COVID-19 Update

Update: July 2 2020

Please join us for Friday’s COVID update with CEO Mike Palmieri. Special guest Felicia Gennetti the new Havenwood Housing administrator and the new Director of Nursing Tabitha Dowd.

Update: July 2 2020

Please join us for Thursday’s COVID update with CEO Mike Palmieri. Special guest Felicia Gennetti the new Havenwood Housing administrator and the new Director of Nursing Tabitha Dowd.

Update: July 1 2020

Please join us for Wednesday’s COVID update with CEO Mike Palmieri.

Update: June 30 2020

Please join us for Tuesday’s COVID update with CEO Mike Palmieri.

Update: June 29 2020

Please join us for Monday’s COVID update with CEO Mike Palmieri.

Update: June 25 2020

Please join us for Thursday’s COVID update with CEO Mike Palmieri.

Update: June 24 2020
Please join us for Wednesday’s COVID update with CEO Mike Palmieri.

Update: June 23 2020
Please join us for Tuesday’s COVID update with CEO Mike Palmieri.

Update: June 19 2020

Please join us for Friday’s COVID update with CEO Mike Palmieri.

Dear Lodge and Cottage Residents:

Earlier this week, the State of New Hampshire announced that nursing facilities are now authorized to schedule outdoor visitation for their residents. At Havenwood Heritage Heights, this means we plan to do this for all of our living areas. We are delighted to be able to take these important steps as we understand how much a visit from your family will mean to you! As you can imagine, there are many mandated guidelines that HHH must comply with for the safety of the resident, the visitor and the staff during this visitation. We are in the planning and trialing stage this week and will start some visits for Havenwood Lodge and HH Garden Suite Residents on Tuesday, June 23 and expand visits to the Cottage Residents, on both Campuses the following week.

At this time, we are offering Visitor Car Visits. These visits are subject to cancellation at any time based on our COVID-19 status, inclement weather, or a forecast of inclement weather or a change in the State guidelines. Visits will be scheduled for 20 minutes and the visitor must stay in the car, maintaining 6 feet of social distancing while the resident is outside under a pop-up tent where they can be protected from the sun and sit behind a protective barrier.

Per regulation, only 2 visitors are permitted at a time with a resident and they must be a “no contact visit.” Visitors will not be able to get out of their vehicle and will not have access to any HHH buildings during their visit. For now, we are limiting resident visits in order to serve as many Residents as possible. If there are visit appointments that are not filled, we can open them up for a repeat visit based on the date and time we received the request.

There is a mandatory telephone screening that will be completed for each visitor planning to be in the car, one day before the visit and another one that will be completed the day of the visit. The same process will be followed for residents. This screening will involve questions about Coronavirus symptoms, recent travel and potential or known exposure to the virus.

If you or your visitor have been exposed or potentially exposed to COVID-19, a visit cannot be scheduled at this time. During the visit, all residents, visitors and staff will need to wear face masks. An HHH staff member will provide “distance supervision” during all visits. The HHH staff will allow privacy during the visit; however, will monitor the visit from a distance to ensure prescreening and visitor logs are completed and masking, safe distancing, and hand sanitizing practices are being met. These are all required by the regulations.

This is an initial trial program. We expect that we will need to make some adjustments along the way to work out any obstacles we may encounter during the first couple of visit days.

If you have any questions or would like to arrange for a family visit, please contact your Campus Housing Office weekdays or leave a voicemail over the weekend or if you cannot reach us directly. We all have voicemail and will return your call to set up an appointment. Havenwood Residents should call Debra Naylor at 229-1199 or Rose Bournival at 229-1180. Heritage Heights Residents should call Jane Poitras at 229-1291 or Terry Gray at
(603) 227-1396.

Sincerely,

Debra Lee Naylor, Vice President HHH Housing Services
Jane Poitras, Administrator HH Housing

Update: June 18 2020

Please join us for Thursday’s COVID update with CEO Mike Palmieri.

Update: June 17 2020

Please join us for Wednesday’s COVID update with CEO Mike Palmieri.

Update: June 16 2020

Please join us for Tuesday’s COVID update with CEO Mike Palmieri.

Update: June 16 2020

Dear Health Services Center Residents and Families,
I hope you are all doing well; I have several updates to share with you:

• Last Monday and Tuesday we tested 280 staff members and have received 271 negative test
results, 9 are still pending with the State lab.
• We have been conducting our 3rd round of Surveillance testing yesterday and today; this entails
testing all of the staff and 10 percent of the residents.
• We have also tested all of the Melody Lane residents and their test results all came back
negative for COVID-19.

We tested all of the Melody Lane residents again yesterday. Now for my exciting news!! At this time, we are able to offer a trial of car visits due to HHH having been COVID-19 free. These visits are subject to cancellation at any time based on our COVID-19 status. These visits will be scheduled for 20 minutes and the visitor must stay in the car, maintaining 6 feet of social distancing while the Resident is outside under a pop up tent, to protect them from the sun/weather. Visitors will have no access to any HHH buildings. For now, we are limiting this to one visit per resident, so that we can trial the process and work out the kinks.

There is a mandatory telephone screening that will be completed for each visitor planning to be in the car, one day before the visit and another one that will be completed the day of the visit. If you have been exposed to COVID-19, we are asking that you refrain from visiting. We will require all visitors to wear masks. The visitation windows for each floor are below. Visitation will begin on the half hour, with a maximum of two residents per 20 minute time slot. Please call (603)-229-1286 to schedule a visit.

• 1st floor residents: Mondays- 9:30am-11:30am and 1:30pm-2:30pm
• 2nd floor residents: Wednesdays – 9:30am-11:30am and 1:30pm-2:30pm
• 3rd floor residents: Fridays- 9:30am-11:30am and 1:30pm-2:30pm
• All Floors: Wednesday- 6:00pm-8:00pm

Thank you for your continued support and please feel free to reach out to me via email at Sweaver@hhhinfo.org or by phone at (603)-229-1194 if you have any questions or concerns.
Suzanne Weaver, NHA Health Services Center Nursing Home Administrator

Update: June 15 2020

lease join us for Monday’s COVID update with CEO Mike Palmieri.

Update: June 13 2020

Please join us for Saturday’s COVID update with CEO Mike Palmieri.

Update: June 12 2020

Please join us for Friday’s COVID update with CEO Mike Palmieri.

Update: June 11 2020

Please join us for Thursday’s COVID update with CEO Mike Palmieri.

Update: June 10 2020

Please join us for Wednesday’s COVID update with CEO Mike Palmieri.

Update: June 9 2020

Please join us for Tuesday’s COVID update with CEO Mike Palmieri.

Dear Residents,

Our team continues to work tirelessly around all issues related COVID – 19. We have had a tremendous amount of support from our residents, families and vendors for the work we have done. We are so thankful for the positive accolades, thumbs up, letters of encouragement and the like. This helps us continually motivate and energize the staff.

We are constantly assessing and reassessing and then making the hard decisions necessary to keep everyone safe. There are some folks that believe they are exempt and this shouldn’t apply, but our intentions are very genuine and we have been one of the few communities to remain virus free, until this past Saturday. This is very real and continues to be a concern in our geographic area.
Here is the situation in a nutshell as described in a letter I wrote to the staff this morning June 8, 2020:

Dear Staff,
As you continue to do incredible work there is also a reality setting in that COVID – 19 is still very much a significant factor in our healthcare environment and our world. In no shape or form should anyone believe that they can outrun the virus or are exempt for any reason. It is just that serious for everyone.

In the First Round of Staff Surveillance Testing from last Monday and Tuesday we tested 283 staff. If you recall, we tested 281 staff members in the initial testing with Convenient M.D. as our collection source way back on May 14 and 15th. During the May testing not a single employee tested Positive, which was great news.

Subsequent to that point in time, things in the State of New Hampshire have slowly reopened with a potential correlation and possibility of more exposures. Essentially, the science will eventually validate all of this; but, right now it’s apparent to see a society that is becoming more flexible and, in some cases, becoming less mindful of the virus.

Mid-day Saturday we learned of one Positive test result from an employee who works in the HSC and is assigned to the Melody Lane Program. As you can imagine, we immediately sprung into action that day to put in place all necessary precautions to ensure the safety of everyone. The list is exhaustive and ranges from personal calls placed to family members, ensuring strong and compassionate communications and also ensuring that regulatory compliance with CMS guidelines were fully met. The team here, that day, went far “above and beyond.” In addition, we did the same outreach on Sunday in the LAL program and once again the team was nothing short of amazing.

Some of the key precautions we have taken include a separate designated entryway for those staff that work on the Second Floor of Melody Lane and some limitations on their mobility within the facility, such as getting food from the Dining Services program, etc. These are all done as proactive moves, industry “best practices” and precautions. Fortunately, we have enough external doors around HHH that actually allowed us to make the entryway relatively seamless.

When you have someone who tests Positive and is Asymptomatic, as our staff member did, the best medicine is for that individual to go on 14 day quarantine and monitor their health. This is consistent with all medical literature and guidance in our contemporary world. We have involved the DHHS, the office of Public Health, our Medical Director, and obviously our internal team to work through this. At the end of their 14 day quarantine there are provisions that this person can return to work. Based on the literature and current expertise this particular person is no longer infectious at day nine and presents no threat. The most vulnerable time for anyone would be the first few days of ones onset. So therefore, no one should be worried.

The Second Floor Melody Lane staff will take additional steps during this 14 day quarantine time and use extra precautions relative to their use of PPE, which will most likely be more of it and we will proactively test all residents on the Second Floor Melody Lane as part of the ongoing regular Surveillance Testing. This gives us a strong handle on whether or not anyone may have been affected by this Positive employee case.

Interestingly enough, all of the 9 HSC resident test results are now 100% back in hand (results took a full week) and all are Negative which is a good sign and great news!
We are in extremely complicated times and in no way should ever under estimate the importance of having “best practices” and consistently practicing good handwashing hygiene, when at work and in your personal life too. The United States, New Hampshire, etc. whether fully or partially opened is still very vulnerable.

Please continue you very good work and the high level of care, love and respect for the residents and for each other. We will get through this.
These continue to be extraordinary times for all of us. My ultimate goals keep everyone safe and keep the morale of the team who work so hard behind-the-scenes as high as possible. It gets harder as days go on and we get deeper into the Pandemic. Thankfully, this young staff member is doing well and we are eager to see her back on the job very soon as long as her health continues to be symptom-free.
We are dealing with real situations and appreciate your ongoing support.
Best wishes,

Michael Palmieri
President/CEO

Dear Cottage & Lodge Residents:

As we look to the outdoors, all seems seasonably normal. The trees have sprouted their leaves, the flowers have been planted, the weather is warming – just like it does every year! Yet, times are not normal and we are compelled to adjust our ways, out of necessity, for all of our safety.

We know you want our HHH way of life to return to normal. You are not alone, the staff does too! Yet, all of us must continue to do all we can to keep as safe as possible from this virus. The concern is not gone for the virus spreading in our Community. It does not distinguish its outbreak boundaries between the Health Services Center, the Lodge or Cottages Living Areas – We are all connected, one Community, and thus we need to take care of the whole of HHH to try and keep it away. We cannot let our guard down now! It is extremely important that we keep working cooperatively together!

We still need to continue to practice social distancing, staying at least 6 feet apart from one another, not gathering in small or large groups, continue with our no visitor policies and restricting people on campuses to only those that are providing essential groceries and medical related services and that are approved by HHH.

You may have noticed that signs have been erected in the Resident Gathering Areas. These great outdoor spaces have been a wonderful asset. Although we can’t use them in the normal way this season, they can be used in a modified way. The tables and umbrellas and 2 chairs will still be set up in each gathering area. This way you can use them to have your lunch or a snack or enjoy a beverage, as long as you are 6 feet apart and there are no more than 2 people. Campus walkers can sit and rest while out exercising. We ask that you please adhere to these guidelines and do not bring your own chairs to gather.

Some may be asking “why” the administrative staff made this decision. We hope you understand that we did it for safety protection for residents, staff and the Organization. While Residents and staff are always a big part of our decision making, the Administration is also charged with protecting the Organization in its business practices. Six or eight chairs around a table is an implied invitation to gather. By posting signage and eliminating chairs we have met the Resident need to sit outside for fresh air or to rest and also lessened the Organization’s risk to a challenge that HHH did not do enough to protect people by not making needed adjustments to the environment to meet social distancing needs. Furniture arrangements are being accomplished all over

our HHH buildings and will be necessary when we begin the reopening phase. This decision is not just about the outdoor furniture.

You may wonder when we will get back to normal. Perhaps you are seeing some other indicators of other Communities opening up some of their services. The HHH Management Team is in touch with other CCRCs and nursing facilities daily. We listen and learn from their progress, as well as their struggles with phased reopening. Opening up too soon creates problems that may require another shutdown. Our time will come to reopen and as always, HHH will proceed with care and caution to best serve those who live and work here.

Currently we are looking as to how we may have modified services in our hair salons. There are many new regulations that apply and affect how we can set up appointments, prescreen salon customers, cleaning and sanitation, use and storage of equipment, personal protection clothing, to name a few. The staff is now incorporating these new requirements into our operating policies and procedures. Keep in mind that HHH Hair Salons have the additional challenge of melding CDC and CMS regulations into our program as we are part of a nursing home with a multitude of living levels. Simply, this means we are not just like the hair salon or barbershop in town. We are making progress and hope to be operational with some modifications by mid-July, unless the virus requires us to change our forward moving objectives.

Hair salons are only one aspect of reopening. We have much to consider as the time comes to determine how and when we are to reopen community areas, programs, activities, communal dining and the list goes on and on.

This work is not easy for the staff. The constant change and implementation of new rules from regulating bodies is mind boggling some days. Their creative, out of the box thinking, talent for taking on new challenges, executing changes, and their unwavering dedication to providing for you, each and every day, is truly amazing. We cannot be prouder of this work team and their outstanding efforts!

We ask that you continue to stay strong and stay this tough course with us, as we work so very hard during this difficult time. Stay safe, be patient and be kind to one another and to all the employees that are working so unselfishly to make HHH the best of the best, even during a world-wide pandemic.

Sincerely,

Michael A. Palmieri CEO
Debra Lee Naylor, VP
Jane Poitras Administrator HH Housing

Update: June 8 2020

Please join us for Monday’s COVID update with CEO Mike Palmieri.

Update: June 6 2020

Please join us for Saturday’s COVID update with CEO Mike Palmieri.

Update: June 5 2020

Please join us for Friday’s COVID update with CEO Mike Palmieri.

Update: June 4 2020

Please join us for Thursday’s COVID update with CEO Mike Palmieri.

Update: June 3 2020

Please join us for Wednesday’s COVID update with CEO Mike Palmieri.

Update: June 2 2020

Please join us for Tuesday’s COVID update with CEO Mike Palmieri.

Update: June 1 2020

Please join us for Monday’s COVID update with CEO Mike Palmieri.

Update: May 31 2020

Please join us for Sunday’s COVID update with CEO Mike Palmieri.

Update: May 30 2020

Please join us for Saturday’s COVID update with CEO Mike Palmieri.

Update: May 29 2020

Please join us for Friday’s COVID-19 update with CEO Mike Palmieri.

Update: May 28 2020

Please join us for Thursday’s COVID-19 update with CEO Mike Palmieri.

Update: May 27 2020

Please join us for Wednesday’s COVID-19 update with CEO Mike Palmieri. Today’s topics include state-wide COVID-19 stats, new staff testing and additional HSC testing.

Update: May 23 2020

Please join us for Saturday’s COVID-19 update with CEO Mike Palmieri. Topics today include Channel 919 schedule and HSC resident testing.