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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.