Carney orders stricter practices as coronavirus hits nursing homes

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Governor John Carney on Wednesday ordered stricter practices  as coronavirus cases continue to plague long-term care facilities in the state. 

Click here for the eleventh modification to the State of Emergency.

Carney’s updated emergency order requires nursing facilities to immediately ensure they are in full compliance with the Public Health Authority guidance related to COVID-19. Nursing facilities must check Division of Public Health (DPH) guidance at least daily to ensure they are complying with the most current guidance and adjust their policies, procedures, and protocols accordingly.

Carney’s order stopped short of the actions taken by Maryland Gov. Larry Hogan, whose state has seen upwards of 90 nursing homes with COVID-19 cases. Hogan ordered a strike force of health care professionals and national guard members to work with some nursing homes.

One of those long-term care facilities is Calvert Manor west of Newark in Rising Sun, MD.

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Delaware long-term care facilities with more than one case, as of last week were; 

  • Little Sisters of the Poor in Newark
  • HarborChase of Wilmington
  • Governor Bacon Health Center in Delaware City
  • Forwood Manor in Wilmington

The state does not list nurisng homes that have reported a single case.

The Little Sisters of the Poor has been the scene of  11 deaths of the 43 deaths reported in Delaware.

A large percentage of deaths in Delaware have occurred among the fragile elderly at nursing homes. 

“Our elderly populations, and especially Delawareans in long-term care facilities, are at very high risk for COVID-19 infection and hospitalization. These stricter measures that we’re issuing today are intended to save lives,” said  Carney. “All Delawareans should do their part to protect their neighbors, friends, and family members – especially those who are immunocompromised. We know the weather is getting nicer. But continue to stay at home. Don’t go out in public unnecessarily. You’ll only increase the risk for everyone. We’ll get through this. But we need to keep working together.”

Governor Carney’s order requires all nursing facilities in Delaware to immediately:

  • Establish a cohort of staff who are assigned to care for known or suspected COVID-19 residents.
  • Designate a room, unit, or floor of the nursing facility as a separate observation area where newly-admitted and re-admitted residents are kept for 14 days on, while being observed every shift for signs and symptoms of COVID-19. 
  • Designate a room, unit, or floor of the nursing facility to care for residents with known or suspected COVID-19.

Returning residents to their nursing facility remains a priority, according to Tuesday’s order. Residents who have been admitted or seen at a hospital for COVID-19 shall be allowed to return to the nursing facility – as long as the facility follows approved measures from the Division of Public Health (DPH) and Centers for Disease Control and Prevention (CDC).

If nursing facility residents must temporarily go to other facilities, every effort must be made to transfer the residents back to their original facility as soon as possible. A negative COVID-19 test shall not be required prior to return to a nursing facility.

Governor Bacon Health Center (GBHC) will serve as a non-acute alternate care site for patients who are discharged from the hospital, have some Activities of Daily Living needs, and are unable to return to their homes in the community or in a long-term care facility due to caregiver or staffing challenges.

Current patients of Governor Bacon are being transferred to a state-owned facility in Smyrna.

The former long-term care center in Delaware City is one of the tools the state will use to ensure that critical care beds are available to people who need hospitalization and intensive treatment for COVID-19 infections.

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