Because many of our residents and associates have received the vaccine, we have phased out some of our COVID-19 protocols in our senior living communities as appropriate.

General Guidelines

  1. Visitors
    1. Residents should always be allowed to have family and friends visit. These visits can take place in a designated visiting area or in the resident’s apartment when allowed by state guidelines.
      1. Contact between the resident and the visitor is allowed. Keeping in line with current CDC recommendations, we ask that vaccinated residents and visitors wear masks inside in areas with substantial or high transmission
    2. All persons entering the community must be screened for signs and symptoms or possible exposure to COVID-19.
    3. All visitors must adhere to the mask/face covering policy outlined in this plan.
    4. We will post appropriate signage informing guests of our visitation policy and reminding them not to visit if they have symptoms of respiratory illness.
    5. Hand sanitizer will be available at entrances.
    6. If in-person visits are paused, we will use technology to help family members communicate with residents. This can include telephone, video conferences or mobile devices.
  2. Monitoring/Screening of Signs and Symptoms
    1. All persons entering the community will be screened for signs and symptoms or possible exposure to COVID-19, including taking their temperature.
    2. Existing residents will be monitored/screened for signs and symptoms at least once per day, including taking temperatures.
      1. Fully vaccinated residents may be exempt from daily screening. These residents will be educated/encouraged to perform daily self-checks and report if they are feeling sick or have a fever. These residents will be screened anytime they return to the community from an outing.
    3. All visitors will be screened each day they are in the community.
    4. Screening of staff will take place at the start of every shift.
  3. Cleaning and Disinfection
    1. Common areas and high-touch surfaces will be cleaned and disinfected frequently using an EPA-approved disinfectant.
      1. Examples include tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, sinks and touch screens.
    2. Dining areas will be cleaned and disinfected between meals.
  4. Testing
    1. Always follow guidance from your health department regarding how to prioritize testing. According to the CDC, the priorities for testing are staff or residents with symptoms and persons identified as part of an outbreak cluster by the public health department. All recommendations for testing are based on the capacity of available testing.
    2. The following are examples of situations where individuals should be tested:
      1. Staff with symptoms.
      2. Residents with symptoms.
      3. Residents with prolonged close contact, regardless of vaccination status.
      4. New move-ins.
      5. Existing residents returning from an admission to a hospital or skilled nursing facility.
      6. Fully vaccinated associates who have a “high-risk” exposure. If a fully vaccinated employee lives with someone who has confirmed COVID-19, the employee may continue working as long as they are asymptomatic. It is advisable to test the employee as a precaution.
      7. Community is experiencing an outbreak. Both residents and associates should be tested regardless of vaccination status.
      8. Unvaccinated staff or residents who have had close contact (within 6 feet) with someone with confirmed COVID-19, if recommended by the health department or physician.
      9. Persons identified by the public health department.
  5. Masks/Face coverings
    1. Unvaccinated Residents:
      1. Will be asked and encouraged to wear a cloth face covering when outside their room/apartment.
    2. Vaccinated Residents:
      1. Are not required to wear a face covering when in groups with other residents who are also fully vaccinated.
      2. Will be asked and encouraged to wear a cloth face covering when in the presence of unvaccinated residents.
      3. May be exempt from wearing a face covering at all times if allowed by state and local health department guidance.
      4. Per updated CDC guidance, fully vaccinated persons should wear a mask indoors when in an area with “substantial” or “high” transmission rates. You can view your county’s transmission rate here:
    3. Unvaccinated Staff:
      1. Must wear a medical/surgical mask at all times in the community.
    4. Vaccinated Staff:
      1. Generally expected to wear a medical/surgical mask when in the community.
      2. May remove their mask in small groups/meetings with other staff who are also fully vaccinated.
      3. May be exempt from wearing a mask if allowed by state and local health department guidance.
      4. Per updated CDC guidance, fully vaccinated persons should wear a mask indoors when in an area with “substantial” or “high” transmission rates. You can view your county’s transmission rate here:
    5. Unvaccinated Visitors:
      1. Must wear a cloth face covering when in the community.
    6. Vaccinated Visitors:
      1. Must wear a cloth face covering when in the presence of unvaccinated residents.
      2. May be exempt from wearing a face covering if allowed by state and local health department guidance.
      3. Per updated CDC guidance, fully vaccinated persons should wear a mask indoors when in an area with “substantial” or “high” transmission rates. You can view your county’s transmission rate here:
  6. Social Distancing
    1. If possible, keep a distance of 6 feet between yourself and someone who is coughing, is sneezing or has a fever.
  7. Culinary
    1. In communities where at least 70% of residents are fully vaccinated, residents who do not live in the same apartment may dine together at the same table.
    2. Visitors who are fully vaccinated or who present a negative COVID test result from within the past 72 hours may participate in communal dining unless restricted by your state or local health department.
      1. Visitors should sit at a table only with the resident they are visiting.
      2. Visitors should wear a cloth face covering or mask when in common areas of the community, including coming to/from the dining room.
      3. Local restrictions on dining room/restaurant capacities will be followed.
  8. Activities and Outings
    1. If all residents participating in an activity are fully vaccinated, they may choose to have close contact and not wear a mask during the activity. If unvaccinated individuals are present, all residents in the activity must remain 6 feet apart and wear a mask.
    2. Outside performers, entertainers or volunteers can participate in activity programs to the extent visitors are allowed. They will be screened.
    3. Visitors who are fully vaccinated may participate in activities unless restricted by their state or local health department.
  9. Environmental Practices To Reduce Potential Exposure
    1. Doors and windows will be left open when possible to reduce touching by multiple people and to improve ventilation.
    2. Frequently touched objects will be removed from common areas.
  10. Respond Aggressively to Signs and Symptoms
    1. Symptomatic residents will be quarantined until tested, and communities will follow directions from the resident’s physician and local health department.
    2. Associates will be reminded and encouraged to stay home if they feel ill.

          If you have any questions, please reach out to your community’s Executive Director.

          What We Are Doing

          While we are not a "health care facility" (hospitals and skilled nursing facilities are), we have a preparedness plan and protocols in place for all viruses like this, including the flu and norovirus. The health and safety of our residents and our associates is always our top priority.

          We know our associates play an important role in ensuring the safety and well-being of our residents, visitors and fellow associates. Our associates have been trained on respiratory illness, including infection control practices and monitoring for signs and symptoms of COVID-19.

          Just as with any virus or infection, we follow guidelines established by the CDC, and state and local health departments. Below are steps we have asked our associates to take to help prevent COVID-19 from entering our communities:

          • Wear a facemask at all times while at the community.
          • Wash hands regularly, especially when arriving to work, after interacting with residents, after using the restroom and after personal activities such as eating.
          • Avoid touching eyes, nose and mouth with unwashed hands.
          • Stay home if sick or showing symptoms of coronavirus.
          • Notify a supervisor or the executive director if they have traveled outside the United States within the past 14 days or have plans to in the future.
          • Ensure hand hygiene, tissues and masks are readily available for our residents and their loved ones.
          • Increase frequency of cleaning and sanitizing our common areas to prevent the spread of germs.
          • Follow approved dishwashing techniques in our kitchens.
          • Ask residents who aren’t feeling well to stay in their apartments or go to the hospital for further medical evaluations.
          • Our on-site resident care professionals, particularly in Assisted Living and Memory Care, are extensively trained to support our residents and monitor their health. At the earliest signs of one resident’s experiencing a similar illness and symptoms, we’ll enact extra infection-control procedures, including limiting non-essential activities in the community and notifying families and visitors.

          Resident Illness Intervention Protocol

          In the event that any resident or associate displays symptoms of COVID-19 or tests positive for COVID-19, we will immediately place the resident under full isolation protocols and implement CDC-recommended precautions. We will seek medical attention by contacting their medical provider or calling 911 if the resident is in distress or needs immediate medical attention. We will also report the situation to the public health department, and restrict the non-infected residents to their apartments unless there is a medically necessary purpose.

          The Resident Care Director and/or Executive Director will ensure associates and residents follow the guidelines below for responding to a resident with COVID-19:


          • Upon entering the apartment of a resident with a confirmed case of COVID-19, staff MUST wear full PPE gear. This requires gowns, gloves, N95 or higher-level respirator, (facemasks can be used if N95s are unavailable), and eye protection. This includes outside health care providers or anyone entering the resident’s room such as housekeeping, maintenance, etc.
          • Wear gloves when touching an ill resident, potentially contaminated environmental surfaces, or items potentially contaminated with respiratory secretions, contaminated tissues, vomit or fecal matter.
          • Gowns must be worn when providing direct care to an ill resident, and gloves and gowns must be changed after each encounter with an ill resident. After removing gloves, associates should immediately, without touching surfaces or objects, wash their hands with soap and water.
          • When finished providing personal care, personal protective equipment (gloves, masks and gowns) must be removed prior to leaving the resident apartment or care area and discarded in an appropriate waste container. All used personal protective equipment must be treated as potentially infectious.
          • If there is a concern about the safety of disposing of personal protective equipment within a resident’s apartment, care associates will be trained on where to appropriately dispose of soiled equipment that minimizes the spread of infection.
          • Increase screening/monitoring of residents and staff for signs and symptoms when there are active cases in a community.
            • Screen staff at the beginning and end of each shift.
            • Screen residents for symptoms during each shift.
          • If a resident requires a higher level of care than what you can provide, coordinate a transferral of the resident to an appropriate medical facility.
          • If necessary/possible, consider grouping ill patients together in a dedicated area of the community.
          • Continue to prohibit visitors (unless medically necessary), group activities and dining room service.


          • A surgical or procedure mask will be placed over the ill resident’s nose and mouth, if tolerated, when transport or movement of the resident is necessary outside of their room.
          • The resident will be instructed to use tissues to cover their nose and mouth when coughing and sneezing. A bag or other waste receptacle will be provided for disposal of contaminated tissues.
          • Hands will be washed or sanitized with an alcohol-based hand hygiene product frequently throughout the day, before they leave their room, and after hand contact with respiratory secretions or contaminated tissues.
          • A supply of gloves will be kept in the resident’s room, unless there are concerns about the resident’s safety.

          Please check our updates page for the latest information. If you have questions about COVID-19 or the COVID-19 vaccine, please visit our FAQ page.

          COVID-19 Response Checklist

          1. Isolate the COVID-positive individual(s).
            • If it is a resident, they isolate in their apartment. If it is a staff member, they isolate at home.
            • Isolation timeframes (see full plan for details):
            • Residents: 10 days
            • Staff: five days if staffing crisis
            • Symptoms must be improving, no fever, for 24 hours.
          2. Implement PPE.
            • Anyone entering the room of an isolated or quarantined resident must wear an N95 respirator, face shield, gown and gloves. Set up a PPE station/cart and waste container with a lid outside the apartment of isolated residents.
          3. Notify the resident’s primary care provider.
            • Follow directions for treatment.
          4. Dedicate care staff (if possible).
            • Assigned dedicated care staff to isolated residents, if possible.
          5. Alert monitoring/charting.
            • COVID-positive residents should be monitored with charting at least once per shift until resolved.
          6. Test close contacts.
            • Close contact is defined as being within 6 feet of the individual for 15 minutes or more in 24-hour period. Repeat testing after five days.
          7. Quarantine close contacts only if they are not up to date on vaccines or have symptoms.
            • Close contacts who are up to date on vaccines and do not have symptoms do not have to quarantine.
          8. Test all residents and staff ONLY if unable to identify close contacts.
            • You may also have to test all residents and staff if directed to do so by your health department, but it is our policy to test close contacts only.
          9. Continue communal dining.
            • We close communal dining only if directed to do so by your health department or our clinical leadership.
          10. Continue activities.
            • We suspend activities only if directed to do so by your health department or our clinical leadership.
          11. Initiate a line list.
            • Keep updated with all COVID-positive individuals and all individuals who are tested.
          12. Notify residents and responsible parties.
            • Do not reveal personally identifying information.
          13. Notify staff.
          14. Notify visitors.
            • This can be done by posting a sign at your entrance.
          15. Notify health department.
            • Inform them you have a plan and are following.
          16. Notify state licensing agency.
            • If required in your state.