Novel Coronavirus (COVID-19) Prevention Measures

There are 12 confirmed COVID-19 cases over the past 14 days at the Hubbard Hill campus (7 residents, 5 staff). One resident is deceased.

Updated Monday, May 20, 2020 at 8:07pm

Thursday, May 28, 2020

Hubbard Hill COVID-19 Cases as of this posting:

Past 14 Days Data (5/14/20-5/28/20)

  • Staff cases as of this posting:
    • Staff members tests: 208
    • testing negative: 196
    • Staff members testing positive: 5
    • Staff testing pending: 7
    • Staff member deaths: 0
  • Resident cases as of this posting:
    • Residents tested: 142
    • Residents testing negative: 129
    • Residents testing positive: 7
    • Resident testing pending: 0
      • Resident deaths: 1
  • Total cumulative cases at Hubbard Hill as of this posting:
    • Total persons tested: 341
    • Total persons testing negative: 324
    • Total persons testing positive: 12
    • Total persons testing pending: 5
    • Total Hubbard Hill deaths: 1

COVID Cases

There was 1 resident testing negative, and 7 residents retested.  2 new staff members tested, 7 pending results. Please note: these figures represent all testing, this can include staff or residents which are retested as a result of contact tracing to a person which has exhibited signs or symptoms as a preventative measure, or retesting a person who is no longer presenting signs or symptoms to confirm negative status.  These figures no longer represent “new” cases only.

How is Hubbard Hill doing comparatively?

While we do not measure our progress or success compared with any other healthcare facility, I think it bears clarifying our progress and how we arrived here.

To clarify, as we have mentioned on several occasions, we were so blessed to receive testing kits early on in this crisis sufficient to test our entire campus- staff and residents. We were able to test 373 people by May 4th and had a firm grasp on the scope of the virus on our campus. This was several weeks prior to the CDC directive that all health facilities should follow suit. Recall, we began posting our progress and status from the beginning in March with our first positive diagnosis on Easter Sunday. From that moment, we have had a cumulative total of 16 positive cases.

Because we reported our early positive results in real time, it gave the appearance Hubbard Hill may have been the only Elkhart facility with COVID, which has never been the case, but as you have heard in the media, transparency is not the norm in our business. A noteworthy fact is that per the ISDH, an “outbreak” is defined as more than 10% of your population. Our positive cases have been in the low single digits, which is miraculous compared to the industry averages. Our cases were contained to a part of our Living Wisdom Center for Dementia Care, and let me say, COVID-19 and dementia is not a good combination.  Fast forward, we successfully contained the virus, and sadly have lost one resident.

The fact that we were early adapters in this virus was both a blessing and a curse as our results were the first “reported” Elkhart community incidence. Sadly, you are now aware that cases are everywhere and this insidious virus has hit senior care facilities hard. For 7 weeks now, we have been successfully managing the cases in the Living Wisdom Center and with the Lord’s help will bring it to and end soon. That is our hope and expectation. Of the original 16 cases, 6 remain positive and no new cases have occurred – Praise God!

16 is too many. However, given what you and I have seen nationally and globally since this journey began, we feel blessed with our staff’s commitment to containment and the residents cooperation in adhering to safety guidelines. It is working!!

We thought it important to share our perspective to help your understanding of how we are doing.

Hump Day on the Hill with Chaplain Dave Severance (one day removed 😉)

I miss my daughter, Danielle and her husband, Aaron. They live in Fort Wayne and have been married less than a year. COVID-19 is the reason we have not seen them.

The same is true for many of you and your loved ones. The phone, Facetime, Duo, Skype, You Tube… etc. are not the same, are they? Nothing like hugging, smiling face to face. The richness of that personal touch. What is it? …absence makes the heart grow fonder?

Yet, there is a gift here. What did people do separated by distance before this technology? Handwritten letters had to suffice. Aren’t we even more grateful for technology’s reach?

And how much more will we value their presence when we, once again, may feel their faces against ours? Could this be a lesson in practicing presence? To treasure each, and every moment that comes into our lives. Such mindfulness might even carry us until that day of personal touch arrives.

“I have come that you may have life, and that you may have it abundantly.” (Jesus)

Hubbard Hill Initial Campus wide Screening Results:

Final Completed 05.04.20

  • Staff status as of 5.4.20:
    • Total staff members tested: 193
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as 5.4.20:
    • Total residents tested: 180
    • Total residents testing negative: 171
    • Total residents testing positive: 9
  • Total Hubbard Hill Campus as of 5.4.20:
    • Total persons tested: 373
    • Total persons testing negative: 357
    • Total persons testing positive: 16
    • Total persons deceased: 1

Wednesday, May 27, 2020

Hubbard Hill COVID-19 Cases as of this posting:

Past 14 Days Data (5/13/20-5/27/20)

  • Staff cases as of this posting:
    • Staff members tests: 206
    • Staff testing negative: 196
    • Staff members testing positive: 5
    • Staff testing pending: 5
    • Staff member deaths: 0
  • Resident cases as of this posting:
    • Residents tested: 135
    • Residents testing negative: 128
    • Residents testing positive: 7
    • Resident testing pending: 0
      • Resident deaths: 1
  • Total cumulative cases at Hubbard Hill as of this posting:
    • Total persons tested: 341
    • Total persons testing negative: 324
    • Total persons testing positive: 12
    • Total persons testing pending: 5
    • Total Hubbard Hill deaths: 1

COVID Cases

There were 2 residents pending who are negative. And 10 new staff members tested, 5 negative, 5 pending results. Please note: these figures represent all testing, this can include staff or residents which are retested as a result of contact tracing to a person which has exhibited signs or symptoms as a preventative measure, or retesting a person who is no longer presenting signs or symptoms to confirm negative status. These figures no longer represent “new” cases only.

CHOW CHOW CHOW!!!!

We are incredibly happy to announce what so many have been waiting for! We learned this week the CMS has relaxed their stance on communal dining! Communal dining returns!!

The CMS statement is as follows: “We recognize the impact of social isolation on residents and the increased staffing requirements for resident in-room dining only. Therefore, we agree that communal dining can occur with the following guidelines:

  • No active (involving residents still in transmission-based precautions) cases of COVID-19 in the facility for at least 14 days.
  • Can adhere to social distancing, such as being seated at separate tables at least six feet apart.
  • Environmental cleaning of the dining area occurs before and after each group comes to the dining area
  • Residents should be offered hand hygiene before dining and after returning to their rooms.
  • Residents should not share food, drinks, or other personal items during dining.
  • Caregivers in the dining area should wear masks and perform hand hygiene before assisting residents to eat and between each resident that they assist.
  • Caregivers should perform hand hygiene after leaving the dining area or the resident’s room if assisting them there.

The operative word is “relaxed” but not free from the above ongoing guidance.  As such, we are in the process of retooling our enhanced menu which will significantly increase the menu options from in-room dining! Our plan is to open communal dining on Tuesday, June 9th when we restore compliant dining room set-up and our new menu preparation is complete.

Per the CMS, we must continue to enforce social distancing leaving 6 feet between tables and no more than 1-2 persons per table. Again, our ability to restore communal dining is contingent upon our ability to prevent a positive COVID-19 case. In other words, we must keep our facility COVID-19 free!

Join us in halleluiah Chorus! With this important social event of the day returning, we are one more step towards the new normal! We will take our “wins” when we get them, and this is a HUGE win! Looking forward to seeing all your smiling (and relieved!) faces when we reopen on Tuesday, June 9th!!

Hubbard Hill Initial Campus-wide Screening Results:

Final Completed 05.04.20

  • Staff status as of 5.4.20:
    • Total staff members tested: 193
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as 5.4.20:
    • Total residents tested: 180
    • Total residents testing negative: 171
    • Total residents testing positive: 9
  • Total Hubbard Hill Campus as of 5.4.20:
    • Total persons tested: 373
    • Total persons testing negative: 357
    • Total persons testing positive: 16
    • Total persons deceased: 1

Friday, May 22, 2020

Past 14 Days Data (5/8/20-5/22/20)

  • Staff cases as of this posting:
    • Staff members tests: 199
    • Staff testing negative: 191
    • Staff members testing positive: 4
    • Staff testing pending: 1
    • Staff member deaths: 0
  • Resident cases as of this posting:
    • Residents tested: 130
    • Residents testing negative: 126
    • Residents testing positive: 7
    • Resident testing pending: 2
      • Resident deaths: 1
  • Total cumulative cases at Hubbard Hill as of this posting:
    • Total persons tested: 329
    • Total persons testing negative: 317
    • Total persons testing positive: 11
    • Total persons testing pending: 3
    • Total Hubbard Hill deaths: 1

COVID Cases

There were 2 residents testing negative and 1 new staff member pending results. Please note: these figures represent all testing, this can include staff or residents who are retested as a result of contact tracing to a person who has exhibited signs or symptoms as a preventative measure, or retesting a person who is no longer presenting signs or symptoms to confirm negative status. These figures no longer represent “new” cases only.

Baby Steps

Many of you may have heard from your loved ones or saw in the media we took a “baby step” yesterday by partnering with LoveWay for a miniature horse visitation to our facility. LoveWay is a Premier PATH (Professional Association of Therapeutic Horsemanship) accredited equestrian center.

To say it was a success would be an understatement! It was a ‘life-injecting’ moment for our residents on many levels, being outdoors, visiting with the miniature horses, and just having a good time. Animals, as we all know, have tremendous therapeutic value for all people!

The program is a piece of our Resident Engagement initiative, which is ongoing, but critically important during this crisis. The event was CDC compliant and integrated some of the new guidance as well. Every single person involved was wearing a mask, we had over 25 staff members involved monitoring the event, social distancing, and hand sanitizing exiting and entering the facility.

The LoveWay organization was pre-screened for CDC compliance and had not visited any other facility during this crisis. So, in our risk assessment model, this was a relatively low-risk event. New CDC contact guidance has relaxed guidelines as it relates to surface transmission this week. Outdoor events are the only multi-resident activities approved at this time and are CDC approved-with contact distancing, face masks, hand washing and all other compliance directives.

Before the questions begin, let me be clear. This was a “resident only” controlled event as we know every resident present has tested negative to COVID-19 as have staff.  This was a controlled test to see how it would go. It went well. So, as we announced earlier, our July 11th Independence celebration planning continues and we will keep you apprised.

We have used the term, “shedding the virus”. This term refers to the process for a COVID-19 case to run its course as the body “sheds the virus” and the individual is no longer has enough virus in their system to test positive. This clinical exercise is still a work in process to fully understand the differences between individuals and other dynamics which may impact the shedding process and timing.

Again, we have already received phone calls regarding Memorial Day picnics, outdoor meals with family members and again, these activities are NOT approved by the CDC at this time. We are moving carefully and methodically forward while keeping our families and residents’ safety at the forefront. We are close to creating an easy family connection approach by enabling conversation between families through the glass and a speaker to chat live via an intercom system. Again, we will keep you updated as we finalize. Of course, the majority of you are already utilizing other digital media and cell phones, but we hope to creatively enhance connection until all restrictions are finally lifted.

Have a wonderful Memorial Day weekend and know we will be caring for your loved ones and ensuring they too celebrate this wonderful day of honor. We mentioned our team and their exhaustion. This is the first weekend since Easter we could even conceive of “celebrating” and we are! God Bless You!

Hubbard Hill Initial Campus-wide Screening Results:

Final Completed 05.04.20

  • Staff status as of 5.4.20:
    • Total staff members tested: 193
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as 5.4.20:
    • Total residents tested: 180
    • Total residents testing negative: 171
    • Total residents testing positive: 9
  • Total Hubbard Hill Campus as of 5.4.20:
    • Total persons tested: 373
    • Total persons testing negative: 357
    • Total persons testing positive: 16
    • Total persons deceased: 1

Thursday, May 21, 2020

Hubbard Hill COVID-19 Cases as of this posting:

Past 14 Days Data (5/7/20-5/21/20)

  • Staff cases as of this posting:
    • Staff members tests: 198
    • Staff testing negative: 190
    • Staff members testing positive: 4
    • Staff testing pending: 4
    • Staff member deaths: 0
  • Resident cases as of this posting:
    • Residents tested: 130
    • Residents testing negative: 124
    • Residents testing positive: 7
    • Resident testing pending: 2
      • Resident deaths: 1
  • Total cumulative cases at Hubbard Hill as of this posting:
    • Total persons tested: 328
    • Total persons testing negative: 314
    • Total persons testing positive: 11
    • Total persons testing pending: 6
    • Total Hubbard Hill deaths: 1

COVID Cases

There were 4 staff members testing negative and 4 staff members pending results. There were 4 resident retest results: 1 negative, 1 positive, and 2 pending. Please note: these figures represent all testing, this can include staff or residents who are retested as a result of contact tracing to a person who has exhibited signs or symptoms as a preventative measure, or retesting a person who is no longer presenting signs or symptoms to confirm negative status.  These figures no longer represent “new” cases only.

How we do not let our guard down

We have been asked how it is possible to sustain our standard of excellence in a less than excellent situation. It is challenging to say the least. Tired warriors- very tired, but no time to rest. We can all quickly recount those moments in our lives when we were bone-tired, but needed to press on though we weren’t sure if we had any more to give. This is one of those times for our entire team.  

But the team endures. This situation calls for an extraordinary degree of trust and respect for one another. At the same time, when we push our limits trying to find solutions every single day, we also must push each other. That is also an art. Who wants to hear “there is another way” or “there may be a better way” when you are dead on your feet tired? Not me! 😊 Choosing “the path less traveled” can be a challenge in and of itself, but putting our trust in each other and in turn, giving it over to our Lord and Savior. That is what keeps us going and stopping us from letting our guard down.

Making unpopular decisions in a very unpopular pandemic takes guts. These uncharted waters have called upon each of us to dig deeper for an extended time while overcoming our own fears in the process. I am not complaining. I think it is good for all to know the realty our team faces so you may be inspired and encouraged in all you face. It is a thing of beauty to watch a teammate who looks so tired they could drop, dig down to places they did not even know existed and find more umph to move forward. That my friends is a God thing…make no mistake about it. With Him alongside us, anything is possible. We have already witnessed that.

We are asked how everyone is doing…now you know. Remarkably well…but not alone. For that we are so grateful! We know you are praying for us as we continually experience God’s grace and mercy when we need it most. So onward, with our guard steadfast and intact.

Hubbard Hill Initial Campus-wide Screening Results:

Final Completed 05.04.20

  • Staff status as of 5.4.20:
    • Total staff members tested: 193
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as 5.4.20:
    • Total residents tested: 180
    • Total residents testing negative: 171
    • Total residents testing positive: 9
  • Total Hubbard Hill Campus as of 5.4.20:
    • Total persons tested: 373
    • Total persons testing negative: 357
    • Total persons testing positive: 16
    • Total persons deceased: 1

Wednesday, May 20, 2020

Hubbard Hill COVID-19 Cases as of this posting:

Past 14 Days Data (5/6/20-5/20/20)

  • Staff cases as of this posting:
    • Staff members tests: 198
    • testing negative: 186
    • Staff members testing positive: 4
    • Staff testing pending: 6
    • Staff member deaths: 0
  • Resident cases as of this posting:
    • Residents tested: 130
    • Residents testing negative: 123
    • Residents testing positive: 7
    • Resident testing pending: 0
      • Resident deaths: 1
  • Total cumulative cases at Hubbard Hill as of this posting:
    • Total persons tested: 328
    • Total persons testing negative: 309
    • Total persons testing positive: 11
    • Total persons testing pending: 6
    • Total Hubbard Hill deaths: 1

COVID Testing Results

There were 2 more new staff members tested and 1 negative resident result. Please note: these figures represent all testing, this can include staff or residents who are retested as a result of contact tracing to a person who has exhibited signs or symptoms as a preventative measure, or retesting a person who is no longer presenting signs or symptoms to confirm negative status.  These figures no longer represent “new” cases only.

The path to “open for business”

As we shared yesterday, we have received an abundance of new directives and guidance from government and regulatory agencies. Of course, one key topic which is top of mind for all of you (and us!) is when and how will we reopen?

Part of the guidance received yesterday from the CDC addresses an emerging plan enabling facilities to reopen for business. The plans are rife with stipulations, benchmarks, and conditions which must be met prior to reopening. Even so, we felt it important to let you know we are at least in the dialog!!

We are working through all this documentation to clarify, debunk myths, understand the benchmarks, and ultimately be totally clear when, what and how this translates to Hubbard Hill specifically. As you can imagine, all States and all facilities are not at the same place in their journey, or in their compliance. So, we need absolute clarity where we fall in that spectrum according to the guidelines.

This will take more time and all healthcare settings will always be lagging behind what is occurring in the general public relative to reopening.  Again, we share to give you a glimmer of hope, not set unrealistic expectations. This will not look in any way like what you are seeing and hearing regarding the general public. Still, Hopeful… and progress is being made.

Hump Day on the Hill, with Chaplain Dave Severance

When I was in seminary, I took this unforgettable class… “Grief, loss, death, and dying.” It was unlike any learning I had ever experienced. For example, our instructor asked us each to write our own obituary, and then in our small groups, have it read by someone else as we lay either on the floor or on a couch… as if our death was being mourned. It was a profound experience to both write and then have the reading of our obit enacted.

Evidence Paul’s reference to “others… who have no hope” would be the stoics. Stoics would not allow their emotions to rise… would deflect, suppress, stuff them in any way possible to “remain above the fray.” That is how you survive loss.

With this reference point in mind, Paul’s teaching… rather than directing his readers to stuff their emotions… is actually inviting them to fully explore the depth of their loss… because ultimately, they are being upheld by someone greater than themselves. “Let it out,” would be the teaching. This is certainly in line with Jesus’ own approach to loss; note his Beatitude… “Blessed are those who mourn, for they will be comforted.” And would add, all our losses deserve to be recognized

In my study of human need in the time of loss, I have come to believe that exploring our grief is the healthiest way to deal with loss.

The point of all this is to say that all of us together in this pandemic have experienced huge losses, each of which deserves to be grieved. Only when we sit with them can we move from the “what ifs” of our fears to the “even ifs” of our hope. Then the hope will be grounded in the reality of our day.

Those hopes will be the focus of future thoughts.

Dave

Hubbard Hill Initial Campus-wide Screening Results:

Final Completed 05.04.20

  • Staff status as of 5.4.20:
    • Total staff members tested: 193
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as 5.4.20:
    • Total residents tested: 180
    • Total residents testing negative: 171
    • Total residents testing positive: 9
  • Total Hubbard Hill Campus as of 5.4.20:
    • Total persons tested: 373
    • Total persons testing negative: 357
    • Total persons testing positive: 16
    • Total persons deceased: 1

Tuesday, May 19, 2020

Hubbard Hill COVID-19 Cases as of this posting:

Past 14 Days Data (5/5/20-5/19/20)

  • Staff cases as of this posting:
    • Staff members tests: 196
    • testing negative: 186
    • Staff members testing positive: 4
    • Staff testing pending: 6
    • Staff member deaths: 0
  • Resident cases as of this posting:
    • Residents tested: 130
    • Residents testing negative: 122
    • Residents testing positive: 7
    • Resident testing pending: 2
      • Resident deaths: 1
  • Total cumulative cases at Hubbard Hill as of this posting:
    • Total persons tested: 326
    • Total persons testing negative: 308
    • Total persons testing positive: 11
    • Total persons testing pending: 6
    • Total Hubbard Hill deaths: 1

Covid Cases

There were 2 new staff members tested and 2 negative staff results. There was one resident tested to facilitate a move. Please note: these figures represent all testing, this can include staff or residents which are retested as a result of contact tracing to a person which has exhibited signs or symptoms as a preventative measure, or retesting a person who is no longer presenting signs or symptoms to confirm negative status. These figures no longer represent “new” cases only.

The evolving regulatory door

When you were in school, did you ever have a nightmare that you studied so hard for a test, went to school and all the questions were changed for the test? Well, it is not newsworthy to share the COVID-19 landscape is now shifting moment by moment-not day by day. And that is the way it feels!

We have received more new guidance from HSS (Department of Health and Human Services), CMS (Centers for Medicare & Medicaid Services), the Department of Treasury, the Small Business Administration, and the Indiana Department of Health. All have provided guidance and specificity as to what we may do, how we do it, and to ensure compliance. You may have heard about these on the news, but we are in the process of digesting all the vast directives and are now trying to gain an understanding and clearly defining the implications to Hubbard Hill, our community, state and industry. Make no mistake, there are changes which are positive and a step in the right direction. 😉

We will be reporting the information which is most relevant to you as soon as we are able with clarity.

In this environment, we are seeking to make progress daily toward the new normal and the end of this crisis. From our mouths to God’s ears…and in His time, not ours.

Hubbard Hill Initial Campus wide Screening Results:

Final Completed 05.04.20

  • Staff status as of 5.4.20:
    • Total staff members tested: 193
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as 5.4.20:
    • Total residents tested: 180
    • Total residents testing negative: 171
    • Total residents testing positive: 9
  • Total Hubbard Hill Campus as of 5.4.20:
    • Total persons tested: 373
    • Total persons testing negative: 357
    • Total persons testing positive: 16
    • Total persons deceased: 1

Monday, May 18, 2020

Past 14 Days Data (5/4/20-5/18/20)

  • Staff cases as of this posting:
    •  Staff members tests: 194
    •  Staff members testing negative: 184
    •  Staff members testing positive: 4
    •  Staff testing pending: 6
    •  Staff member deaths: 0
  • Resident cases as of this posting:
    •  Residents tested: 121
    •  Residents testing negative: 122
    •  Residents testing positive: 7
    •  Resident testing pending: 1
      • Resident deaths: 1
  • Total cumulative cases at Hubbard Hill as of this posting:
    • Total persons tested: 315
    • Total persons testing negative: 306
    • Total persons testing positive: 11
    • Total persons testing pending: 7
    • Total Hubbard Hill deaths: 1

COVID Cases

There were 5 new staff members tested today which now total 6 pending. 3 negative staff results, 0 positive staff members. 5 residents tested negative and 3 positives, with one pending. Please note: these figures represent all testing, this can include staff or residents who are retested as a result of contact tracing to a person who has exhibited signs or symptoms as a preventative measure, or retesting a person who is no longer presenting signs or symptoms to confirm negative status. These figures no longer represent “new” cases only.

How DO we keep our residents engaged, connected, happy during this crisis?

In an interview with our great partners at Netsmart this morning, two of our superstar Wellness team shared the art of engagement during this COVID crisis. And yes, it IS art, not a science! Our residents are people: family members, wives, husbands, grandmas, grandpas, daughters, sons, neighbors, Sunday School members, and God’s children. We care for these people. There is no formula for this, no book, no webinar… simply heart, soul, spirit, compassion, dedication, creativity, ingenuity, and love. There is no difference in how they practice their art during this crisis, only a change in circumstance.

How do we know art mirrors life? As we began this journey, they discovered who among residents had I-phones to coordinate Facetime calls with families and friends and made it happen. They lend their own personal I-phones when that cannot happen. Schedule times for Skype calls-and make it happen. Schedule Zoom conversations across the country-and make it happen. Even in the early hours of the morning. Get the daily letter from a daughter who lost her mother during this crisis from the mail, take it to her father, open it, read it to him, and lovingly and gently place it back in the envelope as he wishes. Coordinate “COVID compliant” birthday events with family members to ensure continuity and know they are still missed and loved. Plan a Zoom call with a Sunday School class so as not to miss out. 

…Plan and implement “hallway” Bingo to ensure residents maintain their favorite “sport”! Conduct a variety of virtual exercise programs on their in-room televisions via the Hubbard Hill network to keep them healthy and active. Keep cardio drums with residents so they are ready for the virtual program and maintain their beat! Arrange for a daughter to bring Wendy’s to her mother as she always has and has lunch with her since her daughter cannot. Fill the pizza ‘fix’ by driving to Pizza Hut to purchase personal pizzas for our dear ones. Stock and roll the ‘snack’ cart throughout the facility so our neighbors have treats available to them. Accept our circumstance and create a makeshift fun glamour day for our ladies who desperately miss their hair appointments. Not to mention mobile manicures. Keeping green by providing and helping them grow spider plants in their rooms. Firsthand nature!

Make animal toys for the Elkhart County Animal Shelter…for our furry friends. When the sun shines, take them outside to the beautiful Angel Garden to commune with nature. Take them to our General Store for a shopping trip for odds and ends. Conduct prayer 1 on 1’s to sustain their spirit and spiritual growth. Coordinate a church family drive-by wave to let our neighbors know they are not forgotten. Not to mention virtual church services and inspirational messages throughout the week.

Most importantly, they pay attention. This is not a change in the way things are done. This gifted staff pays attention not just in a crisis-but makes it their business to intimately KNOW each resident well. Know their needs and anticipate them. Remember that only as an integrated team does this work. Exercise the humility to understand and embrace the fact that nothing stays the same on a day to day basis. They listen, know, and respond to needs. They are hands-on and understand it is ALL about how they make our residents feel…and meet them where they are every day, 7 days a week. They do not “take care” of them…they minister to them. What a wonderful calling it is. They are not “activities” professionals, they are called “Wellness” for a reason. And we are so blessed as are those whose wellness is their singular focus and passion. We can assure you; it is NOT the devil in the details, but our Lord Jesus Christ! Thank you, Tim, Teresa, Alice, Mary, and Cindy for serving so graciously and humbly… 😊

Hubbard Hill Initial Campus-wide Screening Results:

Final Completed 05.04.20

  • Staff status as of 5.4.20:
    • Total staff members tested: 193
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as 5.4.20:
    • Total residents tested: 180
    • Total residents testing negative: 171
    • Total residents testing positive: 9
  • Total Hubbard Hill Campus as of 5.4.20:
    • Total persons tested: 373
    • Total persons testing negative: 357
    • Total persons testing positive: 16
    • Total persons deceased: 1

Friday, May 15, 2020

Hubbard Hill COVID-19 Cases as of this posting:

Past 14 Days Data (5/1/20-5/15/20)

  • Staff cases as of this posting:
    •  Staff members tests: 189
    •  Staff members testing negative: 181
    •  Staff members testing positive: 4
    •  Staff testing pending: 4
    •  Staff member deaths: 0
  • Resident cases as of this posting:
    •  Residents tested: 121
    •  Residents testing negative: 117
    •  Residents testing positive: 4
    •  Resident testing pending: 0
      •  Resident deaths: 1
  • Total cumulative cases at Hubbard Hill as of this posting:
    • Total persons tested: 310
    • Total persons testing negative: 298
    • Total persons testing positive: 8
    • Total persons testing pending: 4
    • Total Hubbard Hill deaths: 1

COVID Cases

There were 2 new staff members tested today!!  We await results for 2 staff members from previous testing.

Can we talk about the future? 😊

Why? Because that is one thing, we know for certain in a world of constantly changing predictions, models, warnings, directives, yes you can, no you cannot …we ARE going to have a future!!!!

Much like sports leagues and associations, we too are cautiously looking to the future and making contingency plans. We are looking at the future not in terms of IF we will be doing things, but when and how. And just the process of looking into the future in a quasi-normal way is invigorating!! And makes us very hopeful!!

So, first on our planning schedule is the announcement we WILL be having our annual patriotic July celebration scheduled today for July 11th, with fireworks!!!!! However, just like sports leagues, these plans are contingent upon community compliance with the reopening of our State outlined by Governor Holcomb and CDC directives. If COVID cases begin to spike for any reason, plan B will be in play for the event. Details of how and who this will involve are incomplete at this time and we will keep you apprised.  One thing is certain if we do not plan it, it will not happen!

We are also making future contingency plans for our campus. We are looking at 3 COVID impact and timing scenarios for the future ranging from optimistic to pessimistic. So, the fact we have the time to consider the future is a step in the right direction!!! A nice change from only living moment to moment.

Hubbard Hill Initial Campus-wide Screening Results:

Final Completed 05.04.20

  • Staff status as of 5.4.20:
    • Total staff members tested: 193
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as 5.4.20:
    • Total residents tested: 180
    • Total residents testing negative: 171
    • Total residents testing positive: 9
  • Total Hubbard Hill Campus as of 5.4.20:
    • Total persons tested: 373
    • Total persons testing negative: 357
    • Total persons testing positive: 16
    • Total persons deceased: 1

Thursday, May 14, 2020

Hubbard Hill COVID-19 Cases as of this posting:

Past 14 Days Data (4/30/20-5/14/20)

  • Staff cases as of this posting:
    •  Staff members tests: 187
    •  Staff members testing negative: 179
    •  Staff members testing positive: 4
    •  Staff testing pending: 3
    •  Staff member deaths: 0
  • Resident cases as of this posting:
    •  Residents tested: 121
    •  Residents testing negative: 116
    •  Residents testing positive: 4
    •  Resident testing pending: 1
      •  Resident deaths: 1
  • Total cumulative cases at Hubbard Hill as of this posting:
    • Total persons tested: 308
    • Total persons testing negative: 295
    • Total persons testing positive: 8
    • Total persons testing pending: 4
    • Total Hubbard Hill deaths: 1

COVID Cases

There were no COVID-19 tests conducted today. That statistic alone is again, reason for gratitude!!! We await results for 3 staff members and 1 resident from previous testing.

Why keep the dialog going?

We have been asked on more than one occasion why the transparency?  Why keep the dialog going?

It is not all that complex.  Our first and primary focus is, was, and continues to be our residents, families, and caregivers. It is not such an outlandish gesture to be forthright with those we lovingly serve.It is simply our responsibility.  How can they possibly feel safe and trust in the care of their loved ones if we are not? It is our sacred obligation to keep them appraised and they are grateful for our best efforts. 

We have thankfully stabilized all service lines and are continuing to simply take one day at a time. Over and over we repeat the cautionary guidance regarding the spread of this virus in “the heartland” (us) which has not yet reached its peak. It is an intricate balance between an increase in reported cases and the coinciding increase in testing. So, what does that mean to you?  At its simplest, it means you are walking next to people who have yet to be tested and some of them are likely carriers, as increased testing would suggest. At its worst, more people are contracting the virus due to increased opportunities for transmission. Either way, social distancing, wash your hands, wear a mask in public places, and try and limit contact with others as much as possible.

We keep the dialog going because now is not the time to go radio silent…we must keep the dialog going if there is something to say and needs to be heard.

What are the greatest challenges for you now?

Honestly, trying to invent creative ways for residents to connect with families while keeping everyone safe. It is the greatest physical and emotional challenge we currently face. As human beings, we were created to connect, to touch, to show affection. It is as essential as the air we breathe. We are reaching out and exploring every potential means of enabling a connection. Safety is and will continue to be our greatest priority while remaining compliant with state, regulatory, and federal guidelines. We are a loving group of people who share in this pain…we want more than anything to help you “breathe” again.   

Hubbard Hill Initial Campus-wide Screening Results:

Final Completed 05.04.20

  • Staff status as of 5.4.20:
    • Total staff members tested: 193
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as 5.4.20:
    • Total residents tested: 180
    • Total residents testing negative: 171
    • Total residents testing positive: 9
  • Total Hubbard Hill Campus as of 5.4.20:
    • Total persons tested:  373
    • Total persons testing negative: 357
    • Total persons testing positive: 16
    • Total persons deceased: 1

Wednesday, May 13, 2020

Hubbard Hill COVID-19 Cases as of this posting:

Past 14 Days Data (4/29/20-5/13/20)

  • Staff cases as of this posting:
    •  Staff members tests: 187
    •  Staff members testing negative: 179
    •  Staff members testing positive: 4
    •  Staff testing pending: 4
    •  Staff member deaths: 0
  • Resident cases as of this posting:
    •  Residents tested: 121
    •  Residents testing negative: 116
    •  Residents testing positive: 4
    •  Resident testing pending: 1
      •  Resident deaths: 1
  • Total cumulative cases at Hubbard Hill as of this posting:
    • Total persons tested: 308
    • Total persons testing negative: 295
    • Total persons testing positive: 8
    • Total persons testing pending: 5
    • Total Hubbard Hill deaths: 1

COVID Cases

There was 1 new employee test conducted today. That statistic alone is again, reason for gratitude!!!  We await results for 4 staff members and 1 resident from previous testing.

Where do we go from here?

If you follow the news at all, you may just turn it off. The news and outlook for the future as it relates to the world’s healthcare crisis is not overly, or even mildly, optimistic. By most accounts, organizations like Hubbard Hill best not take our eye off the prize.

But for today, we are in reasonably good shape. Are we out of the woods? It is hard to imagine when that may be. We have not had to test anyone we suspect of COVID for a couple of days—which is good!  We feel all the proactive-not reactive steps we have taken over the past months are hopefully paying off. Of course, we reiterate the fact if there are variables we do not control, it is like shutting the front door and leaving the back door open.

The federal and state governments have at long last shown a spotlight on the nursing home community, calling for increased transparency with caregivers and families and strong guidance to test the over 1 million nursing home residents as well as staff within the next two weeks. If that can be accomplished, (assuming tests are readily available) it will go a long way towards beginning to flatten the nursing home curve of the virus. It remains to be seen if Hubbard Hill needs to repeat our campus-wide testing which was completed on May 4th and included all 373 residents and staff. When the unacceptable level of positive tests by government standards is 10%, we are pleased (never satisfied) with 2.5% over the past 14 days.

So, what are our priorities now? What are our next steps?

First and foremost we continue to prevent the spread and contain the virus on our campus. Staff members who test positive are sent home for the prescribed two-week quarantine window, retested, and return with a negative result. Residents are in quarantine when tested positive, receive care and treatment, retest when symptoms subside, and exit quarantine when all the other quarantined residents also test negative. We are working day and night caring for these precious residents to get them stabilized and back on their feet. Today, we are cautiously optimistic!

We would be less than vigilant if we did not begin our preparations for what may be an equally challenging fall. If it does not pan out-so be it. We never want to be in a position again, as we all were, when COVID-19 darkened our doorsteps. So, we are preparing.

I want to take this opportunity to thank each one of the countless individuals who have reached out asking how to help. At this point, it goes without saying, continued prayer. Your generous and thoughtful gifts of food and baked goods for our tremendously overworked staff are beyond words!  Kind and inspirational notes of hope and appreciation never get old! Someone called them our “warriors” and that is a great picture. They ALL are!! However, relative to financial support, we have been blessed by receipt of COVID-19 support funding and are in reasonably good shape today.

However, as we prepare for the fall and our anticipated needs, please stay close as we have no idea what the future holds, either from the virus and its impact or what kind of financial relief may or may not be available at that time.

But for today, thank you. Thank you for your generous offers but in good faith are not needed for COVID-19 initiatives today.

  Philippians 4:6-7

Do not be anxious about anything, but in every situation, by prayer and petition, with thanksgiving, present your requests to God. And the peace of God, which transcends all understanding, will guard your hearts and your minds in Christ Jesus

Hubbard Hill Initial Campus-wide Screening Results:

Final Completed 05.04.20

  • Staff status as of 5.4.20:
    • Total staff members tested: 193
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as 5.4.20:
    • Total residents tested: 180
    • Total residents testing negative: 171
    • Total residents testing positive: 9
  • Total Hubbard Hill Campus as of 5.4.20:
    • Total persons tested: 373
    • Total persons testing negative: 357
    • Total persons testing positive: 16
    • Total persons deceased: 1

Tuesday, May 12, 2020

Hubbard Hill COVID-19 Cases as of this posting:

Past 14 Days Data (4/28/20-5/12/20)

  • Staff cases as of this posting:
    •  Staff members tests: 186
    •  Staff members testing negative: 179
    •  Staff members testing positive: 4
    •  Staff testing pending: 3
    •  Staff member deaths: 0
  • Resident cases as of this posting:
    •  Residents tested: 121
    •  Residents testing negative: 116
    •  Residents testing positive: 4
    •  Resident testing pending: 1
      • Resident deaths: 1
  • Total cumulative cases at Hubbard Hill as of this posting:
    • Total persons tested: 307
    • Total persons testing negative: 295
    • Total persons testing positive: 8
    • Total persons testing pending: 4
    • Total Hubbard Hill deaths: 1

National Nurses Week

Merriam Webster Dictionary defines nurse (noun or verb):  A person who cares for the sick and infirmed; one who looks after, fosters, advises; one who treats with special care or attention; to attempt to cure by care and treatment; to take charge of and watch over. 

Based on these various definitions, we are all called in some form or fashion to be a nurse and/or nurse during this extraordinary crisis.  Are we not all called to care for, look after,  treat with special care and attention, take charge of and watch over our neighbors, loved ones, and those who have been tagged as “less than” in our society?  

To attempt to cure by care and treatment is probably an overreach for most of us.  But the choice of the word “attempt” to cure is an interesting choice of words…perhaps, maybe because we believe only the Ultimate nurse is truly capable of healing.  He “nurses” us daily, moment by moment-mentally, physically, and spiritually.  God alone is the true healer-and our beloved nurses are His tools.  So too are we called to “nurse” during this crisis with Him by our side.  So, pull out your nurse’s kit, not just this week but every day.

COVID Cases

There were no tests conducted today with any staff or residents. That statistic alone is a reason for gratitude!!! One negative staff result arrived today from a previously conducted test.  We await results on 3 staff members and 1 resident from the previous testing.

“May the God of hope fill you with all joy and peace in believing, so that by the power of the Holy Spirit you may abound in hope.”

Hubbard Hill Initial Campus-wide Screening Results:

Final Completed 05.04.20

  • Staff status as of 5.4.20:
    • Total staff members tested: 193
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as 5.4.20:
    • Total residents tested: 180
    • Total residents testing negative: 171
    • Total residents testing positive: 9
  • Total Hubbard Hill Campus as of 5.4.20:
    • Total persons tested:  373
    • Total persons testing negative: 357
    • Total persons testing positive: 16
    • Total persons deceased: 1

Sunday, May 10, 2020

Hubbard Hill COVID-19 Cases as of this posting:

Past 14 Days Data

  • Staff cases as of this posting:
    •  Staff members tests: 62
    •  Staff members testing negative: 55
    •  Staff members testing positive: 7
    •  Staff member deaths: 0
  • Resident cases as of this posting:
    •  Residents tested: 128
    •  Residents testing negative: 123
    •  Residents testing positive: 5
      • Resident deaths: 1
  • Total cases at Hubbard Hill as of this posting:
    • Total new persons tested: 190
    • Total new persons testing negative: 178
    • Total New persons testing positive: 12
    • Total Hubbard Hill deaths: 1

National Nurses Week

It is hard to imagine a group of women who sacrifice as much as nurses who are also mothers. But we are biased 😉 All moms or grandmothers who work untenable and unpredictably long hours are celebrated today. Nurses who set such a shining example for their children of what it means to sacrifice, selflessly face untold sadness and loss in their careers, commit and recommit daily, and demonstrate such endless compassion in the face of crisis are helping to shape our future generations. For that and for all of the mothers who are working today away from their children, we celebrate you, and know you are loved and so very precious to all of those you serve and work alongside daily.

COVID Cases

Today we are pleased to return 2 negative staff test results. What a wonderful Mother’s Day gift for them and we humbly praise the Lord our God.

In Honor of All Mothers

What a bittersweet Mother’s Day for so many. For those whose mothers have passed away, those whose mothers are inaccessible due to the COVID-19 virus, or those who are far away. At a time when the one person we need to provide us the comfort only a mother can provide, so many are not present. And the one person we want to comfort and tell them ‘it will be ok” and hold them close, again, we cannot. How do we cope without the one who helped teach us how to cope, how to endure, be brave, and have faith? How do we help her and return the many times she lifted us up?

How? We turn to the One who taught her how to cope, how to endure, be brave and faith in Him. We place our sadness and fears safely in His loving hands and know He is present alongside our moms wherever they may be. We long for a return to normal. But maybe, just maybe, our old normal is not how God wants to restore us?  Maybe by reaching back for normal, we will lose out on what He has planned which is new? I pray that thought brings you peace.

And for those who are blessed to spend this wonderful day of honor with your beloved moms, give her the best gift you can, her health and safety. Tell her from 6 feet away how much you love and appreciate being with her. For today, not a hug, but your heart and your voice. Peace be with you and with our mothers…wherever they may be.  And finally, …

Happy Mother’s Day!

Isaiah 66:13: “As one whom his mother comforts, so I will comfort you.”

Hubbard Hill Initial Campus-wide Screening Results:

Final Completed 05.04.20

  • Staff status as of 5.4.20:
    • Total staff members tested: 193
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as 5.4.20:
    • Total residents tested: 180
    • Total residents testing negative: 171
    • Total residents testing positive: 9
  • Total Hubbard Hill Campus as of 5.4.20:
    • Total persons tested: 373
    • Total persons testing negative: 357
    • Total persons testing positive: 16
    • Total persons deceased: 1

Friday, May 8, 2020

Hubbard Hill COVID-19 Cases as of this posting:

Past 14 Days Data

  • Staff cases as of this posting:
    •  Staff members tests: 60
    •  Staff members testing negative: 53
    •  Staff members testing positive:7
    •  Staff member deaths: 0
  • Resident cases as of this posting:
    •  Residents tested: 128
    •  Residents testing negative: 123
    •  Residents testing positive: 5
      • Resident deaths: 1
  • Total cases at Hubbard Hill as of this posting:
    • Total new persons tested: 188
    • Total new persons testing negative: 176
    • Total New persons testing positive: 12
    • Total Hubbard Hill deaths: 1

National Nurses Week

We do not think often, but more often than we probably would like, people forget the real value nurses bring to our lives, the community, and of course Hubbard Hill. We forget they have families, lives of their own, children, spouses, significant others, pets, homes, bills, and anything you may think of in your own lives. Sadly, they also experience parenting concerns, sickness, arguments, deaths, and other life experiences outside of nursing. Yet we expect them to suit up, show up whenever called upon, and oh, by the way, bring every ounce of professionalism and a smiling face in spite of what they just left behind in their “real” life!

So, during National Nurses Week, why not try and turn the tables on a nurse who asks 100’s of times a day “how are you?” and ask them “no, how are YOU today?” You might just be surprised-they will be!! 😉

COVID Cases

Today we are pleased to return a negative position reporting 1 negative resident and 6 negative staff member test results. You may wonder where the need for testing arises and we retest (as we have tested the entire campus once) anyone who presents COVID-19 symptoms and/or anyone who may be contact-traced to someone receiving a positive test.

On this chilly Friday evening, we are going to err on the side of ‘” less is more” and invite everyone to take a breath and wind down. We know COVID-19 is alive and well, and we want to invite you to do the same…be alive and well!

1 Thessalonians 1:3

…We remember before our God and Father your work produced by faith, your labor prompted by love, and your endurance inspired by hope in our Lord Jesus Christ.

Hubbard Hill Initial Campus-wide Screening Results:

Final Completed 05.04.20

  • Staff status as of 5.4.20:
    • Total staff members tested: 193
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as 5.4.20:
    • Total residents tested: 180
    • Total residents testing negative: 171
    • Total residents testing positive: 9
  • Total Hubbard Hill Campus as of 5.4.20:
    • Total persons tested: 373
    • Total persons testing negative: 357
    • Total persons testing positive: 16
    • Total persons deceased: 1

Thursday, May 7, 2020

Hubbard Hill COVID-19 Cases as of this posting:

Past 14 Days Data

  • Staff cases as of this posting:
    •  Staff members tests: 53
    •  Staff members testing negative: 47
    •  Staff members testing positive:7
    •  Staff member deaths: 0
  • Resident cases as of this posting:
    •  Residents tested: 127
    •  Residents testing negative: 122
    •  Residents testing positive: 5
      • Resident deaths: 1
  • Total cases at Hubbard Hill as of this posting:
    • Total new persons tested: 180
    • Total new persons testing negative: 169
    • Total New persons testing positive: 12
    • Total Hubbard Hill deaths: 1

National Nurses Week

In the world of bedside manner, we typically think of physicians. We take exception to that notion. The breadth and depth of a nurse’s bedside manner transcends passing meds, checking vitals, or other traditional nursing roles. Our nurse’s bedside manner unquestionably transcends the bedside. A nurse leaving her shift but hears the cry of fear in the dark, drops her things and stays until the resident is comforted. A nurse comforting a family who struggles to see their loved one transitioning on their journey and reminds them gently they are still there. A nurse who faces a family who is distraught by a misunderstood situation and carefully and thoughtfully listens and guides them to a better place.

The keyword is “manner(s)”. Bedside just happens to be geography. Are our nurses saints? I would like to think so 😊, but they are human, and I will stack them up against anyone when it comes to their “manners”. Integrity is defined as doing the right thing when no one is looking-in that I take great comfort-knowing that occurs constantly at Hubbard -night and day.

“They may forget your name but they will never forget how you made them feel.” 😉.

COVID Cases

With little to no testing occurring at this time, we do we report however, one positive case which was also a dishwasher and is related to the initial case involving a dishwasher. This staff member removed himself from work as soon as his relative was diagnosed and is now positive. One resident returned a negative result.

National Day of Prayer

Has there ever been a better time in the recent past than now for the National Day of Prayer? COVID-19 did not stop us from celebrating with the rest of the entire nation in prayer. The feeling of connectivity through Christ “from sea to shining sea” as our own Tim Henke shared. Is there anything more galvanizing than an immense group, stopping, and all pointing in the same direction-to Him at the same time?

It lifted our hearts, replenished our spirits, and restored our hope. It was also a time of gratitude. To give thanks for all we do have and the many ways we have been blessed. In times like these, we can so easily focus on what we have lost. So, we give thanks for the National Day of Prayer and will carry on not one, but day after day after another day of prayer. *see the live broadcast on our Facebook page.

The Voices We Hear

I am so often reminded when we find ourselves searching for the “good stories”, the “happy times” to share that not everybody is happy, and not every story is a good one. We truly empathize and mean it. We tell you we understand and feel your pain. And we try our very hardest. But in many cases, people are experiencing gut-wrenching fear, hurt, and pain at the prospect of not holding or touching their loved one again. How can we possibly know the depths of these feelings? We cannot. But empathy comes in many forms. We do have families of our own-still living-and some who have died.

We have all said in some form or fashion, how incredibly devastating it must be to carry those thoughts and fears inside you day after day as this virus continues its path of destruction. Loss does come in many forms and time is one of the biggest losses. We know many are trying to anticipate and play the odds of taking your loved one home to experience what time only God knows remains. We fully understand the impetus for entertaining those thoughts. We do not judge you and have no idea how we would respond in a like situation. Know that we are here for you, pray for you, and fully support you in any way possible. We truly hear your voice. And to this, we say, Amen.

Hubbard Hill Initial Campus-wide Screening Results:

Final Completed 05.04.20

  • Staff status as of 5.4.20:
    • Total staff members tested: 193
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as 5.4.20:
    • Total residents tested: 180
    • Total residents testing negative: 171
    • Total residents testing positive: 9
  • Total Hubbard Hill Campus as of 5.4.20:
    • Total persons tested: 373
    • Total persons testing negative: 357
    • Total persons testing positive: 16
    • Total persons deceased: 1

Wednesday, May 6, 2020

Hubbard Hill COVID-19 Cases as of this posting:

Past 14 Days Data

  • Staff cases as of this posting:
    • Staff members tests: 52
    • Staff members testing negative: 47
    • Staff members testing positive: 6
    • Staff member deaths: 0
  • Resident cases as of this posting:
    • Residents tested: 126
    • Residents testing negative: 121
    • Residents testing positive: 5
      • Resident deaths: 1
  • Total cases at Hubbard Hill as of this posting:
    • Total new persons tested: 178
    • Total new persons testing negative: 168
    • Total new persons testing positive: 11
    • Total Hubbard Hill deaths: 1

National Nurses Week

Today, we talk about the resilience of our nurses. Not many of us could walk through these doors every day with the spirit of collaboration, can-do attitude, nothing impossible mentality, and get’r done approach to their work the way these professionals do-day in and day out. To work tirelessly to maintain the level of excellence that has sustained Hubbard Hill for 42 years is remarkable. To get kicked in the teeth with a resident succumbing to illness and knowing they are with God the Father is the fuel that keeps them moving. For their commitment and calling-we say again, thank you!!

“Nurses are a unique kind. They have this insatiable need to care for others, which is both their biggest strength and fatal flaw.” …and we do not necessarily look at it as a fatal flaw 😉.

COVID Cases

So today, we celebrate the fact that each new day brings healing and hope. Even after the disappointment of yesterday. We had 5 staff members reported-all negative! Praise the Lord! We take our wins large and small with tremendous gratitude.

Testing Report

As of today, the figures reported above represent data from the last 14 days. This new format is a directive from the Indiana Department of Health and is required for all facilities. We have been compliant for some time, so this is just a new way of presenting the information. Again, you will find our baseline testing for the entire campus at the end of this report. Do not try and compare this report to a past report as it would be apples to oranges. This is the same data, just presented in a different format.

From our Chaplain: Dave Severance

I have been speaking with several residents over the past weeks, checking in on them just to see how they are doing. Most residents are doing just fine. Do they like the directives which are in play? Well, of course not. But they understand them and are grateful for our vigilance and protecting their health and safety. They are incredibly supportive of our efforts. Some are very eager to talk, and I have had some particularly good conversations-this is a very vulnerable time for them and our world.

For me personally, I believe I have been more inspired by them and their responses than I have inspired them! The “wisdom” of the Living Wisdom Community is utilizing their maturity to find contentment in themselves. What a novel idea!

I speak about grief in this COVID-19 crisis, not as in the loss of a loved one, but every bit of loss people have endured thus far. Acknowledging and embracing your inner grief is so important during this time. The loss of normalcy for our residents presents grief onto itself. Allow yourself to live your grief.

I offer to you as I have our residents this counsel: you cannot run from loss-you must draw strength from it. And we know who fuels the strength. May God be with you and your families during this crisis.

Hubbard Hill Initial Campus-wide Screening Results:

Final Completed 05.04.20

  • Staff status as of 5.4.20:
    • Total staff members tested: 193
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as 5.4.20:
    • Total residents tested: 180
    • Total residents testing negative: 171
    • Total residents testing positive: 9
  • Total Hubbard Hill Campus as of 5.4.20:
    • Total persons tested: 373
    • Total persons testing negative: 357
    • Total persons testing positive: 16
    • Total persons deceased: 1

Tuesday, May 5, 2020

Hubbard Hill COVID-19 Cases as of this posting:

  • New staff members tests: 35
    • New staff members testing negative: 33
    • New staff members testing positive: 2
    • New staff member deaths: 0
  • New resident cases as of this posting:
    • New residents tested: 22
    • New residents testing negative: 17
    • New residents testing positive: 5
    • New resident deaths: 0
  • Total new cases at Hubbard Hill as of this posting:
    • Total new persons tested: 57
    • Total new persons testing negative: 50
    • Total New persons testing positive: 7
    • Total Hubbard Hill deaths:

National Nurses Week

How important is it to single out the backbone of healthcare at this time?  How important is it to lead this report with a message of honor?  To find all the words which completely capture the impact, the commitment, the spirit, the courage, the wisdom, the love, the faith, the sacrifice, the tenacity, the compassion, the heroism of our nurses.  Beginning tomorrow and for the next week, Hubbard Hill, along with every other healthcare organization in the country, is going to take a time out from this daunting challenge we face to honor our own.  Because it is simply the right thing to do, not because of the situation, but in spite of the situation.

Hubbard Hill is fortunate to have supported WNDU and its National Nurses Week initiative:  Nurses Are Heroes.  We honor not just our own, but ALL nurses in our community, in our nation, and around the world.  We are so proud of not only the hero nurses who were selected out of hundreds to be featured in the WNDU commercial but ALL Hubbard Hill hero nursing staff. The spots will be airing on WNDU beginning today.

Joyel Shaw (left), Sarah Myers (center), and the Living Wisdom Center Quarantine team (right)

“A hero is somebody who voluntarily walks into the unknown.”  …and so it is with this crisis.

New COVID Cases

So today was a very disappointing day for Hubbard Hill as we received a portion of the retesting data for LWC and 5 more positive cases.  This is such spirit breaking news that we ask for your continued prayers as we come to grips with the news of the spread in Living Wisdom Center.  1 staff member and 4 more residents in the household with the resident reported earlier this week, have tested positive.  This is the insidious nature of this virus transmission.   

The household is now under full quarantine in addition to the initial quarantined household.  If there is a light in this whole scenario it is the residents from the initial quarantined unit are now stable and continuing to make progress.  This shows us if we catch it early enough there is an opportunity to treat and manage the virus during the quarantine period.

In the world of trying to make excuses, there are none.  This virus is what it is.  But there is learning, and that is the demonstrable value of testing.  Because we were able to retest immediately following the first resident, we were able to discover quickly.  From a process standpoint, we tested the resident presenting symptoms immediately, received the positive result, and immediately retested the entire LWC staff and residents.  This made all the difference in our ability to further mitigate the spread and more effectively care for these residents.

Obviously, our skilled team of nurses are saddened beyond words…giving 150% and losing these battles is a punch in the face.  BUT they are restored, rejuvenated, and if possible, recommitted to ensuring as best they can to bring this to an end.  Can we make that promise?  No.  No one can.  As long as the variables beyond our control are present, we are exposed. 

Again, please continue to pray for our residents, their families and our heroic staff that our faith in God and his boundless love and mercy is unyielding in this pandemic.

Assisted Living Testing Update

As mentioned yesterday, these total campus baseline figures have moved to the end of the report and front-page reporting is now showing new tests, new positive results, new negative results, and new deaths in the last 14 days as we move through virus impact per the Indiana Department of Health guidelines

Sobering News today

News of 3 major projection models have now revealed the previous death estimates linked to the COVID-19 virus could nearly double by June 1st– a direct result of the opening of communities and states and the associated non-compliance and loosening of guidelines.  While we consistently monitor trends and projections to supplement our guidance, this simply reinforces the need for our continued vigilance until the trends flatten and in fact, begin declining. As earlier reported, senior healthcare facilities will be the last to relax our restrictions. We are simply not there yet as a community.  Our news today further illuminates the fact that the COVID-19 virus is spreading rapidly in our community.

For today Though we can become easily overwhelmed by our current circumstances and fear, do not let yourself become numb as part of your new normal. God is calling us to live intentionally in HIS love.   And we implore you to remain vigilant in your own lives to ensure your own safety as well as your fellow man.

Monday, May 4, 2020

Hubbard Hill Initial Campus-wide Screening Results

Completed 05.04.20

  • Staff status as of 5.4.20:
    • Total staff members tested: 193
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as 5.4.20:
    • Total residents tested: 180
    • Total residents testing negative: 171
    • Total residents testing positive: 9
  • Total Hubbard Hill Campus as of 5.4.20:
    • Total persons tested: 373
    • Total persons testing negative: 357
    • Total persons testing positive: 16
    • Total persons deceased: 1

Assisted Living Testing Update

We have received the final batch of 55 resident tests and once again, all tested negative! Thank God for our good fortune and his loving hand. The final numbers are complete for Hubbard Hill campus screening. 96% of our residents tested negative! For a facility our size-quite an accomplishment! As mentioned yesterday, these figures will be moved to the end of the report and front-page reporting will now show new tests, new cases, and new deaths over the prior 14 days as we move through virus impact per the Indiana Department of Health guidelines.

New COVID Case

There is a new staff member who has tested COVID positive after being negative since the initial testing in the Living Wisdom Center. This staff member began suffering with pre-existing asthma and sought out their physician. As the signs and symptoms were similar to COVID-19, the staff member was tested and tested COVID positive. The staff member will now be on mandatory 14-day quarantine from home.

Once again, while it is extremely frustrating to us all, we are trying vigorously to define a process of identifying the point of contact resulting in the positive test. Contact tracing is our foremost priority. Since we began this journey, we knew our task was clear: 1) Determine if, where, and how many the virus had touched; 2) Contain the virus; 3) Diminish the opportunities or contact points for the virus to spread as best we can. These have not and will not change in the foreseeable future.

All staff have been required to wear some form of face mask since the early days of the lockdown relative to their role at Hubbard Hill. At this point, we now require all staff in all departments to utilize N95 masks which offer higher-level protection to non-nursing staff to mitigate the opportunity for COVID 19 spread.

Many of you, I am sure, have heard the news about Governor Holcomb’s plan to reopen Indiana It is important to note this plan is subject to change based upon CDC guidance and other new information that may emerge.

This plan is important to understand as Hubbard Hill is subject to all governmental (federal, state, and local) and regulatory (CDC, Indiana Department of Health) guidelines in all we do. All nursing home facilities are surveyed frequently to ensure compliance. We report daily to these entities and the ISDH is on-site routinely since our initial report of a positive test result at Hubbard.

  • What is Hubbard Hill’s position on this plan?
    • The Governor’s safeguards appear to be sufficient, but only if there is compliance.
  • What does it mean to Hubbard Hill, residents, families, and caregivers?
    • Unquestionably, the largest impact is that nursing homes will remain closed to visitors throughout the phased plan with guidance to continue and will evaluate at Stage 5 beginning July 4th. It is as simple as the rationale stated above. We are protecting our most vulnerable and must remain compliant while these directives are in place.
  • Since all 98 Assisted Living residents tested negative, will services such as communal dining be restored? How about getting their hair done?
    • Unfortunately, although our facility is 96% negative today, we are still subject to the state and regulatory directives and guidelines for nursing homes. Consequently, since they established the non-communal dining directive we must continue to comply with that directive as well as other suspensions of service directives (such as the beauty shop) until further notice.
  • Can Assisted Living residents go outside for a walk?
    •  Yes, we encourage the therapeutic value of being out in the beautiful weather, sunshine, enjoying the beauty of the campus. However, the same social distancing guidelines which are in play inside the facility apply outdoors as well. Again, even though residents may be outdoors with social distancing precautions-families and caregivers may NOT come to the Hubbard Hill campus to visit, and doing so would necessitate quarantine for residents involved.
  • My loved one tested negative, I do not have COVID-why can’t I see him/her even outside away from others?
    • With all due respect, unless you have been tested, you have no way of knowing you are not a carrier of the COVID virus. Asymptomatic persons (someone not presenting or exhibiting symptoms) are part of the greatest risk to mitigating this virus-they are the “silent” carriers. Because we are 96% negative-we are going to protect that and hopefully improve it moving forward.

Sunday, May 3, 2020

Hubbard Hill Totals as of this posting:

  • Staff status as of this posting:
    • Total staff members tested: 193
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as of this posting:
    • Total residents tested: 180
    • Total residents testing negative: 116
    • Total residents testing positive: 9
  • Total Hubbard Hill Campus as of this posting:
    • Total persons tested: 373
    • Total persons testing negative: 302
    • Total persons testing positive: 16

Assisted Living Testing Update

We have received a partial batch of results for Assisted Living and all 43 resident tests were negative. Again, great news! We await the remaining 55 results to complete our baseline testing of the entire campus. When those 55 results are added into the campus figures above, this will constitute our baseline measurement of where we began this journey. Subsequent reporting will show new tests, new cases, and new deaths as we move through virus impact per the Indiana Department of Health guidelines.

New COVID Case

We have an additional new case in the Living Wisdom Center. This resident has been placed in isolation with a one on one caregiver for the duration of mandatory 14-day quarantine. This resident was outside the parameters of the quarantined area. The figures above include this newest case. Once again, we emphasize the fluid nature of this virus as testing is a point in time. As stated in earlier posts, we have already initiated retesting of all staff and residents to ensure there has been no further virus transmission.

We clearly have no way of exactly identifying the point of contact resulting in the positive test. We do our best to remind our staff as they leave to be vigilant every where they go, even at home-but we are all human. All staff have been required to wear some form of face mask since the early days of the lock down relative to their role at Hubbard Hill. At this point, we now require all staff in all departments to utilize N95 masks which offer a higher-level protection to non-nursing staff to mitigate the opportunity for COVID 19 spread. 

Since we began his journey, we knew our task was clear: 1) Determine if, where, and how many the virus had touched; 2) Contain the virus; 3) Diminish the opportunities or contact points for the virus to spread as best we can. These have not and will not change in the foreseeable future.

Governor Holcomb: Back on Track Roadmap to Safely Reopen Indiana

Many of you, I am sure, have heard the news about Governor Holcomb’s plan to reopen Indiana. We are in receipt of the plan documents and have reviewed them thoroughly. It is a staged plan which begins from today Stage 1 and continues through Stage 5 commencing July 4th and continues beyond. It is important to note this plan is subject to change based upon CDC guidance and other new information that may emerge.

This plan is important to understand as Hubbard Hill is subject to all governmental (federal, state, and local) and regulatory (CDC, Indiana Department of Health) guidelines in all we do.  All nursing home facilities are surveyed frequently to ensure compliance. We report daily to these entities and the ISDH is on-site routinely since our initial report of a positive test result at Hubbard.

What is Hubbard Hill’s position on this plan?

While we certainly understand the untenable task of balancing the economic and healthcare impacts of this virus, we continue to believe there is insufficient testing occurring to identify carriers to truly mitigate the spread. It is also clear that the incidence of the virus has not leveled out (also known as flattening the curve) in our area, and while anecdotally it appears people are becoming more compliant-still not enough to safeguard our residents-an estimated 96% who have tested negative. For these reasons alone, we continue to exercise caution. More importantly, opening Indiana also opens the opportunity for more virus spread. The Governor’s safeguards appear to be sufficient, but only if there is compliance.

What does it mean to Hubbard Hill, residents, families, and caregivers?

Unquestionably, the largest impact is that nursing homes will remain closed to visitors throughout the phased plan with guidance to continue and evaluate at Stage 5 beginning July 4th. This is perhaps the most significant and disappointing to all residents, families, and caregivers. It is as simple as the rationale stated above. We are protecting our most vulnerable. And as of this posting, we have a 96% healthy population we do not wish to put at risk.  

Having said that, we are exploring more creative ways to provide opportunities for families to access residents without direct contact. We know how important this is and are trying to ensure access to nature continues as we know how therapeutically invaluable it is to our residents (the reason we built the atrium at LWC) All of these efforts again, must comply with CDC, ISDH, and the Governor’s directives.

So, who are we going to be?

Allow me to muse a little about the future. What I can say with certainty, we are on a journey and we do not know when we will reach the end. It has been miraculous that we have so few cases to date for a facility our size. This is due, in no small part, to our ability to secure testing kits as expeditiously as we were able. Now we have a baseline to measure the transmission of the virus in real-time.

However, the truth of the matter is there is no “perfect” or irrefutable way to mitigate the transmission of this virus. We cannot stop it, but what we do does make a difference. We make our absolute best efforts but at the same time cannot possibly control all the variables which contribute to virus transmission. This is not unique to Hubbard Hill but all employers around the country.

We are moving forward is the same caring, compassionate, and fully dedicated team, transparent and relentless in their pursuit of excellence. Our job is to fully understand the risk that is presented on any given day and manage it with every resource we can bring to bear. We will continue to be real and plan for the next positive case to surface. We owe you nothing less than that. We will bring our BEST efforts every day for as long as this journey continues. Most importantly, we will not stray or waiver from our company’s mission and values during a crisis -which is, of course, why you came to us in the beginning.

We are reminded by Paul in his letter to the Romans, that whatever we are facing in our exact circumstances “…. Nothing can separate us from the LOVE of God…..” and in fact, ….in all these things, we are more than conquerors through him who loved us.”

Friday, May 1, 2020

Hubbard Hill Totals as of this posting:

  • Staff status as of this posting
    • Total staff members tested: 192
    • Total staff members testing negative: 186
    • Staff members testing positive: 7
  • Resident status as of this posting:
    • Total residents tested: 81
    • Total residents testing negative: 73
    • Total residents testing positive: 8
  • Total Hubbard Hill Campus as of this posting:
    • Total persons tested:  274
    • Total persons testing negative: 259l
    • Total persons testing positive: 15

Assisted Living Testing Update

As we have mentioned on numerous occasions throughout this journey, receiving test results can be frustrating as they often come in dribbles instead of all at once.  The same continues to hold true even now.  The best explanation we can provide is when a large facility or hospital sends in tests for assessment and we follow with ours we are put in the que. There is no way to accurately predict when they will get to us except by the lab’s best guess.  Sometimes they are right on and sometimes are not.  Most importantly, please know that this in no way is an indicator of results, positive or negative, just pure volume.

New Covid Case

We have a new staff COVID-19 positive case at Hubbard Hill as of yesterday.  It is among our dietary staff in the main building, specifically, a dishwasher who did NOT handle food.  This staff member was tested in the initial full staff cohort on 4/26 and was negative.  Since then, this staff member recently began to exhibit symptoms, self-quarantined at home, consulted their primary care physician, tested again, and was positive.  So, this person was negative 5 days ago, a snapshot.  And this dynamic is happening in the general population every day.

This case is important as it is a textbook example why we say testing is a snapshot in time. We view every day as a teachingmoment, and this is a reminder to us all about personal precautions.  All facilities, hospitals, and every employeranywhere deal with the obvious risk of employees leaving and coming.  This is no different.  Contact tracing here at Hubbard Hill indicates this employee had extremely limited exposure to staff and residents and were geographically contained to a very small area for a short period of time. 

Obviously, we have no way of knowing exactly where this was contracted, but since everyone tested negative, conventional wisdom suggests outside of Hubbard Hill.  We do our best to remind our staff as they leave to be vigilant every where they go, even at home-but we are all human. 

All staff have been required to wear some form of face masksince the early days of the lock down relative to their role at Hubbard Hill. At this point, we now require all staff in all departments to utilize N95 masks which offer a higher-level protection to non-nursing staff to mitigate the opportunity for COVID 19 spread.    

More questions from family and friends:

How dirty are common surfaces?

Most of us are not aware we are doing it. We touch our face between three to 30 times an hour.  The problem is what we touch beforehand is often riddled with germs.

Bathroom faucets, door handles, escalator rails, computer terminals, drawer pulls, are but a few commonly touched by the public or even other family members.

But how germ-filled are common objects? 

Let’s start with money. Bad but not highly transmissible. Touchscreens, devices, phones?Bad. Restaurant menus? Really bad. Even take out menus. Doorknob handles? Really, bad—especially in public. What about our computer keyboards?Those have been shown repeatedly to be grossly contaminated. These common surfaces are the primary vehicles to spread germsand viruses of all types and make you and those you around yousick. 

We offer these suggestions:

First, keep your hands out of your eyes, nose and mouth. Second,either wash your hands with soap and water, or use hand sanitizer. Social distancing.  Start contact tracing daily in your own home and family.

Stay vigilante and do not relax your safe hygiene practices orphysical contact with others.

Lastly, Trust in the Lord to lead and guide us all in being wise and prudent as we love one another through these days. 

Thursday, April 30, 2020

Hubbard Hill Totals as of this posting:

  • Staff status as of this posting:
    • Total staff members tested: 192
    • Total staff members testing negative: 186
    • Staff members testing positive: 6
  • Resident status as of this posting:
    • Total residents tested: 81
    • Total residents testing negative: 73
    • Total residents testing positive: 8
  • Total Hubbard Hill Campus as of this posting:
    • Total persons tested:  273
    • Total persons testing negative: 259
    • Total persons testing positive: 14

We completed 98 resident tests on Wednesday and anticipate receiving results starting tomorrow. Pray God’s grace continue to shine upon our remarkable and patient residents.  Their ongoing trust and patience are what continues to make this work!!  Thank You!!!

More questions from family and friends:

Should I wear a face mask out in public? The CDC recommends wearing cloth face coverings in public, especially in places where it’s hard to maintain at least 6 feet of distance between yourself and another person. Cloth face masks are being recommended because we now know individuals with COVID-19 could have mild or no symptoms, while still spreading the virus to others. Wearing a cloth mask does not replace the need for physical distancing. The cloth face coverings recommended by the CDC are not surgical masks or N-95 respirators, which should be reserved for healthcare workers and first responders.

Why should I wear a cloth mask?

  • A cloth mask can help individuals cover a cough or sneeze, reducing the spread of germs.
  • A cloth mask will not prevent you from breathing in respiratory droplets which carry a virus, like COVID-19.
  • Some people with COVID-19 have mild to no symptoms and may be spreading the virus unknowingly.
  • Cloth masks could help cut down how far the virus spreads.  Cloth masks can prevent you from touching your face and can be a visual reminder to practice social distancing.

We understand many of you are anxiously awaiting the post where we relax the lockdown of Hubbard Hill.  The days you are unable hold your loved ones tight must seem endless.  We are as anxious for that moment as you are.  We are looking at various ways to facilitate some sort of visit while remaining compliant with government and regulatory guidelines.  These guidelines are not likely to be lifted soon, sorry to say.

To bring the reality of where we are in this journey home right here in Michiana, Costco just made the following announcement yesterday:

“Costco announced on Wednesday that starting on May 4, all Costco shoppers must wear a mask or face covering “that covers the mouth and nose at all times” while in the store.  The new requirement does not apply to children under 2 or people unable to wear a mask due to a medical condition.”

This action does not suggest they believe we are close to the end-nor do we.  As always, we simply want to be real and as honest as we can possibly be.

We pray you feel God’s presence during these most challenging times and know He feels your pain and sadness of being away from your family members.  May He continue to fortify your hope and faith and sustain us through this journey.

Wednesday, April 29, 2020

Well, it is time for some good news today!  We have completed 100% of Assisted Living testing TODAY!!! Praise the Lord!  We are blessed in so many ways, from our ability to contain COVID-19 in the Living Wisdom Center in 7 days to Skilled Healthcare 100% negative and now await Assisted Living test results. We continue to carry our sorrow and love for the family who still grieves for the loss of their loved one.  One is one too many…

Hubbard Hill Totals as of this posting:

  • Staff status as of this posting:
    • Total staff members tested: 192
    • Total staff members testing negative: 186
    • Staff members testing positive: 6
  • Resident status as of this posting:
    • Total residents tested: 81
    • Total residents testing negative: 73
    • Total residents testing positive: 8
  • Total Hubbard Hill Campus as of this posting:
    • Total persons tested:  273
    • Total persons testing negative: 259
    • Total persons testing positive: 14

Additionally, we have received so many generous and kind donations in support of our COVID efforts.  We cannot thank everyone enough who have so lovingly given of themselves, be it a caring note, financial support, or a doughnut or pretzel drop for our hard-working staff, or most importantly, your continued prayers for our residents and staff.  We know they are continually answered in God’s time-not ours-and want you to know we see and feel His presence and guidance coming from Him every day.  We CAN NOT do this without YOU!

As we continue to learn every day, we share things we feel important for you to know so you might have a little view of our perspective. Today we learned that Germany had opened their country and after only 9 days saw a spike in COVID cases.  We view this as directional, but certainly something to be mindful of.  Of course, every country is different based upon how they have managed the virus.

Are Assisted Living residents allowed to go outside when it is nice and take a walk if they maintain social distancing? Yes, we encourage residents to strictly adhere to social distancing, but the current science supports being outdoors.  We have many lovely enclosed courtyards and an angel garden. We want to be clear that it is still not permissible for visitors to join loved ones at Hubbard Hill  even in these settings. Remember, we have maintained strict quarantine measures at Hubbard Hill and any exposure to outside visitors would be considered a breach right now.   

Do you have any idea or guesstimate when you might lift the resident lockdown?

It so hard to tell as the target seems to move weekly. We will follow CDC and ISDH guidelines and communicate those guidelines in real-time. As we stated yesterday, we want families to know that Healthcare facilities are NOT included in the early stages of any proposed “reopening” and most likely will be the last places to relax restrictions as we have the most vulnerable populations. We feel our residents’ and families’ pain and desire to be reunited with loved ones! This lockdown seems to go against the values and culture of Hubbard Hill to espouse human connection and celebrate the gift of relationship with each other and our God- yet we all understand the necessity of this sacrifice – if only for a while.

Tuesday, April 28, 2020

The totals are unchanged from yesterday as testing has been completed to date.  Times have been scheduled for Assisted Living resident testing this week to bring all initial testing to completion. 

Hubbard Hill Totals as of this posting:

  • Staff status as of this posting:
    • Total staff members tested: 192
    • Total staff members testing negative: 186
    • Staff members testing positive: 6
  • Resident status as of this posting:
    • Total residents tested: 81
    • Total residents testing negative: 73
    • Total residents testing positive: 8
  • Total Hubbard Hill Campus as of this posting:
    • Total persons tested:  273
    • Total persons testing negative: 259
    • Total persons testing positive: 14

We are saddened today to announce the first death in the Living Wisdom Center quarantine area.  The resident passed away yesterday, but out of respect for the family’s privacy and the need for time to grieve and contact their extended families, we delayed the announcement until today.   It is equally difficult for our staff as they are grieving right alongside the family.  To fight this war with everything in our power and lose even one battle is heartbreaking for everyone.  We are keeping the family in our hearts, thoughts, and prayers.

How are the residents in quarantine doing?

The residents are doing reasonably well as they enter the final phase of the 14-day quarantine-which can be the most precarious for seniors.  Preexisting conditions coupled with dementia and COVID can produce a challenging and rapidly changing set of symptoms.  We have a gifted skilled nursing team in the quarantined household, and they are tenderly and heroically caring for the physical and cognitive needs our residents.

What will Hubbard be doing moving forward following the completion of the campus testing?

We will continue rigorously administering universal precautions as well as all CDC, ISDH and local directives. Additionally, we will continue routinely testing staff until further notice.  Of course, if any resident presents COVID symptoms even after initial testing, they will be tested again.   As stated in previous posts, we are just entering the eye of the storm in this community.  Just like a hurricane warning, some people ignore evacuation warnings, and likewise some people in this crisis are ignoring CDC directives and precautions. We will continue to be extremely vigilant in our efforts to safeguard our residents, many of whom are more susceptible to this virus. So even as some parts of society relax restrictions, we will be slower and very intentional in how we proceed. We know this is painful to all parties and we appreciate this difficult sacrifice.  

The Governor of Indiana issued new guidelines for long-term care and memory care units.  Is Hubbard Hill currently in compliance?

Yes, we are in receipt of those new guidelines from our Governor and we have complied with all pertinent National and State guidelines since early in the COVID-19 crisis.  As always, we are monitoring daily all national, state and local events and resources which may impact Hubbard Hill.  Knowledge is power and we utilize all this information to guide our COVID-19 strategy development.  What we know to be true, we are not out of the woods yet.  We urge all Hubbard families and residents to continue to do their part to flatten the curve and reduce the incidence of this dangerous virus in and around our community.

May the Lord fill you with His peace beyond understanding so that you may share that Peace with all around you in the midst of this storm.  

Monday, April 27, 2020

The totals are unchanged from yesterday as testing has been completed to date.  Times have been scheduled for Assisted Living resident testing this week to bring all initial testing to completion. 

Hubbard Hill Totals as of this posting:

  • Staff status as of this posting:
    • Total staff members tested: 192
    • Total staff members testing negative: 186
    • Staff members testing positive: 6
  • Resident status as of this posting:
    • Total residents tested: 81
    • Total residents testing negative: 73
    • Total residents testing positive: 8
  • Total Hubbard Hill Campus as of this posting:
    • Total persons tested:  273
    • Total persons testing negative: 259
    • Total persons testing positive: 14

IN CASE YOU MISSED IT!

Announcement:  Medical Director for Hubbard Hill Living Wisdom Community, Dr. Susan Moore, has issued the required physician’s order for mandatory COVID-19 testing all Assisted Living residents to be administered the week of 4/27/20.

Dr. Moore will oversee Assisted Living testing representing the largest resident population at Hubbard Hill.  This is the final group to be tested as we maintain our vigilance protecting all staff and residents from COVID-19 spread.  All Hubbard Hill staff members have already been tested.  We are intentional in our purpose and will be regularly and routinely testing our staff throughout this journey

The testing protocol began today with family members and residents informed about the testing to be administered on Wednesday and Thursday.  The primary family contact as listed in the resident medical record on file will be notified of the result in real time as they arrive back from the laboratory.  One call per family will be made to the primary contact. 

Testing detail:

  • Times have been scheduled for residents throughout the day Wednesday and Thursday. 
  • Wellness and Customer Experience staff members will come to each resident’s door at the appointed time and escort them to the testing site. 
  • Social distancing will be maintained throughout this process with PPE’s being utilized.
  • Three nurses will perform the tests five hours a day each day.  The entire process should not take any longer than 15 minutes.  

We know there may be questions regarding testing.  Some may be asking why we are testing everyone?  First and foremost, the leadership of Hubbard Hill is accountable to all residents and families for upholding the health and safety of all residents and staff.  This is a national crisis which has already touched Hubbard Hill.  If we had not tested every person in the Living Wisdom Center, our ability to contain the virus would have been severely compromised, if not impossible.

The fact of the matter is there continues to be so many unknowns about the COVID-19 virus.  But there are things we do know.  Most importantly, is the frequency of virus transmission from an asymptomatic individual (no symptoms presented or produced) to an unknowing person with whom they have been in contact.  The numbers are increasing rapidly each day in this area.  The only way to safeguard our entire staff and resident population from this silent attack is testing everyone.  You may feel perfectly fine with no symptoms whatsoever…AND be a carrier.

Are we lifting lockdown based upon these results?  Not at this point.  A COVID-19 test is a snapshot in time, so we know exactly where we are.    Just when the experts appear to have it understood- they do not. The sobering reality of the changing and unpredictable nature of this virus hits us daily and we are learning every single day.  There are no two days the same with this virus.

We appreciate the understanding and cooperation of all families and residents in our care during this crisis and the trust you have placed in us.  We are committed to transparency as we proceed foreword together and count on you to follow our guidelines for the overall welfare of all who reside and work at Hubbard Hill.  We will endure together and emerge a stronger, more unified, more vigilant, more loving, and more faithful community.

We are blessed to have a caring and supportive Board of Directors and a steady, faithful, hand as Chairman.  His spiritual guidance is clear: 

May the Lord strengthen you by his grace for each new day and what it brings.  Let me encourage you to be sure to spend a little time each day, in the midst of these troubles, to be alone with God to hear from His Word and to talk with Him entrusting your cares to Him because he certainly does care for you, your team, and every resident there at HH.

Joe Wenger, Board Chairman, Hubbard Hill Living Wisdom Community

To this we say, Amen and Amen!!

Wash your Hands – Social Distance – Stop the Spread – Save Lives

Sunday, April 26, 2020

Starting today, our reporting will capture the aggregate totals of staff and resident testing results of the entire Hubbard Hill campus.  The figures below include Living Wisdom Center and Skilled Healthcare which are complete.  The final test cohort, Assisted Living begins this week These results will again be reported in real-time as have all other service lines.

Hubbard Hill Totals as of this posting:

  • Staff status as of this posting:
    • Total staff members tested: 192
    • Total staff members testing negative: 186
    • Staff members testing positive: 6
  • Resident status as of this posting:
    • Total residents tested: 81
    • Total residents testing negative: 73
    • Total residents testing positive: 8
  • Total Hubbard Hill Campus as of this posting:
    • Total persons tested:  273
    • Total persons testing negative: 259
    • Total persons testing positive: 14

Announcement:  Medical Director for Hubbard Hill Living Wisdom Community, Dr. Susan Moore, has issued the required physician’s order for mandatory COVID-19 testing all Assisted Living residents to be administered the week of 4/27/20.

Dr. Moore will oversee Assisted Living testing representing the largest resident population at Hubbard Hill.  This is the final group to be tested as we maintain our vigilance protecting all staff and residents from COVID-19 spread.  The magnitude of this effort requires total coordination between Dr. Moore, staff, and residents.  More details will be forthcoming to all residents.

The testing protocol begins Monday-Tuesday as family members and residents will be informed with testing administered on Wednesday and Thursday.  The primary family contact as listed in the resident medical record on file will be notified of the result in real time as they arrive back from the laboratory.  One call per family will be made to the primary contact.  AS SOON AS TEST RESULTS ARE AVAILABLE, WE WILL CALL YOU IN REAL TIME.  PLEASE DO NOT CALL HUBBARD HILL STAFF.

We know there may be questions regarding testing.  Some may be asking why we are testing everyone?  First and foremost, the leadership of Hubbard Hill is accountable to all residents and families for upholding the health and safety of all residents and staff.  This is a national crisis which has already touched Hubbard Hill.  If we had not tested every person in the Living Wisdom Center, our ability to contain the virus would have been severely compromised, if not impossible.

The fact of the matter is there continues to be so many unknowns about the COVID-19 virus.  But there are things we do know.  Most importantly, is the frequency of virus transmission from an asymptomatic individual (no symptoms presented or produced) to an unknowing person with whom they have been in contact.  The numbers are increasing exponentially each day in this area, necessitating more and more testing.  And subsequently, more and more contact tracing.  The only way to safeguard our staff and resident population from this silent attack is testing everyone.  You may feel perfectly fine with no symptoms whatsoever…AND be a carrier.

Does the test hurt?  It is characterized as uncomfortable, perhaps irritating. It lasts for about 10 seconds.  The results typically are now returned within 48-72 hours.  The initial test is administered and paid for by Hubbard Hill, so there is no charge to residents.

So, what happens if your test is negative?  The honest answer is nothing.  This testing is intended to provide Hubbard Hill valuable information and a baseline regarding the status of the population so we may set strategic direction with better intelligence.

Are we lifting lockdown based upon these results?  Not at this point.  A COVID-19 test is a snapshot in time, so we know exactly where we are.  Given the aggressive and unpredictable nature of the virus, we must continue our vigilance.  Just when the experts appear to have it understood- they do not. The sobering reality of the changing nature of this virus hits us daily and we are learning every single day.

In the nursing home population nationwide, 1/3 of all facilities report a COVID-19 case.  The numbers are believed to be understated as testing has been severely limited.    In some instances, positive cases are not even reported, making the incidence even higher. We do not want to be counted in the ranks of those who “closed the front door” on this virus, and “left the back door open”.  All Hubbard Hill staff members have already been tested.  We are intentional in our purpose and will be regularly and routinely testing our staff throughout this journey

We appreciate the understanding and cooperation of all families and residents in our care during this crisis and the trust you have placed in us.  We embrace the gravity of the situation and the implications of each decision we make. We are committed to transparency as we proceed foreword together and count on you to follow our guidelines for the overall welfare of all who reside and work at Hubbard Hill.  We will endure together and emerge a stronger, more unified, more vigilant, more loving, and more faithful community.

We are blessed to have a caring and supportive Board of Directors and a steady, faithful, hand as Chairman.  His spiritual guidance is clear: 

May the Lord strengthen you by his grace for each new day and what it brings.  Let me encourage you to be sure to spend a little time each day, in the midst of these troubles, to be alone with God to hear from His Word and to talk with Him entrusting your cares to Him because he certainly does care for you, your team, and every resident there at HH.

Joe Wenger, Board Chairman, Hubbard Hill Living Wisdom Community

To this we say, Amen and Amen!!

Wash your hands- Social distance-Stop the Spread-Save Lives

Friday, April 24, 2020

The good news continues as we have completed Skilled Nursing staff and resident testing. Staff and resident test results as of this posting:

  • Staff status as of this posting:
    • Total staff members tested: 149
    • Total staff members testing negative: 149
    • Staff members testing positive: 0
  • Resident status as of this posting:
    • Total residents tested: 52
    • Total residents testing negative: 50
    • Total residents testing positive: 0
    • Resident results not yet received: 2

As of this posting, apart from 2 residents whose results did not return with this batch, 100% of Skilled Nursing staff and resident results have been negative.  We anticipate the final two resident’s results tomorrow.  We could not be more pleased with these results! It is a testament to the vigilance

and professionalism of our highly skilled team!

Importantly, stay with us this weekend as we roll out the testing protocol for Assisted Living staff and residents scheduled for next week!

A reminder of our upcoming testing protocol is as follows for Assisted Living residents:

  • Residents who are symptomatic (exhibiting specified signs or symptoms of the Coronavirus)
  • Residents with pre-existing conditions
  • Residents which are healthy and have no symptoms of the Coronavirus.

As we remind our families every day, you will be notified in real-time if your loved one experiences any change of condition or anything directly impacting your loved one. As results return, our protocol is for a leadership team member to notify families or caregivers of the result (positive or negative) in real-time. These test results are not necessarily being returned to us in the batches in which they were sent. They sometimes return in a drip, not a flood. We appreciate your patience and understand just how difficult this is for you.

Continued good health and God’s grace to you and your families!

Thursday, April 23, 2020

The good news continues as we have nearly completed Skilled Nursing staff testing. We have completed resident testing in Skilled Nursing:

  • Staff test results as of this posting:
    • Today staff members testing negative: 0
    • Total 149 staff members testing negative
    • 0 staff members testing positive
  • Resident status as of this posting:
    • Today: Residents tested: 52
      • Results received: 0

In our Skilled Healthcare area, we collected 52 tests yesterday and they were sent out last evening to the lab for assessment. As of this posting, no test results have been received.

A reminder our testing protocol is as follows for Assisted Living and Skilled Healthcare residents:

  • Residents who are symptomatic (exhibiting specified signs or symptoms of the Coronavirus)
  • Residents with pre-existing conditions
  • Residents which are healthy and have no symptoms of the Coronavirus.

As we remind our families every day, you will be notified in real time if your loved one experiences any change of condition or anything directly impacting your loved one. As results return, our protocol is for a leadership team member to notify families or caregivers of the result (positive or negative) in real time. These test results are not necessarily being returned to us in the batches in which they were sent. They sometimes return in a drip, not a flood. We appreciate your patience and understand just how difficult this is for you.

Until this point, we have not been able to respond to questions from family members and caregivers.  Today, we will begin responding to MFAQ (Most Frequently Asked Questions).  Our intent is not to provide a comprehensive look into the future because we cannot.  We simply want to provide you with our best thinking as of this posting.  As you are acutely aware, circumstances could (and probably will) change tomorrow, but at least you may gain a greater understanding of the thinking behind our direction.

  1. Is the COVID-19 virus as bad as is reported in the news?
    1. Yes, based upon our experience and understanding of the data we receive, we believe it is.  We also believe our community is just entering the early stages of virus spread which is why we so urgently encourage our families to adhere to social distancing, using  appropriate PPE in public, frequent handwashing and staying away from the Hubbard Hill campus.
  2. What are the projections for the virus?
    1. At this point, there is more uncertainty than certainty of projections.   Like hurricane models, there are a variety of projected virus trajectories based upon various assumptions.  There are two common themes among a range of experts representing a variety of relevant fields:
  1. No one is willing to attempt to project past June without more data. Five leading virus modelers all feel we are in this until at least the end of June until further data becomes available.   The pivotal assumption in this view is that compliance and adherence to social distancing and stay at home directives are sustained during this period.
  1. 5 critical descriptive facts are still unclear which would support a dependable projection to be made:
    1. The rate at which people who become infected die
      1. The rate of transmission to other people
      1. How many people have already been infected-not diagnosed-infected
      1. How many people have an immunity to the disease
      1. How long that immunity will last

So, from our seat, not much may be concluded today without enough knowledge of the virus and data.  Our approach must be firmly grounded in science and clinical data. There are many voices, expert opinions, and conflicting statements not linked to the foremost experts and leaders of sources we are legally bound to follow. We know this can be difficult to decipher as the landscape seems to change constantly. Be assured we are carefully following the direction and working in conjunction with the CDC, State Board of Health, National and local entities; not reacting to the latest pundit or news report.

We will try and answer as many questions as possible as more information becomes available.  Our approach would be characterized as soundly risk averse when it comes to the safety and well-being of all who reside and work at Hubbard Hill.

We will respond to more questions in future posts.

Continued good health and God’s grace to our community.

Wednesday, April 22, 2020

The good news continues as we have nearly completed Assisted Living and Skilled Healthcare staff testing today. We have initiated resident testing in Skilled Healthcare:

  • Staff test results as of this posting:
    • Today staff members testing negative: 7
    • Total 149 staff members testing negative
    • 0 staff members testing positive
  • Resident status as of this posting:
    • Today: Residents tested: 52
      • Results received: 0

In our Skilled Healthcare area, as of today, we have collected 52 tests and they are being sent out this evening to the lab. We expect those and the few remaining staff members to be reported yet this week.

A reminder our testing protocol is as follows for Assisted Living and Skilled Healthcare residents:

  • Residents who are symptomatic (exhibiting specified signs or symptoms of the Coronavirus)
  • Residents with pre-existing conditions
  • Residents which are healthy and have no symptoms of the Coronavirus.

As we remind our families every day, you will be notified in real time if your loved one experiences any change of condition or anything directly impacting your loved one. As results return, our protocol is for a leadership team member to notify families or caregivers of the result (positive or negative) in real time. These test results are not necessarily being returned to us in the batches in which they were sent. They sometimes return in a drip, not a flood. We appreciate your patience and understand just how difficult this is for you.

Following the news regarding COVID-19 can be frustrating at best and overwhelming at its worst. In our view, this is not due to the negligence of the media, but symptomatic of the incredibly rapid rate of change each day of the COVID-19 virus. We support all who are trying to bring the most current and best information to you in real time.

After posting fact after fact about our own situation. We want to pause. Pause to focus on the positives which ARE also occurring locally, in our state and nationally. There ARE people recovering from COVID-19 at Hubbard and in the world around us, there ARE facilities receiving positive results and keeping it contained (including Hubbard Hill), there IS testing going on in facilities, there IS a slow movement towards providing more tests to Seniors gaining momentum each day, there ARE prayers being answered, there ARE more PPE’s coming through,  there IS a true sense of oneness at Hubbard Hill and in our communities, there IS a God in whom we can rely upon for our safety, peace, love, compassion, patience, understanding, and healing.  There IS an end to this and our God is with us every step of the way. Can we do more? Of course, we can, and we strive each day to learn and improve, for our residents, for our staff, and for you-our families and community. We CAN do it…. arm in arm…together. Peace be with you.

Tuesday, April 21, 2020

As we were finishing up with staff testing for Assisted Living, Rehab, and Healthcare today, we received notification from the lab their computer system is down and are not transmitting any further results today. The sheer volume of tests they are processing for many healthcare facilities must be daunting. It goes without saying we understand how frustrating this is for you (and us!) but we fully anticipate receiving final staff results as we begin resident testing tomorrow as well.

  • To reiterate: Staff test results as of this posting, (results unchanged from yesterday):
    • 142 staff members testing negative
    • 0 staff members testing positive
  • Again, we will provide this information in real-time as it becomes readily available.

A reminder our testing protocol will be as follows for Assisted Living, Rehab, and Healthcare residents:

  • Residents who are symptomatic (exhibiting specified signs or symptoms of the Coronavirus)
  • Residents with pre-existing conditions
  • Residents which are healthy and have no symptoms of the Coronavirus.

As we remind our families every day, you will be notified in real time if your loved one experiences any change of condition or anything directly impacting your loved one. As results return, our protocol is for a leadership team member to notify families or caregivers of the result (positive or negative) in real time. These test results are not necessarily being returned to us in the batches in which they were sent. They sometimes return in a drip, not a flood. We appreciate your patience and understand just how difficult this is for you.

To all who have joined us on this journey, we post daily, not only for the primary benefit of our families, but also to help the community wade through the volumes of noise being presented from all corners. At the end of the day, we can only comment on what we see happening and experience here in our area. So, it is our intent to help educate the community on the things you truly need to know and understand. If we help one person-it worked.

As we continue, we will advocate on behalf of all nursing homes to receive much-needed supplies, PPE’s, and testing kits. It has only been in the past few days many Governors have coalesced and made their voices heard for nursing homes. That is a big step! The policy from the earliest days of the pandemic has been to ONLY allow testing of people presenting symptoms, after they are sick – NO Exceptions! Additionally, more and more of the media are making the case as well, hoping to get the attention of decision makers at the highest level possible-which may well be Governors. Please make your voices heard as well!

Governors and other regulatory bodies have also determined nursing homes must be abundantly transparent with families and caregivers regarding the status of their loved ones, testing, how they are being treated, and most importantly, the number of cases in their facilities. When we embarked on this journey, we determined we had nothing to lose and everything to gain by doing just that. Our families have responded extremely positively to our daily updates which help them not only make decisions but give them peace of mind.

Most people have not made the connection between the need for testing and flattening the virus curve. The term asymptomatic has been used frequently, and again, many do not understand what it means and why you should care!

Over 50% of the COVID-19 reported cases have been associated with asymptomatic patients. That is, they were not exhibiting or producing symptoms of the COVID-19 virus, but were carriers. Testing is the only way to detect an asymptomatic condition as there is no other way to confirm a positive result. What does it mean to you? Imagine standing in line at your local grocery store. A person in front of you turns around, sneezes, does not cover their mouth…and that person was COVID-19 asymptomatic. You have now been directly exposed to the virus. Asymptomatic individuals are like a ticking bomb because they are unaware of their condition and may or may not be taking necessary precautions.

We believe testing is the only way to truly harness this virus and save lives. Most importantly, for nursing home residents, we need testing to occur for staff, visitors, and new admissions BEFORE they have direct contact with our population to be able to safeguard those most susceptible to covid-not after! Preventative testing is as important as disease testing AFTER SYMPTOMS to confirm presence of the COVID virus. Testing can save lives if utilized as a preventative tool.

In closing, the more people tested, the more our society and economy can safely and slowly open. Nursing home residents and their families who are tested and receive negative results can safely return to each other sooner. Access will be restored!

We ask families, caregivers and community to visit our website, hubbardhill.org which will have the most current information collected throughout the day. Moving forward, we will make every attempt to post communication by late afternoon, contingent upon events of the day. If you have not heard directly from us, you may rest assured your loved one is safe, and under the watchful and loving eyes of our skilled staff-who care deeply for your loved ones.

Please keep our staff in your prayers as we ask God’s Grace, Strength and Peace as they continue to beautifully give their all, and for their safety in their commitment to this calling to serve. Know that all of you are in our hearts and our prayers always!

Monday, April 20, 2020

Our good fortune continues today with testing focused again on Assisted Living, Healthcare, and Therapy staff members. As of this posting, the following results for staff members tested are ALL negative! This total includes 7 new negative results received today.

  • TOTAL STAFF TESTED 142
    • Total staff positive: 0
    • Total staff negative: 142
  • LWC UPDATE
    • To ensure the safety of all staff and residents in LWC, this morning we installed a medical-grade temporary wall outside the quarantined household to offer another layer of infection control mitigation in LWC.
      • We want to give a huge shout out and huge thanks to Bob Shrock and his team at DJ Construction for this generous donation as well as N95 masks when we urgently needed them! Community at work!
    • Virus containment focus continues in LWC and is going well.
  • We continue to outreach to other community organizations to collaborate in this battle and aid where and when possible.

Thank you to all for your ongoing support!

Sunday, April 19, 2020

Today we are shifting our testing reporting focus to Assisted Living, Healthcare, and Therapy. Of course, if a change in status occurs in Living Wisdom Center it will be reported, but the virus is presently contained in the LWC.  More good news to report!

Also, to reiterate if your loved one has a change in condition or is impacted directly, the family responsible party will be contacted.

As of this posting, there have been 135 staff members tested in those 3 service areas and all tests were negative!!

  • TOTAL TESTED 135
    • Total staff positive: 0
    • Total staff negative:  135

       Needless to say, keep those prayers coming!   We are so very grateful!

       Normal reporting will resume tomorrow!

Needless to say, keep those prayers coming! We are so very grateful!
Normal reporting will resume tomorrow!

Saturday, April 18, 2020

HALLELUJAH,

What a remarkable, emotional journey the past seven days have been. We are humbled today to share the final Living Wisdom Center test results are completed with staff and residents, and there are NO NEW COVID-19 positive results!!! For today, at this posting, we have officially contained the virus in the Living Wisdom Center for Dementia Care!!  Praise the Lord!!!!

Here is where we stand at the conclusion of LIVING WISDOM CENTER for DEMENTIA CARE testing:

  • TOTAL TESTED 100%
    • 100% Residents tested: 29
    • 100% Staff tested: 43
    • TOTAL TESTED72
  • TOTAL POSITIVE COVID-19
    • Residents:  8
    • Staff:  5
    • TOTAL CONFIRMED CASES: 13
  • TOTAL NEGATIVE COVID-19 CASES
    • Residents:  21
    • Staff: 38
    • TOTAL NEGATIVE TESTS: 59

At this point, I would characterize our team as joyful, hugely relieved, cautiously optimistic, yet sober in our resolution to finish the job. Like so many of our families, there were tears of joy that permeated our entire team when that final test results came in. I am immensely proud of our talented, skilled, and courageous team and the efforts put forth this past 7 days since our initial confirmed case. Wrapping our arms around this in a 7-day window could not have been accomplished without the grace of God and a wholly committed staff.

Additionally, thank you is simply not enough to Elkhart General Hospital and their leadership for the testing kits which was truly the mitigating factor in our ability to contain the virus today. I cannot stress enough the importance of obtaining these critical tests for all facilities nationwide which are truly life- saving. Knowledge in this case, is truly power. Testing is the single most important factor which will save lives in senior care facilities that care for the most vulnerable population. We will relentlessly advocate for testing resources to be made available to Seniors BEFORE symptoms present. They deserve our best efforts to protect their safety and well-being and this is not happening!

But as I said, we are not out of the woods here, in this community and in this nation. We need to remain vigilant in our containment of this virus here and in our community. We are continuing compliance with social distancing, more testing, contact tracing and quarantine. We urge you to remain compliant with CDC guidance in social distancing and remaining at home. This virus is just now hitting our area and we urge you to exercise good judgment in your activities.

As always, we thank our families and caregivers for your patience this week as we did our absolute best to try and balance the 24 hour a day care and vigilance to contain this virus while keeping you informed.

Again, we celebrate today for a mere moment but promise you will be notified in real-time if your loved one experiences any change of condition or anything directly impacting your loved one.

Moving forward, we have systematically already started rolling out the testing protocol to staff and residents in Assisted Living, Rehab and Healthcare. Our protocol is to test staff members first, as they have the broadest reach and frequency of direct resident contact. Next, are residents who are symptomatic-(those who are presenting specified symptoms of the COVID-19 virus) followed by residents with pre-existing conditions. Lastly, we will test the balance of the resident population who are in good health and have no symptoms.

We ask families and caregivers to visit our website, hubbardhill.org which will have the most current information collected throughout the day. Moving forward, we will make every attempt to post that communication by late afternoon, contingent upon events of the day. If you have not heard directly from us, you may rest assured your loved one is safe, and under the watchful and loving eyes of our skilled staff-who care deeply for your loved ones.

Please keep our staff in your prayers as we ask God’s Grace, Strength, and Peace as they continue to beautifully give their all, and for their safety in their commitment to this calling to serve. Know that all of you are in our hearts and our prayers always! Thank you again from all of us at Hubbard Hill for your loving notes, posts, food, support, and prayers during these trying times. We do pay attention and it means so very much!

Friday, April 17, 2020

We have begun receiving the first portion of the results of the Living Wisdom Center COVID-19 testing for all staff and residents today. The results come in phases due to the tremendous volume of testing being analyzed in the laboratories. As of this posting, we report the following results for today:

  • 3 staff members testing positive / 9 staff members testing negative
  • 0 residents testing positive / 9 residents testing negative

Again, we will provide this information in real-time as it becomes readily available.

As we mentioned yesterday, you will be notified in real-time if your loved one experiences any change of condition or anything directly impacting your loved one. As results return, our protocol is for a Living Wisdom Center leadership team member to notify families or caregivers of the result in real-time. These test results are not being returned to us in the batches in which they were sent. They are returning in a drip, not a flood. We appreciate your patience and understand how difficult this is for you.

Moving forward, we are systematically rolling out the testing protocol to residents and staff in the main building of the campus. Our protocol is to test staff members first, as they have the broadest reach and frequency of direct resident contact. Second, are residents who are symptomatic-(those who are presenting specified symptoms of the COVID-19 virus). Lastly, we will test the balance of the resident population.

For your information, the Indiana Department of Health has now put audit protocols in place for all facilities experiencing multiple COVID-19 cases. This means they will be at Hubbard Hill and most other facilities in the area daily monitoring infection control protocol, reviewing virus and test data in detail, inspecting the facility and internal controls. They have already visited Hubbard Hill twice and their feedback was positive and we’re pleased with the steps we have taken, our transparency, reporting, and compliance. We welcome their presence yet another safeguard or set of eyes to ensure not a single detail is overlooked.

We ask families and caregivers to visit our website, hubbardhill.org which will have the most current information collected throughout the day. Moving forward, we will make every attempt to post that communication by late afternoon, contingent upon events of the day. If you have not heard directly from us, you may rest assured your loved one is safe, and under the watchful and loving eyes of our skilled staff-who care deeply for your loved ones.

Please keep our staff in your prayers as we ask God’s Grace, Strength, and Peace as they continue to beautifully give their all, and for their safety in their commitment to this calling to serve. Know that all of you are in our hearts and our prayers always!

Thursday, April 16, 2020

No new COVID-19 cases at Living Wisdom Center today

We have completed Living Wisdom Center COVID-19 testing for all staff and residents today and are awaiting all test results. As of today, we have no new positive cases. We will again forward this information as it becomes readily available. We cannot emphasize what a game-changer having testing kits means to our ability to manage and care with accurate information. Thank God for this wonderful gift we have received!

Once again, we are making an impassioned plea to families and caregivers to refrain from calling Hubbard Hill or Hubbard Hill staff members directly with inquiries about your family members. Our clinical professionals are working diligently every day for hours on end caring, monitoring, and ensuring the safety and health of your loved ones. The volume of phone calls has understandably increased dramatically and we simply cannot afford to stop our critical work to field all the calls.

Be assured, as is our ongoing policy and commitment, you will be notified in real-time if your loved one experiences any change of condition or anything directly impacts your loved one. We ask families and caregivers to visit our website, hubbardhill.org which will have the most current information collected throughout the day. Moving forward, we will make every attempt to post that communication earlier in the afternoon, contingent upon events of the day. If you have not heard directly from us, you may rest assured your loved one is safe, and under the watchful and loving eyes of our skilled staff-who care deeply for your loved ones. I have been personally deeply moved by the courage and compassion of the Hubbard team as they care for our residents as though they were their very own family members.

We ask you to keep our staff in your prayers as we ask God for his continued love, care, wisdom, and safety in their commitment to this calling to serve.

Wednesday, April 15, 2020

More positive cases for Living Wisdom Center as testing continues

Since receiving the initial shipment of COVID-19 testing kits this week, we have initiated testing protocol for all residents and staff of Living Wisdom Center for Dementia Care. As you have seen and heard in the media, as testing numbers increase, so predictably do the number of positive diagnoses. And this has been the case at Hubbard Hill as well.

Testing residents and staff began 4/14 and we now can confirm 6 additional residents and 2 employees have positively tested for COVID-19. It is also important to understand these numbers are not representative of 8 more persons “catching the virus”, but rather being identified as carrying the virus through testing.

You may have heard the term “asymptomatic” in the media, and that simply means someone is carrying the virus without producing or exhibiting symptoms. Anyone anywhere could currently be asymptomatic, not aware they are a carrier of the virus. This makes it even more challenging and critical to test everyone at our facility-and we are.

Prior to the virus escalation, contingency planning for repurposing an LWC household was initiated in order to convert it to a locked-down, quarantine unit if needed. With the latest diagnoses, those residents with positive diagnoses were moved into the designated quarantined household. We expect to complete the testing of all Living Wisdom Center residents and staff no later than Friday.

Prioritizing testing is not arbitrary and follows the CDC flattening the virus curve model:

  1. Social distancing
  2. Testing (residents presenting symptoms first)
  3. Contact Tracing (testing those with most recent contact with resident)
  4. Quarantine

We are concurrently exercising contact tracing in conjunction with testing to ensure we capture any and all persons from HH who have been in most recent contact with a resident with a positive diagnosis. This process will help ensure the safety of all residents and staff while preventing the spread of the virus.

As our final test kits arrive, we will be systematically testing residents and staff throughout the Hubbard Hill campus. Once this process is complete, we will be in a better position to manage the virus utilizing data-based decisions.

We want to assure you when we utilize the word “rapid” response, that is exactly what we mean. Our plan is in place and activated the moment we suspect or confirm a positive COVID-19 diagnosis.

Tuesday, April 14, 2020

Today, we received a second positive COVID-19 diagnosis in the Living Wisdom Center for Dementia Care. The resident was tested rapidly after suspected symptoms were observed. The resident is being monitored for critical virus symptomology.

As mentioned yesterday, we have received testing kits and are in the process of testing every Living Wisdom Center resident as well as Living Wisdom staff members. We will keep you apprised of updates as they become available. As we just recently received this confirmation, we will be updating the web site again tomorrow sharing details of our evolving rapid response protocol activation.

We are committed to keeping you informed as quickly as reasonably possible as facts present themselves and will continue to do so at hubbardhill.org.

Thank you for your patience and understanding as we manage this crisis moment by moment.

Monday, April 13, 2020

Knock and the door will be opened… I am pleased to share some positive news of progress! Yesterday afternoon, after sharing the heartbreaking news of our first positive Corona Virus diagnosis, we received word of test kits available for Hubbard Hill!

Suffice to say, sharing that positive test result on Easter morning was gut-wrenching as we have worked soo hard to mitigate this invisible threat. However, as we were putting our response plans in place, the blessings of God’s grace came to us with news we are receiving Corona Virus testing kits, enough to test Living Wisdom Center residents and staff!!! Halleluiah! And there is more! We also received great news we are receiving additional masks and face shields to supplement our current inventories! God is good!

These blessings are a result of our ongoing communication and collaboration with community healthcare organizations and specifically, Elkhart General Hospital. We are truly blessed and grateful for the hearts of those healthcare professionals who see a need and move heaven and earth to help meet the need. Thank you EGH!

I would also like to take a moment to help address some misconceptions of long-term care facilities, nursing homes, senior living facilities- all these terms are used in the media. News outlets are sadly and accurately reporting the increasing death rates in these facilities. Some of the questions we have received recently have led us to believe people may need some clarification.

Please understand the reason these numbers are precipitously high is not because facilities are not exercising compliant disease control. It is because this population is the most vulnerable and sadly, testing and treatments are not readily available to these facilities. It is a challenge, to say the least, but know that our Hubbard staff are trained and vigilant in doing everything in their power to protect your loved ones entrusted to us.

We will be posting more frequently as this fluid situation continues to unfold. Please make hubbardhill.org your destination for all things COVID-19 and Hubbard Hill.

Continued blessings to you and yours,
Patrick

Sunday, April 12, 2020

Message from Patrick Pingel, CEO:

Good morning and Happy Easter!

I am with you today to share that this morning we experienced our first positive test for the Corona Virus at Hubbard Hill following the rapid response team meeting early this morning. The resident was recently admitted to the Living Wisdom Center for Dementia Care and was still in quarantine and compliant with the CDC/Indiana Board of Health quarantine guidelines.

We are very pleased our new admission quarantine protocol worked as planned to ensure each new resident is virus-free. In this case we caught it in a timely basis during quarantine. This resident has been totally separated from the general population and at no time has come into contact with other residents since arrival. The isolation area of the Living Wisdom Center is totally separated from any household and in fact is outside all locked doors leading to the households.

The resident began presenting suspected symptoms, temperatures monitored and tracked, was subsequently tested and the positive virus result caught immediately. The resident currently remains in the isolation/quarantined area. Living Wisdom staff will now upgrade their PPE (personal protection equipment) to include N95 masks in addition to their current protocol.

Moving forward, the resident will be attended by designated staff members (kept at a minimum) to avoid any risk of contamination between staff. Should the virus progress beyond Hubbard Hill care capabilities, the resident will be moved to the hospital.

I want you to know I have been consistently appealing to our state representative and emergency leaders to provide testing kits for Hubbard Hill enabling them to identify the virus before residents present symptoms. Like every facility in the country, there are no exceptions to testing protocol prior to presenting symptoms and we know is too late. The problem also stems from the fact there is currently no one advocating for senior care facilities and their staff. Rest assured, we are relentlessly pursuing these testing resources.

Let me address family and staff concerns regarding risk. Given the locked-down nature of the facility and compliance with CDC/IDH directives, no other residents or staff are at immediate risk of the virus. I want to be clear; this resident has not been integrated with any other residents since arrival.

We are confident the incidence, in this case, was not due to any material breach by Hubbard Hill staff of Hubbard Hill, CDC, or Indiana Department of Health protocols. However, to err on the conservative side, new admissions are suspended in the Living Wisdom Center until further notice. Furthermore, we are near completion of a totally secure isolation/quarantine unit in skilled nursing with walls being built to make it a totally contained unit to protect both residents and staff should another positive diagnosis emerge. I want to give credit to my team for adhering to protocols and following the rapid response plan enabling them to fully address the situation swiftly and comprehensively. We want to assure families, caregivers and staff that we continue to exercise extraordinary caution and compliance with all federal, state and regulatory agencies and are unwavering in our commitment to maintaining a safe and healthy environment for both resident and staff safety.

– Patrick

Friday, April 10, 2020

All dining will be “in room” service until further notice.

As we navigate the moment by moment evolution of the COVID-19 virus and its impact, we are again faced with the next phase of the disease and related consequences. We are truly blessed we have thus far avoided a confirmed case of the virus. Our vigilant adherence to governmental and regulatory guidelines have contributed to our success. Our ability to anticipate and respond immediately has been a key factor.

So we are now receiving CDC and Indiana State Board of Health directives to suspend communal dining until further notice. We hold ourselves accountable to respond to facts and in this case, they are clear. An assisted living facility in the state has now experienced 11 deaths all traced to the communal dining experience. So, starting at the Friday evening meal,(4/10) we are suspending communal dining in all dining rooms and implementing in-room dining for all residents (with the exception of Living Wisdom Center) until further notice.

This action, we believe, is a measured and appropriate response to what is now a real and potentially devastating threat to the health and well-being of our residents. We do not take this decision lightly. We are acutely aware of how important the dining experience and related socialization is to our residents and their quality of life, but in this instance, the risk outweighs that benefit.

We appreciate your understanding and trust in us on this and all matters related to the COVID-19 virus. As always, you have our commitment to remain informed in real-time, discuss all reasonable options, and act in the best interest of our residents. We also understand some may be uncomfortable with this direction but hope you understand our goal is always to mitigate a very serious potential risk to our residents.

May God bless you and be with you this Easter season.

New on the Hill

  • Please see the notice regarding the new dining protocol on our website
  • We are very sensitive to the fact the duration of this pandemic makes removing your loved one from Hubbard Hill for a visit or even taking them out for a ride seems appealing. Please be reminded we strongly discourage removing your loved one for any reason. There is no safer place for them than where they are right now.
  • Additionally, please know that if you choose to take your resident out of the facility for any reason they will be subject to quarantine per CDC and State Board of Health guidelines.
  • All staff members continue wearing PPE (Personal Protective Equipment) to protect our residents. We have had a few questions regarding staff members coming and going (home) from Hubbard Hill and want to remind you:
    • Every staff member is screened, temperature taken every shift/every day.
    • PPE’s are worn by all staff members.
    • Staff members do not touch residents unless it is directly related to their care
    • Residents are pleased and appreciative to see PPE’s in place among staff

Ongoing COVID-19 Protocol

  • Please be reminded not to go to any windows on the Hubbard Hill campus during the COVID-19 pandemic.
  • Every staff member is screened daily prior to their shift for health status and current temperature.
  • All internal meetings are now conducted digitally, via phone, or in a setting compliant with social distancing.
  • To enable our healthcare staff to continue their vigilance we ask and reiterate the need for your cooperation by adhering to our ongoing visitation policy. No non-essential persons may enter any Hubbard Hill facility. This is to protect your loved ones, their neighbors, and staff.
  • Additionally, we are also restricting non-essential appointments for residents. Non-essential is defined as anything that is not directly related to their sustained clinical health and well-being. All residents please adhere to this policy.
  • Residents are doing remarkably well and have adjusted to the new normal with great understanding and gratitude for our efforts to protect their health.
  • Lastly, we also ask you try and limit your phone calls to the facility with various questions. We are making every attempt to address your questions on our website www.hubbardhill.org. We respectfully ask you not call Hubbard Hill directly unless you have an emergency or extraordinarily urgent need. You can count on our weekly update every Friday on our website and social media, and more frequently if time sensitive information becomes available.

Ongoing Communication with Residents

  • Communication with your loved ones is a top priority as we empathize and understand your concerns and desire to maintain contact with your loved ones. 
    • In the main Hubbard Hill facility, we offer Skype capabilities in the Skype room to residents to establish a face to face video conversation with you. Additionally, for those with mobile devices Facetime (Apple devices) or Duo (Android devices) is a great way to visually stay in touch.
    • In the Living Wisdom Center, Zoom (similar to Skype) has been established with an ongoing schedule to communicate with your loved ones on a weekly basis and as needed. Contact Living Wisdom Center Program Coordinator: Scott Whenrey to schedule. We are trying our best to facilitate family needs but need to provide structure to enable our healthcare staff to do their most important jobs, care for and protect your loved ones.

Things You Should Know

  • We are vigilantly doing our part to “flatten the curve” of the COVID virus as you likely have heard and seen on television. 
    • We are accepting new residents who have completed rigorous screening in advance and comply with a prescribed period of isolation upon entry.
    • Equipment availability? Do you have all you need and/or will need?
      • We continue to work closely with all government authorities to procure all the necessary supplies to meet our needs.
    • Testing capabilities?
      • As you have likely seen on television testing capabilities are scarce across the country and are only available in a hospital or clinic setting. For those who are tested, the waiting period for results is currently 10+ days. During this period, we will, as always, be implementing universal precautions.
    • Do you have enough staff should COVID incidence increases substantially?
      • Yes, currently we have enough staff to manage the situation. This is a national, regional, and local crisis and we are in constant contact with relevant governmental, regulatory and healthcare leadership in each of these areas. 
    • PLEASE NOTE: As of this posting, no one may qualify to be tested for COVID-19 without:
      • A doctor’s order (which you may go to the COVID-19 hotline and be examined digitally by a physician online.)
      • Exhibiting COVID-19 symptoms
      • To avoid overburdening the hospital system, please do not go to your local hospital without meeting these two criteria.