The Square
News and perspectives from Covia.

All five Covia Communities are among the 21% of U.S. skilled nursing facilities that have been recognized as a Best Nursing Home for 2020-21 by U.S. News & World Report.

The communities received Best Nursing Homes status by achieving a rating of “High Performing,” the highest possible rating, for Short-Term Rehabilitation, Long-Term Care, or both. Canterbury Woods in Pacific Grove, St. Paul’s Towers in Oakland, and San Francisco Towers all received the recognition for Short Term Rehabilitation. Webster House Health Center in Palo Alto was recognized for its Long Term Care. And Spring Lake Village in Santa Rosa received the honor for both Short Term and Long Term care.

U.S. News gives the designation of Best Nursing Home only to those homes that satisfy U.S. News’s assessment of the appropriate use of key services and consistent performance in quality measures. This year, to accompany the new ratings, nursing home profile pages were updated to include a patient safety summary that reflects COVID-19 data alongside other measurements of safety and related advice on choosing a home or facility amidst the pandemic.

“I am so proud of all our Covia teams and their leadership, especially their implementation of the infection prevention processes that resulted in exceptional resident outcomes during this challenging pandemic,” says Cynthia Shelby, Covia’s Regional Director of Quality and Care, RN, RAC-CT.

All of the communities noted the extraordinary care and efforts given by their team members. Max Brodsky, Health Care Administrator at San Francisco Towers, says, “As I make my rounds checking in with the residents staying at the Health Center, one thing I hear over and over is ‘You have the most wonderful staff working here. They are kind, hard-working, and always do their best.’  It’s our culture of respect and integrity, and staff who embrace our philosophy that makes us the best and a five star facility.”

At St. Paul’s Towers, Health Care Administrator Connie Yuen says, “Our staff works from the kindness and love in their hearts. We’ve been told time and time again we do not work with patients, we work with residents that become a part of our family that we love and care for. The staff go above and beyond to connect with residents and take it a step further by providing updates, photos and spontaneous phone calls to give loved ones peace of mind.” Executive Director Mary Linde adds, “We at SPT are delighted to be among the best nursing homes in the country.  But it comes as no surprise because we see the care, and the relationships that drive that care, on a daily basis. I believe the staff in our SPT SNF are, indeed, among the best in the industry.”

Kris Hermanson, Health Care Administrator at Spring Lake Village which was rated as High Performing for both Short Term and Long Term care, says, “It’s satisfying knowing you are giving quality care to our residents who deserve and have earned it!”

Now in its 11th year, the U.S. News Best Nursing Homes ratings and profiles offer comprehensive information about care, safety, health inspections, staffing and more for nearly all of the nation’s 15,000-plus nursing homes. The Best Nursing Homes ratings reflect U.S. News’ exclusive analysis of publicly available data using a methodology defined by U.S. News that evaluates factors that it has determined most greatly impact patient and resident care, safety, and outcomes.   

“U.S. News strives to provide access to information that allows consumers to make educated decisions on all types of care,” said Ben Harder, managing editor and chief of health analysis at U.S. News. “Updating the profiles to include a patient safety summary that highlights COVID-19 data paired with other measures of care arms families, caregivers and patients with the information needed to make a decision that keeps safety at the highest priority.” 

The Best Nursing Home finder features ratings on both long-term and short-term care. The Long-Term Care Rating aims to provide prospective residents who need help with daily activities, and their families, with analysis and information regarding the quality of care provided by nursing homes. The rating includes data on staffing, success in preventing ER visits and pneumonia vaccination rates, among other metrics. The short-term rating incorporates measures of quality including consistency of registered nurse staffing, use of antipsychotic drugs and success in preventing falls.

U.S. News & World Report is the global leader in quality rankings that empower people to make better, more informed decisions about important issues affecting their lives. A digital news and information company focused on Education, Health, Money, Travel, Cars and News USNews.com provides consumer advice, rankings and analysis to serve people making complex decisions throughout all stages of life. More than 40 million people visit USNews.com each month for research and guidance. Founded in 1933, U.S. News is headquartered in Washington, D.C. For more information behind both U.S. News ratings please refer to the FAQ.

Watch our video interview with Jerry here.

Jerry Brown, Covia’s Senior Director of Affordable Housing, has no idea how he got exposed to COVID-19. “Between March 12 and June 28, I probably saw less than 20 people total the whole time,” he says. Nevertheless, on June 28th, “I got a really bad upset stomach. I thought I probably had food poisoning. And that lasted a straight 48 hours, two days. And then that Sunday, I felt like an elephant was sitting on my chest. I could not get my breath.”

A trip to the emergency room confirmed his suspicions: he had COVID-19.

At first, the doctors thought he could be treated at home. “I thought I was doing fine for seven days. But the next Sunday, the elephant was sitting back on my chest again and just could hardly breathe at all.” After the hospital confirmed he had COVID-19, Jerry was admitted to the hospital to a floor designated for COVID-19 patients. “There were 70 rooms. All of these rooms are individual rooms that have special air filtering so that it doesn’t get into the rooms of the rest of the hospital,” Jerry explained. “I was lucky enough to get the last room that was available that night. I didn’t get in to my room until three o’clock the next morning, but I did get in there, and I felt so much better once the nurses and the CNAs all came around and started taking care of me.”

He thought he would be in the hospital just a couple of days, but ended up staying 10 days as his medical team determined what treatment regimen would work best for him. “They said, ‘We don’t really have a set treatment for this. Everybody is different. So what we’re going to do is just sort of throw things at you over the next few days to see what works for you.’”

Remdesivir proved unsuccessful, and his medical team was unable to get approval from the Federal Government for a plasma treatment. What ultimately worked was a steroid treatment. “The problem with the steroids and the reason that was [treatment] number three is because steroids don’t really work well with people who have diabetes.” Although Jerry’s diabetes is not severe and well controlled with Metformin, “when I started taking the steroids, which made me feel a lot better breathing-wise, my sugar levels went to 700. That’s the reason I had to stay in the hospital, so long. With that sugar level, I could have had a stroke or kidney problems.”

From the outset, his medical team told Jerry he had one goal: Stay out of the ICU! “They actually wrote it on the white board in my hospital room. There were 18 ICU rooms and they were full the whole time I was there. Over that 10 days, seven people died. You would hear that through the nurses and the medical staff and the doctors were very honest.”

Although he’s doing better, Jerry is not fully recovered. “I exercise my lungs. I speak through Zoom with a therapist. But we’ll see how it goes. Right now I’m breathing fine. I can walk about 40 feet before I get tired and need to sit down.”

He also knows that this is still a scary situation – and understands it, having lived through the AIDS crisis of the early 1980’s. “I came to San Francisco in 1979. I got transferred with my job to San Francisco, and it was right at the top of the AIDS crisis. So that was really scary for me. And we all know that that lasted a little while before we figured out that it didn’t need to be as scary as we thought because there were things you could do to make sure that you didn’t get it. I’m sure that’s going to happen with COVID-19 too. But this disease is a little different because it’s in the air. How do we manage that, other than with these masks and watching our hands and social distancing?”

He’s concerned at the number of young people who aren’t taking COVID-19 seriously. “I see so many people that aren’t wearing masks or social distancing, and that’s very scary for me. I saw a lot of that in San Francisco. I live on Nob Hill and the younger people were still playing basketball and not wearing a mask and running without a mask. Hopefully they will get over it, being young and having strong bodies and a good immune system. But there are so many people around them that could get COVID.”

Aside from practicing good infection prevention habits of handwashing, wearing a face covering, and maintaining your distance, Jerry wants to remind people that, whether it’s COVID-19 or any other illness, “you are your own best advocate for your medical care.”

While he was in the hospital, “Every night I would put my questions together about nine o’clock. I would think of everything I wanted to ask them, ‘Can I do this? Can I do that?’ And then I would have my questions ready. It made me feel better too, you know, just getting an answer to things I had questions about.”

He also advises everyone to update your health care and financial directives (such as wills or trusts) “now – not when you are in the hospital bed.” He also recommends purchasing an oximeter – a battery-operated finger device that gives instant reading of your pulse and blood oxygen levels. “One of the first signs of COVID is not enough oxygen in the blood. To be up walking at a natural movement pace the reading should be 90 or above. You can purchase at most drug stores or on line for around $30. I now check mine twice a day.”

The experience has made him reflect on the importance of connections. “I thought about the people from the 1918 flu. How awful. They didn’t have Zoom. They didn’t have the Internet. They didn’t have a way to connect to people. And even though I was in that room alone, I spoke with my family every day. We FaceTimed. I Zoomed friends. People dropped things off. I got cards and I was surprised they let flowers come to the room, and all of that made the experience. I had the feeling that people were caring about me. We figured out ways to connect with each other.”

All of us at Covia wish Jerry and all who are affected by COVID-19 connection and comfort during these difficult times.

Watch our video interview with Jerry here.

Covia has been carefully monitoring the situation around Covia-19, also called Coronavirus,  since COVID-19 has the potential to be far more dangerous for older adults. We will be providing regular updates on https://covia.org/covid-19-response-and-resources/

As the news about COVID-19 spreads as fast or faster than the virus itself, we wanted to share the steps that Covia is taking to prevent viral infections – not just COVID-19, but the flu, pneumonia, and other diseases.

What Covia is doing:

Covia is experienced in providing infection control. Each Life Plan/Multi-Level Community has a dedicated Infection Preventionist on staff, responsible for developing a community response plan built on best practices and current recommendations. In the current situation, each community is following the local, state and federal health authority guidance on prevention, case definition, surveillance, treatment and facility response related to COVID-19.

All Covia staff are trained regularly on injury and illness prevention. Each year, Covia provides flu shots to staff free of charge or reimburses staff who receive the flu vaccine. Although no vaccine currently exists for COVID-19, Covia is providing staff with additional resources related to preventing the spread of the virus, and taking extra care to ensure that staff stay home when they are sick.

Finally, Covia’s Risk and Clinical team members are in contact with public health officials and provide regular updates and information to leaders throughout the organization. Sources include the California Department of Public Health (CDPH), the Centers for Disease Control and Prevention (CDC), and others.

What you can do:

Here are steps each of us can take now to prevent the spread of Coronavirus or other viral infections, and to respond appropriately in case of an outbreak.

Please take ordinary precautions:

If you are the person who is coughing or sneezing, please note: Many people have reported a mild case of Coronavirus, believing it is only the cold or flu. It is important for the health and safety of others to take even mild upper respiratory infections seriously.

With everyone’s efforts, we can significantly reduce the chance of spreading COVID-19 or other viruses. Thank you for your help and cooperation – and we wish you good health!