COVID -19

LIVE UPDATES

Monday, May 25th, 2020

To Our Residents and Family Members:

We want to inform you that at Ennoble Nursing and Rehabilitation we currently have
no confirmed cases of COVID-19 amongst both or residents and our staff members.

The safety and wellbeing of our residents is our top priority. We will continue doing what
we can to keep COVID-19 out of Ennoble Nursing and Rehabilitation,
including staying in very close communication with local and state health officials.

We are taking steps based on guidance from the Centers for Disease Control and
Prevention (CDC) and the Center for Medicare and Medicaid Services (CMS) to
reduce any potential spread and impact of COVID-19, such as:

· Enhanced infection control precautions

· Screening residents, staff, and essential visitors for expanded list of symptoms

· Restricting visitation and entry of people to the building

· Testing staff and residents for COVID-19 based on current protocols and availability of tests

· Postponing communal activities

We know you are concerned about your loved one, but it is crucial that we restrict
visitation to stop this disease from entering our facility. We will contact you directly if
your loved one is suspected or diagnosed with COVID-19.
We also understand that connecting with family members is incredibly important to
our residents. Family members are encouraged to connect with their loved ones
through video chat, calling, texting, or on social media through platforms such as
Skype, Zoom and FaceTime.

We need your help in battling COVID-19. Please visit the CDC website
(www.cdc.gov/coronavirus) to learn how you can help prevent the spread in our
community, since continued spread in the larger community increases the chance the
virus will work its way into our building.
This is a difficult time for everyone. We will continue to provide you with updates.
Please know that we are adhering to guidelines from the local and state health
departments, which continue to evolve as we learn more about this virus.

We know that you may have questions and we encourage you to contact our center.
Please feel free to contact me via phone at 563-557-1076 or via email at
administrator@ennoblenursing.com for updates on the status of your loved one.

Sincerely,
Cassandra Johnson
Administrator
Ennoble Nursing and Rehabilitation

Monday, May 11th, 2020

To Our Residents and Family Members:

We want to inform you that at Ennoble Nursing and Rehabilitation we have
one (1) confirmed cases of COVID-19 in a staff member.

The safety and wellbeing of our residents is our top priority. We are doing what
we can to limit the spread of COVID-19 within Ennoble Nursing and Rehabilitation,
including staying in very close communication with local and state health officials to
ensure we are taking all the appropriate steps under current circumstances.
We are taking steps based on guidance from the Centers for Disease Control and
Prevention (CDC) and the Center for Medicare and Medicaid Services (CMS) to
reduce the spread and impact of COVID-19, such as:

Enhanced infection control precautions
Screening residents, staff, and essential visitors for expanded list of symptoms
Restricting visitation and entry of people to the building
Testing staff and residents for COVID-19 based on current protocols and availability of tests
Postponing communal activities

Due to government privacy requirements, we cannot divulge specific information
about the individuals who have confirmed or suspected COVID-19, unless they are
your family member and you have the necessary permissions to receive such
information.

We know you are concerned about your loved one, but it is crucial that we restrict
visitation to reduce the spread of this virus to others. We will contact you directly if
your loved one is suspected or diagnosed with COVID-19.
We also understand that connecting with family members is incredibly important to
our residents. Family members are encouraged to connect with their loved ones
through video chat, calling, texting, or on social media through platforms such as
Skype, Zoom and FaceTime.

Sincerely,
Cassandra Johnson
Administrator
Ennoble Nursing and Rehabilitation

Thursday, April 30th, 2020

To Our Residents and Family Members:

We want to inform you that in the midst of this crisis, we appreciate even more so the love and support the entire community has shown us. Our staff are second-to-none, but they work even harder when they feel the love coming from you all. From the beginning and continuously, we have been monitoring Covid-19 across the country and especially focusing on the local area. Resident and staff safety are our top priorities, always have been - and that will always be the case. We are doing everything we can to ensure we keep this virus out of Ennoble Nursing and Rehabilitation, including staying in very close communication with local and state health officials to ensure we are taking all the appropriate steps. Rest assured we are fully stocked with protective equipment including but not limited to masks and hand sanitizer and have implemented every necessary step to stay ahead.

The Centers for Disease Control and Prevention (CDC) has set forth a variety of steps that Ennoble Nursing and Rehabilitation has implemented to protect our residents. These recommendations include among other things, strict infection control and prevention initiatives, stringent handwashing procedures, restricting visitation, and screening all individuals - including staff - that are permitted to enter our facility. Additionally, all healthcare workers adhere to the guidance issued by the CDC and the DOH for transmission-based precautions in caring for our patients.

We encourage you to call our center at 563.557.1076 for updates on the status of your family members and loved ones. We understand that you are concerned about them, but it is crucial that we restrict visitation to reduce the potential exposure of this virus. We also understand that connecting with family members is incredibly important to our residents and we have taken steps to ensure that is made possible. Family members are encouraged to connect with their loved ones through video chat, calling, texting, or other social media formats. Feel free to reach out to us to setup a time. We have multiple devices that can be used on platforms such as Zoom, Skype, Facetime to name a few.

Again, please feel free to call for updates on your family members and otherwise we will be sure to communicate with you should there be any change in their conditions.

We need your help in battling COVID-19. Teamwork is what will get us through this crisis and we will come out stronger! Please visit the Centers for Disease Control and Prevention (CDC) website to learn how you can help prevent the spread in our community.

We know this is a difficult time for everyone. We will continue to provide you with updates as they become available. Please know that we are strictly adhering to all directions from the local, state, and federal health departments.

We know that you may have questions and we encourage you to contact our center by emailing us to the following address: Covid19@ennoblenursing.com

Sincerely,

Ennoble

Thursday June 11, 2020

Dear Responsible Party:

We understand that the past few months have been challenging due to the emergence of the COVID-19 virus and the additional safety precautions that have been put in place because of the virus, such as the limitation of in-person visits to our facility. We also understand that, although these precautions were necessary to protect the safety of your loved one, not being able to visit in person has been especially challenging. We appreciate your patience and the sacrifice you have made to help protect your loved one during the COVID-19 crisis by not visiting in person.

I am pleased to report that the state of Iowa is implementing a phased approach to safely reopening long-term care facilities to visitation. The purpose of this phased approach is to provide as safe a pathway as possible to resident and family visits. There will be three phases for transitioning to reopening for visitation based on a facility’s current COVID-19 status.

At Ennoble Nursing and Rehabilitation, we are currently at Phase 1 in the state’s reopening plan. This means that:

The following types of visits are allowed effective immediately:
- Visits to patients who are at the end of life.
  - All visitors must wear a cloth face covering or face mask during their visit.
  - Visitors will be required to stay in the patient room only.
  - Visitors must comply with screening at the beginning and end of each visit, perform hand hygiene and comply with social distancing recommendations
- Window visits – using social distancing recommendations.
- Virtual visits using Skype, Zoom and Facetime.
The following types of visits still are NOT allowed to protect the safety of residents:
- All in person visits other than for patients who are at the end of life.

We will continue to keep you informed as we work through this phased reopening, and we will let you know each time we reach a new phase in the process and the visitation options available at each phase.

Please contact Cassandra Johnson, Administrator via phone at 563-557-1076 or email at administrator@ennoblenursing.com with any questions about arranging visits during this new transition.

Sincerely,

Cassandra Johnson

Administrator

Ennoble Nursing and Rehabilitation