Review/Revision Dates:  August 2020, August 2021, July 2022

CareOne policies and procedures pertaining to COVID-19, outbreak response, and related infection control or emergency preparedness practices are available in full in the Company’s policy management software platform, PowerDMS. Policies are available to frontline staff via generic user account access at any nurse’s workstation.

1. Our protocol for the isolating and cohorting of infected and at-risk patients in the event of an outbreak of a contagious disease until the cessation of the outbreak is described in the following proprietary policies, procedures, and protocols:
   1. Coronavirus Disease (COVID-19) Identification and Management of Ill Residents
   2. Coronavirus Disease (COVID-19) Infection Prevention and Control Measures
   3. Coronavirus Disease (COVID-19) – Overview of Prevention and Control Strategies
   4. Influenza Outbreak
   5. Isolation – Categories of Transmission-Based Precautions
   6. Isolation – Initiating Transmission-Based Precautions
   7. CareOne COVID-19 Preparedness and Response Key Actions Protocol Summary
   8. CareOne Cohort Plan – COVID-19
2. Clear policies for the notification of residents, residents’ families, visitors, and staff in the event of an outbreak of a contagious disease at a facility are described in the following proprietary policies, procedures, and protocols:
   1. Coronavirus Disease (COVID-19) Reporting Facility Data to Residents and Families
   2. Infectious Disease Threat Communications Plan
   3. Coronavirus Disease (COVID-19) Prevention and Control
   4. Coronavirus Disease (COVID-19) Infection Prevention and Control Measures
   5. CareOne COVID-19 Preparedness and Response Key Actions Protocol Summary
3. Information on the availability of laboratory testing, protocols for assessing whether facility visitors are ill, protocols to require ill staff to not be present at the facility for work duties, and processes for implementing evidence-based outbreak response measures is described in the following proprietary policies, procedures, and protocols:
   1. Lab and Diagnostic Test Results – Clinical Protocol
   2. Test Results
   3. Point of Care Antigen Testing During the COVID-19 Pandemic using the Sofia 2 or Veritor Plus Testing Devices
   4. CareOne COVID-19 Testing Protocol
   5. CareOne COVID-19 Preparedness and Response Key Actions Protocol Summary
   6. Coronavirus Disease (COVID-19) Education and Training
   7. Coronavirus Disease (COVID-19) Identification and Management of Ill Residents
   8. Coronavirus Disease (COVID-19) – Occupational Health
   9. Coronavirus Disease (COVID-19) Prevention and Control
   10. Coronavirus Disease (COVID-19) Cleaning and Disinfecting 
   11. Coronavirus Disease (COVID-19) – Work Restrictions and Return to Work Criteria for Staff
   12. Coronavirus Disease (COVID-19) Reporting Facility Data to the Centers for Disease Control and Prevention
   13. Coronavirus Disease (COVID-19) Testing Staff
   14. Coronavirus Disease (COVID-19) – Specimen Collection, Reporting and Documentation for COVID-19 Testing 
   15. Coronavirus Disease (COVID-19) Documenting and Reporting COVID-19 Testing
   16. Employee Infection and Vaccination Status
   17. Infection Prevention and Control Program
   18. Outbreak of Communicable Diseases
   19. Surveillance for Infections
   20. Coronavirus Disease (COVID-19) Visitors
   21. Test Results
4. Policies to conduct routine monitoring of residents and staff to quickly identify signs of a communicable disease that could develop into an outbreak are described in the following proprietary policies and procedures:
   1. Coronavirus Disease (COVID-19) – Testing and Return to Work Criteria for Healthcare Personnel
   2. Coronavirus Disease (COVID-19) Prevention and Control
   3. Coronavirus Disease (COVID-19) Infection Prevention and Control Measures
   4. Coronavirus Disease (COVID-19) Identification and Management of Ill Residents
   5. Infectious Disease Threat Surveillance and Detection
   6. CareOne COVID-19 Preparedness and Response Key Actions Protocol Summary
   7. Infectious Disease Threat, Infection Control Measures During
   8. Employee Infection and Vaccination Status
   9. Communicable/Contagious Diseases, Employee
   10. Surveillance for Infection
   11. Vaccination of Residents
5. Policies for reporting outbreaks to public health officials in accordance with applicable laws and regulations are described in the following proprietary policies and procedures:
   1. Coronavirus Disease (COVID-19) Reporting Facility Data to the Centers for Disease Control and Prevention
   2. Coronavirus Disease (COVID-19) Identification and Management of Ill Residents
   3. Coronavirus Disease (COVID-19) Infection Prevention and Control Measures
   4. CareOne COVID-19 Preparedness and Response Key Actions Protocol Summary
   5. Reporting Communicable Diseases
   6. Infection Prevention and Control Committee
   7. Infection Prevention and Control Program
   8. Infectious Disease Threat Surveillance and Detection
   9. Outbreak of Communicable Diseases
6. Methods to communicate information on mitigating actions implemented by the facility to prevent or reduce the risk of transmission, including if normal operations of the facility will be altered, are described in the following proprietary policies, procedures, and protocols. Notifications shall not include personally identifiable information:
   1. Infectious Disease Threat Communications Plan
   2. Coronavirus Disease (COVID-19) Reporting Facility Data to Residents and Families
7. Methods to provide cumulative updates for residents, their representatives, and families of those residing in the facilities at least once weekly in particular during a curtailed visitation period are described in the following proprietary policies, procedures, and protocols:
   1. Infectious Disease Threat Communications Plan
   2. Coronavirus Disease (COVID-19) Reporting Facility Data to Residents and Families
8. Written standards, policies and procedures that provide for virtual communication (e.g., phone video-communication, Facetime, etc.) with residents, families, and resident representatives, in the event of visitation restrictions due to an outbreak of infectious disease or in the event of an emergency are described in the following proprietary policies, procedures, and protocols:
   1. Virtual Visits 
   2. Cleaning and Disinfection of Mobile Technology Devices protocol
   3. Coronavirus Disease (COVID-19) Visitors
   4. Visitation IC During
9. A documented strategy for securing more staff in the event of a new outbreak of COVID-19 or any other infectious disease or emergency among staff is described in the following proprietary policies, procedures, and protocols:
   1. Planning for Additional staffing needs
   2. Coronavirus Disease (COVID-19) – Surge Capacity Staffing
10. Additional proprietary policies, procedures, and protocols that are part of our outbreak response plan:
    1. COVID-19 Vaccination of Employees
    2. Coronavirus Disease (COVID-19) – Emergency Management
    3. Coronavirus Disease (COVID-19) – Managing Supplies and Resources
    4. Coronavirus Disease (COVID-19) – Telemedicine and Telehealth
    5. Coronavirus Disease (COVID-19) – Vaccination of Residents
    6. Emergency Procedure – Infectious Disease Threat
    7. Coronavirus Disease (COVID-19) Using Personal Protective Equipment
    8. Coronavirus Disease (COVID-19) – Facemasks as Source Control
    9. Coronavirus Disease (COVID-19) – Aerosol Generating Procedures
    10. Quarantine
    11. Coronavirus Disease (COVID-19) Ventilation System

Please note that this policy listing is current as of the date it is posted. While we make every effort to update this summary of outbreak response policies, procedures and protocols, the current and most accurate listing is maintained within the Company’s policy management platform.