COVID-19 Coronavirus – Increased Surveillance Protocol

By Lauren Sanderlin | Publish Date March 12, 2020

November 9, 2020

Independent Living:

No new developments 

Memory Care (SCALF):

As of today, we have a total of 9 residents that are positive for Covid-19. Two are in the hospital and 7 remain in the facility with minor symptoms.

Skilled Nursing:

All results for skilled nursing residents conducted 11/5 and 11/6 were negative for Covid-19. 

Staff:

We have 3 staff that have tested positive for Covid-19. We were made aware that one staff member was admitted to the hospital this weekend but seems to be improving.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

 

November 6, 2020

Independent Living:

No new developments 

Assisted Living and Memory Care:

As we reported on 11/3, we had one staff member test positive for Covid-19 at the hospital on 11/1. We then sent a resident to the hospital on 11/4 for shortness of breath and general malaise. The hospital reported back to us on 11/5 that resident was Covid-19 positive. We then initiated testing later 11/5 for all 18 residents of SCALF. The results indicate that 7 of them have tested positive for Covid-19. 1 resident is hospitalized, and the rest remain in SCALF and are being monitored closely. That makes for a total of 8 resident that have tested positive for COVID-19 in SCALF this week.

Skilled Nursing:

Weekly Covid-19 testing for Skilled Nursing employees conducted on 11/5, revealed that one staff member tested positive for Covid-19.  We are in the process of testing all skilled nursing residents today 11/6 and will report results as soon as possible.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

 

November 4, 2020

Independent Living:

No new developments

Assisted Living and Memory Care:

It was reported to our Director of Assisted living that we had one staff member test positive for Covid-19 at the hospital on 11/1.  As such, we continue to monitor all our Assisted Living residents for signs and symptoms of Covid.  As of today, we have 1 resident that has pneumonia and 2 with nasal congestion.  So far, these individuals have not presented a fever or reduced oxygen saturation levels.  We will continue to monitor all residents and act accordingly if symptoms do arise.

Skilled Nursing: 

Weekly Covid-19 testing for Skilled Nursing employees conducted on 10/29-10/30 and 10/31-11/1.  All 68 tests were negative for Covid-19.  We will continue to monitor and act accordingly.

Visitation Parameters for Thanksgiving

Thanksgiving Visits:

As the Thanksgiving holidays approach, we want to take the opportunity to begin communicating with you what is possible for visitation.  We will do so by level of residency so that we may try and limit confusion.  Please keep in mind that these parameters are subject to change based on guidance given by CMS, CDC, ADPH, or the Governor’s office. (See Below)

 Independent Living:

Residents are free to visit with their families for Thanksgiving.  It is highly recommended that when you return from your visit that you practice personal responsibility and try to remain as socially distanced from the rest of the community as possible for at least 10 days.  We are asking that they govern themselves accordingly and do their part to keep our community safe.

Assisted Living:

Residents in Assisted Living may visit with their families during the holidays.  Upon return to the community, Assisted Living residents will be asked to quarantine for 10 days.

Memory Care Assisted Living:

Due to the difficulty in having residents quarantine in their rooms upon return on this level, residents will not be allowed to leave the community for Thanksgiving visits.

Skilled Nursing:

Residents will not be allowed to leave the community for Thanksgiving visits.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

October 13, 2020

Independent Living:  No new developments.  

Assisted Living and Specialty Care Assisted Living:   No new developments.  

Skilled Nursing: As of 10/12, results from testing on 10/8 and 10/9 showed all residents remain negative for Covid-19.

Staff:  The weekend staff were tested on 10/10 and 10/11 and as of 10/13 all results are negative.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

October 12, 2020

Independent Living:  No new developments.  

Assisted Living and Specialty Care Assisted Living:   No new developments.  

Skilled Nursing: As of 10/12, results from testing on 10/8 and 10/9 showed all residents remain negative for Covid-19.

Staff:  Testing of all staff conducted 10/8 and 10/9 showed all staff remain negative for Covid-19. The Weekend staff were tested on 10/10 and 10/11 and we are expecting results by 10/13.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

October 5, 2020

As I am sure you all have heard, Governor Ivey has amended visitation rules for Skilled Nursing, Assisted Living, and Memory Care Assisted Living that will allow for limited visitation.  While this is a positive move for all in Alabama, there are still restrictions and regulations that must be followed from CMS (Centers for Medicare and Medicaid Services) and the CDC (Centers for Disease Control and Prevention).  The Alabama Nursing Home Association has provided the following guidance based on the CMS and CDC guidelines to family members:

  • Do schedule an appointment to visit with your loved one
  • Do use alcohol-based hand sanitizer before, during, and after your visit
    • Do wear a mask covering your mouth and nose during your entire visit in the facility
      • Do maintain social distance of at least six feet from staff and residents.  No touching or hugging.
      • Do keep out of areas that are not designated for visitation
      • Don’t remove your mask while in the facility
      • Don’t leave the designated visitation area
      • Don’t come to the facility without an appointment
        • Don’t come to the facility if you have any symptoms – coughing, sore throat, fever, vomiting, diarrhea, loss of sense of taste or smell – even if you attribute these symptoms to some other cause (allergies or cold).

The following is a synopsis of the other CMS and CDC guidelines for specific levels of care that must be in place for visits to occur:

For Independent Living:

Families may visit residents in their apartments if desired.  Please check in at the front desk and follow the normal screening procedures.  We ask that visitation be limited to no more that two people at time and that you practice social distancing and wear mask at all times. 

The main dining room will re- open on October 5, 2020.  Due to the need to enact social distancing, we request that family members not join residents for meals at this time. 

For Assisted Living and Memory Care:

  • Visits MUST be scheduled.  Visits can be scheduled through Cevannah Price, Lindsey Cullom, or Janet Lambert.  No more than one person can visit a resident at a time.  No more than three separate families can visit at one time. 
  • You must sign in at the front desk, answer a series of questions, and have a temperature check prior to visiting.  
  • County positivity rates must remain under 10% for visits to occur.  These rates are updated weekly.  If the county rate goes above 10% the visitation must be conducted outdoors until the rate is below 10% for a period of two weeks.  The current county rate is 7.3%.
  • At this time there is no regulation requiring routine testing of residents on these two levels of care. 
  • Visits must be at designated visiting areas.  No in-room visits at this time. 

For Skilled Nursing: (currently under outbreak testing)

As of 10/1, test of residents and staff in skilled nursing revealed that there were two residents that tested positive.  The two residents that tested positive are showing no signs and symptoms of Covid, but have been moved to isolation rooms per protocol.  No staff have tested positive for Covid-19 this week.

  • Visits MUST be scheduled.  Visits can be scheduled by contacting Amanda Herndon at 205-531-9100.  No more than one person can visit a resident at a time.  No more than three separate families can visit at one time.
  • You must sign in at the front desk, answer a series of questions, and have a temperature check prior to visiting.  
  • County positivity rates must remain under 10% for indoor visits to occur.  These rates are updated weekly.  If the county rate goes above 10%, the visitation must be stopped until the rate is below 10% for a period of two weeks.  The current county rate is 7.3%
  • Visits must be at designated visiting areas.  No in-room visits at this time. 
  • Newly admitted residents in Skilled Nursing who are negative for covid-19 from the hospital but on quarantine for 10 days can only visit via electronic communication until they come off quarantine.

  

  • Visitation cannot occur indoors or outdoors if facility is conducting Outbreak Testing.  Outbreak testing occurs if during your normal mandated testing one person, employee or staff, tests positive.  If one person tests positive all staff and residents must be tested every 3-7 days until you go through a 14-day period of no positive tests.  At this time, Kirkwood is conducting Outbreak Testing and are on a 14-day holding pattern until October 16th for indoor visits.  Between now and the 16th, should anyone test positive during routine testing, we will begin the 14-day window again. During this time the only indoor visits can be end of life/compassionate care visits and must be scheduled.  Visitation through window and door may continue during this time with a scheduled appointment.
  • Visits must be at designated visiting areas. No in-room visits at this time. 

For Assisted Living, Memory Care, and Skilled Nursing:

We have received several phone calls asking if a negative test from the visitor will be required prior to a visit.  Our current guidance is that a negative test will not be required for outdoor visits.  A negative test within 48 hours of the visit will be required for indoor visits other than end of life/compassionate care visit. 

We thank you for your continued patience as we all work through this together.  Please note guidance from our regulatory agency change frequently and this is subject to have changed by Monday.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

September 29, 2020

Independent Living: Everyone seems to be well and there are no reports of acute respiratory illness. Please note that Independent Living residents are welcome to receive no more than a few visitors in their apartments or outside.  We ask that you refrain from large group gatherings and that you wear a mask at all times while visiting.  We would recommend that you personally seek Covid testing if you are going to visit with your loved one.  We are planning to open the dining room under a reduced capacity scenario the week of October 5.  Programs will resume on a more regular schedule while maintaining social distancing, mask wearing, and proper hand sanitization.

Assisted Living and Specialty Care Assisted Living No new developments.  All residents are free of signs and symptoms of upper respiratory illness.  Please note that Assisted Living residents are free to leave the community to visit with families etc.  As such, we ask that families seek individual Covid testing at least weekly if they are going to visit with their loved ones. Residents are free to go off of the unit as they please, but will be discouraged from forming large gatherings and will be asked to wear a mask at all times.

Skilled Nursing: Last week, we conducted two separate rounds of testing to include all Skilled Nursing residents. Tests were conducted on 9/21 and 9/25 respectively.  All were NEGATIVE for Covid-19.

Staff:  Skilled Nursing staff were tested twice last week on 9/21 and 9/25.  All staff results were negative for Covid-19.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

September 10, 2020

Independent Living: No new developments.  Everyone seems to be well and there are no reports of acute respiratory illness.

Assisted Living and Specialty Care Assisted Living:   Last week, all residents and employees were tested and all tests resulted in negatives with the exception of one positive. The one resident on Assisted Living that tested positive has now received two negative re-tests. This resident is now presumed to be Covid negative.

Skilled Nursing: We do not currently have a positive case in Skilled Nursing. As of 9/8 we began weekly testing of all skilled nursing residents. All test results were returned as of this morning and are negative for Covid-19.

Staff:  All skilled nursing staff tests that were conducted the week of 9/8 are negative for Covid-19. This includes the one staff member that has been in quarantine for 14 days. This individual will now be allowed to return to work.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

August 14, 2020

See the latest testing results listed by level of care below.

Independent Living: No new developments.

Assisted Living:  No new developments.

Specialty Care Assisted Living:  No new developments.

Skilled Nursing: One resident continues to test positive in-house and remains in isolation.  We admitted one member, who previously resided in independent living, to skilled nursing on 8/12.  This individual continues to test positive for Covid-19 but is doing well and remains in isolation.  All other tests administered to residents in Skilled Nursing this week have been negative for Covid-19.

Staff:  We do not have any staff members on quarantine and all staff members tested this week have been negative.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

August 11, 2020
See the latest testing results listed by level of care below.
Independent Living: No new developments.

Assisted Living:  No new developments.

Specialty Care Assisted Living:  No new developments.

Skilled Nursing: One resident continues to test positive.  All COVID tests issued since Aug. 7 have been negative.

Staff:  All staff previously on quarantine have tested negative and are clear to return to work.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

August 5, 2020

See the latest testing results listed by level of care below.

Independent Living: One resident positive in COVID Skilled Nursing Rehab unit.

Assisted Living:  No known COVID illness.

Specialty Care Assisted Living:  No known COVID illness.

Skilled Nursing: Over the past five months, we have had a total of 16 residents test positive; 7 have recovered, two remain positive, and we have experienced 7 COVID related deaths.

Staff:   Four staff members remain on quarantine.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

July 28, 2020

See the latest testing results listed by level of care below.

Independent Living: We have one positive resident currently in the hospital, and will be discharged from hospital soon.

Assisted Living:  No known COVID illness.

Specialty Care Assisted Living:  No known COVID illness.

Skilled Nursing: We have two resident’s positive for COVID-19, both are asymptomatic and on isolation measures.

Staff:  Six staff members remain at home on quarantine.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

July 24, 2020

See the latest testing results listed by level of care below.

Independent Living: One resident that transferred to the hospital on 7/20 tested positive for COVID-19.

Assisted Living:  No new COVID related developments.

Specialty Care Assisted Living:  No new COVID related developments.

Skilled Nursing: On 7/22 we retested the 7 residents in-house that had previously tested positive for COVID-19. All 7 tests were negative. We will retest those 7 residents again today and are hopeful that tests will result in a second negative. None of these 7 residents are showing any signs or symptoms of infection.

We have had 2 additional residents test positive on 7/22. One resident is showing symptoms, the other remains asymptomatic.

Staff: In testing provided to staff on 7/22, 3 tests were positive. All of these employees work in Skilled Nursing and had no duties outside of the Skilled Nursing unit.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

July 20, 2020

See the latest testing results listed by level of care below.

Independent Living: No new COVID related developments.

Assisted Living:  No new COVID related developments.

Specialty Care Assisted Living:  No new COVID related developments.

Skilled Nursing:  The resident that began showing symptoms on the afternoon of 7/16, passed away Friday afternoon on 7/17.  The resident that returned from the hospital on 7/14, also passed away Friday afternoon 7/17; however, was asymptomatic for temperature, shortness of breath or congestion at the time of passing.  As of today, we have 7 residents in-house that are COVID positive and remain asymptomatic. We have had a total of 12 positive residents in Skilled Nursing with 5 deaths.

Staff: No new developments.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

July 15, 2020

See the latest testing results listed by level of care below.

Independent Living- All 3 residents that tested positive in Independent living have received their second negative test as of yesterday 7/14. Those individuals are now deemed to be Covid free.

Assisted Living- All residents on Assisted Living have received 2 negative Covid test and deemed to be Covid free.

Specialty Care Assisted Living- No developments. All residents confirmed negative. We will continue to monitor for signs and symptoms and will act accordingly if symptoms arise.

Skilled Nursing-   As of 7/15, we continue to have 8 residents in house that are Covid positive and were tested by us on 7/10. All 8 of those remain asymptomatic at this point. We did admit one of our members back into our facility from the hospital on 7/14. This individual remains Covid positive but is asymptomatic. We have a total of 9 residents in house who are positive for Covid. All 9 are asymptomatic at this point. We had one resident transfer to the hospital on 7/12 and tested positive for Covid. This resident has subsequently passed away. All other residents in addition to the known Covid positives remain asymptomatic.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

July 13, 2020

See the latest testing results listed by level of care below.

Independent Living- We continue to have the 3 residents that tested positive remain in quarantine. All 3 remain asymptomatic. We will begin retest procedures for those individuals today, 7/13/2020.

Assisted Living- As of today, 7/13/2020, we have administered the second tests to the 2 positive residents in Assisted Living. The results were negative for both residents received by us, 7/11/2020 11:15pm.

Specialty Care Assisted Living- No developments. All residents confirmed negative. We will continue to monitor for signs and symptoms and will act accordingly if symptoms arise.

Skilled Nursing-   As of 7/9 during our procedural testing of potentially exposed employees, we received results on 7/10 that 2 of our staff members tested positive. This prompted us to retest the residents that these 2 staff members worked with. We initiated the testing of residents on 7/10. We received the results on 7/10 @ 10:15pm that of the 10 residents tested, 8 were positive for Covid-19. Those rooms were immediately put on quarantine status and the staff were removed from duty for 14 days until they can be retested. As of today, 7/13 @ 9:45 all 8 residents that tested positive on 7/10, remain asymptomatic.

To recap Skilled Nursing, we have had a total 13 residents test positive for Covid over a 3-week period. We have experienced 2 deaths. We have 2 residents that remain in the hospital. One resident is now Covid negative and remains in the Skilled Nursing Facility and 8 residents remain asymptomatic and in the Skilled Nursing Facility.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

July 9, 2020

See the latest testing results listed by level of care below.

Independent Living- We continue to have the 3 residents that tested positive remain in quarantine. All 3 remain asymptomatic. We will begin retesting those individuals next week. They must have 2 negative test 24 hours apart.

Assisted Living- As of today, 7/9/2020, We have administered the first test to the 2 positive residents in assisted living. The results were negative for both. We will administer the second test today and receive the results tomorrow. Those staff members that were assigned to take care of these residents the last two weeks were also re-tested and their results were negative for Covid-19 as well.

Specialty Care Assisted Living- No developments. All residents confirmed negative. We will continue to monitor for signs and symptoms and will act accordingly if symptoms arise.

Skilled Nursing-   As of today 7/9/2020, 1 resident remains in the hospital but is doing well. The results of his first retest remains positive for Covid-19. The hospital will re-issue the test in seven days.
This individual will need to have a series of negative Covid test before return and will be quarantined for an additional 14 days after return.  The 1 individual that remains in the facility continues to be asymptomatic and received as of 7/9 their first negative Covid test results. This individual was tested again today and we should have results by tomorrow. We will pray that the results from today’s test are negative as well. All staff that have been assigned to care for these Covid positive residents the last two weeks were also re-tested yesterday. All were negative with the exception of 1.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

July 7, 2020

See the latest testing results listed by level of care below.

Independent Living- We continue to have the 3 residents that tested positive remain in quarantine. All 3 remain asymptomatic.

Assisted Living- No changes in status since 6/30. A total of 2 Covid positive individuals. We will continue to monitor all residents and will act accordingly if symptoms arise. 

Specialty Care Assisted Living- No developments. All residents confirmed negative. We will continue to monitor for signs and symptoms and will act accordingly if symptoms arise.

Skilled Nursing-   As of today 7/7/2020, 1 resident remains in the hospital but is doing much better and looking to discharge possibly this week.
This individual will need to have a series of negative Covid test before return and will be quarantined for an additional 14 days after return.  There is 1Covid positive resident that remains here at Kirkwood in isolation. This resident continues to be asymptomatic. We tested 3 more residents per Physicians orders on 7/6. All 3 results were negative for Covid-19. 

Staff- All staff testing has been completed. We have tested a total of 166 staff members. There are a total of 8 positives. 7 staff members continue to do well and are having no symptoms to mild symptoms and remain on self-quarantine. 1 staff member remains in the hospital but is doing better as of the report received on 7/6.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

July 3, 2020

See the latest testing results listed by level of care below.

Independent Living- As of 7/3/2020 at 10:30am, We have received all results for a total of 59 IL residents tested. We have a total of 3 positives out of 59. All testing completed at this time.

Assisted Living- No changes in status since 6/30. A total of 2 Covid positive individuals are in AL and remain asymptomatic. Temperature checks and O2 saturation checks and chest x-ray ordered by Physician are clear. We will continue to monitor all residents and will act accordingly if symptoms arise.

Specialty Care Assisted Living- No developments. All residents confirmed negative. We will continue to monitor for signs and symptoms and will act accordingly if symptoms arise.

Skilled Nursing- Overall, we have tested a total of 45 residents in skilled nursing. Of the initial testing done on 6/25, there were 2 positive cases identified. One resident went out on 6/24 with symptoms and confirmed positive at the hospital. This case confirmed at the hospital on 6/24 prompted our facility wide testing on 6/25. The other resident went out on 6/27 and was confirmed positive at the hospital, this particular resident that went out 6/27, tested negative on 6/25 and is included in the 45 total individuals tested. As of today, we have had 2 deaths from Covid-19 related complications, 1 at the hospital and 1 here on campus. 1 resident remains in the hospital and 1 resident remains here at Kirkwood in isolation and as of today continues to be asymptomatic. We have had no other residents at this level present with any clinical symptoms of Covid at this time. That makes for a total of 4 residents tested positive and 2 deaths.

Staff- All staff testing has been completed. We have tested a total of 166 staff members. There are a total of 8 positives. 7 staff members continue to do well and are having no symptoms to mild symptoms. 1 I understand, was admitted to the hospital this morning.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

July 1, 2020

See the latest testing results listed by level of care below.

Independent Living- As of 7/1/2020 at 11:07 pm. We have received results for 15 Independent Living Residents. Of those, 14 were negative and 1 positive.

Assisted Living- No changes in status since 6/30. A total of 2 Covid-19 positive individuals remain asymptomatic and in their rooms at this point. We will continue to monitor all residents and will act accordingly if symptoms arise.

Specialty Care Assisted Living- No developments. All residents confirmed negative. We will continue to monitors for signs and symptoms and will act accordingly if sign and symptoms develop.

Skilled Nursing-Overall, we have had a total of 4 residents test positive in skilled nursing. 2 residents remain in the facility in isolation and remain asymptomatic. 1 resident remains in the hospital who was sent to the hospital on Saturday 6/27 and later tested positive for Covid at the hospital. 1 resident has passed away that was sent to hospital on 6/24. We continue to monitor all other residents on the skilled nursing unit for temperature, 02 saturations levels per shift and chest x-rays as needed. All vitals as of this morning are within normal limits.

Staff- We received results last night for 16 more staff members that were collected on 6/29 and 6/30. Of those 16, 10 are negative and 6 are positive for Covid-19. All staff members with positive results were notified during the night and have been placed in quarantine. Of the 6 positives, the breakdown is as follows; 1-maintanance, 2 administration, 1 home care, 2 dinning staff. Overall, that is a total of 8 staff members that have tested positive since last week.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

June 30, 2020

As we communicate the results of the latest campus wide Covid update, I think it will be best to report by level of care. While results are not in for Independent Living at this point, I do want to update people on where we are as of today while we await those results. Please note, that if your loved one should test positive; you will be notified individually of results as they are received. The statement represented today are as of 4pm.

Independent Living- Awaiting results.

Assisted Living- We have received for all residents. Of 21 residents we had (2) two positives for Covid-19. Those two individuals remain asymptomatic at this point. We will continue to monitor all residents and will act accordingly if symptoms arise.

Specialty Care Assisted Living- We have received all results for the residents at this level. All results were NEGATIVE.

Skilled Nursing- The (2) two residents that tested positive for Covid-19 last week, remain in the facility in isolation. They continue to do well and have not shown any classic signs and symptoms of Covid-19. We continue to monitor all other resident on the skilled nursing unit for temperature, 02 saturations levels and chest x-rays as needed. All so far are within normal limits.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

June 26, 2020

As of this morning, June 26, 2020, we have received all results of the Covid testing that was performed on all skilled nursing residents and staff. The results showed that of the 45 residents in house, we had an additional 2 positive cases in addition to the 1 case that was reported on 6/24/2020. Of the 78 staff members that were tested, there was 1 positive staff member from the Kirkwood operations side and 1 positive staff from a hospice provider. We are continuing to monitor all residents in skilled nursing for temperature and oxygen saturations twice daily. We are encouraged by the fact that even the 2 positive residents as of this morning are not showing any symptoms. These residents have been moved to a designated quarantine area where they will remain until negative results can be achieved. We will continue to monitor all residents and apprise all of the situation.

In addition, beginning Monday, June 29, 2020, we will begin testing all assisted living and memory care residents. Assisted living and specialty care assisted living residents’ responsible parties will be contacted concerning the testing procedure.

Also beginning Monday, June,29 2020 the test will be available for Independent living residents. We will go door to door in independent living offering this test. While we realize that independent living residents can refuse the procedure, we strongly encourage the test for the good of the community.

In light of our current situation, the main dining room in independent living will begin offering delivery service only effective 6/27/2020. We will no longer offer meal service in the dining room until further notice. Dining services will be delivering menus for Saturday and the rest of next week beginning this afternoon. As a reminder to all independent living residents, any social gatherings are strongly discouraged. We will continue to require that you wear a mask anytime you are outside of your apartment. We will begin reminding individuals that we see do not have mask on, to return to their units and put their mask on. This is not intended to be burdensome but, it is a necessary process at this time.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

June 24, 2020

We continue to monitor all of our residents for signs and symptoms of respiratory distress. As of the morning of June 24, 2020, we had one resident in our skilled nursing unit that was sent out to the hospital and we have since learned that this individual tested positive for Covid-19. This resident did not have a fever or a cough but daily diagnostics revealed a low O2 saturation level with lethargy.

We are monitoring other residents closely and have begun to test all residents and staff that live or work on that unit. We should have testing completed by tomorrow and will keep all apprised of the results.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

June 20, 2020

We continue to monitor all of our residents for signs and symptoms of respiratory distress. We have had no issues this past week concerning Covid-19.

There are no changes in operations expected for the upcoming week and we have received no additional guidance from local or state health officials for re-opening nursing home or ALF/SCALF facilities to outside visitors.

We did receive a visit from the Alabama Department of Public Heath for them to conduct an Infection Control Survey on 6/16/2020.They cited no finding on this visit and had no additional recommendations for us to implement.When asked if they had any insight as to when we may be able to open facilities for visitation, her comment was that it is not likely anytime soon due to the prevalence of cases in Alabama trending upward in the last week.We will keep all posted of any additional guidance as we receive it.We truly appreciate your patience and understanding in these matters.We further ask that you continue to keep our residents, staff, families, and our Nation in your thoughts and prayers.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

June 12, 2020

We continue to monitor all of our residents for signs and symptoms of respiratory distress. We have had no issues this past week concerning Covid-19.

There are no changes in operations expected for the upcoming week and we have received no additional guidance from local or state health officials for re- opening nursing homes or ALF/SCALF facilities.

We did receive notification today that the Jefferson County Department of Public Health (JCDPH) will begin visiting facilities once a week for the next 12 weeks. We have been told that these visits are to determine if JCDPH can offer recommendations to shore up infection control practices or offer PPE training.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

June 5, 2020

We continue to monitor all of our residents for signs and symptoms of respiratory distress. We have had no issues this past week concerning Covid-19.

There are no changes in operations expected for the upcoming week and we have received no additional guidance from local or state health officials for re- opening nursing homes. If developments should arise, you will receive interim communication as soon as possible. We appreciate your cooperation and support during this time.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

June 1, 2020

This update is being generated to bring you up to speed on developments over the weekend.  Based on feedback we received from various sources, we regret to inform you that we will have to delay the dining and beautician arrangement for Assisted Living and Specialty Care Assisted Living.  This means they will not be able to eat in the dining rooms on their respective floors and will continue to receive meals in their rooms.  They will also not be able to have their hair done by the beautician.  I apologize for any inconvenience this may cause.

Skilled Nursing: As we told you on Friday, we will begin admissions to our Skilled Nursing area starting June 1.  All new residents will have a Covid test 24 hours before they are admitted.  The new resident will be placed on an isolation wing for 14 days after arrival.  At the end of 14 days, they will be re-tested for Covid once more before being allowed to visit common areas or come outside their rooms.  This is an update from the communication that you received Friday, May 29.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

May 29, 2020

We continue to monitor all of our residents for signs and symptoms of respiratory distress. We have had no issues this past week concerning Covid-19.

We will begin next week offering slightly more limited socialization.Here is what you can expect at each level of care:

Independent Living:Residents will be expected to call to make a reservation time to eat in the dining room beginning on June 1.Seating will be allowed based on social distancing guidelines, which will require that there be no more than 2 people at a four-top table and no more than 3 people at a six-top table.In order to accommodate all that may want to come to the dining room, we will offer two separate seating times at each meal.For lunch the seating times will be 11am and 1pm.For Dinner the seating times will be 4:30pm and 5:30pm.If we see that we need to adjust times on either meal, we will do so as necessary. For those uncomfortable with going to the dining room, in-room dining will remain available. You will need to call dietary to place your order, at least two hours prior to the meal. Daily menus will no longer be distributed to your apartment.

Assisted Living/Memory Care Assisted Living:We will allow residents to eat in their dining room again June 1.In order to meet social distancing guidelines, we will only allow 2 residents per table.We are taking one of our Assisted Living rooms off-line and setting up several additional tables so that social distancing can be achieved.

We will also allow the beautician, Jenny, to start doing Assisted Living residents’ hair again.She will only be allowed to have one resident at a time in the beauty shop and must clean and sanitize before the next resident can be brought in.

Skilled Nursing:We will begin admissions to our Skilled Nursing area starting June 1.All new residents will have a Covid test within 24 hours of admission and will be placed on an isolation wing for 7 days after arrival.At the end of 7 days, they will be tested for Covid once more before being allowed to visit common areas or come outside their rooms.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

May 22, 2020

We continue to monitor all of our residents for signs and symptoms of respiratory distress. We have had no issues this past week concerning Covid-19.

On May 18, we received guidance from CMS on re-opening protocols for Skilled Nursing facilities.Rather than attempt to explain to you the numerous details and considerations, I have attached the actual CMS memorandum for you all to read at your leisure.Myself along with the rest our clinical team are working through the process in conjunction with state and local health departments to gain clarity and to formulate a plan for re-opening.Although CMS has issued guidance from a federal standpoint for re-opening retirement communities, the state of Alabama and Jefferson county have not.Please note in the CMS memorandum that they suggest that we differ to the guidance from state and local officials on re-opening.As of May 22, we have not received any guidance from state or local health officials.Therefore, we are still in Phase 1, which means all visitation restrictions, socialization restrictions, and screening measures remain in place.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

May 15, 2020

We continue to monitor all of our residents for signs and symptoms of respiratory distress.We have had no issues this past week concerning Covid-19.

We have received several requests from families about special considerations for their loved ones. Please note that as we evaluate these requests, whatever decision is made is for the best interest of all involved and is not intended to be punitive. While many may approach me directly with these requests, please know that these requests are reviewed with our team and scrutinized from every angle. Many times, the results of these discussions do not yield the desired results for the family’s request but, we feel that the decisions made are the most prudent and reasonable decisions for everyone involved.

Please note that guidelines from the Department of Public Health, CMS, and CDC have not relaxed for Long term Care facilities. With that being the case, we will continue our current protocol into the foreseeable future.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

May 8, 2020

We continue to monitor all of our residents for signs and symptoms of respiratory distress.  We have had no issues this past week concerning Covid-19.

We would like to start by wishing all of our mothers a Happy Mother’s Day!  While these are not ideal times to celebrate this joyous occasion, please understand that we are doing what we must out of love and concern for Mom.  As such, please be reminded that our visitation restrictions remain in place for this Mother’s Day weekend.

With Governor Ivey approving for salons to re-open next week, we will allow our beautician, Jenny, to begin doing hair by appointment only for Independent Living residents.  We will have Jenny tested for Covid-19 and require that she wear a face cover at all times while providing service.  We anticipate that Jenny will be able to begin making appointments by mid-week.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

April 23, 2020

We continue to monitor all of our residents for signs and symptoms of respiratory distress. As of today, we have no issues to report and it has been several weeks since we have had any significant developments. We will continue to be vigilant and will act accordingly if there are any symptoms observed.

While we are all anxious to hear from Governor Ivey that businesses are back open for services, I wanted to take this opportunity to make you aware of Kirkwood’s position currently and what our plans are for the next several weeks for getting back to “normal”.

As all of you are aware, Kirkwood made the decision on March 25, 2020 to stop all admissions to all areas of care because we felt that was the best course of action at the time. Please keep in mind that ADPH and JCDPH were still adamant and continue to this day to advocate that we continue admissions to our skilled nursing facility. We would like to reiterate that we will not put any of our residents at risk to satisfy any directive of a regulatory agency, especially when the regulatory agencies are well aware of PPE and testing shortages. We will consider admission of non-Kirkwood residents to skilled nursing at such time that adequate supplies and testing are readily available.

With that being said concerning skilled nursing, we do plan to begin admissions to Kirkwood for Independent Living, Assisted Living and Specialty Care Assisted Living. We have discussed with our Board of Directors and Medical Director a plan which would allow to begin admitting again on May 1, 2020. Any resident who admits will be required to have a negative Covid test, validated within 48 hours of admission. We will require all scheduled movers to be limited to a crew of not more than three individuals and they must all wear masks, at a minimum. We are allowing admissions to the areas only because we feel that we can better isolate those individuals to their rooms for a period of 14 days due to all accommodations being private rooms.

Many have also asked, “When will we be allowed to return to the facility to visit our loved ones?”. We do not have a definite answer to that question, at this time. We want all to understand that we are allowing caregiver family members to visit for the purpose of providing the necessary care and services to keep their loved ones safe and as healthy as possible. Also, we are allowing families to visit if a resident is on hospice or are actively in the dying process. In all cases, these individuals were playing an active role prior to this outbreak, either by sitting with their loved ones during critical times of day for them, preparing and administering meds, providing some other specialized care such wound dressing and/or other treatments that would likely be classified as a skilled service. Outside of these parameters, visitation will remain limited until such a time that it is deemed reasonably safe to resume normal visitation.

Finally, we have been in contact with the Alabama National Guard about providing additional sanitization services. They are providing all nursing facilities in the state of Alabama with this service and are tentatively scheduled to provide service to Kirkwood on 4/24 or 4/25. If you know or have contact with the Alabama National Guard in any way, help us thank them for their services.  May God continue to bless. 

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

April 17, 2020

It has been a quiet week across all levels of care from a Covid-19 surveillance standpoint. This means that we have not had anyone present with any symptoms and have NOT had any tests come back positive. We will continue to monitor our residents for any signs and symptoms and will act accordingly if there are any symptoms observed.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

April 13, 2020

Happy Easter!

Skilled Nursing- There are no new issues concerning Covid-19 to report. We continue to monitor residents closely and are happy to report that there are no residents showing any signs of acute respiratory issues. We will continue to monitor and act accordingly if issues develop.

Assisted Living/ Memory Care- There are no new issues concerning Coid-19 to report. We will continue to monitor and update all if there are concerns.

Independent Living- There– We have a resident in the Mountainview building that presented with complaints of not feeling well this morning. Upon evaluation, it was discovered that the resident is running a slight fever. His primary Physician ordered a test for Covid-19 and the results were NEGATIVE.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

April 10, 2020

There are no new issues concerning Covid-19 to report. We continue to monitor residents closely and are happy to report that there are no residents showing any signs of acute respiratory issues. We will continue to monitor and act accordingly if issues develop.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

April 8, 2020
There are no signs of COVID-19 related illness at Kirkwood, across any level of care. We continue to monitor residents and will keep you informed of any changes. As always, contact Chad Carter or Jeff Burchfield if you have any questions.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

April 7, 2020 Update

Skilled Nursing-We continue to monitor residents closely and are happy to report that none of our residents are showing any signs of acute respiratory issues today. We will continue to monitor and act accordingly if issues develop.

Assisted Living/ Memory Care Assisted Living- We have had a couple of residents transferred to the hospital from Assisted Living and Memory Care Assisted Living. There are no signs that would indicate that these illnesses are Covid-19 related. We will continue to monitor and update all if there is a concern.

Independent Living- One of our Independent Living residents was transferred to the hospital on Saturday from the Skyview Building. The Covid-19 test came back NEGATIVE. This person, however, tested positive for the Flu.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

April 4, 2020 Update

Skilled Nursing- We continue to monitor residents closely and are happy to report that there are no residents showing any signs of acute respiratory issues today. We will continue to monitor and act accordingly if issues arise.

Assisted Living/ Memory Care- Assisted Living and Memory Care Assisted Living continue to do well. There are no acute illness being reported at that level from residents or staff. We continue to monitor for signs and symptoms in both residents and staff daily.

Independent Living- All is quiet at this level currently. We finally received word, early this morning, that the resident in the Skyview building that has been awaiting test results for nearly 2 weeks now, was given confirmation that the test result for COVID-19 was negative.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

April 1, 2020 Update

Skilled Nursing- Today, April, 1, 2020, Kirkwood administration participated in a conference call with the Jefferson County Department of Public Health, concerning directive given by Dr. Mark Wilson, JCDPH, that nursing facilities accept Covid-19 patients. I will update you on that conference call but, I think it is important that you all understand that it is Kirkwood’s policy NOT to admit any potential resident unless they have a negative test result.

With that being said, Dr. Wilson’s statements today duringthe conference call were totally opposite of the statement that was put out yesterday. Today, he advocated for the safety of all residents in light of the potentially deadly outcomes and essentially admitted he made a mistake. You all will see another statement issued from the JCDPH today or tomorrow with their updated position.

Be encouraged that the JCDPH, ADPH and the Army Core of Engineers are working on alternatives to alleviate surge stress on hospitals. They also, are actively working to identify nursing homes that may be currently closed but, in good condition from a physical plant standpoint, that can be use as facilities to treat those that are Covid positive but, not critically ill.

It was also reported by the Health Department that we will see the peak of this outbreak in Jefferson county approximately the 3rd week in April. There were a limited number of questions and the called concluded after 22 minutes.

We continue to monitor residents closely and are happy to report, that there are no residents showing any signs of acute respiratory issues today. We will continue to monitor and act accordingly if issues develop.

Assisted Living/ Memory Care- Assisted Living and Memory Care Assisted Living continue to do well. There are no acute illness being reported at that level from residents or staff. We continue to monitor for signs and symptoms in both residents and staff daily.

Independent Living- All is quiet at this level currently. We still have no test results on the Skyview resident that have been outstanding for 10 days at this point but, the resident remains on quarantine in their apartment and is doing well physically.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

March 31, 2020 Update

I apologize that there has been a delay in updates since March 27th, however, there have been a number of technical and logistical issues that have prevented me from updating information. Those issues have now been resolved so, expect regular mass communication from this point forward.

If you are a sponsor of a resident at Kirkwood by the River and would like to be added to the email notification list, please email ccarter@kirkwoodbytheriver.comand provide your name and the name of the resident that you are the sponsor of. Also, we have had emails return from bellsouth.net. I have notified our IT group but would recommend you checking your security permissions and confirming that ccarter@kirkwoodbytheriver.com is whitelisted.

Skilled Nursing- Today, March 31, 2020, we have received all test results back for all 50 skilled nursing residents and all of them have tested negative for Covid-19 virus. All Responsible Parties should have received phone calls over the weekend and through yesterday with individual results.

Staff- In addition to testing all residents of skilled nursing, we also tested a total of 144 staff members. 142 of our staff members tested negative. There was an administrative staff member and a private duty sitter that was working with a resident in skilled nursing exclusively, that have tested positive for Covid-19.  Those two individuals have been removed from the schedules and quarantined per CDC guidelines. We have notified the Jefferson county Department of Health with all results as per protocol.

Assisted Living/ Memory Care-Assisted Living and Memory Care Assisted Living continue to do well. There are no acute illness being reported at that level from residents or staff. We continue to monitor for signs and symptoms in both residents and staff daily.

Independent Living-I am pleased to report that the resident that went to the hospital on 3/25 from the Mountainview building has tested negative for Covid-19. The individual in Skyview that went out last week, has never received results from the hospital but, is doing well in their apartment under isolation protocol.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

March 27, 2020 PM

Skilled Nursing- Today, March 27, 2020, we have received a significant number of test results back for skilled nursing residents and all of them have been negative thus far. The Responsible Party will be receiving a phone call from the skilled nursing unit with individual reports. We have also tested the majority of the staff that work in this area however, we have not received any of those results.

We now have an IPad available for families to Face Time with their loved ones. If interested in setting up a visit. Please contact Jennifer Stembridge or Amanda White to schedule an opportunity to visit with your loved one via this application. Please be aware that certain times of the day are more demanding than others and such requests may have to be delayed until later as duties allow.

Assisted Living/ Memory Care- Assisted Living and Memory Care Assisted Living continue to do well. There are no acute illness being reported from residents or staff. We continue to monitor for signs and symptoms in both residents and staff daily.

Independent Living- We continue to await the test results from the resident that was reported to you on Sunday, 3/21/2020 I’m saddened to tell you that those results have not arrived as of this afternoon, 3/27/2020. The other resident that was sent to the hospital on 3/25/2020, remains in the hospital and has been tested. We will communicate the results of both of these test as appropriate, once they are received.

If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

March 25, 2020 PM

Skilled Nursing- We were informed at 12:15 today by UAB Highlands that a resident that was sent to their facility on Monday, March 23, has tested positive for Covid-19. This resident was just admitted to Kirkwood on 3/19. We are in the process of notifying all skilled nursing residents and families at this point. We have communicated with the Jefferson County Department of Public Health who has authorized testing on all 50 of our residents and all staff who have worked intimately with this resident. We have also been in contact with the Alabama Department of Public Health to report these matters. We are hopeful to receive test results within 24-48 hrs. We continue to monitor residents’ health daily and are being vigilant in looking for signs and symptoms.

Assisted Living/ Memory Care- Currently, our Assisted Living and Memory Care Assisted Living areas seem to doing well. There are no acute illness being reported at that level from residents or staff. We continue to monitor for signs and symptoms in both residents and staff daily.

Independent Living- while we continue to await the test results from the resident that was reported to you on Sunday, I’m saddened to tell you that those results have not arrived as of this afternoon, 3/25/2020. We did have another resident in Mountainview building go out today from Independent Living and was admitted. We are waiting to hear what his diagnosis is but, based on past experience it could be several days before the results are received.

As always, we appreciate your understanding and cooperation. If you have any questions, please feel free to call Chad Carter or Jeff at 205-956-2184 for further information.

Thanks,

Chad Carter, President/CEO

March 25, 2020

Update on Independent Living resident sent for evaluation:

We have been in close contact with Grandview Medical Center concerning the one medical situation that was reported on Sunday. As of yesterday afternoon, the results have not been received from the Laboratory. We were told it could still be several more days before results are received. The resident has returned to his apartment and is doing well, so hopefully it is a false alarm. As a precaution, both he and his spouse are on strict quarantine. Provisions have been made to meet their daily needs. We will update as more information becomes available.

Assisted Living, Memory Care Assisted Living and Skilled Nursing remain the same. We continue to monitor temperatures and signs of symptoms in both residents and staff daily.

We have iPads being delivered later this week. If you would like to video call your loved one, please call 205-956-2184 and provide the receptionist with the residents name and your name and number. We will arrange this as quickly as possible.

We appreciate your understanding and corporation. If you have any questions, please contact Chad Carter or Jeff Burchfield at 205-956-2184.

Thanks,

Chad Carter, President/CEO

March 22, 2020 Community Update:

Each level of care will be discussed separately.

Skilled Nursing– We are doing really well in this level of care with the wellness of our residents and staff. There are no residents showing any acute signs of respiratory distress, low O2 saturations, or fevers. Our staff that are working are not showing any signs or symptoms of illness as evident by the temp screenings that are taking place upon arrival for every shift. While none of these measures are fool proof, we are encouraged at this point that things are going as well as they possibly can.

Assisted Living/Memory Care– Currently, our Assisted Living and Memory Care Assisted Living areas seem to be doing well. There are no acute illnesses being reported at this level from residents or staff. We continue to monitor temperatures in both residents and staff daily.

Independent Living– We have had one Independent Living resident transported to the hospital on 3/21/2020 at 7:55am. Resident presented with tremors, but was not showing a temperature as checked by EMT’s. The resident was transported to the hospital and subsequently admitted for further evaluation. We are maintaining communications with the family and are anticipating the results of screening when available, however this could take as long as 3-5 days before the results are received. No other resident currently residing at Kirkwood has presented any other symptoms.

As of 3/21/2020 we are instituting a new protocol for Independent Living emergencies. If we have an emergency at that level, the receptionist will automatically call 911 for assistance. I know that many will question this and will have concerns about why we are taking this posture, but at this point, it is in the best interest of Kirkwood to execute this strategy.

We have ordered several iPads that we will configure for video conferencing with your loved ones. We are expecting arrival of these devices Tuesday or Wednesday and once configured, we will make them available for residents and family to communicate via video conferencing.

As always, we appreciate your understanding and cooperation. If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Thank you,

Chad Carter, President/CEO

March 19, 2020

We continue to monitor our residents for any signs and symptoms of COVID-19.  We are performing daily checks on all of our residents in Skilled Nursing, Assisted Living, and Specialty Care Assisted Living.  At this time, none of our residents are showing any signs or symptoms of respiratory distress.  We have had no reports or calls from Independent Living of residents showing any signs or symptoms of respiratory distress.

We are looking at the most effective means in which we can support our residents communication with families.  Right now we have instituted a call-system in which each resident’s responsible party is contacted weekly via phone and the residents have the ability to speak with them if they are capable.  We are also exploring the purchase of iPads so that we can set up Video Calls with those families who can use that communication platform.

As the days go on, our Independent Living residents are getting more restless and are asking if they can go out to various places for various reasons.  If you have a loved one in Independent Living, please remind them that going anywhere is strongly discouraged, unless medically necessary.

Again, we appreciate your cooperation and patience through this very difficult time.  Please feel free to contact us at any time of day or night at 205-956-2184.

Thank you!

Chad Carter, President/CEO

March 18, 2020

We are all doing fairly well here at Kirkwood. We continue to monitor our residents and staff for signs and symptoms of potential COVID-19 infections. At this time we are pleased to report that everyone seems to be in fairly good respiratory health. We will continue to monitor and make all aware of changes within the facility. Please visit our website daily for updates.

Thanks,

Chad Carter, President/CEO

205-956-2184

March 16, 2020

We continue to take a defensive posture as best we can.  Please know that these decisions are very difficult as we believe in a life well lived, which relies heavily on social interactions.   However, at this time, social interaction is being kept to a minimum.

We received guidance from CMS and CDC this morning that stated that all communal activities in Senior Living Centers should be postponed.  As of today, all internal activities have been canceled.  We are delivering all meals to residents in their rooms as a further precaution until such time that it is deemed safe to return to normal activities.  We do not know when that will likely be, but we are hopeful that it is no longer than 30 days.

As you can imagine, it is very difficult to communicate with everyone in a timely manner. Please check our website daily as we will post the latest information there.

Please note, that although it may seem as if we are going to extreme measures at this point, our only goal is providing the safest environment possible for our residents.  It is also important to note, that at the time this communication was generated, we do not have any residents who are exhibiting any upper respiratory illness or acute exacerbation of chronic conditions such as COPD.  We are monitoring the health of our residents closely and will act accordingly when situations arise.

We appreciate your understanding of these matters and we sincerely apologize for the inconvenience.

Chad Carter, President/CEO

Jeff Burchfield, Administrator

205-956-2184

Effective 3/13/2020, Kirkwood by the River is restricting access to its facilities to medically necessary visits only.  Admittance will be limited to the caregivers and staff only.  These precautions are intended to protect the health and safety of those we serve and not intended to be burdensome or punitive for any reason.  

Please note that we have not seen and are not dealing with any confirmed cases here at Kirkwood. 

We appreciate your understanding of these matters.

Effective 3/10/2020, Kirkwood by the River is increasing security of its facility.  These precautions are intended to protect the health and safety of those we serve and not intended to be burdensome or punitive for any reason.  

We are now only allowing limited access to the facility until further notice.  Access will only be allowed for close family members who meet the screening criteria.  Please limit visits to only those necessary for the emotional well-being of your loved one.  Please limit your interaction with others and refrain from excessive travel through the facility.  Visiting hours will be from 10am-7pm, unless there are extenuating circumstances that would justify visits outside of this time frame.

Please note that we have not seen and are not dealing with any confirmed cases here at Kirkwood.  We are only implementing guidance as issued by CMS, CDC, and the Department of Public Health.

We appreciate your understanding of these matters and we sincerely hope that this situation will be contained quickly and as effectively as possible so as not to affect Kirkwood.  If you have any questions, please feel free to call Chad Carter or Jeff Burchfield at 205-956-2184 for further information.

Tree

The Residents

Our residents come from different backgrounds and bring their unique qualities, talents, and life experiences to complete the Kirkwood community. Here are just a few reflections from some individuals who call Kirkwood their home.

My husband and I looked at a number of places when deciding to move to a retirement community. For the most part, we found communities that said, ‘We’re going to take care of you.’ But Kirkwood was different. It wasn’t just about taking care of us. It was also about having fun, having friends, and living life to the fullest. The attitude at Kirkwood was positive and the atmosphere was comforting. We simply couldn’t resist. Without a doubt, the location was ideal. The Cahaba Room that overlooks the river, the mountains, the trails – there were just so many things about life. The community was lively. It was alive.

Alice Brooks Current Resident

My only regret is that I didn’t move here sooner with my late husband. We would have loved living here together. It would have been perfect for us to travel without the responsibilities of a home.

Nell Mehaffey Current Resident

We were moving my parents down from the Cleveland area to be near us. I looked at almost every retirement place in the Birmingham area. The second I turned into Kirkwood’s drive and drove up the hill, I knew that I’d found the perfect place for my parents to live in Alabama. In the six years that my parents have been at Kirkwood, I have always felt nothing but love and helpfulness from every staff member. Everyone is always helpful with a pleasant attitude. You can truly see and feel the family atmosphere. I’m happy that my parents can call Kirkwood their home.

Brenda Sheehan Kirkwood family member

One thing that we feel is very important here at Kirkwood by the River is the relationship that we have between the staff and the residents. They are dedicated to making our life here as safe and secure and pleasurable as possible. That goes a long way.

Fred Rogers Current Resident

We love that Kirkwood isn’t only church affiliated, but faith is a very prominent, important part of the community. To us, there just couldn’t be a better place.

Bob Tate Current Resident

If you asked me, I would say it gets better every year!

Robbie Sevier Former Resident of 37 Years

We’re a family. We really are a family.

Bet Kesmodel Current Resident