Community Protocols and Updates Regarding Coronavirus

The following are COVID-19 updates and protocols. The most recently released information is on top. While scrolling down, you will find previously released updates filed under general information for Abe’s Garden and Park Manor, information specific to Abe’s Garden, then information specific to Park Manor. At-home caregivers, please scroll to the bottom of the page for engagement resources. 

MOST RECENT UPDATE

As of today, October 21, 2020, there are no Coronavirus cases of which we are aware in the Park Manor/Abe’s Garden community. 

On Wednesday, November 11, Loretta Matic, DMD, will be onsite for dental care appointments. Interested independent living residents are required to sign up by the mail room and complete the necessary form from Mckenzie if not previoiusly seen by Dr. Matic; memory care and assisted living residents will be scheduled as needed. Dr. Matic will be wearing full personal protective equipment (PPE) and following our campus-wide infection control protocols, including receiving a symptom and temperature check upon arrival.

On Thursday, October 22, Dr. Mackenzi Nelson, DPM, from Preferred Podiatry Group will be onsite for appointments with Abe's Garden residents and on Wednesday, October 28, for appointments with Park Manor residents. Interested independent living residents must request an appointment on the sign-up sheet next to the mail room and complete the yellow authorization form from the front desk by Monday, October 26 (if you haven’t previously turned in this paperwork). Assisted living residents do not need to sign up; they will be escorted to appointments in the afternoon. If your loved one living at Abe's Garden has been seen by Dr. Nelson in the past, you don’t need to fill out new paperwork; an appointment will automatically be arranged. If you would like your loved one to begin services with Dr. Nelson, email Beverly at btheis@abesgarden.org for the necessary paperwork. The form may also be picked up from the Park Manor foyer. Dr. Nelson and residents will be abiding by strict safety protocols by strict safety protocols including mask-wearing and symptom and temperature checks. 

For every grocery order submitted, Park Manor residents must also sign and attach a grocery agreement form (located at the front desk) as proof that you understand you are financially responsible for the items on that list and that the total charge for the items will be billed on your monthly statement. You will receive a receipt for your items after your groceries have been delivered. Grocery orders and agreement forms must be turned into the front desk by 4:00 p.m. on Mondays. Grocery orders received after this time will not be accepted, nor will orders that do not have a signed agreement form attached.

Indoor visits are now permitted in the Park Manor Parlor (Independent Living visits) and Abe’s Garden vestibule and lobby (Assisted Living visits) with these protocols:

  • Visits must be scheduled at least 24 hours prior to desired visit time. To schedule Assisted Living and Abe's Garden resident visits, please email Sue Burdorf at sburdorf@abesgarden.org; if emailing isn’t possible, call 615.997.3030. To schedule Independent Living resident visits, please call the front desk at 615-383-7303.
  • Visits may be up to 45 minutes
  • Each resident may have up to 2 visitors ages 18+ at a time
  • Visitors must remain at least 6 feet apart from residents
  • Residents must wear a mask
  • Visitors must wear a mask and check in at the Park Manor front desk upon arrival for a temperature check and COVID-19 symptom screening
  • Three groups of visitors (one group each for three residents) will be accommodated at the same time; each group must be at least 6 feet apart from each other
  • Due to the need for an available team member to aid and supervise, Assisted Living and Abe's Garden resident visits are limited to 1 virtual visit and 1 in-person visit (indoor, outdoor or window visit) per resident each week. Two virtual and 2 in-person visits may be scheduled per Independent Living resident each week.

In order to allow for proper sanitization of furniture between visits and ensure team member availability to meet the requirement of Assisted Living visits being supervised, available time slots for indoor visits scheduled for October 5 or later will be:

Assisted Living

Independent Living

10:00 a.m. - 10:45 a.m.

10:30 a.m. – 11:15 a.m.

11:00 a.m. - 11:45 a.m.

11:30 a.m. – 12:15 p.m.

2:00 p.m. - 2:45 p.m.

2:30 p.m. – 3:15 p.m.

3:00 p.m. - 3:45 p.m.

3:30 p.m. – 4:15 p.m.

If these times do not work for you, more convenient outdoor or window visit times may be open. Please contact Sue to ascertain available outdoor or window visit times.

Small gathering engagements (no more than 10 participants) have resumed. Masks and at least 6 feet physical distance from other residents are required.

Please note: results of COVID-19 tests of team members, which are conducted every two weeks, will guide – along with other factors – whether visits and small group engagements will continue to be permitted. There may be a time when we feel it’s best for the safety of everyone on campus to once again pause visits. During this process, we continue to consult with our dedicated medical team.

New In-Home Care Option: The Park Manor in-home care team is now offering a new level of support that provides the following services for $20 a day. It includes two daily check-ins, safe living checks, healthy living support (socialization), current and future needs assessment, non-medical needs coordination, and monthly wellness screenings (memory, mood and physical ability). To schedule, contact Kylie Stratton at 629.800.5295 or kstratton@abesgarden.org.

GENERAL ABE’S GARDEN / PARK MANOR INFORMATION

We are taking every precaution to protect your loved ones and our team members. We know that you and your loved ones are depending on the Abe’s Garden/Park Manor team and we deeply appreciate your continued trust. If you have concerns regarding your loved ones, please let us know.  We are fortunate to have an array of resources to assist them and will do our best to meet their needs. Park Manor / Abe’s Garden leadership team members are continually consulting with physician and nursing consultants, as well as respected colleagues, and the entire Park Manor/ Abe’s Garden team is on the same page regarding enforcing restrictions. 

Team Member COVID-19 Testing: We’ve implemented COVID-19 testing of team members every two weeks as a routine, proactive measure to mitigate potential transmission of the virus. Each round of test results will guide – along with other factors – dining room status and whether outdoor visits and small group activities will be permitted. There may be a time when we feel it’s best for the safety of everyone on campus to close the dining room again and return to delivering all provided meals, as well as pause outdoor visits and small group activities.

Text Updates: To more effectively keep primary family member contacts and team members updated, Abe’s Garden / Park Manor is partnering with Dialog Health to implement two-way, critical information, text messaging. If you are a member of one of these constituencies, you should have received an introductory text from AGPM. If you haven’t received an introductory text and would like to opt in or are a Park Manor resident who would like to opt-in, please call 615.997.3026. Primary family member contacts are responsible for sharing relevant updates with other family members.

Critical or End-of Life Situation: If there is a critical or end-of-life situation, please notify Walter Wilson (wwilson@parkmanorapts.com or 615.733.2701) or Donna Finto-Burks (dfinto-burks@abesgarden.org) so we can be of assistance.

In-Home Care: Now more than ever, we recognize that residents may need extra assistance in order to remain safe and independent during these challenging times. Independence Plus offers additional in-home support services, such as activities of daily living assistance, medication reminders, hair washing, supervision and companionship. If you would like to learn more about our onsite care program, please contact Kylie Stratton, Senior Director of Home Care, at kstratton@abesgarden.org or 629.800.5295.

Disinfectant: Residents and team members may have seen members of the housekeeping team using the unfamiliar, and somewhat formidable looking, Clorox 360 machine. Park Manor and Abe’s Garden team members have been using this innovative and very effective cleaning technology for over a year to prevent the spread of a variety of illnesses. The use of the machine is not evidence of Coronavirus on our campus. It’s simply one of the numerous strategies being implemented to keep you and all of your neighbors healthy.

We remain diligent about cleaning and disinfecting all areas of the community on a frequent basis and are using CDC (Centers for Disease Control and Prevention) recommended cleaning supplies.We are working hard to keep residents and staff well, and we remind you to do your part by washing your hands many times a day with soapy water for at least 20 seconds each time.  According to healthcare experts, that is the best protection for you and for those around you. Additionally, follow general good hygiene practices by coughing or blowing our nose into a tissue and immediately discarding it.  Wear a mask to keep us all as safe as possible.

Physical Therapy: In keeping with Tennessee Department of Health recommendations, beginning Monday, May 18, 2020, Total Wellness Therapy will resume providing physical therapy services at Park Manor and Abe’s Garden. In conjunction with these services, and until further notice, the following standards and protocols will be maintained by all therapists working on our campus:

  • Test negative for COVID-19
  • State in writing that they are providing services exclusively to individuals on our campus
  • Successfully complete COVID-19, infection control, in-service training
  • Continue having their temperatures taken upon entering the building
  • Continue wearing gloves and masks while in the building
  • Continue disinfecting equipment following each therapy session

CDC AND TDOH RECOMMENDATIONS AND GUIDELINES

CDC recommendations regarding cloth face masks: To safely remove a used cloth mask, be careful not to touch your eyes, nose, and mouth when removing your cloth face covering; and wash hands immediately after removing it. Face coverings should be routinely washed in a washing machine and dried in a dryer. Washing frequency depends on how frequently it is used.

If you don’t have access to a washing machine, you may handwash your mask.  You can handwash a fabric mask the same way you would handwash delicate items with liquid detergent, you may also use any hand soap. 1.) Wet the mask and rub vigorously with soap to lather.  2.) Soak the mask in hot water and soap for 30 minutes to ensure you’ve killed all the germs. 3.) Rinse, and line-dry or dry on a sanitized surface.

Nebulizer Guidelines: CDC guidelines for using nebulizers have changed. Residents, or family members of residents, receiving nebulizer breathing treatments, please contact Donna Finto-Burks or Walter Wilson for current guidelines.

ABE’S GARDEN

ABE’S GARDEN HAPPENINGS

As with everywhere else in the world, the last few months at Abe’s Garden have been challenging in ways no one could have anticipated; and the nature of what we do has changed dramatically. Through it all, residents and team members continue to embrace joy.

We’re extremely honored to care for our residents. We spend time with them outside, in their suites, or in common areas at least twice daily to ensure they’re shown a lot love and know how much we enjoy their company. Each day, Abe’s Garden LECs and care partners are visiting individually with residents, providing engagement items that can be recycled or sanitized.

While in-person visits with loved ones have been restricted in the last few months, team members across culinary services, direct care, leadership and life engagement have embraced one-on-one time with residents as extra opportunities to not only socialize, but to monitor physical and mental wellbeing. These interactions have strengthened relationships and provided residents and team members with countless stories, laughs and treasured moments.

We’re also very grateful for your patience, perseverance, and understanding as we continuously adapt and seek to elevate the care of your loved one.

We’re excited to offer a new engagement tool as an additional way to interact and engage our Abe's Garden residents in the absence of group activities. The Home 4 Care app was developed by the Hearthstone Institute specifically for individuals with dementia. It’s an interactive tablet program loaded with nearly 2,000 pieces of engagement content including books, artwork, music, travel, and trivia. This new technology is currently being offered exclusively to Abe’s Garden! Our Life Engagement Coordinators recently started facilitating the use of Home 4 Care with residents and we’ve already seen several successful interactions.

Wondering how we’ve been keeping your loved one purposefully engaged?  In recent weeks, we have:

  • Danced
  • Received and answered letters from Ensworth 3rd grade students
  • Celebrated Cinco de Mayo, Mother’s Day and birthdays
  • Laughed every day
  • Shared visits with you via video calls and window visits
  • Watched the Blue Angels fly overhead in recognition of us and our fellow essential workers
  • Enjoyed Zoom and other technology-enabled musical performances by cellist Nicholas Gold and Blair School of Music students ages five through seventeen
  • Started planting in the garden
  • Soaked in sunshine in the courtyard
  • Enjoyed drinking lots of plain and flavored water daily. LEC Shawn made a cool hydration cart. She and her fellow LEC’s are visiting each Abe’s Garden resident to encourage them to increase their fluid intake and see if they can assist in any other way.
  • Receiving cards with encouraging messages from West End Community Church members. Residents really appreciate these!
  • Enjoyed hair and nail pampering
  • Gardened and planned additional vegetables to plant 
  • Shared, reminisced and laughed a lot

Resident quotes:

  • “I could just sit here all day.” ~ a resident while in the courtyard listening to Elvis songs
  • “That was fun. Can we do it again?” ~ a resident after walking around the courtyard for the fourth time…and then she went around a fifth time
  • “Look at all those birds, guess they like it here as much as we do.” ~ a resident while observing winged visitors at the birdfeeder
  • “That was a great lunch. I love the food here.” ~ a resident who compliments the food every day
  • “I want to hear them again.” ~ a resident after a Zoom performance by the young students at Blair School of Music. (She also enjoys Nicholas Gold’s weekly Zoom performances
  • You don’t have to do a lot to show you care, just talk to me.”

Hair Salon: The Abe’s Garden hair salon is open. Hair stylists do not work at other salons.  The salon is disinfected thoroughly between appointments, and the stylists wear masks and gloves.

PARK MANOR

RESIDENT PROTOCOLS AND REMINDERS

Leadership and clinical team members meet daily to develop a thoughtful plan to phase in “new normal” campus operations and look at a phased reopening including the return of live musical performers and volunteers. We’re not there yet, but we will be.  For now, please continue to support your loved one in staying safe at home on our campus.

We will continue keeping you informed weekly, at a minimum. Residents may anticipate printed updates in the mailbox by their door each week, with similar information available on Message Now TV/ Channel 100. Residents' primary family contact and this web page will be updated weekly, as well. 

Residents, remember to check Channel 100 for health and safety updates, trivia questions, riddles, etc.

Resident Requirements: To prevent the spread of COVID-19 and maintain health and social connections, we recommend that Park Manor residents continue to:

  • Maintain 6 feet physical distancing
  • Properly wear a cloth mask over nose and mouth at all times outside of apartment
  • Exercise and walk in the courtyard
  • Wash hands frequently
  • Schedule Facetime or Skype calls, requesting assistance when needed

Cloth masks:  It is understandable that wearing a protective mask may be uncomfortable. However, safety remains our top priority.  There are fabric masks available for independent and assisted living residents that tie in the back of the head. If residents would like one of these masks, they may request one from a concierge team member.

Team members are wearing masks at all times when on the campus, except while eating or alone in their office.

Dining Room: The Park Manor dining room has reopened to residents, with the following protocols:

  • Reservations are required. A reservation form and to-go menu will be delivered to apartments daily. Residents may decide whether they’d like to have their meal delivered or go to the dining room at a reserved time.
  • Masks are required when going to/from the dining room and until food arrives at the table.
  • Residents are required to use hand sanitizer before and after each meal in the dining room.
  • Residents will receive temperature checks upon entry to the dining room.
  • Culinary staff will follow infection control protocols, including wearing a mask and gloves.  
  • Tables will be arranged at least 6 feet apart and each table will not exceed 3 residents.
  • Single-use menus, disposable linens, and washable plates and silverware will be used.
  • Tables and chairs will be sanitized after every seating.

Transportation and Exiting the Community: At this time, transportation is only provided for independent and assisted living residents needing transportation to a physician. We continue to recommend using virtual communication such as phone calls and video conferencing to contact doctors whenever possible. If an in-person doctor’s office appointment is needed, transportation is now available to drive residents to/from essential medical visits Monday through Friday. Only one resident or one married couple will be permitted in the vehicle with the driver during each trip. Please contact the front desk to reserve transportation as soon as a doctor’s appointment has been scheduled.

Residents may only leave Park Manor in a car for essential doctor visits. Currently, most visits are NOT considered essential and many doctor visits are being conducted remotely. Prior to appointment dates, residents or their designated family member should call the physician's office to confirm that the appointment is essential. If assistance contacting a physician's office is needed, please notify the concierge desk. 

Doctor visits will not result in a 14-day isolation. An overnight stay in a hospital or anywhere else requires a negative COVID-19 test prior to returning to campus and a 14-day isolation.

The elevators to the parking garage are locked temporarily with no key card access. This new process is being implemented temporarily to reduce the possibility of bypassing the Park Manor front door, health safety screening process.

Each time a resident leaves the building, they will be asked to sign out and will have their temperature taken upon their return.

Hospital overnight stays: If your loved one goes to the hospital for any illness or injury, they are required to:

  • Sign out at the front desk before leaving the building
  • Contact Walter Wilson or Donna Finto-Burks prior to returning    
  • Have a COVID-19 test prior to returning
  • Have a 14-day isolation period upon their return

Dropping off items for residents: To those dropping off anything for Park Manor residents, including medicine, please leave items on the table in the vestibule. We ask that you do not wait for the resident to collect these belongings. The vestibule is frequently checked by team members who bring items inside and ensure the intended party receives them.

Grocery Orders: Park Manor residents should now bring their grocery list, including name and apartment number, to the front desk by 4:00pm on Monday. Groceries will be delivered to their apartment the next day. Note: paper products should still be purchased from the Park Manor cart store.

Medications: If your loved one is an independent living resident who requires a family member to refill their medication reminder boxes, we have notified them to bring their empty box to the front desk before you arrive at Park Manor and a team member will return the filled box to them. To facilitate this process, please buy an additional box, write your loved one’s name on it and fill it at home. Then, bring the filled and labeled medication box in a bag to the Park Manor front door vestibule. We check this area often as well as immediately after we see someone leave an item there.

Hair Salon: The Park Manor hair salon is open. Hair stylists do not work at salons other than those on our campus.  The salon is disinfected thoroughly between appointments, and the stylists wear masks and gloves. Park Manor residents are required to wear masks.

Potential Resident Tours: We are resuming tours for potential Park Manor residents under previously outlined restrictive protocols. Anyone touring will receive a temperature check and symptom screening, wear a mask and gloves, and stay 6 feet or more apart from residents. They will only visit select available apartments on floors 3-7 they’re interested in renting and not tour common areas or other floors. Tours will be limited to 2 visitors and scheduled for Monday through Friday 4:00 – 6:00 p.m., anticipating 30-60 minutes per tour. Touring guests will use the back elevator to enter and leave. The visited areas will be disinfected immediately following each tour.

PARK MANOR HAPPENINGS

In-person exercise classes have resumed, with a maximum of 10 residents per class and physical distancing of 6 feet or more. Classes held in the fitness room at 10:30 a.m. are led by Mckenzie Moss on Mondays and Wednesdays and Joan Adler on Tuesdays and Thursdays. Classes are led (via Zoom) by Bruce Lyon on Fridays at 10:00 a.m. in the Blakemore Room.

Card games with no more than 4 participants are permitted; mask-wearing is required to play.

Bingo: Every Monday, LECs Mckenzie and Shawn lead Hallway BINGO for Park Manor residents. Three games are played on each floor. Times are 1:30 p.m. on floors 2 and 3; 2:05 p.m. on floors 4 and 5; 2:40 p.m. on floors 6 and 7. Participants are required to wear a mask and will be physically distanced at least 6 feet apart.

2nd Floor- 1:00pm              3rd Floor- 1:35pm               4th Floor- 2:00pm

5th Floor- 2:35pm               6th Floor- 3:00pm               7th Floor- 3:35pm

Individual apartment BINGO is offered weekly, with BINGO numbers delivered on Fridays.

Cart store: For residents needing household items including, but not limited to, toilet paper, deodorant, soap, toothpaste, laundry pods, dish soap, and paper towels, every Wednesday starting at 1:00 p.m., Mckenzie will bring the cart store to every Park Manor apartment.

Courtyard: Park Manor residents are encouraged to spend time in the courtyard daily when weather permits.

AT-HOME CAREGIVER RESOURCES 

Below are some engagement resources to keep your loved ones with dementia engaged.

Walking tour of Venice: https://www.youtube.com/watch?v=0txBFbAuhLY

Andrew Lloyd Webber is sharing a free legendary musical every weekend on The Shows Must Go On! YouTube Channel: https://www.youtube.com/channel/UCdmP.... Each posted musical will be available Friday night to Sunday morning.

Printable greeting cards to color, word searches, bingo games, exercise sheets, and more… https://www.seniorlivingmedia.com/printable-products

Resources from Green Valley adult day program, topics include spiritual connection, old time radio shows, virtual pet therapy, uplifting videos, trivia, etc. https://www.youtube.com/channel/UCiyMbVf0PKWO7v4RE376zfA/playlists?app=desktop

AquaPaint from Active Minds: https://www.active-minds.org/us/dementia-art-activities/aquapaint/

Sherry Zac Morris (Chair Dance Yoga) has many videos, here are our favorites:

https://www.youtube.com/watch?v=9GS1CWDIkYU

https://www.youtube.com/watch?v=VdkG4v3OD9I

Meditation: https://www.youtube.com/watch?v=t1rRo6cgM_E&list=PLW_TAR8JEr6uywq7wuz1VbUumQl7OPti4&index=2&t=0s

Name 5!  (a game to practice word recall): Take turns naming five different things. Here are a few sample categories. Feel free to make it your own, adding your own categories or naming as many items in each category as you can think of: cookies, cars, colors, girl names, boy names, cities in Tennessee, states, countries, national parks, breeds of dogs, flowers.

Kids meet a woman with Alzheimer’s: a sweet video to make you laugh AND cry:

https://www.youtube.com/watch?v=b9PhQ9yMu8Y

Gratitude Journals: Each day, we encourage you to grab a notepad and list three things for which you are grateful. Encourage your loved one to do the same and share. We hope your spirits will be lifted by focusing on the good, and you may treasure this list for years to come.

Following is information from Hearthstone® As you may know, John Zeisel, the founder of Hearthstone® Institute, serves on the Abe’s Garden Board of Directors. Additionally, numerous care and engagement approaches integrated at Abe’s Garden, including Hearthside Book Club®, were developed by Hearthstone®. Finally, Abe’s Garden and Hearthstone® are continuing to collaborate to develop innovative approaches to support people with Alzheimer’s disease and their family and professional caregivers.

Hearthside Book Club stories are evidence-based, engaging, adult appropriate books designed for people living with cognitive challenges. They are created and field- tested through a grant from the National Institute of Health by the Hearthstone Research Team. One of the books is brand new and is called “Staying Healthy.” This book includes easy-to-understand tips for staying healthy and engaged during this trying time.

 Simply CLICK HERE to Access the Free Content Now

Hearthside Book Club® stories can be downloaded as PDF files, so you can view them on any tablet or smartphone. Or if your loved one prefers paper, you can print out hard copies of the booklets for them.

Watch and listen to the stories by using videobooks. These can even be accessed on any Smart TV or streaming device (like Roku or Apple TV) by using your YouTube app and searching for "Hearthside Book Club Videobooks." View All Videobooks

You can use this versatile activity in a variety of ways:

  •  You can print a copy of the story for your loved one and encourage them to independently engage in these evidence-based stories (or download the PDF version of the book to a tablet).
  • You and your loved one can read the story together and discuss it. We have included a few discussion questions within the stories to get you started.
  • Your loved one can watch and read along to the "video book" versions of the stories.
  • Your loved one can just enjoy listening to the video book (like an audiobook).

 

Bill Purcell, son of resident
"Abe’s Garden® really is a world class, cutting-edge, special, loving warm place. When my mother needed that very thing, it was there."
Industry Professional
“I was thoroughly impressed with the community [after taking a tour], yet I was even more impressed with your focus on continual learning and improvement.”
The Club Participant’s Wife
“The music instruction piece is very well done, and I commend Abe's [Garden] for creating it. I am also grateful for the incredible opportunities that [my husband] has every week day at Abe's.”