	0	0	74
# Resident in Quarantine at the facility	2	2	1	1	2	2	2
# 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	13	13	13	13	13	13	13
# Resident Deaths	11	11	11	11	11	11	11
# residents recovered	49	49	49	49	49	49	49
Total # of staff tested	65	65	65	65	65	65	67
# staff tested positive for COVID-19	33	33	33	33	33	33	33
# 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
	03/09/21	03/10/21	03/11/21	03/12/21	03/13/21	03/14/21	03/15/21
Current Facility Census	84	84	84	84	84	84	84
Total Positive COVID-19 residents (cumulative)	59	59	59	59	59	59	59
Total # residents tested	66	66	66	66	66	66	65
# Resident tests pending	0	0	0	0	0	0	0
# Resident in Quarantine at the facility	0	0	0	0	0	0	2
# 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	13	13	13	13	13	13	13
# Resident Deaths	11	11	11	11	11	11	11
# residents recovered	49	49	49	49	11	11	11
Total # of staff tested	65	65	65	65	65	65	65
# staff tested positive for COVID-19	33	33	33	33	33	33	33
# 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
	03/02/21	03/03/21	03/04/21	03/05/21	03/06/21	03/07/21	03/08/21
Current Facility Census	84	84	84	84	84	84	84
Total Positive COVID-19 residents (cumulative)	59	59	59	59	59	59	59
Total # residents tested	66	66	66	66	66	66	66
# 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	13	13	13	13	13	13	13
# Resident Deaths	11	11	11	11	11	11	11
# residents recovered	49	49	49	49	49	49	49
Total # of staff tested	65	65	65	65	65	65	65
# staff tested positive for COVID-19	33	33	33	33	33	33	33
# 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
	02/23/21	02/24/21	02/25/21	02/26/21	02/27/21	02/28/21	03/01/21
Current Facility Census	85	85	86	84	84	84	84
Total Positive COVID-19 residents (cumulative)	59	59	59	59	59	59	59
Total # residents tested	70	70	70	66	66	66	66
# Resident tests pending	0	0	0	0	66	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	0	0	0	0	0	0	0
# Resident Deaths	13	13	13	13	13	13	13
# residents recovered	11	11	11	11	11	11	11
Total # of staff tested	65	65	65	65	65	65	65
# staff tested positive for COVID-19	33	33	33	33	65	65	65
# 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
	02/16/21	02/17/21	02/18/21	02/19/21	02/20/21	02/21/21	02/22/21
Current Facility Census	85	85	85	85	85	85	85
Total Positive COVID-19 residents (cumulative)	59	59	59	59	59	59	59
Total # residents tested	70	70	70	70	70	70	70
# 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	13	13	13	13	13	13	13
# Resident Deaths	11	11	11	11	11	11	11
# residents recovered	49	49	49	49	49	49	49
Total # of staff tested	65	65	65	65	65	65	65
# staff tested positive for COVID-19	33	33	33	33	33	33	33
# 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
	02/09/21	02/10/21	02/11/21	02/12/21	02/13/21	02/14/21	2/15/20
Current Facility Census	84	84	84	85	85	85	85
Total Positive COVID-19 residents (cumulative)	59	59	59	59	59	59	59
Total # residents tested	71	71	71	70	70	70	70
# Resident tests pending	0	0	0	70	0	0	0
# Resident in Quarantine at the facility	1	1	1	1	1	1	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	13	13	13	13	13	13	13
# Resident Deaths	11	11	11	11	11	11	11
# residents recovered	48	48	48	48	48	48	49
Total # of staff tested	65	65	65	65	64	64	64
# staff tested positive for COVID-19	33	33	33	33	33	33	33
# 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
	02/02/21	02/03/21	02/04/21	02/5/21	02/06/21	02/07/21	02/08/21
Current Facility Census	84	84	83	84	84	84	84
Total Positive COVID-19 residents (cumulative)	58	58	58	58	59	59	59
Total # residents tested	61	64	64	71	71	71	71
# Resident tests pending	0	0	0	71	0	0	0
# Resident in Quarantine at the facility	3	2	2	1	2	2	2
# Resident hospitalized last 24 hours	0	0	0	0	0	0	0
# Residents hospitalized last week	1	1	1	1	1	1	0
# Residents hospitalized total	13	13	13	13	13	13	13
# Resident Deaths	11	11	11	11	11	11	11
# residents recovered	45	46	46	47	47	47	47
Total # of staff tested	65	65	65	65	65	65	65
# staff tested positive for COVID-19	33	33	33	33	33	33	33
# 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
	01/26/21	1/27/21	1/28/21	1/29/21	1/30/21	1/31/21	2/1/21
Current Facility Census	85	84	84	84	84	83	83
Total Positive COVID-19 residents (cumulative)	57	57	57	57	58	58	58
Total # residents tested	61	61	61	61	61	61	61
# Resident tests pending	0	0	0	61	0	0	0
# Resident in Quarantine at the facility	5	3	3	2	3	3	3
# Resident hospitalized last 24 Hours	0	0	1	0	0	0	0
# Residents hospitalized last week	0	0	0	0	0	0	1
# Residents hospitalized total	12	12	13	13	13	13	13
# Resident Deaths	9	10	10	10	10	11	11
# residents recovered	42	44	44	45	45	45	45
Total # of staff tested	68	70	70	70	70	70	70
# staff tested positive for COVID-19	33	33	33	33	33	33	33
# 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
	01/19/21	01/20/21	01/21/21	01/22/21	01/23/21	01/24/21	01/25/21
Current Facility Census	84	85	85	85	84	84	84
Total Positive COVID-19 residents (cumulative)	55	55	55	55	57	57	57
Total # residents tested	57	57	57	61	61	61	61
# Resident tests pending	0	0	0	61	61	0	0
# Resident in Quarantine at the facility	4	5	5	4	4	5	5
# Resident hospitalized last 24 Hours	0	0	0	0	0	0	0
# Residents hospitalized last week	1	1	1	1	1	1	0
# Residents hospitalized total	12	12	12	12	12	12	12
# Resident Deaths	8	8	8	9	9	9	9
# residents recovered	42	42	42	42	42	42	42
Total # of staff tested	68	68	68	68	68	68	68
# staff tested positive for COVID-19	30	32	33	33	33	33	33
# staff with pending results	0	0	0	0	0	0	0

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.