| 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 |

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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