Three of Lewis County's Reported COVID-19 Related Fatalities
Were Residents at
Lewis County Residential Health Care Facility

November 23, 2020   09:00 p.m.   By: Nick Altmire
    Lowville, NY- Three of the four COVID-19 related fatalities that have been
    reported in Lewis County were residents at the Lewis County Residential Health
    Care Facility (LCRHCF), Lewis County Health System CEO Jerry Cayer
    confirmed late this afternoon.

    Lewis County Public Health reported the first COVID-19 related fatality in the
    county last Monday, November 16, followed by reports of an additional COVID-
    19 related fatality both last Wednesday and Thursday. The county's fourth
    fatality was just reported in this evening's update from Public Health.

    I was able to speak with Mr. Cayer late this afternoon, via telephone, for the first
    time since he first disclosed at a November 17 meeting of the county legislative  
    board's Health & Human Services committee that there had been a large number
    of residents and staff at the nursing home testing positive for COVID-19, as
    reported here.

    Mr. Cayer said that, as of 11 o'clock this morning, there were currently 12 COVID-
    19 positive residents in the COVID unit that has been established at the nursing
    home, while confirming that three of the four COVID-19 related deaths reported in
    the county were residents of the nursing home. All of the patients testing positive
    in the nursing home reside on the same floor of the facility, Mr. Cayer said.

    Currently, there are 11 staff members from the nursing home in isolation due to a
    positive COVID test. Mr. Cayer said a team has been designated strictly to staff
    the COVID unit at the nursing home. As of now, the day and evening shifts
    consist of two Certified Nursing Assistants (CNA) and one nurse for the 12
    residents in the unit. The ratio of one CNA to six residents is above the standard
    of one per eight on day shifts and one per ten on evening shifts, Mr. Cayer said.

    There are currently 126 residents at the 160 bed nursing home, according to Mr.
    Cayer, and no new admissions to the facility have taken place in over a month.

    All nursing home staff continue to be tested weekly for COVID-19. In addition, all
    residents of the facility are currently being tested once a week, with residents of
    the impacted floor receiving more frequent rapid tests when available. Mr. Cayer
    said that the current inventory of the rapid PCR tests is low, leaving the
    alternative of sending the specimens to an off-site lab and awaiting results.

    The outbreak of positive cases at the nursing home comes as the number of
    positive cases in the county has significantly grown over the last month. Of the
    296 positive cases reported since testing began in March, 225 have been
    confirmed since October 19.

    Mr. Cayer said it was hard to say how the virus entered the nursing home, but
    with new admissions and family visits on hold at the time it is possible that a staff
    member unknowingly brought the virus into the facility. He noted that LCHS is the
    largest employer in the county, with staff living in all of the five neighboring
    counties.

    The nursing home has had four unannounced routine infection prevention visits
    from the New York State Department of Health through the course of the
    pandemic, Mr. Cayer said, noting the facility was in full compliance with all
    infection prevention protocols.

    Residents in the COVID unit will need two negative tests before being moved to a
    newly established recovery unit for a period of time before returning to the
    nursing home.




     


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