Important Information- Covid-19 Response Timeline- February 26, 2021

COVID-19 Response Timeline

Below is a historical look back, depicting Collington’s COVID-19 protocols (a series of communications governing our outbreak response), procurement and initiatives to support the safety our residents and team members.

Jan 21: The CDC confirms first case of coronavirus in the U.S. The case is a man in Washington State who returned home from Wuhan, China.
Jan 27: First Marylander tested for COVID-19. Results are negative.
Feb 9: A second Marylander is tested for COVID-19. Results are negative.
Feb. 12: The first U.S. citizen dies of COVID-19 in China. Feb. 11: Collington’s emergency water contract is renewed.
February 18: Maryland Department of Health (MD DOH) begins reoccurring Thursday webinars regarding COVID-19 updates. MD DOH reports possibilities of nationwide Personal Protective Equipment (PPE) shortage. February 19: Clinical team members begin reviewing Maryland Department of Health preparation recommendation and providing team updates. Collington begins reviewing infection control policies, updating line listing documentation, and regularly monitoring Creighton Center residents.  
Feb. 21: Dr. Nancy Messionnier, director of the Centers for Disease Control and Prevention (CDC) reports that a pandemic is “likely.”   Feb. 23: Italy locks down. February 25:  Daily Operational/ COVID Taskforce calls begin to review MD DOH updates, CDC and WHO guidelines, surveillance measures and any operational changes needed in response to COVID-19 updates.
Feb 26: President Trump announces that Vice President Mike Pence will lead the administration’s Coronavirus task force. February 26: Collington partners with Kendal Corporation and other Kendal Affiliates and begins reviewing policies on Pandemic Planning, Reportable Diseases, Influenza Outbreaks, Infectious Waste and Storage, and Respiratory Isolation. The COVID-19 Risk Communication Package for HealthCare Facilities developed by the World Health Organization is shared with nursing team members and posters regarding COVID-19 begin being placed at Nurses’ Stations. Emergency food, water and linen supply is reviewed.
February 27: There are 24 documented COVID-19 cases in the United States.   February 28: A third Marylander is tested. February 27- 28: The first employee email communication distributed and the first resident communication about COVID-19 is sent out via the internal newsletter, the Courier. Information included is what COVID-19 is, what symptoms to look for, what a resident/ employee should do if they think they have COVID-19, and how to prevent COVID-19: wash your hands, cover your cough, avoid touching your face, maintain distance between you and anyone with a fever, and stay home if you feel sick.
Feb. 29: The Food & Drug Administration (FDA) begins to open up testing. March 2: McKesson announces they will begin rationing supplies.                              February 29- March 3: Regular COVID-19 planning and precaution discussions begin with Medical Director, Dr. Riedinger and MedStar Physician, Dr. Hennawi. Collington implements further tracking and auditing tools around PPE.
March 3: The U.S. surpasses 100 cases. A total of 21 people tested in Maryland. March 3: Due to international travel, Collington asks the first persons in Independent Living to quarantine for 14 days.   March 4: Group purchasing partner, HPSI, reaches out in preparation of supplies and PPE shortage to gather information in effort to help stock up on needed items.
March 5: Maryland confirms the first 3 cases of COVID-19 in the state. All 3 were passengers on an Egyptian Nile River cruise. Maryland Governor, Larry Hogan declares a state of emergency, submits a supplemental budget which includes funding for emergency coronavirus preparedness expenses and legislation transferring funds from the state’s rainy day fund to go toward efforts to fight COVID-19. March 5-6: Collington holds last in person employee meetings to share with team members plans, infection control protocols, hand washing demonstrations, prevention tips, and to stay home if feeling sick. Presentation also made via 972 channel for residents. An “all hands on deck” approach is given to infection control. Team members in all departments begin sanitizing and disinfecting areas of the building.
March 6: Centers for Disease Control and Prevention (CDC) announce federal guidance for long-term care facilities. Governor Hogan directs Maryland insurance commissioner to require all state health insurers to waive any cost sharing co-payments, co-insurance or deductibles associated with coronavirus March 6: Screening of travel begins for residents and team members. Increased cleaning of high touch points begin and the first phase of dining changes are implemented with more table side services. The Collington pool is closed and all SAGE classes are  canceled.
March 9: Maryland has five confirmed cases of COVID-19. The state enacts emergency legislation into law and convenes a coronavirus response team composed of a team of leading doctors and scientists. All out of state travel for state employees is canceled. All state agencies advised to prepare for a period of mandatory telework March 9: Kendal Corporation hosts a “What You Need to Know About COVID” webinar by Dr. Glenn Wortman, Section Director of Infectious Disease at  MedStar Washington Hospital. The webinar is made available to all team members and residents.   March 10: All data from the travel screening of residents and team members is reviewed. Some residents are asked to quarantine based on the results of the screening. Daily infection control line listing surveillance of IL residents begins. Collington switches over Environmental Services agreement to Ecolab. Plan to maintain adequate hand sanitizer supply during pandemic through new sanitization dispensers is formed.
March 11: World Health Organization declares COVID-19 outbreak a global pandemic. President Trump announces a travel ban on Europe. The. U.S. surpasses 1,000 cases. Maryland moves to an all-appointment system at MVA, restricted access to nursing homes and guidelines are issued for all state veterans facilities. The New York City St. Patrick Day Parade is postponed. NBA suspends the remainder of the 2020 NBA basketball season. March 11: The 972 update for residents on “Calm Preparedness” for COVID-19; Collington’s “Soft Shut Down” is announced. All communal events and activities are postponed. All outgoing trips are canceled. The pool and gym are closed. All guestroom reservations are canceled. The library and OO shop are closed. The salon is restricted to only 2 residents at a time during service. Restrictions on visitors for Creighton Center announced to only essential visitors (Hospice, end of life visits)
March 12: First confirmed case of community transmission of COVID-19 in Maryland. The focus is turned from containment to mitigation. The Maryland Emergency Management Agency is ordered to its highest activation level. The National Guard is activated. All non-essential state employees ordered to telework. Access is restricted to state buildings, including the State House. Hogan issues an executive order prohibiting gatherings or events of more than 250 people. All senior activity centers and the cruise ship terminal at the Port of Baltimore ordered closed. Hogan directs all hospitals to immediately implement new visitor policies. Visits to all state prisons are suspended. All public schools ordered closed for two weeks. Major League Baseball cancels 2020 spring training and delays start of season indefinitely. March 12: All housekeeping, facilities and culinary team members attend Kendal and Ecolab hosted webinar on infection control, disinfecting training, and model practices. Letter is sent to all family members of residents in Creighton Center to announce visitor restrictions. Phone calls are also made by team members to ensure every family is aware. All team members begin entering the community through the security entrance of the Creighton Center only. Screening questions upon entry continue. Both dining rooms are closed to carry out style dining from the main dining room only. The Country Store will operate as carry out service only. Ancillary physician visits are discontinued at this time.
March 13: President Trump declares National Emergency. States and cities begin closing schools. CMS updates nursing home guidance focusing on restrictions for visitors and wearing personal protective equipment (PPE). March 14: Pharmacy reviews are changed to remote/ telemedicine.
March 15: CDC releases federal guidance recommending in-person events with more than 50 people be postponed for the next 8 weeks. California Governor Newsom signs Executive Order, prioritizing nursing homes and calls for higher focus on residents. Florida Division of Emergency Management issued order prohibiting visitation to certain facilities for 30 days    
March 16: President Trump announces a 15-day imitative to slow the spread. Orders to avoid social gatherings of more than 10 people are announced. Trump says that this could last through July or August. Maryland has 37 confirmed cases of COVID-19. Hogan orders the shutdown of all bars and restaurants, movie theaters and gyms across the state; prohibited any gatherings of more than 50 people; and activated 250 Maryland State Police troopers of the field force to help with enforcement. Hogan also enacts an executive order directing the Maryland Department of Health to conduct an assessment to open closed hospitals and to take other measures necessary to increase the state’s capacity by an additional 6,000 beds. Hogan activates the Maryland Medical Reserve Corps and issues an executive order to allow any practitioner who holds a valid out of state or expired medical license the ability to practice in Maryland. Hogan also activates 2,200 members of the National Guard and issues executive orders to prohibit utility companies from shutting off service or charging late fees and to prohibit the eviction of any tenant during the state of emergency. Health officials announce social distancing of 6 feet. The Kentucky Derby is postponed to September. March 16: Main dining room carry out service is canceled, and all meals begin being delivered to residents’ homes. Collington begins purchasing and setting up ipads for residents in the Creighton Center to use to communicate with their families and friends. To reduce expose risks, Creighton Center nurses will no longer respond to IL emergencies. Security team members become first responders and partner with 9-1-1. Emergency food on hand is increased from 3 days to 8 days of fresh food and an additional 3 days of dry food for the Creighton Center.
March 17: President Trump invokes the Defense Production Act to allow him to direct industry to produce critical equipment. Maryland has 57 confirmed cases of COVID-19. Hogan issues a proclamation to postpone the April primary election and directs the state board of elections to implement a vote-by-mail system for the District 7 special election. The state moves to a 100% cashless tolling system statewide and public transportation services are dramatically reduced. Reports begin to show virus can live on surfaces for up to 3 days. NCAA cancels2020 basketball tournaments. March 17: The Outpatient Clinic at Collington announces it will be supported by only one provider on site, Dr. Hennawi. This was to allow coverage should a provider be exposed at another facility. The clinic begins only seeing urgent and acute care needs. If residents have returned from international travel, they are told to self-isolate for 14 days. Collington begins to develop Community Engagement team to work on opportunities for residents to participate in learning, fitness and activities via telecommunications, outside within CDC perimeters, and to help engage residents in an effort to decrease boredom, anxiety and social isolation stresses and depression. MedStar Center for Successful Aging Outpatient Clinic at Collington begins working towards telemedicine.   Meals begin being provided for team members at no charge.
March 18: Maryland reports its first COVID-19 death. Maryland joins other states to ask the federal government for more funds, medical supplies and other support. March 18: Some Collington team members begin teleworking. Others begin coordinating teleworking schedules and planning for a Team A/ Team B work week. Prince George’s County Ombusdman assists Collington in securing gowns, masks, gloves and face shields. Friends Services of Aging pauses Collington dashboard updates and any planned mock surveys.

March 19: The U.S. surpass 10,000 cases. Access to BWI terminal restricted to ticketed passengers and badged airport employees only. Hogan also prohibits gatherings of 10 or more people and orders the closure of all enclosed shopping malls and entertainment venues. The University of Maryland System makes a decision to keep students off all university campuses for the rest of the semester.  March 19: Collington begins asking residents and outside partners for cloth mask donations should they be needed. March 20: Temperature screenings begin upon entry. The MedStar clinic begins to transition to telemedicine. Collington files paperwork for Government Emergency Telecommunications Services (GETS) card in case cells service would become overly used.
March 23: Maryland has 288 confirmed cases of COVID-19. Hogan enacts an executive order closing all non-essential businesses in the state, ramps up enforcement actions against crowds and gatherings, and rolled out a $175 million relief package for Maryland workers and small businesses. March 22: 972 live updates begin on Mondays Wednesdays and Friday at 4:30pm. Written communications will be distributed every Monday, Wednesday and Friday.   March 23: Emergency telephone broadcast information is reviewed should a mass communication need to be sent out quickly.
March 24: 2020 Tokyo Summer Olympics postponed to 2021. March 24: Collington begins planning for Ambassador program. A program where team members call residents to check in on them, connect them with resources and to assist in monitoring their health and wellness during the pandemic. Additional Collington employees are deployed to telework.
March 25: Maryland public schools ordered to remain closed through at least Friday, April 25. This comes after the state announced a two-week closing period on March 12.  Hogan announces that he has formally submitted a presidential disaster declaration for Maryland “to help provide funding for state and local governments, as well as nonprofits for such important initiatives as disaster unemployment insurance, hazard mitigation, and emergency protective measures.” March 25: An employee newsletter about COVID preparations, Employee Assistance Program resources, changes to policies and procedures while on campus, infection control measures, apps for mental health support and other COVID related items, it distributed to all team members. Collington develops it’s “Hand Over Hearts” socially distancing greeting.
March 26: The U.S. becomes the planets most infected nation, surpassing Italy and China. Maryland has 580 confirmed cases of COVID-19—an increase of 157 new cases, the largest one-day increase to date. There are more than 1,200 confirmed cases in the National Capital Region—in Maryland, Washington, D.C., and Virginia. President Donald Trump approves a major disaster declaration for Maryland, meaning that federal emergency aid has been made available for the state of Maryland to supplement the state, tribes and local recovery efforts in the areas affected by the coronavirus pandemic. Disney closes theme parks.                         March 26: Collington confirms order of 2,000 N95 masks. In an effort to minimize risk of team members taking home COVID or any infections to their families, Collington begins securing scrubs and a laundry services for team members. Each nursing team member will receive 1-7 sets of scrubs that can be donned upon start of shift and then removed at the end of shift. The scrubs will then be laundered biweekly offsite. Arrangements are made so Pharmacy and other vendors can drop items off at the security entrance or through the loading dock and no longer need to come through the building.
March 27: President Trump signs $2T stimulus package. The U.S. surpasses 100,000 cases. All childcare programs are required to close as part of the statewide emergency related to COVID-19, according to the Maryland State Department of Education. Only designated essential personnel will have access to childcare services established by the state. March 27: All who enter the building through the security entrance are now required to wash their hands upon entry, prior to their temperature being taken and answering the screening questions. “Essential Team Member” letters are distributed to all team members. ThankUTeam email is developed. Kendal Procurement Group to ensure adequate supplies and help with sourcing PPE through vendors is developed. Collington secures a contract and begins a new partnership with a Respiratory Therapy company.
March 28: The CDC issues travel advisory to New York, New Jersey and Connecticut. Maryland tops 1,000 cases, 10 deaths. 66 Nursing Home residents at Pleasant View Nursing Home in Carroll County test positive.  
March 30: Governor Hogan issues “Stay at Home” order. March 30: Vendors such as RDI and Ruppert Landscaping are asked to stay off campus to eliminate risk. The Country Store changes to call in orders and carry out service. A box is added to the Clocktower entrance for cloth masks to be picked up and worn by IL residents. Residents are asked to self-quarantine for 14 days if they have traveled outside of the Maryland region. The first isolation room on Shenandoah is completed should it be needed to care for COVID positive residents.   March 31: Collington team members participate in webinar on COVID-19 planning, PPE shortage solutions (how to contact MEMA/ FEMA), how residents will be monitored for infection control, how residents will be transferred if COVID positive both out of the building (911) and/or to the designated COVID positive unit (Shenandoah), COVID testing, what to do if a resident tests positive, Communications plans, Closure of Units plans, and Full building evacuation plans.
April 2: There are more than 1 million coronavirus cases worldwide. Nearly 85,000 Marylanders have filed for unemployment. April 1: Collington announces Team A/ Team B schedules. Housekeeping, facilities and culinary team members begin working one week and then are paid to stay at home the next week.
April 3: Governor Hogan announces the state now has “widespread community transmission” and is a threat to everyone. Health officials, including the CDC begin recommending everyone to wear cloth masks if they have to leave the house. April 3: Collington announces “hard closure” of campus. Residents are to remain in their homes to preventively self-quarantine but can go outside on campus to enjoy the community. Residents who choose to leave the campus to stay with family or friends will be asked not to return to Collington for the foreseeable future. Residents may request a security pass for mandatory doctor’s visits, medication pick ups, essential groceries that can’t otherwise be acquired through the Country Store or a Grocery Delivery Service. All packages are routed to the Clocktower for delivery and packages will be delivered by a Collington team member. Additional emergency supplies of prepared meals are purchased. Enough for an additional 3 days. 100 emergency Ecolab biohazard kits are ordered. Collington Ambassador phone calls begin.
April 5: Governor Hogan announces a need for more protection for nursing homes and longterm care facilities, including requiring PPE and separate areas observation and isolation areas for residents, as well as expedited testing through Maryland State Public Health Laboratory.  
April 6:  The Master’s moves to November 2020. April 6: Collington IT team members begin limiting entering residences. The Clocktower entrance and exit doors become marked for one flow traffic to help with social distancing when entering and exiting the building. Friends Services of Aging shares announced HIPPA changes during COVID pandemic.
April 7: Governor Hogan announces strike teams to combat cases targeting the elderly at nursing homes, which are made up of National Guard, local and state health departments, Maryland Institute of Medical Services Systems and state hospital systems to bring triage emergency care, supplies and equipment to nursing homes. April 7: With PPE shortage upon nation, 4,000 surgical masks are ordered. Grocery runs for residents are canceled. Residents are encourage to utilize the Country Store or grocery delivery services.
April 8: Maryland cases jump by 1,000+ in 24 hours due to lab testing backlog. April 8: Collington reports first COVID case on campus. N95 masks are deployed to direct care team members. Collington has received numerous donations from residents and outside community organizations and individual persons of cloth masks, surgical masks, face shields made through 3-D printers, gloves, N95 masks, hand sanitizer, soap, toilet paper, to go containers, and thermometers.
April 10: The U.S. has its deadliest day. More than 2,000 people died on Good Friday. April 9: Collington announce to community it’s first COVID case and are saddened to learn of the resident’s passing. The GETS cards are activated. If cell phone towers become overly used, these cards would allow calls to be made through a stronger cell tower connection.   April 10: 1,000 more N95 masks are ordered. A
“Recommitment” letter is developed for nursing team members asking them to commit to Collington as their only health facility employer during the pandemic. The plan is made for “hero” bonuses for team members for their unwavering dedication to Collington and its residents during this pandemic. Team members are provided with additional resources for dealing with stress, anxiety and depression from COVID through their Employee Assistance Program. April 11-12: The Shenandoah neighborhood renovation into a COVID positive neighborhood is fully completed. Eleven rooms private rooms with negative pressure air, N-95 masks and needed PPE is supplied and ready should it be needed to serve COVID positive residents.
April 12: Maryland releases the number of coronavirus cases by zip code. The highest number of cases is in the 21215 zip code, in Baltimore. April 12: Three additional Collingtonians test positive for the virus. The Shenandoah neighborhood opens as Collington’s COVID positive unit. Residents who test positive for the virus begin being cared for on this unit. Collington’s Ambassador program is fully up and running. A program to call and check on residents in both IL and the health center during this period of quarantine. Private duty aides must begin choosing to work in either IL or the Creighton Center. They can not cross into both to provide care to residents.
April 13: The first inmate in a Maryland prison dies of COVID-19.  
April 15: All 50 states have report COVID-19 deaths. Protests begin to erupt throughout the country over the stay at home orders. Governor Hogan signs executive order requiring all Marylanders to wear masks while in stores and on public transits. Order is to go in effect April 18. Tour de France is postponed. April 15: A Villa is set up to host team members who may be working longer than usual hours or if needed for them to stay overnight on campus during the pandemic.
April 16: The White House issues guidance to the states on reopening. April 16: Collington begins reporting COVID data to MD DOH daily.
April 18: Governor Hogan’s orders requiring masks to be worn in stores and on public transits goes into effect at 7am. April 17: Collington dashboard is introduced to show all stakeholders our data on number of cases. 972 updates change to Tuesdays and Fridays at 4:30pm with written updates continuing on Mondays, Wednesdays and Fridays. Collington shares that the requirement to wear cloth masks goes into effect Saturday. A box for cloth masks remain at the ClockTower for residents who need them. The first team member tests positive for COVID.
Aril 20: Guidance is issued that nursing homes are to now report new COVID cases directly to the CDC.The States of Tennessee, Georgia and South Carolina announce reopening plans. April 22: Residents are reminded of the importance of contact tracing and are asked to jot down notes of who they have encountered, especially if they are not following social distancing policies. Team members receive additional guidance on what PPE to wear and how to safely remove it. Trainings on PPE will be held throughout the next several weeks.  
April 26: The CDC adds 6 new coronavirus symptoms. The NYW Pride Parade is canceled for the first time in its history. April 23- 24: Collington begins planning for residents who are COVID positive and on the Shenandoha isolation unit that are end of life to have one visitor. The visitor will wear the required PPE and will not be permitted to touch the resident. Collington begins securing partnerships with staffing agencies to support team members in case of staffing shortage.   April 24: To help team members limit their need of going to the grocery store, Collington begins offering essential food item grocery boxes to team members at a highly discounted cost. Collington completes the State received Infection Control and COVID Preparedness Surveys. Collington Board of Directors sends letter to Governor Hogan advocating for testing.
April 27: Governor Hogan directs MD DOH to share the data on COVID cases in nursing homes. April 27: Additional infection Control training modules are added to the Relias Continued Education program.
April 28: The U.S. tops 1 million cases. Cases in Maryland surpass 20,000 with over 900 deaths. Maryland releases more information detailed information about the number of cases and deaths at nursing homes. The data shows that over half of the state’s deaths have occurred at nursing homes, assisted living, and correctional facilities. On this date the highest number of cases at a nursing home is 220 at FutureCare in Lochearn and the highest number of deaths is 33 at Sage Point Nursing Home and Rehabilitation in La Plata. April 28: Maryland Department of Health publishes data on COVID cases. Collington is listed but data is incorrect. After discussions with MD DOH, our numbers will be corrected on Wednesday during their usual updates.
April 29: Governor Hogan announces an executive order requiring all Maryland nursing homes and longterm cares to test all residents and staff. April 29: Collington partners with the resident flower committee to provide flowers to residents who are COVID positive or who have recovered from the virus and are leaving the unit to return home.
April 30: Governor Hogan announces he has taken measure to safeguard 500,000 tests from South Korea. April 30: With national talks of meat shortages, Collington increases meat supply orders and makes arrangements for an onsite refrigerated/ freezer truck to store meat.
May 2: The U.S. Navy Blue Angels and the U.S. Airforce Thunderbirds honored frontline healthcare workers and first responders battling the COVID-19 pandemic with formation flights in Baltimore, Washington, D.C., and Atlanta. May 1: Collington begins providing COVID positive residents with blankets to “wrap them” in our love. Collington celebrates the first 2 “recovered” from COVID residents. May is designated as Older Adults month and Mental Health Awareness Month. Resources on Mental Health and ways to cope with stress, anxiety, isolation, and depression during COVID, are shared with residents and team members.
May 6: Governor Hogan announces that schools will remain closed for the remainder of the 2019-2020 school year. Restrictions are lifted on elective surgeries and low risk outdoor activities (fishing, boating, etc.) May 5-8: In an effort to connect residents with their families during this challenging no visitation time, Collington hosts family vehicle parades for residents in the Creighton Center. Collington’s data on the MD DOH website that publishes COVID cases data is corrected.   May 6: The remaining 10 residents on Chesapeake neighborhood who have not been tested, are tested for COVID.   May 7: National Guard calls to check on status of Collington, how much PPE, how many have tested positive and what the current state of staffing is.
May 9: The beach and boardwalk in Ocean City, Maryland are reopened. The line for Thrasher’s fries stretched around the store as more than 50 people waited outside. Signs were placed asking customers to socially distance themselves. May 10: Results of the May 6th Chesapeake tests are reported as 9 negatives and 1 positive.   May 10-15: Collington celebrates National Nursing Home Week. Team members receive special meals, participate in fun contests, receive hand sanitizer and a Collington t-shirt.   May 11: Ruppert Landscaping Company is permitted to return to campus, adhering to all precautions and policies regarding infection control.   May 12: Collington partners with Friends Services of Aging for a remote/ telecommunications mock survey of Infection Control measures, protocols, and policies.
May 13: Governor Hogan announces stay at home order will be lifted Friday at 5pm. Launching phase 1 of the state’s recovery plan.  Prince George’s County Executive announces the county will remain shelter in place due to an average of 9 COVID deaths a day, making it the number one cause of death in the county. Maryland officials report nearly 35,000 cases of coronavirus. May 13: Collington team members return from doing Team A/ Team B schedules to reunite on campus and begin working towards phased reopening planning. Collington announces that it will continue to Shelter in Place due to the County orders. Collington provides a bottle of 8 oz. hand sanitizer to all Independent Living residents.
May 15: Collington receives call from National Guard that asymptomatic and universal testing will be held at Collington on May 21st and May 22nd. Collington moves to a schedule of Tuesday and Friday written and live broadcasted updates.
May 20: Governor Hogan announces that test sites will now be set up that do not require doctor’s orders, appointments or symptoms. Pharmacists are also now permitted to conduct COVID-19 testing. May 21: Collington holds a 972 update with the community to let them know of these testing changes, testing site locations in the county and surrounding areas and hours of operation. Few residents chose to go be tested. May 22: Collington selects a private lab to partner with for onsite testing for IL residents.
May 26: Collington announces to the community that COVID-19 testing for IL residents will occur on June 1st– June 2nd. Residents will need an ID and insurance card for testing. Testing will be conducted by Collington nurses.
  May 21-22: National Guard brings testing to Collington and all Creighton Center residents and Collington team members are tested for COVID-19. Testing is completed by Collington nurses.
May 27: Governor Hogan announces further phase 1 restrictions lifted. These include outside dining, outside pools, youth sports, and changes to campgrounds. Prince George’s County remains a shelter-in-place until June 1st. May 27: Results are released from the National Guard testing. Results show 1 positive resident and 7 positive team members.
May 28: Prince George’s County announces the shelter in place will lift as of June 1st and they will enter into phase 1 road to recovery. May 29: Collington asks residents to remain shelter in place until IL testing is completed for the baseline. Phase 1 reopening at Collington will be opening the InterFaith Chapel for resident use only and the salon.
June 3: Governor Hogan announces beginning stage 2 of Maryland’s COVID-19 recovery, safe and gradual reopening of workplaces and businesses. Nonessential business are allowed to reopen. Personal services may resume at up to 50% of capacity. June 1-2: 324Independent Living residents are offered COVID-19 tests on site.
June 4-8: Independent Living resident’s COVID- 19 testing results are received. Results are negative.
June 5: Collington announces plans to reopen dining carry out services, biweekly housekeeping services to resume and resident committees to resume via zoom or outside meetings.
June 10: Governor Hogan announces that effective June 12th indoor dining may resume at 50% capacity. Outdoor amusements and rides may resume with health and safety protocols.
It is announced that effective June 19th indoor gyms and studio fitness activities may begin to reopen at 50% capacity. Casinos, arcades and malls may also begin to safely resume operations. Prince George’s County also announces it will enter into Phase 2 or reopening to coincide with the Governor’s announcements.
June 10: Collington dedicates the 972 live broadcast to discussing COVID risks, reopening phased plans and dashboards. All team members who were out due to COVID-19 have been cleared to return to campus. At this time there are zero COVID positive cases for team members. There remain two positive COVID-19 residents in the Creighton Center. Both are on the COVID positive unit, Shenandoah.
June 12: Indoor dining in Maryland resumes at 50% capacity. June 16: Collington returns to carry out dining in the main dining room. Outside dining will resume June 18th.
June 15: Maryland Department of Health announces the if campuses have no current COVID cases, they can begin permitting outdoor visitors for Assisted Living residents. Nursing homes remain closed to visitors at this time.   June 17: Collington announces that beginning June 22nd deliveries will return to the Clock Tower entrance. Glass has been added to the Clock Tower welcoming desk for additional safety measures. Collington also announces that residents may leave campus without any security passes but are educated on the risk of participating in external activities and that curbside and delivery services are still the highest recommended due to being the lowest risk. Collington announces working on a plan and logistics to return visitors to campus and that plan will be shared soon.
June 25: Maryland Department of Health announces weekly COVID-19 testing will begin for Skilled Nursing and Assisted Living facilities. The state will cover the cost until August 1, 2020. June 30: The last Collington resident on the Shenandoah COVID positive neighborhood receives a second negative test and transitions back home. At this date Collington currently has no COVID positive residents or team members on campus.
July 15: CMS announces point-of-care testing machines/systems will be distributed to nursing homes in the country. These will be provided to Florida, Texas and Arizona first. July 8: Collington begins weekly testing of all team members in compliance with Maryland Department of Health directive.
July 24: Maryland DOH extends coverage of state-funded weekly testing to August 15th. July 18: Collington’s BB&T bank location on site remains closed at this time. BB&T notifies Collington that they are still evaluating reopening strategies at this time. July 22: Collington is notified of 1 positive team member as a result of the weekly testing.   July 27: Collington re-opens the fitness gym to residents with COVID_19 infection control protocols in place and at a reduce usage availability.
August 5: As a result of weekly COVID-19 testing, Collington has conducted over 1,200 tests. Results have indicated thus far 2 positive team members and all remaining have been negative results.
August 13: MD DOH issues clarification on admission and readmissions to nursing homes.       August 10: CMS conducts on-site infection control survey of skilled nursing facility. Survey results in zero deficiencies.    August 12: Collington submits testing plan to MD DOH and it is accepted with no recommended changes.   August 15: Collington begins have responsibility for costs of COVID-19 weekly testing for team members.
August 14: CMS announces problem-solving approaches to help facilities during COVID-19 pandemic. The focus will be on supplies and PPE, containing further outbreaks, and labs prioritizing nursing home tests.
August 25: CMS issues 202 pages of an interim final regulation related to COVID testing in general and nursing homes. This includes new reporting, requirements for labs, new requirements for hospitals and new nursing home rules. Trump Administration announce release of 1.5 Million N95 Respirators for nursing homes. August 20: Collington receives notification from CMS that we will receive a Point of Care testing machine for the nursing home. 
August 26: CMS issues a memorandum providing guidance for nursing home facilities to meet the new requirements. This places the frequency of team member testing on the county’s COVID positivity rate. Data shows Prince George’s County rate a of August 13-19 at 5.1%. PCR or POC testing permitted federally by CMS but is not permitted at the state level for Maryland.
August 27: Trump administration announces the purchase of 150 million COVID-19 teste to be distributed across the country. August 28: Collington receives Point of Care (POC) testing machine for the nursing home from CMS.
September 4: Collington is notified of 6 active cases of COVID-19 amongst team members. Collington department leaders provide re-education to all team members about following COVID-19 infection control practices not only when inside Collington but when in the greater community as well. Collington closes the main break room and sets up additional temporary break room in the Landing area. Further signage is implemented throughout the community to lessen the amount of team members in one space or office area at a time. Collington pauses in home housekeeping services and reverts to only completing emergency facility work orders. Plans for indoor dining and indoor visitations are paused at this time.
September 8: CMS issues reporting requirements for COVID-19 testing and penalties associated with not reporting. At this time, testing requirements for team members in Maryland remains weekly and PCR tests are still required. Collington awaits guidance on Point of Care (POC) testing and if/ how the POC devices are to be utilized in the state of Maryland. September 8: Collington remains in compliance with reporting requirements and weekly COVID-19 testing. Collington begins flu vaccination for residents within the Creighton Center.
September 14: MD DOH issues protocols and procedures for utilization of Point of Care testing devise which are being supplied by the federal government to nursing homes and assisted living facilities. September 14: Collington begins flu vaccination for team members. MedStar Center for Successful Aging Outpatient Clinic at Collington begin flu vaccinations for Independent Living residents.  
September 17: Collington is notified by MD DOH that a technical assistance team will visit the community on September 22nd to observe practice and offer hands-on demonstrations. September 22: Collington has a visit from Maryland Department of Health’s technical assistance team to assess and evaluate our infection control measures and provide any needed education to team members. Visit is positive and infection control measures recognized as successful and appropriate.
September 18: White House conducts even on the Nursing Home Commission. As a result CMS release new visitation guidelines. Visitation is based on county positivity rates.
September 30: CMS issues new guidance related to emergency preparedness and testing requirements.
October 1: Maryland Department of Health announces that weekly COVID-19 testing for team members is strongly recommended but not required. Governor Hogan announces that indoor visitation may resume for nursing homes effective immediately. These are for homes who do not have a current outbreak and have not had a case in 14 days. LeadingAge Maryland announced that CMS and State DOH guidance will be forthcoming. October 1: Collington has plans in place for indoor visitation but is awaiting guidance from MD DOH and CMS on specifics of implementation of plans to ensure compliance.   All flu vaccination clinics are completed. New residents or any resident who missed flu vaccination can still receive them as desired wither within the clinic or within the Creighton Center. Collington announces reopening of housekeeping and facilities services as positivity rate decreases amongst team members.   October 2: Collington begins submitting and finalizing plans for indoor visitations.
October 6: Health & Human Services Secretary Alex Azar authorized and extended the federal emergency declaration as part of the response to the COVID-19 pandemic through January 27, 2021 including the elimination of the 3-day stay rule and telemedicine/telehealth practices to remain available. Between October 6- October 9: Further guidance and explanations on indoor visitation is received from MD DOH.  
October 12: Prince George’s County Department of Health recommends that facilities, including CCRCs do not open up for indoor visits due to the county positive rate increasing over the past weeks from 3.4% to almost 5%. October 12: Plans on roll out or announcements of indoor visitations are paused due to notification from Prince George’s County.   October 13 & 14: Collington completes fire safety and emergency preparedness training for all team members and residents. Trainings are completed in partnership with Russell Phillips & Associations via ZOOM to promote infection control measures. October 19: Collington announces to team members that they will change from weekly COVID-19 testing to biweekly testing.
October 22: Collington receives notification of 3 COVID-19 positive team members and notifies team members that plans to switch to weekly COVID-19 testing have been canceled at this time. Residents within the Creighton Center begin to be tested for the next two weeks or until two weeks have passed since last positive case is identified. COVID-19 testing is now available in the MedStar Center for Successful Aging Outpatient Clinic at Collington. Testing will be based on symptoms or exposure and is also available as part of route pre-operative testing. COVID-19 testing requires a MedStar physician order.
October 26: Collington reopens indoor dining within the main dining room for Independent Living residents at 25% capacity.
November 10: Governor Hogan announces a roll back in reopening phases including a reduction in indoor dinning capacity from 75% to 50%, limitations of gathers to 25 persons, renewed the mask mandate and also provided updated information on the Maryland Travel Advisory. Prince George’s County COVID-19 positivity rate climbs to over 6%.
November 17: Governor Hogan announces nursing home mandate of twice a week testing of team members and once a week testing of residents effective November 20th. Visitation to nursing homes are also limited to compassionate care visits only which require proof of negative COVID-19 test within 72 hours of visit. November 20: Collington shares broadcast of COVID-19 updates and testing changes on internal broadcast channel. Asks for residents and team members to participate in a “Zoomgiving” rather than travel for the Thanksgiving holiday. November 23: In compliance with the testing mandate, Collington increases COVID-19 testing for team members to twice a week. Weekly testing of Creighton Center residents also begins.
December 3: Maryland Department of Health signs up all nursing homes for the CVS/Walgreens COVID-19 vaccination program. Governor Hogan issues as Travel advisory, Prince George’s county continues the mask mandate to include wearing a mask outdoors. December 3: Collington confirms partnership with CVS pharmacy for vaccination clinic.
December 8: Governor Hogan shared vaccination plan for Maryland. December 7: Collington’s Health Services team leadership participates in CVS COVID-19 vaccination webinar to learn more about the plan for distribution.
December 9: Collington shares with the resident, team member and family/vendor communities important information on Collingotn’s vaccination strategy.
December 11: FDA gives emergency use approval for the Pfizer vaccination.
December 14: A nurse at the University of Maryland hospital becomes amongst Maryland’s first persons to receive the COVID-19 vaccination December 18: Collington receives notification at 5pm from CVS pharmacy that the nursing home and team member vaccination clinic will be held onsite on December 26th. It is also confirmed that it will be the Pfizer vaccine.   December 19: Team members print and distribute information packets and consent forms in preparation for the vaccination clinic.
December 21: Collington receives final confirmation from CVS for upcoming COVID vaccination clinic.   December 22: Collington nursing home residents, team members, rehab partners, physicians and private duty aides within the Creighton Center turn in consent forms and copies of insurance cards for upload into the pharmacy portal to prepare for vaccine distribution and confirm allocation amounts.    December 23: Upload of information to CVS is complete and the vaccination clinic is again confirmed with the pharmacy.
December 26: 171 persons receive the first dose of the COVID-19 vaccine at Collington! A historic event!
January 5: Governor Hogan announces changes to the vaccination distribution plan. Phases are increased to include more persons and a rolling vaccination plan is adopted to begin phases quicker. An executive mandate is issued for reporting of vaccination distributions by pharmacies to the health department within 24 hours. January 4: Collington receives notification of second vaccination clinic. Those who received the first dose will receive their second dose and there will be an additional opportunity for nursing home residents and team members to receive the first dose. Information and consent forms are distributed to team members to prepare for the second vaccination clinic.   January 6: Collington shares Hogan’s updated vaccination plans with residents.
January 11: Collington receives notification of Part B of the CVS Pharmacy Partnership activated within the state of Maryland. January 11: Collington team members and Creighton Center residents turn in vaccination consent forms for upcoming COVID-19 vaccination clinic. Collington confirms with CVS pharmacy that the upcoming second dose vaccination clinic will be for nursing home and assisted living residents. Collington also confirms that it will be notified within the upcoming days or weeks of information on the COVID-19 vaccination clinic for Independent Living residents.  
January 16 & 17: CVS hosts vaccine clinic onsite at Collington for residents. Independent Living residents have the opportunity to receive their first dose and team members and Creighton Center residents receive their second and final dose of the COVID-19 vaccine.
Feb 11: CMS and Maryland Department of Health release information on the planning of reopening nursing homes for visitation, dining, cosmetologists and barber services, and group activities. Hogan shares updates on the state’s work to ramp up vaccinations in Maryland. Notification is given that testing can return March 1st to follow CDC and CMS recommendations. February 6 & 7: CVS completes final COVID-19 vaccination clinic. Independent Living residents receive their second and final vaccine dose.
February 8: Collington’s campus vaccination rate, including both team members and residents, reaches 85% vaccinated.
March 1: Collington enters the next phase of reopening campus to allow for the start of indoor visitation.