Bethany Retirement Living FAQs and COVID-19 Cases as of 2/2/21 9:30am:

Dear families and friends of Bethany Retirement Living:

Bethany has now conducted a full set of vaccination clinics for all employees, Bethany on University Skilled care patients and residents, Bethany on 42^nd Skilled Care residents, Towers I & II residents, Gables residents and Grace Pointe residents.  Anyone that wanted a vaccination was able to receive one.   Since the vaccination supply is tightly controlled, we are working with our pharmacy vendor to secure approval to provide ongoing vaccinations to new admissions and employees.  At this time, this process is very fragmented and out of our control.

Bethany conducted standard surveillance Covid-19 testing on Thursday (1/28), Friday (1/29) and Monday (2/1).  During these testing events 666 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  Great news, we had no new positive resident or staff cases.  Please review our FAQs below for answers to questions you may have.

Bethany Towers I & II and Bethany Gables are allowing expanded hours visitation.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care are allowing expanded hours visitation and compassionate care visits.  Please see visitation section on our website for complete details.

To keep residents health and safe, please get tested and bring proof of current Covid-19 testing results with you.  The Faith Journey testing site is now offering rapid tests, so you can have the results in 15 minutes.  We prefer proof of a negative COVID-19 test that was taken within the past 5-7 days.  If you do not get rapid tested, we recommend that you get tested on the same day every week so you get an idea of when you will be receiving the test results from the Department of Health in either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue SE, West Fargo. (some map programs list it as East-not SE) The church is directly West of Sheyenne High School.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday/Tuesday/Friday from 12:00 pm to 7:00 pm and Saturday/Sunday from 10:00 am to 4:00 pm.  Schedule Appointment with Vault Health

We will be conducting twice-a-week COVID-19 surveillance swab testing on skilled care, basic care, and assisted living residents and staff that were not vaccinated.  This week we moved to every other week testing for vaccinated residents and staff.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Bethany employees will contact all residents with positive test results.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  We may add or subtract cases as new test results arrive or as cases are resolved.  Due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control (CDC), Centers for Medicare and Medicaid Services (CMS), American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings. Only limited visitation is allowed.  Please visit our website for visiting hours.
• All visitors are screened as they enter the buildings. Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased, if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health (NDDoH) that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Bethany Retirement Living FAQs and COVID-19 Cases as of 1/26/21 8:00am:

Dear families and friends of Bethany Retirement Living:

On Thursday, January 21^st, we completed the second phase of our vaccination clinics for Skilled Care residents, Gables residents and Bethany employees who consented to the vaccination.  We also had additional employees complete their first dose of the vaccination series on January 21st.  After these employees receive their second dose, we will have over 80% of our employees vaccinated, which is a great start.  Towers I &II and Bethany Grace Pointe residents will receive their second dose on Thursday (1/28).  Vaccination priority is determined by the North Dakota Department of Health.

Bethany conducted standard surveillance Covid-19 testing on Thursday (1/21), Friday (1/22) and Monday (1/18).  During these testing events 995 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  We had one new positive resident case and staff case at Bethany on University-Skilled Care.  Please review our FAQs below for answers to questions you may have.

Bethany Towers I & II and Bethany Gables are allowing limited visitation.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care are allowing compassionate care visits.  Please see visitation section on our website.

To keep residents safe, please bring proof of current Covid-19 testing results with you.  We prefer proof of a negative COVID-19 test that was taken within the past 7 days.  To get on a regular visitation pattern, we recommend that you get tested on the same day every week so you get an idea of when you will be receiving the test results from the Department of Health in either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue SE, West Fargo. (some map programs list it as East-not SE) The church is directly West of Sheyenne High School.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday/Tuesday/Friday from 12:00 pm to 7:00 pm and Saturday/Sunday from 10:00 am to 4:00 pm.  Schedule Appointment with Vault Health

We also encourage virtual visits (Facetime, etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd Skilled Care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

We will be conducting once-a-week COVID-19 surveillance swab testing on skilled care, basic care, and assisted living residents and staff.  Resident testing is conducted each Monday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Bethany employees will contact all residents with positive test results.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  We may add or subtract cases as new test results arrive or as cases are resolved.  Due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control (CDC), Centers for Medicare and Medicaid Services (CMS), American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings. Only limited visitation is allowed.  Please visit our website for visiting hours.
• All visitors are screened as they enter the buildings. Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased, if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health (NDDoH) that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

You Are Invited!

Are you curious or concerned about the COVID-19 vaccine?  Ask questions about vaccine safety and North Dakota’s vaccine rollout in this virtual community forum with local public health experts.

Join the forum “Community Voices: COVID-19 Vaccine” from noon to 1 pm on. Friday, Jan. 22.  This free online event will be convened via Zoom, and audience members are encouraged to register in advance at bit.ly/CommunityVoices-Jan22.

The moderated panel will include:

• Dr. Paul Carson, professor at North Dakota State University’s Department of Public Health and director of NDSU’s Center for Immunization Research and Education;
• Kylie Hall, MPH, project coordinator at NDSU’s Center for Immunization Research and Education; and
• Molly Howell, MPH, Immunization Program director at ND Department of Health.

You may submit questions in advance to amelton@agree.org.  A video recording will be posted online for free viewing following the event.

This statewide public forum is convened by Consensus Council with support from Impact Foundation.

Bethany Retirement Living FAQs and COVID-19 Cases as of 1/19/21 2:00pm:

Dear families and friends of Bethany Retirement Living:

Today we started the second phase of our vaccination clinics.  Skilled Care residents, Gables residents and Bethany employees who consented to the vaccination will receive their 2^nd dose today, tomorrow or Thursday (1/21).  Towers I &II and Bethany Grace Pointe residents will receive their second dose on January 28^th.  Vaccination priority is determined by the North Dakota Department of Health.

Bethany conducted standard surveillance Covid-19 testing on Thursday (1/14/21), Friday (1/15) and Monday (1/18).  During these testing events 957 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  Great news, we had no new positive resident or staff cases.  Please review our FAQs below for answers to questions you may have.

Bethany Towers I & II and Bethany Gables are allowing limited visitation.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care are allowing compassionate care visits.  Please see visitation section on our website.

To keep residents safe, please bring proof of current Covid-19 testing results with you.  We prefer proof of a negative COVID-19 test that was taken within the past 7 days.  To get on a regular visitation pattern, we recommend that you get tested on the same day every week so you get an idea of when you will be receiving the test results from the Department of Health in either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue SE, West Fargo. (some map programs list it as East-not SE) The church is directly West of Sheyenne High School.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday/Tuesday/Friday from 12:00 pm to 7:00 pm and Saturday/Sunday from 10:00 am to 4:00 pm.  Schedule Appointment with Vault Health

We also encourage virtual visits (Facetime, etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd Skilled Care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

We will be conducting once-a-week COVID-19 surveillance swab testing on skilled care, basic care, and assisted living residents and staff.  Resident testing is conducted each Monday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Bethany employees will contact all residents with positive test results.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  We may add or subtract cases as new test results arrive or as cases are resolved.  Due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control (CDC), Centers for Medicare and Medicaid Services (CMS), American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings. Only limited visitation is allowed.  Please visit our website for visiting hours.
• All visitors are screened as they enter the buildings. Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased, if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health (NDDoH) that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Bethany Retirement Living FAQs and COVID-19 Cases as of 1/19/21 2:00pm:

Dear families and friends of Bethany Retirement Living:

Today we started the second phase of our vaccination clinics.  Skilled Care residents, Gables residents and Bethany employees who consented to the vaccination will receive their 2^nd dose today, tomorrow or Thursday (1/21).  Towers I &II and Bethany Grace Pointe residents will receive their second dose on January 28^th.  Vaccination priority is determined by the North Dakota Department of Health.

Bethany conducted standard surveillance Covid-19 testing on Thursday (1/14/21), Friday (1/15) and Monday (1/18).  During these testing events 957 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  Great news, we had no new positive resident or staff cases.  Please review our FAQs below for answers to questions you may have.

Bethany Towers I & II and Bethany Gables are allowing limited visitation.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care are allowing compassionate care visits.  Please see visitation section on our website.

To keep residents safe, please bring proof of current Covid-19 testing results with you.  We prefer proof of a negative COVID-19 test that was taken within the past 7 days.  To get on a regular visitation pattern, we recommend that you get tested on the same day every week so you get an idea of when you will be receiving the test results from the Department of Health in either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue SE, West Fargo. (some map programs list it as East-not SE) The church is directly West of Sheyenne High School.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday/Tuesday/Friday from 12:00 pm to 7:00 pm and Saturday/Sunday from 10:00 am to 4:00 pm.  Schedule Appointment with Vault Health

We also encourage virtual visits (Facetime, etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd Skilled Care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

We will be conducting once-a-week COVID-19 surveillance swab testing on skilled care, basic care, and assisted living residents and staff.  Resident testing is conducted each Monday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Bethany employees will contact all residents with positive test results.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  We may add or subtract cases as new test results arrive or as cases are resolved.  Due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control (CDC), Centers for Medicare and Medicaid Services (CMS), American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings. Only limited visitation is allowed.  Please visit our website for visiting hours.
• All visitors are screened as they enter the buildings. Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased, if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health (NDDoH) that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Bethany Retirement Living FAQs and COVID-19 Cases as of 1/12/21 11:30am:

Dear families and friends of Bethany Retirement Living:

We are moving to the second phase of our vaccination clinics.  Skilled Care Residents, Gables Residents and Bethany employees who consented to the vaccination will receive their 2^nd dose on January 19^th, 20^th and 21^st.  Towers I &II and Bethany Grace Pointe residents received the first dose of the vaccination on Thursday, January 7^th and we anticipate the second dose around January 28^th.  Vaccination priority is determined by the North Dakota Department of Health.

Bethany conducted standard surveillance Covid-19 testing on Thursday (1/7/21), Friday (1/8) and Monday (1/11).  During these testing events 935 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  We had no new positive resident cases.  We had 2 new staff positive cases, 1 at Bethany on University Skilled Care and 1 at Bethany on 42^nd Skilled Care.  Please review our FAQs below for answers to questions you may have.

Bethany Towers I & II and Bethany Gables are allowing limited visitation.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care are allowing limited compassionate care visits.  Please see visitation section on our website.

To keep residents safe, please bring proof of current Covid-19 testing results with you.  We prefer proof of a negative COVID-19 test that was taken within the past 7 days.  To get on a regular visitation pattern, we recommend that you get tested on the same day every week so you get an idea of when you will be receiving the test results from the Department of Health in either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue SE, West Fargo. (some map programs list it as East-not SE) The church is directly West of Sheyenne High School.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday/Tuesday/Friday from 12:00 pm to 7:00 pm and Saturday/Sunday from 10:00 am to 4:00 pm.  Schedule Appointment with Vault Health

We also encourage virtual visits (Facetime, etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd Skilled Care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

We will be conducting once-a-week COVID-19 surveillance swab testing on skilled care, basic care, and assisted living residents and staff.  Resident testing is conducted each Monday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Bethany employees will contact all residents with positive test results.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  We may add or subtract cases as new test results arrive or as cases are resolved.  Due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control (CDC), Centers for Medicare and Medicaid Services (CMS), American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings. Only limited visitation is allowed.  Please visit our website for visiting hours.
• All visitors are screened as they enter the buildings. Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased, if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health (NDDoH) that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Bethany Retirement Living FAQs and COVID-19 Cases as of 1/12/21 11:30am:

Dear families and friends of Bethany Retirement Living:

We are moving to the second phase of our vaccination clinics.  Skilled Care Residents, Gables Residents and Bethany employees who consented to the vaccination will receive their 2^nd dose on January 19^th, 20^th and 21^st.  Towers I &II and Bethany Grace Pointe residents received the first dose of the vaccination on Thursday, January 7^th and we anticipate the second dose around January 28^th.  Vaccination priority is determined by the North Dakota Department of Health.

Bethany conducted standard surveillance Covid-19 testing on Thursday (1/7/21), Friday (1/8) and Monday (1/11).  During these testing events 935 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  We had no new positive resident cases.  We had 2 new staff positive cases, 1 at Bethany on University Skilled Care and 1 at Bethany on 42^nd Skilled Care.  Please review our FAQs below for answers to questions you may have.

Bethany Towers I & II and Bethany Gables are allowing limited visitation.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care are allowing limited compassionate care visits.  Please see visitation section on our website.

To keep residents safe, please bring proof of current Covid-19 testing results with you.  We prefer proof of a negative COVID-19 test that was taken within the past 7 days.  To get on a regular visitation pattern, we recommend that you get tested on the same day every week so you get an idea of when you will be receiving the test results from the Department of Health in either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue SE, West Fargo. (some map programs list it as East-not SE) The church is directly West of Sheyenne High School.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday/Tuesday/Friday from 12:00 pm to 7:00 pm and Saturday/Sunday from 10:00 am to 4:00 pm.  Schedule Appointment with Vault Health

We also encourage virtual visits (Facetime, etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd Skilled Care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

We will be conducting once-a-week COVID-19 surveillance swab testing on skilled care, basic care, and assisted living residents and staff.  Resident testing is conducted each Monday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Bethany employees will contact all residents with positive test results.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  We may add or subtract cases as new test results arrive or as cases are resolved.  Due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control (CDC), Centers for Medicare and Medicaid Services (CMS), American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings. Only limited visitation is allowed.  Please visit our website for visiting hours.
• All visitors are screened as they enter the buildings. Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased, if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health (NDDoH) that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Bethany Retirement Living FAQs and COVID-19 Cases as of 1/5/21 11:30am:

Dear families and friends of Bethany Retirement Living:

The first phase of our vaccination process is progressing well.  Skilled Care Residents, Gables Residents and Bethany staff that consented to the vaccination have received their first of two doses.  We anticipate the 2^nd dose will be given January 19^th, 20^th and 21^st.  Towers I &II and Bethany Grace Pointe residents will receive the first dose of the vaccination on Thursday, January 7^th.  Vaccination priority is determined by the North Dakota Department of Health.

Bethany conducted standard surveillance Covid-19 testing on Thursday (12/31/20) and Monday (1/4/21).  During these testing events 1,240 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  We had 1 new positive resident case at Bethany on University Skilled Care.  We had 3 new staff positive cases at Bethany on University Skilled Care, 1 at Bethany on 42^nd Skilled Care and 1 at Towers II.  There were no new positive staff cases at Bethany Gables or Towers I.  Please review our FAQs below for answers to questions you may have.

Bethany Towers I & II and Bethany Gables are allowing limited visitation.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care are allowing limited compassionate care visits.  Please see visitation section on our website.

To keep residents safe, please bring proof of current Covid-19 testing results with you.  We prefer proof of a negative COVID-19 test that was taken within the past 7 days.  To get on a regular visitation pattern, we recommend that you get tested on the same day every week so you get an idea of when you will be receiving the test results from the Department of Health in either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue SE, West Fargo. (some map programs list it as East-not SE) The church is directly West of Sheyenne High School.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday/Tuesday/Friday from 12:00 pm to 7:00 pm and Saturday/Sunday from 10:00 am to 4:00 pm.  Schedule Appointment with Vault Health

We also encourage virtual visits (Facetime, etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd Skilled Care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

We will be conducting once-a-week COVID-19 surveillance swab testing on skilled care, basic care, and assisted living residents and staff.  Resident testing is conducted each Monday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Bethany staff will contact all residents with positive test calls.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  We may add or subtract cases as new test results arrive or as cases are resolved.  Due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control (CDC), Centers for Medicare and Medicaid Services (CMS), American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings. Only limited visitation is allowed.  Please visit our website for visiting hours.
• All visitors are screened as they enter the buildings. Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased, if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health (NDDoH) that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Bethany Retirement Living FAQs and COVID-19 Cases as of 12/29/20 4:30pm:

Dear families and friends of Bethany Retirement Living:

We are happy to announce that our vaccination process is underway.  Skilled Care Residents and Bethany employees are getting vaccinated Tuesday (12/29) through Thursday (12/31) of this week.  Towers I &II and Bethany Gables residents will be vaccinated on January 7^th.  Once Thrifty White Pharmacy has enough vaccination allocation we will announce a vaccination date for Grace Pointe residents.  We anticipate this may be around the middle of January, but hopefully sooner.  Vaccination priority is determined by the North Dakota Department of Health.

Bethany conducted standard surveillance Covid-19 testing on Wednesday (12/23) and Monday (12/28).  During these testing events 1,232 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  We had no new positive resident cases.  We had 2 new staff positive cases at Bethany on University Skilled Care.  There were no new positive staff cases at Bethany Gables, Bethany on 42^nd Skilled Care, Bethany Towers I or II.  Please review our FAQs below for answers to questions you may have.

Bethany Towers I & II and Bethany Gables are allowing limited visitation.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care are allowing limited compassionate care visits.  Please see visitation section on our website.

To keep residents safe, you must have proof of current testing results with you.  To visit you will need to provide proof of a negative COVID-19 test that was taken within the past 7 days.  To get on a regular visitation pattern, we recommend that you get tested on the same day every week so you get an idea of when you will be receiving the test results from the Department of Health in either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue SE, West Fargo. (some map programs list it as East-not SE) The church is directly West of Sheyenne High School.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday/Tuesday/Friday from 12:00 pm to 7:00 pm and Saturday/Sunday from 10:00 am to 4:00 pm.  Schedule Appointment with Vault Health

We also encourage virtual visits (Facetime, etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd Skilled Care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

This week we continued twice-a-week COVID-19 surveillance swab testing for resident and staff.  Starting next week, we will be conducting once-a-week COVID-19 surveillance swab testing on skilled care, basic care, and assisted living residents and staff.  Resident testing is conducted each Monday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Bethany staff will contact all residents with positive test calls.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  We may add or subtract cases as new test results arrive or as cases are resolved.  Due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control (CDC), Centers for Medicare and Medicaid Services (CMS), American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings. Only limited visitation is allowed.  Please visit our website for visiting hours.
• All visitors are screened as they enter the buildings. Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased, if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health (NDDoH) that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Bethany Retirement Living FAQs and COVID-19 Cases as of 12/23/20 1:00pm:

Dear families and friends of Bethany Retirement Living:

As you all know, Bethany residents, patients and staff have been battling the COVID-19 virus every day since March, 2020.  Many of our staff and residents have been swab tested over 50 times.  We are happy to announce that all Skilled Care Residents and Bethany staff will be vaccinated on Tuesday (12/29) and Wednesday 12/30).  We are extremely excited that this day is finally here and we hope this will lead to reduced regulations on visitation restrictions in the near future as more people get vaccinated.  As soon as Thrifty White Pharmacy has enough vaccine allocation we will schedule a testing event for all Assisted Living, Basic Care and Grace Pointe residents.  We anticipate this may be around the middle of January, but hopefully sooner.  Vaccination priority is determined by the North Dakota Department of Health.

Bethany conducted standard surveillance Covid-19 testing on Thursday (12/17), Monday (12/21) and today, Wednesday (12/23).  During these three testing events 2,456 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  We had no new positive resident cases.  We had 10 new staff positive cases broken down as follows:  3 at Bethany on 42^nd Skilled Care, 1 at Bethany Towers and 7 at Bethany on University Skilled Care.  There were no new positive staff cases at Bethany Gables.  We are still waiting for a few staff results from the State lab for Monday (12/21) and I will reflect any new cases in my next update.  Please review our FAQs below for answers to questions you may have.

Bethany Towers I & II and Bethany Gables are allowing limited visitation.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care are allowing limited compassionate care visits.  Please see visitation section on our website.

To keep residents safe, you must have proof of current testing results with you.  To visit you will need to provide proof of a negative COVID-19 test that was taken within the past 7 days.  To get on a regular visitation pattern, we recommend that you get tested on the same day every week so you get an idea of when you will be receiving the test results from the Department of Health in either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue SE, West Fargo. (some map programs list it as East-not SE) The church is directly West of Sheyenne High School.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday/Tuesday/Friday from 12:00 pm to 7:00 pm and Saturday/Sunday from 10:00 am to 4:00 pm.  Schedule Appointment with Vault Health

We also encourage virtual visits (Facetime, etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd Skilled Care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

We will are conducting twice-a-week COVID-19 surveillance swab testing on skilled care, basic care, and assisted living residents and staff.  Resident testing is conducted each Monday and Thursday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Test results are usually returned within 48-72 hours.  Bethany staff will contact all residents with positive test calls.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  We may add or subtract cases as new test results arrive or as cases are resolved.  Due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control (CDC), Centers for Medicare and Medicaid Services (CMS), American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings. Only limited visitation is allowed.  Please visit our website for visiting hours.
• All visitors are screened as they enter the buildings. Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased, if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health (NDDoH) that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Bethany Retirement Living FAQs and COVID-19 Cases as of 12/16/20 2:30pm:

Dear families and friends of Bethany Retirement Living:

Bethany conducted standard surveillance Covid-19 testing on Thursday (12/10) and Monday (12/14).  During these two testing events 1,584 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  We had 4 new positive resident cases broken down as follows:  1-Bethany on University Skilled Care, 1-Bethany Towers I Basic Care and 2 at Bethany Gables.  We had no new cases in Towers II or Bethany on 42^nd Skilled Care.  We had 12 new staff positive cases broken down as follows:  3 at Bethany on 42^nd Skilled Care, 2 at Bethany Towers and 7 at Bethany on University Skilled Care.  There were no new positive staff cases at Bethany Gables.  Please review our FAQs below for answers to questions you may have.

Bethany Towers I & II and Bethany Gables are allowing limited visitation.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care are allowing limited compassionate care visits.  Please see visitation section on our website.

To keep residents safe, you must have proof of current testing results with you.  To visit you will need to provide proof of a negative COVID-19 test that was taken within the past 7 days.  To get on a regular visitation pattern, we recommend that you get tested on the same day every week so you get an idea of when you will be receiving the test results from the Department of Health in either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue SE, West Fargo. (some map programs list it as East-not SE) The church is directly West of Sheyenne High School.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday/Tuesday/Friday from 12:00 pm to 7:00 pm and Saturday/Sunday from 10:00 am to 4:00 pm.  Schedule Appointment with Vault Health

We also encourage virtual visits (Facetime etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd Skilled Care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

We will are conducting twice-a-week COVID-19 surveillance swab testing on skilled care, basic care, and assisted living residents and staff.  Resident testing is conducted each Monday and Thursday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Test results are usually returned within 48-72 hours.  Bethany staff will contact all residents with positive test calls.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  We may add or subtract cases as new test results arrive or as cases are resolved.  Due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control (CDC), Centers for Medicare and Medicaid Services (CMS), American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings. Only limited visitation is allowed.  Please visit our website for visiting hours.
• All visitors are screened as they enter the buildings. Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased, if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health (NDDoH) that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Bethany Retirement Living FAQs and COVID-19 Cases as of 12/10/20 1:30pm:

Dear families and friends of Bethany Retirement Living:

Bethany conducted standard surveillance Covid-19 testing on Thursday (12/3) and Monday (12/7).  During these two testing events 1,803 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  We had 4 new positive resident cases broken down as follows:  3-Bethany on University Skilled Care and 1-Bethany Towers I Basic Care.  We had no new cases in Towers II, Bethany Gables or Bethany on 42^nd Skilled Care.  We had 4 new staff positive cases broken down as follows:  1 at Bethany on 42^nd Skilled Care, 2 at Bethany Towers I Basic Care, 1 at Bethany on University Skilled Care.  There were no new positive staff cases at Bethany Towers II or Bethany Gables.  Please review our FAQs below for answers to questions you may have.

Bethany Towers I & II and Bethany Gables are allowing limited visitation.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care are allowing limited compassionate care visits.  Please see visitation section on our website.

To keep residents safe, you must have proof of current testing results with you.  To visit you will need to provide proof of a negative COVID-19 test that was taken within the past 7 days.  To get on a regular visitation pattern, we recommend that you get tested on the same day every week so you get an idea of when you will be receiving the test results from the Department of Health in either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue SE, West Fargo. (some map programs list it as East-not SE) The church is directly West of Sheyenne High School.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday/Tuesday/Friday from 12:00 pm to 7:00 pm and Saturday/Sunday from 10:00 am to 4:00 pm.  Schedule Appointment with Vault Health

We also encourage virtual visits (Facetime etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd Skilled Care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

We will are now conducting twice-a-week COVID-19 surveillance swab testing on all skilled care, basic care, and assisted living residents and staff.  Resident and employee testing is conducted each Monday and Thursday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Test results are usually returned within 48-72 hours.  Bethany staff will contact all residents with positive test calls.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  We may add or subtract cases as new test results arrive or as cases are resolved.  Due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control (CDC), Centers for Medicare and Medicaid Services (CMS), American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings. Only limited visitation is allowed.  Please visit our website for visiting hours.
• All visitors are screened as they enter the buildings. Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased, if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health (NDDoH) that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Bethany Retirement Living FAQs and COVID-19 Cases as of 12/3/20 10:00am:

Dear families and friends of Bethany Retirement Living:

Bethany conducted standard surveillance Covid-19 testing on Friday (11/27) and Monday (11/30).  During these two testing events 1,850 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  We had 11 new positive resident cases.  5-Bethany on University Skilled Care, 3-Bethany Towers I Basic Care. 1-Towers II, 1-Bethany Gables and 1 at Bethany on 42^nd Skilled Care.  We had 8 new staff positive cases broken down as follows:  3 at Bethany on 42^nd Skilled Care, 1 at Bethany Towers I Basic Care, 3 at Bethany on University Skilled Care and 1 at Bethany Gables.  There were no positive staff cases at Bethany Towers II.  Please review our FAQs below for answers to questions you may have.

Bethany Towers I & II and Bethany Gables are allowing limited visitation.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care are allowing limited compassionate care visits.  Please see visitation section on our website.

To keep residents safe, you must have proof of current testing results with you.  To visit you will need to provide proof of a negative COVID-19 test that was taken within the past 7 days.  To get on a regular visitation pattern, we recommend that you get tested on the same day every week so you get an idea of when you will be receiving the test results from the Department of Health in either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue SE, West Fargo. (some map programs list it as East-not SE) The church is directly West of Sheyenne High School.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday/Tuesday/Friday from 12:00 pm to 7:00 pm and Saturday/Sunday from 10:00 am to 4:00 pm.  Schedule Appointment with Vault Health

We also encourage virtual visits (Facetime etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd Skilled Care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

We will are now conducting twice-a-week COVID-19 surveillance swab testing on all skilled care, basic care, and assisted living residents and staff.  Resident and employee testing is conducted each Monday and Thursday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Test results are usually returned within 48-72 hour hours.  Bethany staff will contact all residents with positive test calls.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  We may add or subtract cases as new test results arrive or as cases are resolved.  Due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control (CDC), Centers for Medicare and Medicaid Services (CMS), American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings. Only limited visitation is allowed.  Please visit our website for visiting hours.
• All visitors are screened as they enter the buildings. Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased, if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health (NDDoH) that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Bethany Retirement Living FAQs and COVID-19 Cases as of 11/25/20 11:00am:

Dear families and friends of Bethany Retirement Living:

Bethany conducted standard surveillance Covid-19 testing on Thursday (11/19) and Monday (11/23).  During these two testing events 1,911 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  We had 3 new positive resident cases.  2 at Bethany on University Skilled Care and 1 at Bethany Towers I Basic Care.  We had no new cases in Towers II, Bethany on 42^nd Skilled Care or Bethany Gables.  We had 18 new staff positive cases broken down as follows:  8 at Bethany on 42^nd Skilled Care, 2 at Bethany Towers I Basic Care and 8 at Bethany on University Skilled Care.  There were no positive staff cases at Bethany Towers II or Bethany Gables.  Please review our FAQs below for answers to questions you may have.

Bethany Towers I & II and Bethany Gables are allowing limited visitation.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care are allowing limited compassionate care visits.  Please see visitation section on our website.

To keep residents safe, you must have proof of current testing results with you.  To visit you will need to provide proof of a negative COVID-19 test that was taken within the past 7 days.  To get on a regular visitation pattern, we recommend that you get tested on the same day every week so you get an idea of when you will be receiving the test results from the Department of Health in either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue SE, West Fargo. (some map programs list it as East-not SE) The church is directly West of Sheyenne High School.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday/Tuesday/Friday from 12:00 pm to 7:00 pm and Saturday/Sunday from 10:00 am to 4:00 pm.  Schedule Appointment with Vault Health

We also encourage virtual visits (Facetime etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd Skilled Care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

We will are now conducting twice-a-week COVID-19 surveillance swab testing on all skilled care, basic care, and assisted living residents and staff.  Resident and employee testing is conducted each Monday and Thursday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Test results are usually returned within 48-72 hour hours.  Bethany staff will contact all residents with positive test calls.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  We may add or subtract cases as new test results arrive or as cases are resolved.  Due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control (CDC), Centers for Medicare and Medicaid Services (CMS), American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings. Only limited visitation is allowed.  Please visit our website for visiting hours.
• All visitors are screened as they enter the buildings. Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased, if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health (NDDoH) that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Bethany Retirement Living FAQs and COVID-19 Cases as of 11/18/20 5:00pm:

Dear families and friends of Bethany Retirement Living:

Bethany conducted standard surveillance Covid-19 testing on Thursday (11/12) and Monday (11/16).  During these two testing events 1,950 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  We had 7 new positive resident cases.  3 at Bethany on University Skilled Care and 4 at Bethany on 42^nd Skilled Care.  We had no new cases in Towers I & II or Bethany Gables.  We had 18 new staff positive cases broken down as follows:  5 at Bethany on 42^nd Skilled Care, 1 at Bethany Gables and 12 at Bethany on University Skilled Care.  There were no positive staff cases at Bethany Towers I & II.  Please review our FAQs below for answers to questions you may have.

Bethany Towers I & II and Bethany Gables are allowing limited visitation.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care are allowing limited compassionate care visits.  Please see visitation section on our website.

To keep residents safe, you must have proof of current testing results with you.  To visit you will need to provide proof of a negative COVID-19 test that was taken within the past 7 days.  To get on a regular visitation pattern, we recommend that you get tested on the same day every week so you get an idea of when you will be receiving the test results from the Department of Health in either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue SE, West Fargo. (some map programs list it as East-not SE) The church is directly West of Sheyenne High School.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday/Tuesday/Friday from 12:00 pm to 7:00 pm and Saturday/Sunday from 10:00 am to 4:00 pm.  Schedule Appointment with Vault Health

We also encourage virtual visits (Facetime etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd Skilled Care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

We will are now conducting twice-a-week COVID-19 surveillance swab testing on all skilled care, basic care, and assisted living residents and staff.  Resident and employee testing is conducted each Monday and Thursday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Test results are usually returned within 48-72 hour hours.  Bethany staff will contact all residents with positive test calls.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  We may add or subtract cases as new test results arrive or as cases are resolved.  Due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control (CDC), Centers for Medicare and Medicaid Services (CMS), American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings. Only limited visitation is allowed.  Please visit our website for visiting hours.
• All visitors are screened as they enter the buildings. Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased, if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health (NDDoH) that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Bethany Retirement Living FAQs and COVID-19 Cases as of 11/12/20 3:00pm:

Dear families and friends of Bethany Retirement Living:

On November 6^th and 7th, we tested Bethany on University staff working closest with the residents.  We also did our standard surveillance testing during the week of Monday, November 9.  During these two testing events 1,208 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  We had no new positive resident cases at Bethany on University Skilled Care, Bethany on 42^nd Skilled Care, Towers I & II or Bethany Gables.  We had 22 new staff positive cases broken down as follows:  10 at Bethany on 42^nd Skilled Care and 12 at Bethany on University Skilled Care.  There were no positive staff cases at Bethany Towers I & II or Bethany Gables.  Please review our FAQs below for answers to questions you may have.

Bethany Towers I & II and Bethany Gables are allowing limited visitation.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care are allowing limited compassionate care visits.  Please see visitation section on our website.

To keep residents safe, you must have proof of current testing results with you.  To visit you will need to provide proof of a negative COVID-19 test that was taken within the past 7 days.  To get on a regular visitation pattern, we recommend that you get tested on the same day every week so you get an idea of when you will be receiving the test results from the Department of Health in either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue SE, West Fargo. (some map programs list it as East-not SE) The church is directly West of Sheyenne High School.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday/Tuesday/Friday from 12:00 pm to 7:00 pm and Saturday/Sunday from 10:00 am to 4:00 pm.  Schedule Appointment with Vault Health

We also encourage virtual visits (Facetime etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd Skilled Care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

We will are now conducting twice-a-week COVID-19 surveillance swab testing on all skilled care, basic care, and assisted living residents and staff.  Resident and employee testing is conducted each Monday and Thursday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Test results are usually returned within 48-72 hour hours.  Bethany staff will contact all residents with positive test calls.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  We may add or subtract cases as new test results arrive or as cases are resolved.  Due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control (CDC), Centers for Medicare and Medicaid Services (CMS), American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings. Only limited visitation is allowed.  Please visit our website for visiting hours.
• All visitors are screened as they enter the buildings. Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased, if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health (NDDoH) that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Bethany Retirement Living FAQs and COVID-19 Cases as of 11/12/20 3:00pm:

Dear families and friends of Bethany Retirement Living:

On November 6^th and 7th, we tested Bethany on University staff working closest with the residents.  We also did our standard surveillance testing during the week of Monday, November 9.  During these two testing events 1,208 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  We had no new positive resident cases at Bethany on University Skilled Care, Bethany on 42^nd Skilled Care, Towers I & II or Bethany Gables.  We had 22 new staff positive cases broken down as follows:  10 at Bethany on 42^nd Skilled Care and 12 at Bethany on University Skilled Care.  There were no positive staff cases at Bethany Towers I & II or Bethany Gables.  Please review our FAQs below for answers to questions you may have.

Bethany Towers I & II and Bethany Gables are allowing limited visitation.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care are allowing limited compassionate care visits.  Please see visitation section on our website.

To keep residents safe, you must have proof of current testing results with you.  To visit you will need to provide proof of a negative COVID-19 test that was taken within the past 7 days.  To get on a regular visitation pattern, we recommend that you get tested on the same day every week so you get an idea of when you will be receiving the test results from the Department of Health in either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue SE, West Fargo. (some map programs list it as East-not SE) The church is directly West of Sheyenne High School.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday/Tuesday/Friday from 12:00 pm to 7:00 pm and Saturday/Sunday from 10:00 am to 4:00 pm.  Schedule Appointment with Vault Health

We also encourage virtual visits (Facetime etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd Skilled Care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

We will are now conducting twice-a-week COVID-19 surveillance swab testing on all skilled care, basic care, and assisted living residents and staff.  Resident and employee testing is conducted each Monday and Thursday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Test results are usually returned within 48-72 hour hours.  Bethany staff will contact all residents with positive test calls.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  We may add or subtract cases as new test results arrive or as cases are resolved.  Due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control (CDC), Centers for Medicare and Medicaid Services (CMS), American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings. Only limited visitation is allowed.  Please visit our website for visiting hours.
• All visitors are screened as they enter the buildings. Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased, if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health (NDDoH) that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

COVID-19 Testing Update Monday, November 9, 2020, 2:45 pm

On Monday, November 9^th, Cass County was classified as a RED County, by the ND Department of Health, for COVID-19 testing guidelines.  According to the testing guidelines, Bethany employees will now be required to be tested for COVID-19 two times per week at the community testing site.  Employee testing days will be every Monday and Thursday.  Testing location and times will remain the same-(5:30am until 5:30pm).  Skilled Care, Basic Care and Assisted Living resident testing will also be conducted two times per week on Monday and Thursday.  Resident testing will take place in the resident’s rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Bethany Retirement Living FAQs and COVID-19 Cases as of 11/5/20 11:00am:

Dear families and friends of Bethany Retirement Living:

On October 30^th and 31^st, we tested Bethany on University staff working closest with the residents and Towers residents.  We also did our standard surveillance testing during the week of Monday, November 2.  During these two testing events 1,404 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  We had 5 positive resident cases at Bethany on University Skilled Care, 3 positive resident cases at Towers I and 1 positive case in Bethany on 42^nd Skilled Care.  There were no positive resident cases at Towers II or Bethany Gables.  We had 31 new staff positive cases broken down as follows:  9 at Bethany on 42^nd Skilled Care, 18 at Bethany on University Skilled Care and 4 at Bethany Towers I and II.  There were no positive staff cases at Bethany Gables.  Please review our FAQs below for answers to questions you may have.

Bethany Towers I & II and Bethany Gables will start allowing limited visitation starting on Thursday, November 5^th.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care will be allowing limited compassionate care visits starting on Thursday, November 5th.  Please see visitation section on our website

To keep residents safe, you must have proof of current testing results with you.  To visit you will need to provide proof of a negative COVID-19 test that was taken within the past 7 days.  To get on a regular visitation pattern, we recommend that you get tested every week on the same day so you get an idea of when you will be receiving the test results from the Department of Health of either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue SE, West Fargo. (some map programs list it as East-not SE) The church is directly West of Sheyenne High School.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday, Tuesday, Friday: 12 – 7 p.m. and Saturday – Sunday: 10 a.m. – 4 p.m.

Schedule Appointment with Vault Health

We also encourage virtual visits (Facetime etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd Skilled Care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

We will continue conducting weekly COVID-19 surveillance swab testing on all skilled care, basic care, and assisted living residents and staff.  Resident and employee testing will continue to be conducted each Monday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Test results are usually returned within 48-72 hour hours.  Bethany staff will contact all residents with positive test calls.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  Some of the resident and staff positives will be cleared tomorrow so our numbers will go down tomorrow.  We will try to post an update with our lower numbers on Friday.  We may add or subtract cases as new test results arrive and, due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services, American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings. Only limited visitation is allowed.  Please visit our website for visiting hours.
• All visitors are screened as they enter the buildings. Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Assisted Living and Basic Care Visitation Update  11/3/2020 3:30 pm

Bethany Towers and Bethany Gables will start allowing limited visitation starting on Thursday, November 5^th.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care will be allowing limited compassionate care visits starting on Thursday, November 5th.  To keep residents safe, you must have proof of current testing results with you.  To visit you will need to provide proof of a negative COVID-19 test that was taken within the past 7 days.  Proof of results can be hard copy, an e-mail or text message saved on your cell phone.  To get on a regular visitation pattern, I recommend that you get tested every week on the same day so you get an idea of when you will be receiving the test results from the Department of Health of either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue East, West Fargo.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14^th Street South, Moorhead.

(this is saliva testing)  This site is open Monday, Tuesday, Friday from: 12:00 pm to 7:00 p.m., and Saturday & Sunday: 10:00 a.m. to- 4:00 p.m.  Schedule Appointment with Vault Health

Please continue to monitor Bethany’s website for updated information on visitation at www.bethanynd.org.  We continue to provide virtual visits (Facetime etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd skilled care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

Assisted Living and Basic Care Visitation Update  11/3/2020 3:30 pm

Bethany Towers and Bethany Gables will start allowing limited visitation starting on Thursday, November 5^th.  Bethany on 42^nd Skilled Care and Bethany on University Skilled Care will be allowing limited compassionate care visits starting on Thursday, November 5th.  To keep residents safe, you must have proof of current testing results with you.  To visit you will need to provide proof of a negative COVID-19 test that was taken within the past 7 days.  Proof of results can be hard copy, an e-mail or text message saved on your cell phone.  To get on a regular visitation pattern, I recommend that you get tested every week on the same day so you get an idea of when you will be receiving the test results from the Department of Health of either ND or MN.  Free testing is available at the following locations:

• Faith Journey Lutheran Church, 650 40^th Avenue East, West Fargo.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14^th Street South, Moorhead.

(this is saliva testing)  This site is open Monday, Tuesday, Friday from: 12:00 pm to 7:00 p.m., and Saturday & Sunday: 10:00 a.m. to- 4:00 p.m.  Schedule Appointment with Vault Health

Please continue to monitor Bethany’s website for updated information on visitation at www.bethanynd.org.  We continue to provide virtual visits (Facetime etc.) for residents.  For Bethany on University Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd skilled care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and for Towers please call 239-3424.

Bethany Retirement Living FAQs and COVID-19 Cases as of 10/29/20 10:00am:

Dear families and friends of Bethany Retirement Living:

For the week of Monday, October 26th, 1,070 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  We had 2 positive resident cases at Bethany on University-Skilled Care, 4 positive resident cases in Towers I and 1 positive case in Towers II.  There were no positive resident cases at Bethany on 42nd-Skilled Care or Bethany Gables.  We had 16 new staff positive cases broken down as follows:  2 at Bethany on 42^nd-Skilled Care, 11 at Bethany on University-Skilled Care and 3 in Towers Basic Care.  There were no positive staff cases at Bethany Gables.

Please review our FAQs below for answers to questions you may have.

Bethany Towers I and Towers II will not reopen for visitation until November 11^th.  For Bethany Gables, Bethany on 42^nd Skilled Care and Bethany on University Skilled Care, we are considering lifting visitation restrictions late next week and allowing a greater number of compassionate care visits.  If we do, we will only let people in the door that have proof of current testing results with you.  To visit you will need to provide proof of a negative COVID-19 test that was taken within the past 7 days.  To get on a regular visitation pattern, we recommend that you get tested every week on the same day so you get an idea of when you will be receiving the test results from the Department of Health of either ND or MN.  Free testing is available at the following locations:

• Faith and Journey Lutheran Church, 650 40^th Avenue East, West Fargo.

This site is open from 8:00 am to 5:00 pm Monday through Friday, and no appointment is necessary.

• Former Thomas Edison Elementary School, 1110 14th Street South, Moorhead.

This is saliva testing and the site is open Monday, Tuesday, Friday: 12 – 7 p.m. and Saturday – Sunday: 10 a.m. – 4 p.m.

Schedule Appointment with Vault Health

We will provide an update on our website and send out e-mails to Skilled Care primary contacts when visitation plans change.  We will work to provide virtual visits (Facetime etc.) for residents.  For Bethany on University-Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd -skilled care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and Towers please call 239-3424.

We will continue conducting weekly COVID-19 surveillance swab testing on all skilled care, basic care, and assisted living residents and staff.  Resident and employee testing will continue to be conducted each Monday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Test results are usually returned within 48-72 hour hours.  Bethany staff will contact all residents with positive test calls.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  Some of the resident and staff positives will be cleared tomorrow so our numbers will go down tomorrow.  We will try to post an update with our lower numbers on Friday.  We may add or subtract cases as new test results arrive and, due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services, American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• ALL VISITATION IS CURRENTLY SUSPENDED. Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings.  Only limited visitation is allowed.  Please visit our website for visiting hours.
• ALL VISITATION IS CURRENTLY SUSPENDED. All visitors are screened as they enter the buildings.  Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Bethany Retirement Living FAQs and COVID-19 Cases as of 10/23/20 10:00am:

Dear families and friends of Bethany Retirement Living:

We are providing you a short update today since we had many staff and residents cleared of Covid-19 today.  Please see our case counts in the table below.  We will continue with our visitation suspension for at least the next 12 days.  Lifting visitation restrictions will depend on the county positivity rate, compliance with visitors getting tested and our internal positive case count.  CMS (Centers for Medicare and Medicaid Services) has specific guidance that we need to follow if Cass County would turn to a “red” classification.  Red means a positivity rate of over 10%.

We will work to provide virtual visits (Facetime etc.) for residents.  For Bethany on University-Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd-Skilled Care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and Towers please call 239-3424.

We will continue conducting weekly COVID-19 surveillance swab testing on all skilled care, basic care, and assisted living residents and staff.  Resident and employee testing will continue to be conducted each Monday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Test results are usually returned within 48-72 hour hours.  Bethany staff will contact all residents with positive test calls.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  Some of the resident and staff positives will be cleared tomorrow so our numbers will go down tomorrow.  We will try to post an update with our lower numbers on Friday.  We may add or subtract cases as new test results arrive and, due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services, American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• ALL VISITATION IS CURRENTLY SUSPENDED. Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings.  Only limited visitation is allowed.  Please visit our website for visiting hours.
• ALL VISITATION IS CURRENTLY SUSPENDED. All visitors are screened as they enter the buildings.  Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Bethany Retirement Living FAQs and COVID-19 Cases as of 10/21/20 4:00pm:

Dear families and friends of Bethany Retirement Living:

For the week of Monday, October 19th, 1,111 swab tests were conducted for residents and staff at both Bethany on 42^nd and Bethany on University.  We had 3 positive resident cases at Bethany on University-Skilled Care, 13 positive resident cases in Towers I and 7 positive cases in Towers II.  There were no positive resident cases at Bethany on 42nd-Skilled Care or Bethany Gables.  We had 12 new staff positive cases broken down as follows:  4 at Bethany on 42^nd-Skilled Care and 8 at Bethany on University-Skilled Care.  There were no positive staff cases in Gables or Towers.  Please review our FAQs below for answers to questions you may have.

EFFECTIVE IMMEDIATELY, Bethany on University and Bethany on 42^nd will be halting all visitations at both campuses due to the continued rise in Covid-19 positive cases county- and state-wide.  We will work to provide virtual visits (Facetime etc.) for residents.  For Bethany on University-Skilled Care, please contact Ann, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd -skilled care, please contact Laurie, Director of Community Life, at 701-478-8904.  For Bethany Gables please call 478-8970 and Towers please call 239-3424.

We will continue conducting weekly COVID-19 surveillance swab testing on all skilled care, basic care, and assisted living residents and staff.  Resident and employee testing will continue to be conducted each Monday.  Resident testing will take place in the residents’ rooms and will be coordinated by the Skilled Care and Assisted Living/Basic Care nursing teams.  The test is free of charge.

Test results are usually returned within 48-72 hour hours.  Bethany staff will contact all residents with positive test calls.  If you have any questions or concerns about the test, please contact the social worker or unit manager in Skilled Care or the Nurse in Assisted Living/Basic Care.

At Bethany, if an employee tests positive for COVID-19, they are immediately removed from the schedule and told to quarantine at home.  A positive resident is moved to a confined COVID-19 skilled care area with designated staff.

Bethany will continue to provide updates via e-mail and our website as our COVID-19 cases change.  You are also able to call us with any questions.  We are providing this link to the North Dakota Department of Health (NDDoH) COVID19 website for your convenience https://www.health.nd.gov/diseases-conditions/coronavirus/north-dakota-coronavirus-cases .  As we update our information, here are a few guidelines we will be following.

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services and the North Dakota Department of Health.
• We will not be identifying employees, residents or patients who test positive due to confidentiality.
• All employees who are ill are not allowed to work for 14 days and will need two negative COVID-19 tests prior to return to work.
• We will not give information on resident deaths due to confidentiality.

Here are the latest COVID-19 numbers.  Some of the resident and staff positives will be cleared tomorrow so our numbers will go down tomorrow.  We will try to post an update with our lower numbers on Friday.  We may add or subtract cases as new test results arrive and, due to the timing of the results, they may not be reflected on the State website at the time of this posting.

Sincerely, Shawn Stuhaug, CEO

Frequently Asked Questions:

What have you done to decrease the risk of COVID-19 for residents and educate family members?

• We are following recommendations and guidance from the Centers for Disease Control, Centers for Medicare and Medicaid Services, American Health Care Association (AHCA) and the North Dakota Department of Health (NDDoH).
• ALL VISITATION IS CURRENTLY SUSPENDED. Among the first acts undertaken to limit potential exposure was to restrict visitors and lock the entrances to Bethany buildings.  Only limited visitation is allowed.  Please visit our website for visiting hours.
• ALL VISITATION IS CURRENTLY SUSPENDED. All visitors are screened as they enter the buildings.  Visitors are also encouraged to get regular COVID testing that is offered in our community.  Please wait in your car until your scheduled visiting times to help reduce the number of people in the lobby area.
• The Bethany website has been enhanced by adding a “Coronavirus Information” tab to share up-to-date information about the pandemic in general and at Bethany Retirement Living.
• Numerous emails have been sent to families from our Social Services team. Please contact a member of the social service team if you would like to be added to the e-mail list.
• Everbridge (Mass Communication System) messages have been distributed by the CEO for education to family member primary contact.
• Letters have been mailed to primary Skilled Nursing Facility (SNF) resident contacts, SNF residents without dementia/memory issues, and residents of Towers, Gables and Grace Pointe.
• All potential admissions are screened for symptoms and fever.
• All SNF admissions are initially processed through one unit (TCU) with increased monitoring of potential symptoms.
• A negative COVID test is required within 24 hours prior to a skilled care admission or return from hospital. Even with a negative COVID test, we still quarantine all new admissions and hospital/ER returns for 14 days.
• Bethany may admit COVID positive residents periodically if we have a COVID-positive area set up.
• Screening of all SNF residents occurs daily and at times two or three times/day. Symptoms monitored include a full set of vital signs along with the observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Screening of all Assisted Living and Basic Care residents occurs daily and, at times, two times/day. Symptoms to monitor include temperature, pulse and O2 stats along with observation of any of the following: coughing, shortness of breath, weakness, fatigue, sore throat, chills, nausea, vomiting, diarrhea, headache, muscle aches and loss of taste/smell.
• Resident Activities of Daily Living (ADL) sheets are updated to include prompts for hand sanitizing of resident hands and resident mask placement.
• Non-emergent resident appointments are being decreased if able.
• Limiting resident group activities to no more than 10 people while also practicing social distancing and use of facemasks. Activities are also live streamed.
• Residents are encouraged to remain in their room when not attending an activity, therapy or exercise.
• Physical, Occupational and Speech Therapy is being conducted in both the resident rooms and in the therapy/wellness center as long as the resident/patient is not in isolation.
• No communal dining for SNF residents unless the resident eating in their room is a safety risk. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• No communal dining for Towers or Gables assisted living/basic care residents. This is a National Best Practice for limiting the spread of COVID within LTC Facilities.
• Use of hand sanitizer is encouraged for each resident interaction.
• Use of masks is encouraged for all residents.
• Each Bethany campus has a designated Infection Preventionist to provide surveillance and oversight.
• Visual alerts such as signage and posters have been added throughout the facility to encourage hand sanitizing for both residents and staff.

What have you done to educate staff and decrease the risk of COVID-19?

• See questions above as some information applies to both questions.
• Everbridge (Mass Communication System) messages to staff related to education.
• Many YouTube Videos have been produced and sent to ALL staff cell phones.
• Educational videos and verbal education are reviewed at shift change/daily huddles etc.
• Mandatory Healthcare Academy Education on Personal Protective Equipment (PPE), Hand Hygiene, COVID-19 and infection prevention have been assigned and made mandatory for all employees.
• Surveillance and auditing of employees is being conducted to ensure proper use of PPE and handwashing is occurring.
• Hand sanitizer is required for all nursing staff to have on the person (this is not new, but an uncommon practice for most SNFs).
• Surgical or N95 Facemasks and face shields are required for staff when in resident areas.
• Facemask and face shield requirements have been enhanced as guidance has evolved.
• All employees are required to wear face masks when outside of their office spaces. Staff may wear a cloth, surgical or N95 mask when outside of resident areas.
• High touch surfaces are sanitized multiple times per day in office spaces, common areas, etc.
• Educational resources from the North Dakota Department of Health that pertain to COVID-19 have been provided to employees.
• Employees are monitored for Covid-19 symptoms at the start of each shift, as well as with staff that call in ill prior to their shift. A detailed spreadsheet enables close tracking of all employees with symptoms and tracks adherence to the Return-to-Work guidance from the North Dakota Department of Health (NDDoH).
• Employees that have been taken off the schedule due to COVID-19 Symptoms, close contact, or having received a positive COVID-19 test result are contacted frequently to monitor symptoms and to determine a safe timeline for return.
• ALL employees are requested to limit employment to “Bethany Only” unless the additional job is approved after review, and considered low risk for exposure to COVID-19 by the COVID-19 leadership team members. This was a difficult decision for both Bethany and our staff, but the risk of infection when working many different jobs and coming in contact with many different people works against the concept of social distancing to limit the spread.
• A COVID-19 Leadership team meets regularly to discuss PPE supply and to analyze additional vendors for increased PPE supply, new guidance on COVID-19, etc.
• Meetings are held 2 days a week to discuss employees who are furloughed and their plans for return to work.
• Leadership team members are on-call 24 hours per day/7 days a week to deal with employee and family questions and concerns.
• Weekly meetings and/or conference calls/webinars/education reviews are held with the NDDoH, Centers for Disease Control, Public Health, ND Long Term Care Association, and American Health Care Association.
• Contact tracing if/when applicable is coordinated with the ND Department of Health.
• Excess chairs have been removed in break room areas to limit tables to two staff members at a table only. Additional space has been opened up for employee breaks to allow for social distancing.
• Visual alerts such as signs and posters have been added throughout all buildings that encourage staff hand hygiene, resident hand hygiene and proper use of PPE.
• Increased hand hygiene stations have been installed throughout all buildings.
• Staff competencies are routinely completed to establish/verify adherence to infection prevention.

We have received notification that a resident at Bethany has tested positive for COVID-19 and we have the following questions.

Will all residents now be tested?

• Resident testing (mass surveillance testing of all residents) is coordinated and directed by the ND Department of Health. A resident that is symptomatic is tested at the direction of the resident’s physician.

Will all staff be tested?

• Bethany employees complete a health screening at the start of their shift. If an employee triggers a concern on the health screening, they are immediately removed from the schedule.   A Bethany staff member then works with the employee on symptom monitoring, communication with their physician and return to work protocol.
• Staff testing (mass surveillance testing of all staff) is coordinated and directed by the ND Department of Health. Staff testing occurs weekly.

Will COVID-19 positive residents be taken to the hospital?

• A transfer to the hospital is coordinated by the resident’s physician and Bethany staff. Residents who are in a declining in health status may be transferred to the hospital as directed by their physician.  Bethany would call 911 in an emergency situation.

Wednesday, October 21, 2020

EFFECTIVE IMMEDIATELY, Bethany on University and Bethany on 42^nd will be halting all visitation at both campuses due to the continued rise in Covid-19 positive cases county- and state-wide.  This includes all family, provider, hospice and home care visits and affects both skilled nursing and assisted living/basic care.

We will work to provide virtual visits (Facetime etc.) for residents.  For Bethany on University, please contact Ann Schultz, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd, please contact Laurie Schnabel, Director of Community Life, at 701-478-8904.

Please continue to monitor our website www.bethanynd.org/coronavirus-information for up-to-date information.

Wednesday, October 21, 2020

EFFECTIVE IMMEDIATELY, Bethany on University and Bethany on 42^nd will be halting all visitation at both campuses due to the continued rise in Covid-19 positive cases county- and state-wide.  This includes all family, provider, hospice and home care visits and affects both skilled nursing and assisted living/basic care.

We will work to provide virtual visits (Facetime etc.) for residents.  For Bethany on University, please contact Ann Schultz, Director of Community Life, at 701-239-3246.  For Bethany on 42^nd, please contact Laurie Schnabel, Director of Community Life, at 701-478-8904.

Please continue to monitor our website www.bethanynd.org/coronavirus-information for up-to-date information.