COVID-19 Archive

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Dear Elm Manor Nursing and Rehabilitation Center Family Members,

The New Corona Virus represents a historic infection control challenge that continues to test the very best of our National and State response systems and challenges the very best of our hospital systems and nursing homes, where residents are especially vulnerable.

Despite the backing of the United State and the World, data from the international scientific teams is still contradictory, inconclusive and inadequate to understand the basics, like how is the disease transmitted. Some suggest that the virus is carried and spread by seemingly healthy people, making carriers difficult to identify. Others have suggested that the virus may linger much longer than believed and be capable of being moved in air. The CDC has steadfastly held onto directives aimed at reducing droplet exposure and screening policies designed to identify those with fevers and who travelled to foreign countries. The CDC recently added some confirmed new symptoms, nearly six months after the virus ravaged China, and after the virus has spread throughout much of the globe. Every day we have more questions and learn more, but scientists still know little about the virus and its methods of transmission. In turn, our government has been slow to change directives despite initial directive not being nearly as effective as predicted. Governmental efforts underway all make scientific assumptions that may prove incomplete or inaccurate. What we do know is that the virus that causes COVID-19 spreads efficiently and is virulent. It is also apparent that the CDC is a leading authority and combined with the directives of the State and Local Health Departments are the directives we must follow.

Quite some time ago, Elm Manor Nursing and Rehabilitation Center, put into place a series of precautions designed by the CDC to slow the spread of the virus including limiting visitors, screening for symptoms, taking temperatures, training on infectious disease controls, enhanced cleaning and Personal Protective Equipment, and restricting visitors, restricting and/or limiting group activities etc. We continue these protocols and have since added isolation and testing, when, and how, permitted by governmental authorities. As has been the case in thousands of US skilled nursing facilities and many more around the globe, governmental directives and our diligent implementation, likely slowed the rate of transmission but did not eliminate it. Likewise, governmental recommended PPE protocol has been modified due to international shortages and the Government’s inability to assist in obtaining the quantity of PPE that would have previously been considered best practice.

Hospitals, ships, schools and entire towns, cities and States have had tragic outcomes. Last month, New York State for example, estimated that 13.9% of its mobile population or 1.4 million people have already been infected in the state. Other experts put the number much higher.

Many of you may be directly or indirectly affected or know others who are affected by the New Coronavirus. If you are affected, please know that our hearts and thoughts are with you. As lifelong caregivers, we are pained that something we know so little about and is so powerfully destructive is in our midst. Unfortunately, Elm Manor Nursing and Rehabilitation Center has not been immune.

 

Update for September 11th, 2020:

Dear Families and Friends,

We are working on a plan based on the  New York State Department of Health releasing a new advisory in regards to the resumption of visitation at nursing homes on July 10th. While this is exciting news, with the advisory comes stringent criteria which all nursing homes must attain in order for visitation to resume. In our facility, we are carefully reviewing the criteria of this fluid and exciting development. Please note that at the present time in- person visitation in the building remains suspended. We will continue to update you with the status of our ability to accommodate visitors to the facility. We will continue to hold our on-site social distancing visits as well as virtual visits. Please continue utilize the activities department to schedule visits, by contacting Valerie Nesbitt, Director of Activities.

As pertaining to COVID-19, we have had no resident positive cases, 39 cumulative staff positive, 12 re-tested positive, and 2 new positive.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 2 staff newly diagnosed with the Coronavirus infection, making our cumulative total of positive staff members 39. In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! We have seen 12 staff members retest positive in the last 24 hours. These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr. yGeria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

 

 

 

Update for September 6th, 2020:

Dear Families and Friends,

We are working on a plan based on the  New York State Department of Health releasing a new advisory in regards to the resumption of visitation at nursing homes on July 10th. While this is exciting news, with the advisory comes stringent criteria which all nursing homes must attain in order for visitation to resume. In our facility, we are carefully reviewing the criteria of this fluid and exciting development. Please note that at the present time in- person visitation in the building remains suspended. We will continue to update you with the status of our ability to accommodate visitors to the facility. We will continue to hold our on-site social distancing visits as well as virtual visits. Please continue utilize the activities department to schedule visits, by contacting Valerie Nesbitt, Director of Activities.

As pertaining to COVID-19, we have had 1 staff members retest positive in the last 24 hours.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 2 staff newly diagnosed with the Coronavirus infection, making our cumulative total of positive staff members 39. In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! We have seen 1 staff members retest positive in the last 24 hours. These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr. yGeria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center


Update for August 26th, 2020:

Dear Families and Friends,

We are working on a plan based on the  New York State Department of Health releasing a new advisory in regards to the resumption of visitation at nursing homes on July 10th. While this is exciting news, with the advisory comes stringent criteria which all nursing homes must attain in order for visitation to resume. In our facility, we are carefully reviewing the criteria of this fluid and exciting development. Please note that at the present time in- person visitation in the building remains suspended. We will continue to update you with the status of our ability to accommodate visitors to the facility. We will continue to hold our on-site social distancing visits as well as virtual visits. Please continue utilize the activities department to schedule visits, by contacting Valerie Nesbitt, Director of Activities.

As pertaining to COVID-19, we have had 1 staff members retest positive in the last 24 hours.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 1 staff newly diagnosed with the Coronavirus infection, making our cumulative total of positive staff members at 35.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! We have seen 1 staff members retest positive in the last 24 hours. These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr. yGeria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center


Update for August 14th, 2020:

Dear Families and Friends,

We are working on a plan based on the  New York State Department of Health releasing a new advisory in regards to the resumption of visitation at nursing homes on July 10th. While this is exciting news, with the advisory comes stringent criteria which all nursing homes must attain in order for visitation to resume. In our facility, we are carefully reviewing the criteria of this fluid and exciting development. Please note that at the present time in- person visitation in the building remains suspended. We will continue to update you with the status of our ability to accommodate visitors to the facility. We will continue to hold our on-site social distancing visits as well as virtual visits. Please continue utilize the activities department to schedule visits, by contacting Valerie Nesbitt, Director of Activities.

As pertaining to COVID-19, we have had 2 staff members retest positive in the last 24 hours.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 34.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! We have seen 2 staff members retest positive in the last 24 hours. These staff members that are positive (4) have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr. yGeria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center


UPDATE FOR August 5, 2020

Dear Families and Friends,

We are working on a plan based on the  New York State Department of Health releasing a new advisory in regards to the resumption of visitation at nursing homes on July 10th. While this is exciting news, with the advisory comes stringent criteria which all nursing homes must attain in order for visitation to resume. In our facility, we are carefully reviewing the criteria of this fluid and exciting development. Please note that at the present time in- person visitation in the building remains suspended. We will continue to update you with the status of our ability to accommodate visitors to the facility. We will continue to hold our on-site social distancing visits as well as virtual visits. Please continue utilize the activities department to schedule visits, by contacting Valerie Nesbitt, Director of Activities.

As pertaining to COVID-19, we have had 1 staff members retest positive in the last 24 hours.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 34.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! We have seen 1 staff member retest positive in the last 24 hours. These staff members that are positive (4) have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr. yGeria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE FOR JULY 27, 2020
Dear Families and Friends,

We are working on a plan based on the  New York State Department of Health releasing a new advisory in regards to the resumption of visitation at nursing homes on July 10th. While this is exciting news, with the advisory comes stringent criteria which all nursing homes must attain in order for visitation to resume. In our facility, we are carefully reviewing the criteria of this fluid and exciting development. Please note that at the present time in- person visitation in the building remains suspended. We will continue to update you with the status of our ability to accommodate visitors to the facility. We will continue to hold our on-site social distancing visits as well as virtual visits. Please continue utilize the activities department to schedule visits, by contacting Valerie Nesbitt, Director of Activities.

As pertaining to COVID-19, we have had 2 staff members retest positive in the last 24 hours.

Sincerely, Administration

UPDATE as of July 24th, 2020:

We wanted to follow up with you on our letter from July 18th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection is 33. We have seen 0 resident recover in the last 24 hours, making our cumulative resident recoveries 12. We have seen 0 COVID-19 related deaths in the last 24 hours. There are no positive residents at this time.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

UPDATE as of July 18th, 2020:

We wanted to follow up with you on our letter from July 16th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection is 33. We have seen 0 resident recover in the last 24 hours, making our cumulative resident recoveries 12. We have seen 0 COVID-19 related deaths in the last 24 hours. There are no positive residents at this time.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 34.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! We have seen 1 staff member retest positive in the last 24 hours. These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr. yGeria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of July 16th, 2020:

We wanted to follow up with you on our letter from July 12th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection is 33. We have seen 0 resident recover in the last 24 hours, making our cumulative resident recoveries 12. We have seen 0 COVID-19 related deaths in the last 24 hours. There are no positive residents at this time.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 34.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! We have seen 1 staff member retest positive in the last 24 hours. These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr. yGeria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of July 12th, 2020:

We wanted to follow up with you on our letter from July 10th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection is 33. We have seen 0 resident recover in the last 24 hours, making our cumulative resident recoveries 12. We have seen 0 COVID-19 related deaths in the last 24 hours. There are no positive residents at this time.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 34.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! We have seen 1 staff member retest positive in the last 24 hours. These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr. yGeria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE FOR JULY 10, 2020
Dear Families and Friends,

Today the New York State Department of Health released a new advisory in regards to the resumption of visitation at nursing homes. While this is exciting news, with the advisory comes stringent criteria which all nursing homes must attain in order for visitation to resume. In our facility, we are carefully reviewing the criteria of this fluid and exciting development. Please note that at the present time in- person visitation in the building remains suspended. We will continue to update you with the status of our ability to accommodate visitors to the facility. We will continue to hold our on-site social distancing visits as well as virtual visits. Please continue utilize the activities department to schedule visits, by contacting Valerie Nesbitt, Director of Activities.

As pertaining to COVID-19, we are excited to announce that at this point in time, our facility is “COVID free” meaning there are no positive resident or staff cases in our facility. We continue to closely monitor staff and residents, and will pass along updates as they become available.

Sincerely, Administration

UPDATE as of July 5th, 2020:

We wanted to follow up with you on our letter from July 1st. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection is 33. We have seen 5 resident recover in the last 24 hours, making our cumulative resident recoveries 12. We have seen 0 COVID-19 related deaths in the last 24 hours. There is only one positive resident at this time.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 34.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! We have seen 4 staff members retest positive in the last 24 hours. These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr. yGeria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of July 1st, 2020:

We wanted to follow up with you on our letter from June 30th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection is 33. We have seen 5 resident recover in the last 24 hours, making our cumulative resident recoveries 12. We have seen 0 COVID-19 related deaths in the last 24 hours. There is only one positive resident at this time.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 34.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! We have seen 1 staff member retest positive in the last 24 hours. These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr. yGeria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 30th, 2020:

We wanted to follow up with you on our letter from June 26th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection is 33. We have seen 5 resident recover in the last 24 hours, making our cumulative resident recoveries 12. We have seen 0 COVID-19 related deaths in the last 24 hours. There is only one positive resident at this time.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 34.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr. yGeria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 26th, 2020:

We wanted to follow up with you on our letter from June 22nd. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection is 33. We have seen 3 resident recover in the last 24 hours, making our cumulative resident recoveries 7. We have seen 0 COVID-19 related deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms. We will also be retesting the residents who tested positive in our first round of testing.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 34.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr. yGeria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 25th, 2020:

We wanted to follow up with you on our letter from June 22nd. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection is 33. We have seen 3 resident recover in the last 24 hours, making our cumulative resident recoveries 7. We have seen 0 COVID-19 related deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms. We will also be retesting the residents who tested positive in our first round of testing.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 34.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 22nd, 2020:

We wanted to follow up with you on our letter from June 19th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection is 33. We have seen 0 resident recover in the last 24 hours, making our cumulative resident recoveries 4. We have seen 0 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms. We will also be retesting the residents who tested positive in our first round of testing.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 34.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 20th, 2020:

We wanted to follow up with you on our letter from June 17th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection is 33. We have seen 0 resident recover in the last 24 hours, making our cumulative resident recoveries 4. We have seen 0 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms. We will also be retesting the residents who tested positive in our first round of testing.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 34.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! We have also seen 1 staff member retest positive in the last 24 hours, after having tested negative and returning back to work according to the CDC guidelines. These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 17th, 2020:

We wanted to follow up with you on our letter from June 16th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection is 33. We have seen 0 resident recover in the last 24 hours, making our cumulative resident recoveries 4. We have seen 0 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms. We will also be retesting the residents who tested positive in our first round of testing. We did take back one resident today from the hospital as they are now tested negative!

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 34.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! We have also seen 10 staff members retest positive in the last 24 hours, after having tested negative and returning back to work according to the CDC guidelines. These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 16th, 2020:

We wanted to follow up with you on our letter from June 15th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection is 33. We have seen 0 resident recover in the last 24 hours, making our cumulative resident recoveries 4. We have seen 0 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms. We will also be retesting the residents who tested positive in our first round of testing.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 34.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 15th, 2020:

We wanted to follow up with you on our letter from June 14th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection is 33. We have seen 0 resident recover in the last 24 hours, making our cumulative resident recoveries 4. We have seen 0 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms. We will also be retesting the residents who tested positive in our first round of testing.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 34.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 833-530-2609 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 14th, 2020:

We wanted to follow up with you on our letter from June 13th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection is 33. We have seen 0 resident recover in the last 24 hours, making our cumulative resident recoveries 4. We have seen 0 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms. We will also be retesting the residents who tested positive in our first round of testing.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 34.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 19 staff members recover so far! These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 13th, 2020:

We wanted to follow up with you on our letter from June 11th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection at 33. We have seen 1 resident recover in the last 24 hours, making our cumulative resident recoveries 4. We have seen 0 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms. We will also be retesting the residents who tested positive in our first round of testing.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 1 staff newly diagnosed with the Coronavirus infection, bringing our cumulative total of positive staff members at 34.  In the last 24 hours, we have seen 3 staff members recover, and we have seen 19 staff members recover so far! We have also seen 6 staff members retest positive in the last 24 hours, after having tested negative and returning back to work according to the CDC guidelines. These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 11th, 2020:

We wanted to follow up with you on our letter from June 9th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection at 33. We have seen 3 residents recover in the last 24 hours, making our cumulative resident recoveries 3. We have seen 0 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms. We will also be retesting the residents who tested positive in our first round of testing.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, bringing our cumulative total of positive staff members at 36.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 16 staff members recover so far! These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 11th, 2020:

We wanted to follow up with you on our letter from June 9th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection at 33. We have seen 3 residents recover in the last 24 hours, making our cumulative resident recoveries 3. We have seen 0 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms. We will also be retesting the residents who tested positive in our first round of testing.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, bringing our cumulative total of positive staff members at 36.  In the last 24 hours, we have seen 0 staff members recover, and we have seen 16 staff members recover so far! These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 10th, 2020:

We wanted to follow up with you on our letter from June 6th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection at 33. We have seen 0 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms. We will also be retesting the residents who tested positive in our first round of testing.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 1 staff newly diagnosed with the Coronavirus infection, bringing our cumulative total of positive staff members at 32.  In the last 24 hours, we have seen 5 staff members recover, and we have seen 14 staff members recover so far! These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 9th, 2020:

We wanted to follow up with you on our letter from June 6th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection at 33. We have seen 0 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms. We will also be retesting the residents who tested positive in our first round of testing.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, bringing our cumulative total of positive staff members at 31.  In the last 24 hours, we have seen 1 resident recover, and we have seen 9 staff members recover so far! These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 8th, 2020:

We wanted to follow up with you on our letter from June 6th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection at 33. We have seen 0 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms. We will also be retesting the residents who tested positive in our first round of testing.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, bringing our cumulative total of positive staff members at 31.  In the last 24 hours, we have seen 1 resident recover, and we have seen 9 staff members recover so far! These staff members that are positive have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 6th, 2020:

We wanted to follow up with you on our letter from June 5th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection at 33. The remaining residents remain closely monitored for any signs of change in symptoms. We will also be retesting the residents who tested positive in our first round of testing. We have seen 2 COVID-19 deaths in the last 24 hours.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, bringing our cumulative total of positive staff members at 31.  Also, we have seen 7 staff members recover so far! These staff members have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center


UPDATE as of June 5th, 2020:

We wanted to follow up with you on our letter from June 4th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection at 33.We have seen 0 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms. We will also be retesting the residents who tested positive in our first round of testing.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 2 staff newly diagnosed with the Coronavirus infection, bringing our cumulative total of positive staff members at 31.  Also, we have seen 7 staff members recover so far! These staff members have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 4th, 2020:

We wanted to follow up with you on our letter from June 3rd. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection at 33. We have seen 0 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms. We will also be retesting the residents who tested positive in our first round of testing.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping  our cumulative total of positive staff members at 29. We have seen 2 staff members recover in the last 24 hours. Also, we have seen 7 staff members recover so far! These staff members have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 3rd, 2020:

We wanted to follow up with you on our letter from June 2nd. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate current total residents with the Coronavirus infection at 33. We have seen 0 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping  our cumulative total of positive staff members at 29. We have seen 5 staff members recover so far! These staff members have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 2nd, 2020:

We wanted to follow up with you on our letter from June 1st. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate current total residents with the Coronavirus infection at  33. We have seen 1 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 2 staff newly diagnosed with the Coronavirus infection, bringing our cumulative total of positive staff members at 29. We have seen 5 staff members recover so far! These staff members have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of June 1st, 2020:

We wanted to follow up with you on our letter from May 31st. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulativet total residents with the Coronavirus infection at 33. We have seen 1 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 29. We have seen 3 staff members recover so far! These staff members have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of May 31st, 2020:

We wanted to follow up with you on our letter from May 28th. In the last 24 hours, 0 residents were identified with Coronavirus infection. Our unfortunate cumulative total residents with the Coronavirus infection at 33. We have seen 1 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 29. We have seen 2 staff members recover in the last 24 hours! These staff members have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center


UPDATE as of May 28th, 2020:

We wanted to follow up with you on our letter from May 27th. In the last 24 hours, 0 residents were identified with Coronavirus infection. This makes our unfortunate cumulative total residents with the Coronavirus infection at 33. We have seen 1 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 3 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 29. These staff members have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of May 27th, 2020:

We wanted to follow up with you on our letter from May 26th. In the last 24 hours, 0 residents were identified with Coronavirus infection. This keeps our unfortunate cumulative total residents with the Coronavirus infection at 33.We have seen 0 COVID-19 deaths in the last 24 hours. We have notified all the appropriate families, local and state government officials. The remaining residents remain closely monitored for any signs of change in symptoms.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 26. These staff members have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of May 26th, 2020:

We wanted to follow up with you all as we had re-tested all remaining residents over the weekend, and the results had come in the last 24 hours. Of the remaining residents, 8 more residents were identified with Coronavirus infection. Bringing our unfortunate current total residents with the Coronavirus infection to 33. We have seen 2 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

Elm Manor had begun testing of all staff despite being asymptomatic on May 21, 2020. Since that time, all staff have been tested, and will continue to be tested accordingly to the Executive Order. From this proactive weekly testing, we have been able to identify 0 of staff newly diagnosed with the Coronavirus infection, keeping our cumulative total of positive staff members at 26. These staff members have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, and wear appropriate PPE.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator

Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.

This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of May 25th 2020:

We wanted to follow up with you all from our letter on May 22nd. There were no new confirmed infection of COVID-19 in the past 24 Hours keeping the total at 15 in house positive, with 1 presumed positive. We have seen 1 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

In addition we have 26 staff members total that have tested positive for Covid-19 and have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, wear appropriate PPE while we work with the Local testing centers, laboratories, and County to ensure all staff will be tested within the next few day.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community.

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator
Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.
This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of May 24th 2020:

We wanted to follow up with you all from our letter on May 22nd. There were no new confirmed infection of COVID-19 in the past 24 Hours keeping the total at 16 in house positive, with 1 presumed positive. We have seen 1 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

In addition we have 26 staff members total that have tested positive for Covid-19 and have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, wear appropriate PPE while we work with the Local testing centers, laboratories, and County to ensure all staff will be tested within the next few day.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community.

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator
Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.
This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of May 23rd, 2020:

We wanted to follow up with you all from our letter on May 22nd. There were no new confirmed infection of COVID-19 in the past 24 Hours keeping the total at 17 in house positive, with 1 presumed positive. We have seen 2 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

In addition we have 26 staff members total that have tested positive for Covid-19 and have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, wear appropriate PPE while we work with the Local testing centers, laboratories, and County to ensure all staff will be tested within the next few day.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community.

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator
Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.
This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of May 22nd, 2020:

We wanted to follow up with you all from our letter on May 18th. There were no new confirmed infection of COVID-19 in the past 24 Hours keeping the total at 19 in house positive, with 1 presumed positive. We have seen 1 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

In addition we have 23 staff members total that have tested positive for Covid-19 and have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, wear appropriate PPE while we work with the Local testing centers, laboratories, and County to ensure all staff will be tested within the next few day.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community.

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator
Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.
This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of May 21st 2020:

We wanted to follow up with you all from our letter on May 18th. There were no new confirmed infection of COVID-19 in the past 24 Hours keeping the total at 20 in house positive, with 1 presumed positive. We have seen 0 COVID-19 deaths in the last 24 hours. We have notified all the appropriate families, local and state government officials. The remaining residents remain closely monitored for any signs of change in symptoms.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

In addition we have 22 staff members total that have tested positive for Covid-19 and have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, wear appropriate PPE while we work with the Local testing centers, laboratories, and County to ensure all staff will be tested within the next few day.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community.

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator
Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.
This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of May 20th 2020:

We wanted to follow up with you all from our letter on May 18th. There were no new confirmed infection of COVID-19 in the past 24 Hours keeping the total at 21 in house positive, with 1 presumed positive. We have seen 0 COVID-19 deaths in the last 24 hours. We have notified all the appropriate families, local and state government officials. The remaining residents remain closely monitored for any signs of change in symptoms.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

In addition we have 21 staff members total that have tested positive for Covid-19 and have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, wear appropriate PPE while we work with the Local testing centers, laboratories, and County to ensure all staff will be tested within the next few day.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community.

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator
Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.
This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of May 19th 2020:

We wanted to follow up with you all from our letter on May 18th. There were no new confirmed infection of COVID-19 in the past 24 Hours keeping the total at 21 in house positive, with 1 presumed positive. We have seen 1 COVID-19 deaths in the last 24 hours. The remaining residents remain closely monitored for any signs of change in symptoms.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community. We would like to thank the Ontario County Public Health Department, who has been so helpful in this time.

In addition we have 13 staff members total that have tested positive for Covid-19 and have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, wear appropriate PPE while we work with the Local testing centers, laboratories, and County to ensure all staff will be tested within the next few day.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community.

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator
Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.
This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of May 18th 2020:

We wanted to follow up with you all from our letter on May 17th, when we informed you all that we would be testing all of our residents to ensure we can provide early detection of the Corona infection. We have concluded testing on all residents in collaboration with the County’s assistance. There were no new confirmed infection of COVID-19 in the past 24 Hours keeping the total at 22 in house positive. We have notified all the appropriate families, local and state government officials. The remaining residents have all received negative results.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community.

In addition we have 13 staff members that have tested positive for Covid-19 and have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, wear appropriate PPE while we work with the Local testing centers, laboratories, and County to ensure all staff will be tested within the next few day.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community.

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator
Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.
This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of May 17th 2020:

We wanted to follow up with you all from our letter on May 16th, when we informed you all that we would be testing all of our residents to ensure we can provide early detection of the Corona infection. We have concluded testing on all residents in collaboration with the County’s assistance. There were no new confirmed infection of COVID-19 in the past 24 Hours keeping the total at 22 in house positive. We have notified all the appropriate families, local and state government officials. The remaining residents have all received negative results.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community.

In addition we have 13 staff members that have tested positive for Covid-19 and have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, wear appropriate PPE while we work with the Local testing centers, laboratories, and County to ensure all staff will be tested within the next few day.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community.

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator
Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.
This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of May 16th 2020:

We wanted to follow up with you all from our letter on May 15th, when we informed you all that we would be testing all of our residents to ensure we can provide early detection of the Corona infection. We have concluded testing on all residents in collaboration with the County’s assistance. We are saddened to report that there is 1 new confirmed infection of COVID-19 in the past 24 Hours bringing the total to 22 in house positive. We have notified all the appropriate families, local and state government officials. The remaining residents have all received negative results.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community.

In addition we have 10 staff members that have tested positive for Covid-19 and have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, wear appropriate PPE while we work with the Local testing centers, laboratories, and County to ensure all staff will be tested within the next few day.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community.

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator
Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.
This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of May 15th 2020:

We wanted to follow up with you all from our letter on May 14th, when we informed you all that we would be testing all of our residents to ensure we can provide early detection of the Corona infection. We have concluded testing on all residents in collaboration with the County’s assistance. We are saddened to report that there is 1 new confirmed infection of COVID-19 in the past 24 Hours bringing the total to 21 in house positive. We have notified all the appropriate families, local and state government officials. The remaining residents have all received negative results.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community.

In addition we have 6 staff members that have tested positive for Covid-19 and have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. All other staff members will continue to be monitored every shift, wear appropriate PPE while we work with the Local testing centers, laboratories, and County to ensure all staff will be tested within the next few day.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community.

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator
Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.
This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center

UPDATE as of May 14th 2020

We wanted to follow up with you all from our letter on May12th, when we informed you all that we would be testing all of our residents to ensure we can provide early detection of the Corona infection. We have concluded testing on all residents in collaboration with the County’s assistance. We are saddened to report that there are 21 new confirmed infections of COVID-19 in the past 24 Hours. We have notified all the appropriate families, local and state government officials. The remaining residents have all received negative results as well.

With this Voluntary testing of all residents, the early detection will help us deliver the best level of care for all residents in the community.

In addition we have 2 staff members that have tested positive for Covid-19 and have been placed on leave for no less than 14 days and/or until their symptoms subside, as per NYSDOH Guidelines. That brings our current total to 2 staff members. All other staff members will continue to be monitored every shift, wear appropriate PPE while we work with the Local testing centers, laboratories, and County to ensure all staff will be tested within the next few day.

Since staff are treated outside of our facility these numbers are believed to be accurate based upon reporting to us—but not confirmed. It is also not known whether the exposure to the virus was from our community or a different community.

Please understand that testing, at best, determines whether someone has the virus. It does not determine who will become fatally ill, seriously, mildly ill or who will remain asymptomatic. False negatives and false positives have also been reported. Likewise, a negative test does not mean, at this time, that a person will not develop signs or symptoms of the disease. Beyond testing, other statistics can be materially misleading. There may be under-reporting in non-regulated communities such as towns and cities because of the lack of a system to collect data; lack of availability of testing; and lack of ability to detect when COVID-19 contributed to a stroke, heart attack, blood clot or other symptoms which cause death.

In a nursing home, residents are monitored frequently for signs and symptoms but the CDC symptom list has changed and may be incomplete. All the symptoms of COVID-19 have not been identified. Scope of testing of non-symptomatic residents is largely determined by the local department of health policy and availability of tests. A death is classified as a COVID 19 death whenever a COVID 19 positive person passes, no matter whether COVID 19 had anything to do with that death or not and no matter whether the facility is permitted by advanced directive to use life-saving measures or not. COVID-19 has been deadly but there are likewise those who have other illnesses and/or of advanced age that have pulled through and returned to baseline. All the factors that lead to dramatically different results are being studied, but there is no FDA approved treatment plan and indeed almost no guidance on this subject from governmental officials at all. Each treating physician is left to determine how, and if, to treat COVID-19.

At Elm Manor Nursing and Rehabilitation Center the Medical team is led by Dr.Geria Furtuna who has been consulting with other treating physicians, and experts in the field in an attempt to create medically sound plans for our Residents

Families of infected residents have all been notified if your loved one has been affected by the New Corona Virus, but that does not mean that each family member has been notified. If you are not the person responsible for your loved one’s care, please check with the person who is for updates. If you are the person who is responsible for your loved one’s care, please share this letter and other information with other concerned friends and family members.

We thank those who have expressed support, shown kindness and appreciation to our professional and dedicated staff. We cannot assure success or that governmental guidelines and directives will be judged kindly in hindsight after more facts are information becomes available, but we are working hard to prevent spread. We love our residents and are dedicated to their care. We have never felt as close to one another as we do in this times of adversity and know that while you are not physically here with us, we feel your support and hope you feel ours. We will not be perfect, but we will do our best to continue to communicate about the facility generally and keep you up to date. We hope you are doing well, stay healthy, and are doing your part to keep others safe.

If you have any questions/concerns, please contact:

Christina Oropeza, LNHA, Administrator
Kristen Duran, RN, Director of Nursing

Alternatively, if you desire to communicate anonymously, please call the Complaint and Compliment Hotline at 1-800-610-2544 or send an e-mail to REPORTS@SNFHOTLINE.ORG.
This hotline is administered by an independent third party to help assure your voice will be heard without disclosing your name.

Thank you.

Very Truly Yours,

Christina Oropeza, LNHA on behalf of The Care Staff at Elm Manor Nursing and Rehabilitation Center