COVID-19 Update

July 29, 2021
Categories: Public Relations | Community Updates | Wellness

To Our Residents, Family Members and Staff:

Update #60 | Dated: 1-27-22

Good Afternoon –

We hope that this letter finds you and your loved ones doing well. As many of you have heard and read in the news, the CDC has approved a 4th dose for those individuals who qualify as immunocompromised. More details on the new dosing recommendations for those who are immunocompromised can be found here and summarized below (this timeline is based off of administering the Moderna vaccine which is what we provide at Sterling Estates):

  • Primary Dose 1
  • Primary Dose 2 – 28 days later
  • Primary Dose 3 – 28 days after dose 2
  • Booster dose – 5 months after your 3rd dose

For those who qualify as immunocompromised and are interested in getting their 4th dose, we suggest that you speak with your primary care physician or specialist. After such consultation, and if you are ready to go forward, please reach out to us directly so we can schedule you for one of our clinics in the coming weeks.

With that, we continue to see case counts going down in both our local community and across the state. And although we are still at historically high levels of virus transmission the trend continues to be a positive one with the hope that this latest surge comes to an end in the coming weeks.

Please do not hesitate to reach out with any additional questions or concerns.

The Sterling Estates Partners and Management Team

Below are a few questions and answers regarding additional doses for those who are immunocompromised:

Q: Who Is Moderately or Severely Immunocompromised?

People are considered to be moderately or severely immunocompromised if they have:

  • Been receiving active cancer treatment for tumors or cancers of the blood
  • Received an organ transplant and are taking medicine to suppress the immune system
  • Received a stem cell transplant within the last 2 years or are taking medicine to suppress the immune system
  • Moderate or severe primary immunodeficiency (such as DiGeorge syndrome, Wiskott-Aldrich syndrome)
  • Advanced or untreated HIV infection
  • Active treatment with high-dose corticosteroids or other drugs that may suppress your immune response

People should talk to their healthcare provider about their medical condition, and whether getting an additional primary shot is appropriate for them.

Q: What is the difference between an additional primary shot and a booster shot?

An additional primary dose is administered to people with moderately or severely compromised immune systems. The additional primary dose of an mRNA COVID-19 vaccine is intended to improve immunocompromised people’s response to their vaccine primary series. A booster shot is administered when a person has completed their vaccine primary series to enhance or restore protection against COVID-19 which may have decreased over time.

Q: What are the benefits of an additional primary shot for people who are immunocompromised who received an mRNA COVID-19 primary vaccine series?

An additional primary shot may prevent serious and possibly life-threatening COVID-19 in people who may not have responded to their two-dose mRNA COVID-19 vaccine primary series. The mRNA COVID-19 vaccines (Pfizer-BioNTech or Moderna) have been shown to prevent COVID-19 following the two-dose series. Limited information suggests that immunocompromised people who have low or no protection after two shots of mRNA vaccines may have an improved immune (antibody) response after an additional primary dose of the same vaccine.

Q: What are the risks of vaccinating with an additional primary shot?

There is limited information about the risks of receiving an additional primary shot of mRNA COVID-19 vaccine. The safety, efficacy, and benefit of the additional primary dose in immunocompromised people continues to be evaluated. So far, reactions reported after the additional primary shot of mRNA COVID-19 vaccine are similar to that of the two-dose primary series: fatigue and pain at the injection site were the most commonly reported side effects, and overall, most symptoms were mild to moderate.


To Our Residents, Family Members and Staff:

Update #59 | Dated: 12-31-21

Good Afternoon –

We know that this is a quick follow up to our letter to you yesterday, but cases of COVID-19 continue to rise across the state, with the state of Georgia setting a new record for percent of tests returning positive for COVID these past 2 weeks. With that, we too at Sterling continue to have residents and staff test positive for the virus.

To ensure that we are doing all we can to keep our residents and staff safe during this latest surge, we are making a few necessary changes to our policies and procedures:

  • Dining in the main AL dining room will be suspended through January 10th for all residents.
    1. All resident meals will be delivered to resident’s rooms.
  • Residents will be asked to universally mask while participating in small group activities.
    1. Surgical masks will be provided by our staff as needed.
  • Universal mask wearing for all staff members and all outside visitors.
  • Suspending indoor/in residence visitations for any residents or visitors who are not considered “fully vaccinated”.
    1. Fully vaccinated is now defined as:
      1. It has been at least 14 days (2 weeks) but less than 6 months since the completion of a two-dose COVID-19 vaccination series,
      2. It has been at least 14 days (2 weeks) but less than 2 months since receiving a 1-dose vaccine,
  • It has been more than 6 months since completion of a 2-dose vaccine series or 2 months since a 1-dose vaccine, but they have received a booster
    1. Please reach out to our community directly if you do not meet the above definition of fully vaccinated and we will coordinate with you on how to best meet with your loved one.

We also know that there has been a lot of conflicting information from the CDC and other government agencies over the past few days. In particular, the guidance for those quarantining after primary contact or if diagnosed with COVID. The Georgia Department of Public Health (DPH) as of 12/29 has adopted these new guidelines (as seen here) and we are adjusting or policies in kind. 

Moving forward our quarantine and sickness timelines for residents will both be 10 days.

  • Quarantining for 10 days after primary contact with someone with known COVID-19
  • Isolating for 10 days from either the first day of symptom onset or, if asymptomatic, a positive test result

Also, many of you are reaching out regarding what you can and can not do with your loved ones outside the building. We highly recommend that our residents do not go out to large get-togethers with individuals who are not fully vaccinated. That said, you are in the best position to make those decisions for your loved one and if you would like to discuss any of these plans, we are here to support you in your decision-making process.

Based on what we are seeing both nationally and internationally, this latest surge of the virus is tied to a multitude of factors which we hope will result in this latest wave cresting within the next few weeks. Meaning we anticipate these changes to our policies and procedures to be temporary. That said, as we get more information, we will be sure to follow up with you. Also, if there is anything that we can be doing to better support you or your loved ones please let us know.

The Sterling Estates Partners and Management Team


To Our Residents, Family Members and Staff:

Update #58 | Dated: 12-20-21

Good Afternoon –

As you are most likely aware, we are seeing sharp increases in COVID cases both locally and nationally. This increase is mostly tied to the latest COVID variant, Omicron, as well as more people getting together around the holidays.

With that, Sterling Estates has also been impacted with 6 staff members (4 asymptomatic and 2 with mild symptoms) testing positive this past week as part of our regular testing practices. No residents or other staff members were primary contact with these individuals and all 6 will quarantine at home for their 10 illness days.

That said, to ensure we do all we can to keep our residents and staff safe as well as social, we will be making a few changes to our policies and procedures considering these positive tests, through the end of the year.

 Those changes include:

  • Dining
    1. Dining for unvaccinated and/or those without a booster if due for a booster (more than 2 months since 2nd dose in a 2-dose vaccination regime) will be suspended for 14 days
  • Indoor Visitation
    1. We ask that all visitors wear masks while in our building. For those fully vaccinated you may take the masks off while in your loved one’s room. Those unvaccinated visitors, we ask that you wear a mask for your entire visit. If you are unvaccinated and would like to visit where you can keep more than 6 feet of separation, we will open our Legacy room for your visits. Just reach out to us directly.
  • Outside Trips
    1. Non-medically necessary trips will be suspended through the end of the year.

With the holiday season in full swing, we wanted to be sure to remind everyone that although many of you are fully vaccinated and boosted, you should still take the necessary precautions to remain safe during this latest surge.

Those precautions include:

  • Wear a mask while indoors in a public setting.
  • Wash your hands often.
  • If possible, try to avoid any unnecessary large gatherings.
    • If attending larger holiday parties with attendees from multiple households, look into trying to have those in attendance take at home rapid tests in the days prior to the get together.
  • And of course, get vaccinated! We continue to offer regular vaccine clinics. If you or your loved one require the 1st, 2nd or booster dose please reach out to us directly so we can get your vaccine scheduled.

We will continue to keep you updated as we traverse this latest pandemic challenge. We know that that it may feel as if we have gone backwards in our fight against this virus but with our access to the vaccine, our robust immunization program, the number of staff and residents who are fully vaccinated, our use of PPE and our proven policies and procedures, we have never been better prepared than we are now. As a team and family, we will beat this virus again.

That said, please do not hesitate to reach out with any additional questions or concerns.

The Sterling Estates Partners and Management Team


To Our Residents, Family Members and Staff:

Update #57 | Dated: 9-17-21

Good Afternoon -

As we approach the end of the week, we wanted to send out a note regarding booster vaccines as well as update you on how things are going here at Sterling Estates.


At this time, the booster plan has yet to be approved by the CDC/FDA. The FDA Advisory Committee on Immunization Practices is meeting today and then the CDC’s Advisory Committee on Immunization Practices will be meeting later next week to review Pfizer’s recommendation for a booster. Once both of those committees review all the available data, they will issue their final recommendation to either move forward or continue to wait. After this process, we believe these committees will move quickly reviewing the data for Moderna and make a determination with a similar outcome to that of Pfizer’s application. As soon as we know more, we will reach out.

That said, Sterling and Sterling Estates continue to be the only senior living communities in the state of Georgia that are direct providers of the COVID-19 vaccine and will be ready to offer the booster vaccines once approved. With that, we have started to offer 3rd doses of the vaccine to those who qualify as immunocompromised. Thus far, we have already vaccinated 105 individuals at our clinic late last month.

For those who qualify as immunocompromised and are interested in getting the 3rd dose, we highly suggest that you speak with your primary care physician or specialist. Then please reach out to us so we can schedule you for one of our 3rd dose clinics in the coming weeks.

We also wanted to give you an update on life here at Sterling Estates. In the midst of this latest surge caused by the Delta variant, we remain open, and our residents continue to stay safe and social. Sterling Estates’ policies and procedures, our use of PPE and the high vaccination rate for our residents and staff have proven to be very effective even during this latest difficult time.  And although we wish that the positivity rates were going down faster across the state, we feel confident that we will be able to continue to keep our residents and staff safe while ensuring our residents remain engaged and fulfilled.

We look forward to seeing you at Sterling Estates and please do not hesitate to reach out with any additional questions or concerns. 

The Sterling Estates Partners and Management Team


To Our Residents, Family Members and Staff:

Update #56 | Dated: 8-19-21

As many of you heard, the FDA along with the Centers for Disease Control (CDC) and Prevention’s Advisory Committee on Immunization Practices (ACIP) have recommended a 3rd dose of the COVID vaccine for those who are considered immunocompromised. More details regarding their recommendation and who is considered immunocompromised can be found here.

As the only senior living community in the state of Georgia to be a direct supplier of the vaccine, we are positioned to start administering those 3rd doses immediately. With that, we will be hosting a clinic at Sterling Estates of West Cobb for immunocompromised residents and staff members this upcoming week.

For our residents who qualify, we will speak with them and/or their POAs on an individual basis over the coming days.  We highly suggest that those who qualify speak with their primary care physician or specialist and then decide on getting a 3rd dose.

At this time, the CDC and FDA are recommending that those who are not immunosuppressed get a booster shot starting 8 months after their 2nd dose (that release can be found here). At this time, this is just a recommendation, and we are waiting for the full approval for this booster plan from the FDA and CDC which should occur in the coming weeks. Once we receive that approval, Sterling Estates will be uniquely positioned to offer our residents, staff and their loved ones this booster dose.

Below are a few questions and answers regarding this 3rd dose of the COVID vaccine:

What is the difference between an “additional dose” and a “booster dose?”

  • An “additional dose” refers to people who are moderately to severely immunocompromised receiving an additional dose of an mRNA COVID-19 Vaccine (Pfizer or Moderna) at least 28 days after the completion of the initial mRNA COVID-19 vaccine series. This is because they may not have received adequate protection from their initial 2-dose vaccine
  • A “booster dose” is a supplemental vaccine dose given to people when the immune response to a primary vaccine series is likely to have waned over time. The CDC and FDA continue to review evidence and data as it is available and at this time the guidance is that individuals should receive a booster dose 8 months after the 2nd dose of either Pfizer or Moderna vaccines. Once this guidance is fully approved a rollout for booster shots will be announced.

Why only immunosuppressed people? What about people in long term care facilities, or those over 65?

  • Studies suggest some people with moderately to severely compromised immune systems don’t always build the same level of immunity after vaccination the way non-immunocompromised people do – and may benefit from an additional dose to make sure they have enough protection against COVID-19. In addition, small studies have found that among fully vaccinated people hospitalized with COVID-19, immunocompromised people accounted for a large proportion (40–44%) of those breakthrough cases even though they only make up about 3 percent of the adult population. These updated recommendations will help to potentially protect these individuals at a time when COVID-19 cases are on the rise.

What about booster doses for the broader population? Are there new data supporting another dose in other groups?

  • At this time, additional doses are only recommended for people with moderately to severely compromised immune systems since they may not have received adequate protection from their original vaccine
  • The FDA and CDC are recommending that all individuals who received a Pfizer or Moderna full dose receive a booster shot 8 months after their 2nd dose but that is subject to the FDA conducting an independent evaluation and the determination of the safety and effectiveness of a third dose of the Pfizer and Moderna mRNA vaccines and CDC’s Advisory Committee on Immunization Practices (ACIP) issuing booster dose recommendations based on a thorough review of the evidence which has yet to occur. That said, we are preparing for the most likely outcome that it will be approved.

Will providers accept anyone who says they’re immunocompromised to receive a third dose? Will people need to show a doctor’s note/prescription or other documentation?

  • Immunocompromised individuals may discuss with their health care provider whether getting an additional dose is appropriate for them. If their health care provider is not at a site administering vaccines, these individuals can self-attest and receive the additional dose wherever vaccines are offered. This will help ensure there are not additional barriers to access for this vulnerable population receiving a needed additional CDC is providing further information regarding vaccine administration to immunocompromised individuals to states, pharmacies, health centers, and all vaccine providers.

How long after completion of the initial vaccine series are you recommending the additional dose?

  • We’re recommending the additional dose of an mRNA COVID-19 vaccine be administered at least 28 days after completing the initial two-dose mRNA COVID-19 vaccine series (such as for Pfizer and Moderna). The exact timing can be determined in consultation with a person’s healthcare provider to optimize both immunosuppressive treatments, as well response to

Can you mix and match the mRNA vaccines?

  • The additional dose should be the same vaccine product as the initial two-dose mRNA COVID-19 vaccine series (Pfizer or Moderna). If the mRNA COVID-19 vaccine product given for the first two doses is not available, the other mRNA COVID-19 vaccine product may be administered. A person should not receive more than three mRNA COVID-19 vaccine doses.

Thank you again and please do not hesitate to reach out with any questions or concerns.

The Sterling Estates Partners and Management Team


To Our Residents, Family Members and Staff:

Update #55 | Dated: 7-29-21

Good Morning –

We’ve been getting some questions about the rise of the Delta variant of the COVID virus; some are concerned that the world may regress to the early, scary days of the pandemic. Not to worry, as that is NOT the case here at Sterling Estates.

As we have done throughout the pandemic, we continue to partner with the Georgia Department of Public Health (DPH) to confirm we have all the latest data and guidance to ensure the safety of our residents, their loved ones and staff. Our policies and procedures including universal mask wearing for staff and visitors, mandatory/regular screening for staff and visitors, daily cleanings and routine testing for unvaccinated staff have and continue to keep our communities safe.

The Delta variant is creating what many are calling “the pandemic of the unvaccinated” which has caused the CDC to update their guidance for vaccinated individuals as there has been an increase in transmission of the virus across the country. That updated guidance can be found here and is in line with the current DPH Long Term Care guidance and conforms to Sterling’s current policies and procedures. 

That said, we wanted to remind each of you that although we continue to be uniquely suited to keep you and your loved ones Safe & Social amid the uncertainty of this latest phase of the pandemic, we must all continue to stay steadfast and diligent in following both Sterling and the DPH’s guidance. This includes: (1) when visiting, be sure to wear your mask (a surgical mask for those who are vaccinated and a KN-95 or above for those unvaccinated); and (2) make sure that you are screened prior to entering the building.

Also, please continue to make informed and safe decisions regarding travel and measure the risk your decisions can pose to those who are at risk (namely the elderly/immunocompromised). If you should have any questions or concerns about this latest phase of the pandemic and/or our policies and procedures, do not hesitate to reach out.

We’re proud of the track record we’ve established together thus far and remain confident that we will continue to help keep you and your loved ones Safe & Social here at Sterling Estates.

If anyone you know who has yet to be vaccinated and now has a desire to be so, please let us know as we continue to have ample supplies of the Moderna vaccine.

The Sterling Estates Partners and Management Team


To Our Residents, Family Members and Staff:

Update #54 | Dated: 7-22-21

 

Good Afternoon –

 

We conducted universal testing of our residents and staff at the Grande, as well as with those assisted living residents who met primary contact tracing guidance early this week and have received all test results.

 

Of the 50 tests, 2 tests returned positive: 1 hospice resident in the memory care and 1 hospice resident in the assisted living building.

 

We are very happy to report that both residents, who are fully vaccinated, continue to be asymptomatic. This again underscores how effective the vaccine is and continues to be in keeping our residents, their loved ones, and staff safe.

 

With only 1 positive resident in the assisted living building and 1 positive in the memory care building and knowing that these residents came into contact with the virus from an outside individual (Agape), this does not qualify as an outbreak per the Georgia Department of Public Health (DPH).

 

With that, we are relaxing our more rigorous safety posture at the Grande and returning to our earlier policies and procedures. You may again restart your indoor visitations for those who are fully vaccinated and your supported visitations for those visitors who are not fully vaccinated. Along with support from our staff, those who are not vaccinated and visiting will need to wear at least a KN-95 mask, all vaccinated visitors will wear at least a cloth or surgical mask.

 

Along with this update we wanted to be sure to address a few questions that came up this past week:

 

How could an unvaccinated hospice employee come into the building?

  • We spoke with the leadership at Agape and at this time they are unable to mandate vaccination for all employees. Nationally the vaccination rate for nurses and aides is below 50%. If Agape, for that matter if Sterling, was to mandate that all employees are vaccinated, Agape and Sterling would not be able to provide the same level of service for our residents.

 

If you can’t mandate a vaccine, what are you doing to keep residents safe from unvaccinated staff and providers?

  • Agape continues their in-service trainings on proper PPE use and continues their regular testing of staff. As based on our experience with the virus, all safety protocols must not have been followed in this instance and we reiterated how important it is to constantly train and retrain staff as we know that these processes are effective.
  • We at Sterling continue to host vaccination clinics for newly hired staff or those who have newly adopted our vaccine program. Beyond that, unvaccinated staff are screened 2x daily, tested regularly and wear at least KN-95 mask at all times. We continue our trainings on safety and PPE use and continue to partner with the DPH to improve our policies and procedures.

 

What can we expect regarding charges for testing?

  • As part of the process for testing through Capstone labs, you may see a fee charged to your loved one’s insurance (most likely Medicare). This will be through our partners Transitional Care Physicians of America (TCPA). If you have any questions or concerns regarding these fees, please reach out the TCPA billing department at: 860-375-3443, as there should be no out of pocket expenses as part of the CARES Act.

 

Again, like many of you we too are frustrated that this would even happen now that the vaccine is so prevalent. That said, we are heartened by the fact that the vaccine continues to be effective for our residents and staff.

 

Thank you again and please do not hesitate to reach out with any additional questions or concerns.

 


The Sterling Estates Partners and Management Team

To Our Residents, Family Members and Staff:

Update #52 | Dated: 3-26-21

Good Afternoon –

We are excited to follow up on our last communication regarding our plan to continue to unwind our policies and procedures tied to our response to the pandemic. This past week the Georgia Department of Public Health (DPH) adopted the guidance that was previously released by both the CDC and CMS. This updated guidance for Long Term Care Facilities can be found here.

Based on this updated guidance and due to our successful vaccination program, we are now able to adopt the least restrictive policies as articulated by the DPH for those who are fully vaccinated. That said, this is not a complete return to the pre-pandemic world but is a renewal of what helps make Sterling Estates a unique community.

These updated policies and procedures summarized below (and detailed further here), are meant to relax many of our current policies/procedures while still ensuring we do what we can to keep those most at risk safe. These updated policies put much of the responsibility now on you and your loved ones as opposed to squarely on Sterling Estates. With that, please find a summary of these updates below: 

  • Visitation Policies: We are moving from limited visitations to now supported visitations
    • Outdoor visits are still the preferred/safest visitation procedure
    • For those residents and their visitors who are fully vaccinated, visits can begin to take place in a resident’s apartment / cottage as opposed to our designated indoor meeting space. These visits will take place during our normal operating hours from 9am – 5pm, including weekends. We can only support visits during these hours at this time.
    • For those who are still unvaccinated, these visits will occur outdoors or in our designated indoor meeting area.
    • All visitors will continue to be screened prior to their visit; these screens will occur at our front desk in the Landmark building. Proof of full vaccination (e.g., CDC vaccination card) should be provided and all visitors will be required to sign in.
  • Off campus trips:
    • For vaccinated residents, non-essential or non-medical trips should be limited but are now possible. Families and loved ones of residents who would like to take their loved ones off campus should coordinate with the community.
    • For unvaccinated residents, off-site visits should continue to be limited to essential trips.
    • Sterling Estates will again offer off campus activities for our fully vaccinated residents. These will take place in appropriate settings: outside, small crowds and with the ability to maintain social distancing.
  • For our Independent Residents: ALL amenities are open starting Monday, March 29th
    • The salon is open for appointments for all residents (following all DPH guidance)
    • The Wellness Center in the Landmark building is open for our independent residents from: 10:30 – 12:30 and 3:30 – 5pm each day.
    • Along with these gym hours our independent residents are still able to use our therapeutic pool and starting March 29th the locker rooms as well.
      • We will continue to schedule classes for our independent residents in the Hampton and Stratford buildings.

We couldn’t be more excited to have many of you back in our community. That said, if we do experience an outbreak of the virus or the situation changes in Cobb County, we will again have to review our policies and procedures and will likely be forced to return to our more limited posture.

Also, if you have yet to be fully vaccinated, we are planning on hosting an additional vaccine clinic at Sterling Estates of West Cobb on April 9th. If you are interested in this clinic, please complete the survey found here.

We are looking forward to “turning the page” with each of you to this new and more vibrant chapter at Sterling Estates!

The Sterling Estates Partners and Management Team


Update #51 | Dated: 3-12-21

Good Afternoon –

We have been looking forward to writing this letter for quite some time…sure you’re aware that the CDC and the Centers for Medicare/Medicaid Services (CMS) have started to update their guidance for those who are fully vaccinated as well as for Long Term Care (LTC) Communities. These policy updates are major milestones, marking the fact that the tide of this pandemic has officially turned, and we are well on our way towards better days. The theme of the updates from both of these organizations is now that there has been such a high degree of vaccine adoption within communities like Sterling Estates and the fact that the vaccine is proving to be so highly effective in keeping people safe, we can begin to ease many of the restrictions that have been in place since the pandemic came onto the scene a year ago.

  • CDC’s updated guidance for fully vaccinated individuals can be found here
  • CMS’ updated guidance on visitation can be found here

 What does this mean for Sterling Estates?

In general, this updated guidance is just catching up with what we have been doing in our communities for months. Due to our track record of helping keep everyone safe, ample supplies of PPE, our progressive policies and procedures, our continued staff trainings, as well as our large number of indoor/outdoor spaces, we have been supporting these types activities way before most other organizations. These activities include essential, outdoor, and indoor visits, small group dining, and small activity / group gatherings to name a few. The fact we have already instituted policies and procedures that allow for these activities continues to highlight how advanced Sterling Estates has been as we have strived to keep our residents and staff safe as well as social.

That said, as we have done throughout the pandemic, we are required to follow the guidance from our local health authorities at both the state and county level. Although the state of Georgia has not updated their policies yet, we are confident that they will do so soon. Meaning, we are still required to follow Governor Kemp’s latest Executive orders issued on February 26th renewing the state of emergency (currently expires 4/6/21) as well as the shelter in place order for LTC residents (currently expires 3/15/21) (orders can be found here and here). Once Governor Kemp’s guidance changes, we will follow up with those changes and how they impact our communities.

In summary, we are still in a place of status quo as we have been ahead in easing the restrictions the CDC and CMS addressed this week. As we are able to continue to relax additional policies, we will communicate those out to you as soon as possible…we hope and expect to be able to do so in the near future!

Sterling Estates Plan for “Expanding Our Ring of Inoculation”:

When we attained direct provider status for the vaccine last summer, we did so to ensure that our residents and staff had access to the vaccine as early as possible. With that, we were the first senior living community in the state to fully vaccinate our residents and staff. Further, we still remain the only senior living community in the state that is a direct provider of the vaccine.

Once that mission was completed, we went to the Georgia Department of Public Health (DPH) with a plan to continue to offer vaccine to those who need it most. We called this plan our “Expanding Ring of Inoculation” where we wanted to make sure that the loved ones and caretakers of our residents had early access to the vaccine as well. We did this with the hope that this early vaccination effort would lead to a return to “normal” sooner for those we serve in our communities.

In seeing the latest guidance from the CDC and CMS we feel confident that this plan is coming to fruition and will allow our residents and their loved ones/care takers to enjoy the eased restrictions (once they become official) that much earlier.

As of today, we have delivered over 2,500 doses of the Moderna vaccine placing us in the top 7% of the over 1,500 providers in the state of Georgia. We know we still have role to play in trying to end this pandemic as quickly as possible, and we look forward to continuing to do so.

“There are far, far better things ahead than anything we leave behind” – C.S. Lewis

 

The Sterling Estates Partners and Management Team


To Our Residents, Family Members and Staff:

Update #50 | Dated: 2-22-21

Good Afternoon –

We hope that this letter finds you and your loved ones doing well.

After the snow and bad weather over the past few weeks, we noticed that we would enjoy some unseasonably warm weather this Wednesday and Thursday.

With that, we like to offer an opportunity to come to our community for a Safe and Social outdoor visit with your loved one.

If you are interested in scheduling time to visit with your family member, enjoy our wonderful courtyards and the beautiful weather during or first ever “Sip and See”, please follow the link here. Timeslots will be offered from 1pm – 5pm.

We are excited to announce that this will also serve as an official kickoff to our return to our family visitations, whether outside or inside.

We are able to restart these visitations due to the fact that the Cobb County positivity rates have now dropped below 10%. This decrease in positivity rates places us in Tier 2 of the Georgia Department of Public Health’s (DPH) reopening guidance which allows for supported indoor visitations. These visits will be offered starting Monday, March 1st and can be scheduled by following the same link as above. As the weather permits, outside visits are still the preferred option and we will know day of if we are able to meet outdoors.

Like before, visits will be scheduled from XXXX. Nearly all visitations will be during these hours unless prearranged in coordination with our management team. If circumstances change, obviously visitation guidelines in specific areas may change quickly as well. Please reach out to the community directly if you have any additional questions or concerns.

As a reminder, a brief summary of our indoor visitation procedures can be found below:

  • We will offer limited visitation timeslots separated by at least 15-minute cleaning buffers
  • There will be a limited number of visitors allowed in the room as dictated by square footage
  • All visitors who intend to have an indoor visit are recommended to obtain a regular COVID test
  • We also recommend that any regular visitors have been fully vaccinated (full vaccination means you received your 2nd dose of the Moderna/Pfizer vaccine at least 2 weeks ago but no more than 3 months)
  • All visitors will be screened prior to entering the building and will be required to wear a mask at all times. Due to the fact masks must be worn at all times, there will be no eating/drinking during these indoor visits.

We are heartened by the fact that county, state and national levels of the pandemic are improving, and we remain hopeful that we will see this trend continue.

We look forward to seeing you at our community soon.

The Sterling Estates Partners and Management Team


To Our Residents, Family Members and Staff:

Update #49 | Dated: 1-13-21

Good Afternoon –

As we approach the midway point of the month, we wanted to send along a few updates regarding: the current status of the pandemic, our policies and procedures and our efforts regarding the vaccine.

Update on Policies and Procedures:

As many of you know from watching the news and following the current status of the pandemic both locally and nationally, we continue to set daily/weekly records for new cases and hospitalizations. As dictated by the Department of Public Health (DPH) in their administrative order, found here, we continue to follow the DPH’s most conservative pandemic response policies/procedures.

With that in mind, and in concert with the above guidance, we will be extending the suspension of all nonessential visits for our Assisted Living, Memory Care, Stratford and Hampton residents through January 31st.

For Our Assisted Living and Memory Care Residents:

  • We will continue small group activities and small group dining (as many of these activities can be done while wearing masks and our operating procedures during those activities have proven to be effective thus far).

For our Hampton, Stratford and Cottage Residents:

  • Small group dining in the Grille and Club will continue to be suspended through January 31st. We will continue to offer small group activities to only include activities that are 10 people or less and allow for universal mask wearing.
  • We know you’d like to resume communal dining. That said, we are working with the DPH to develop policies and procedures tied to communities who have received their 2nd dose of the COVID vaccine. As one of the first communities reaching this milestone, we are at the leading edge of this effort…as we make progress in defining these new policies and procedures, we will update you.

Latest Guidance from the State:

  • Governor Kemp has again extended the Executive Orders which were in place earlier:
    • Executive Order: 12.30.20.01
      • This extends the state of emergency in Georgia through February 7th, 2021.
    • Executive Order: 12.30.20.02
      • This order extends the shelter in place order for residents of Long-Term Care (LTC) facilities (our communities) through January 15th.
      • Sheltering in place means our residents should only prioritize essential/medical trips per the governor’s orders.
    • We fully expect both of these orders to be extended in the coming days/weeks.

Moderna, 2nd Dose Booster Clinics:

We are happy to report that we received our 2nd dose, booster supply of the Moderna vaccine at each of our communities earlier this week. We have again partnered with Transitional Care Physicians of America (TCPA) and Guardian Pharmacy to help administer these booster vaccinations.

  • For those of you who received your 1st dose of the vaccine on December 24th or December 28th your booster clinic is scheduled for Monday, January 25th beginning at 8:30am.
  • For those of you who received your 1st dose of the vaccine on December 30th through our partnership with Due West Pharmacy your 2nd dose clinic is scheduled for Wednesday, January 27th beginning at 8:30am.
  • For those of you who received your 1st dose of the vaccine on January 7th or January 13th we have tentatively set the date for your booster clinic on February 10th. We will confirm this date as we get closer to the end of the month.

For additional context on the dosing schedule for the Moderna vaccine (at least 28 days after the first dose) you can visit the CDC website here.

Testing Update:

We are also pleased to announce that we have recently received a shipment of rapid, antigen COVID tests through our partnership with McKesson. These tests offer our residents and/or staff the opportunity to receive a test in specific emergency situations where our regular testing channels aren’t readily available. 

If you should have any questions or concerns, please do not hesitate to reach out.

The Sterling Estates Partners and Management Team


To Our Residents, Family Members and Staff:

Update #48 | Dated: 1-8-21

Good Afternoon –

Thank you for your patience as we worked to get our remaining staff test results.

As of this morning, we received all remaining staff test results with all remaining staff members testing negative.

There are also no residents or any other staff members exhibiting or expressing any COVID related symptoms.

With that:

  • We will resume small group activities to include small group dining in our assisted living building.
  • We will continue to follow all of our current procedures and policies in our memory care building.

The staff members who previously tested positive continue to recover or remain asymptomatic. We expect these staff members to return to work in the coming days in following the CDC’s return to work guidance.

Our immunization clinic yesterday was also a big success with an additional 70 people receiving their first dose of the Moderna vaccine. We are hopeful that we receive additional supply of the vaccine in the coming days/weeks allowing us to continue to offer more immunization clinics.

If you should have any questions or concerns, please do not hesitate to reach out.

 

The Sterling Estates Partners and Management Team

 


To Our Residents, Family Members and Staff:

Update #47 | Dated: 1-6-21

Good Afternoon –

We wanted to follow up our communication from last week regarding the previous incidents of staff members testing positive.

We were able to conduct universal resident testing for all residents in our memory care and assisted living buildings this past Saturday and Sunday. A majority of our staff have also completed their testing with the last third of our staff finishing today and tomorrow.

Below is an update on the results of our latest round of testing:

  • Assisted Living:
    • All 82 of our residents who were tested this weekend have returned negative test results
    • As of now only one additional staff member has tested positive bringing our total positive tests to 3 with 94 staff members testing
  • Memory Care:
    • Of our 35 residents tested 34 tested negative while one resident tested positive. This resident remains asymptomatic, a testament to the fact that he/she received the first dose of Moderna on Christmas Eve.
    • 3 additional staff members have tested positive, bringing our total staff cases to 4 at the Grande.
    • 2 additional staff members continue to quarantine at home.

In each case of additional staff members testing positive, we conducted an investigation and outside of our two Grande staff members quarantining at home, no other residents or staff members have met primary contact criteria.

And as of this morning, no residents or any other staff members exhibit or express any COVID related symptoms.

In following the guidance provided to us by the Department of Public Health (DPH) and as we await the last of our staff test results, we will continue our procedures that were communicated earlier:

  • For our assisted living residents: we are suspending all small group dining, small group activities and will continue to suspend all non-essential visitations.
  • For our memory care residents: we will continue to follow all of our current procedures and policies in our memory care building

We know it can be disconcerting to hear about these new positive cases for our staff. With that, we are communicating regularly with the DPH to ensure we are doing all we can to keep our residents and staff safe with the increased incidence of virus virtually everywhere.  Based on the fact that so few of our residents have tested positive, we know that our policies, procedures and use of PPE work. We also know how important it is for all of our residents and staff members to participate in our immunization clinics.

We are pleased and excited to announce that we have received an additional order of the Moderna vaccine. Our team has reached out to any of our residents (or their loved ones as applicable) and any staff members who have yet to receive the first dose of the vaccine to ensure all who desire to participate in our immunization clinics have the opportunity to do so.

We are planning on hosting our immunization clinic for residents, staff and some of our 3rd party healthcare partners tomorrow.

If you should have any questions or concerns regarding our immunization clinics or our current policies or procedures, please do not hesitate to reach out. 

The Sterling Estates Partners and Management Team


To Our Residents, Family Members and Staff:

Update #46 | Dated: 1-1-21

Good Morning –

Late yesterday we were informed that two care staff members in our assisted living community tested positive for the virus. One tested positive on 12-28 and the other on 12-30. Through contact tracing we have determined that these two incidents are unrelated and most likely came from transmission events outside of our community (in one instance a loved one of a staff member tested positive prompting an immediate test of our staff member).

Up to this point in our contact tracing investigation, no residents or any staff members meet the CDC and Department of Public Health (DPH) definition of primary contact for any of these 2 unrelated incidents.

This morning we were also informed that a staff member at our memory care building tested positive on 12/30. Much like the incidents with our assisted living staff members, this staff member traced their exposure to a Christmas dinner where a loved one later tested positive. To be extra cautious, we have asked one additional staff member who is close friends outside of work with this individual to self-isolate at home and follow the CDC return to work guidance.

And as of this morning, no residents or any other staff members exhibit or express any COVID related symptoms.

Based on these circumstances, we are following our testing protocol which includes universal testing for our assisted living and memory care residents and staff through Transitional Care Physicians of America (TCPA). We will be administering tests starting tomorrow for all residents and staff with the hope of getting results within 48 to 72 hours of testing.

Out of an abundance of caution, for our assisted living residents, we are suspending all small group dining, small group activities and will continue to suspend all non-essential visitations until we receive the results of our universal testing. We have all come too far to cut corners as we get so close to having a majority of our residents and staff complete their full vaccination schedule later in January.

Starting this morning, we are delivering all meals to our assisted living residents’ apartments. Once we receive the results of the universal testing, we will report those findings immediately and revisit our plans for small group activities.

We will continue to follow all of our current procedures and policies in our memory care building.

Not the way we envisioned kicking off the new year but based on our experience, we are confident in our policies and procedures and know that we will be able to get through this latest challenge together.

If you have any immediate questions or concerns about the testing scheduled or this latest incident, please do not hesitate to reach out to:

“There are far better things ahead than any we leave behind.” C.S. Lewis

The Sterling Estates Partners and Management Team


To Our Residents, Family Members and Staff:

Update #45 | Dated: 12-30-20

Good Afternoon –

We hope that this letter finds you and your loved ones doing well after a very unique Christmas. We wanted to again thank you for participating in our immunization clinic on Christmas Eve. Those who did receive the vaccine were some of the first seniors and long-term care employees in the state to receive the vaccine. It was a resounding success, with no serious adverse reactions reported by any of our residents or staff…just a few sore arms. We are proud that we were able to inoculate all assisted living and memory care residents and staff who opted in for this first round of immunizations. We are also excited to report that our cottage residents and 2nd round of staff received the Moderna vaccine through Due West Pharmacy just this morning, meaning our entire campus has had access to the vaccine before year’s end.

We expect to receive additional vaccine shipments in the coming days/weeks. With these additional doses we will be able to continue to offer the vaccine for any additional and/or new residents and staff members who choose to participate in the program. Again, we strongly encourage all residents, staff and other health care professionals who partner with Sterling to participate in our immunization clinics.

Now we have started our immunization program what does that meant for Sterling Estates:

A large majority of our residents and staff have now received the 1st of 2 doses of the Moderna vaccine. The Moderna vaccine is 95% effective in preventing the coronavirus disease caused by the SARS-CoV-2 virus after the 2nd dose. The 2nd dose must be administered 28 days after the 1st dose, which will be January 21, 2021 for the majority of our residents and staff. We are working with both Transitional Care Physicians of America (TCPA) and Guardian Pharmacy to schedule these 2nd dose clinics and will communicate a plan early in the new year.

Although having most of our residents and staff immunized protects them from becoming seriously ill, it doesn’t stop the transmission of the virus itself (meaning, you can give it to someone else who doesn’t have his/her immunization). As we await more people both in Sterling and in the surrounding area to get their immunization shots, we will continue to follow our policies and procedures that have been in place throughout the pandemic:

  • universal mask wearing
  • 6 feet of separation
  • small group activities
  • regular deep cleanings
  • no nonessential visitors (at this time)
  • regular staff testing
  • contact tracing with known COVID positive individuals, etc.

We are currently working with the Department of Public Health (DPH) to define criteria for what our procedures will look like in future once the rate of immunization increases and a timeline for when those policies/procedures will change. We will update you in the coming weeks as those plans are developed.

If you should have any questions, please do not hesitate to reach out.

The Sterling Estates Partners and Management Team


To Our Residents, Family Members and Staff:

Update #44 | Dated: 12-23-20

We are excited to share that our first shipment of the Moderna COVID-19 vaccine arrived at all 3 of our communities today making Sterling Estates the first senior living community to administer the vaccine in the state.

We have contracted with Transitional Care Partners of America (TCPA) and Guardian Pharmacy to help administer the first vaccinations starting tomorrow.

Through those partnerships we will have nurse practitioners, pharmacists, nurses and a litany of other support staff on hand to support in administering the vaccine safely to our residents and staff.

Our team has started to reach out to our residents, resident loved ones and staff to review consent forms as well as answer any questions regarding the vaccine or our plan for tomorrow.

Tomorrow is a large step for our communities, residents, staff and a testament to our strong partnerships that we will be at the leading edge of providing this life saving service to those who need it most.

If you should have any questions, please do not hesitate to reach out.

The Sterling Estates Partners and Management Team

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