Warren Barr North Shore Visitation Request
Warren Barr North Shore is working with our local and state public health departments in order to establish outdoor visits between our residents and their loved ones. With that being said, we are excited to help arrange an outdoor visit with you and your loved one, when they become possible.

If you are interested in signing up for an outdoor visit with your loved one, please read the important guidelines below, and then complete the below with your information. These guidelines were established to safeguard every resident to the best degree possible and mitigate the exposure of our residents, staff and visitors to the COVID-19 virus.

After completing this online form and the facility has finalized all preparation, a staff member will reach out to you to help arrange a visit with your loved one.

IMPORTANT GUIDELINES

General:
• Visits are by appointment only.
• Visitation is limited to a maximum of two (2) visitors per resident.
• Residents will be allowed one visitation per day. Back-to-back visits are not permitted.
• Children 2 years old and below are exempted from wearing a mask so they may visit without a mask.
• Visits are limited to one visitation per week in order to help accommodate all resident’s and their loved ones.

Please read the fact sheet below, non-compliance to the fact sheet will result in the visitation getting cut short.

Indoor guidelines:

•Visiting hours are between 10:00 a.m. - 3 p.m.
•Subject to IDPH and CMS exceptions, indoor visits are only allowed in facility-designated common areas and not in a resident’s room.
-However, if an IDPH or CMS exception applies, visits may take place in a resident’s room, subject to IDPH and CMS guidance.
•Visits will be limited to 30 minutes per visit, due to capacity required for social distancing.
•Visits can be scheduled 24 hours in advance with the Activities Department and are subject to availability.
•Subject to IDPH and CMS exceptions, all visits are limited to a maximum of 2 visitors per visit. If there are 2 visitors, they must be from the same household.
•If a visit is scheduled, reception will conduct a pre-visit screening by phone, prior to the visit.
-If a visitor does not pass the screening, the visit cannot be conducted.
•When a visitor arrives, reception will re-screen the visitor to the same extent it screens all other persons that enter the facility.
-If a visitor does not pass the screening, the visit cannot be conducted.
•Visitors will be required to wear proper PPE and will be required to comply with the facility’s policies and procedures in regard to social distancing, hand hygiene, infection control, and other COVID-19 related policies and procedures.
•If the visit is to take place in a designated visiting area, the resident will be escorted by facility staff to the designated visitation area and will be escorted to their room or other location, after the visit.
•Visitors may not walk around facility; they may only go to and from the designated visiting area, to ensure the safety of the facility’s residents and staff.
•Visitors must maintain a 6-foot distance during the visit, from both residents and staff. If the resident to be visited has been fully vaccinated, there may be close contact. However, a well-fitting mask must be worn, and hand hygiene must be performed before and after the contact.
•If a visitor fails to comply with the facility’s visitation policy, or any policies or procedures of the facility, then the facility staff may end the visit.

*These guidelines are subject to change based on CMS, IDPH, or facility policies and procedures. *

Outdoor guidelines:
•Visiting hours are between 10:00 a.m. and 3:00 p.m. on Tuesday and Thursdays.
•Outdoor visits will take place on the outdoor patio weather permitting, and are strongly preferred over indoor visits.
•Visits will be limited to 30 minutes per visit, due to capacity required for social distancing.
•Visits can be scheduled 24 hours in advance with the Activities Department and are subject to availability.
•Subject to IDPH and CMS exceptions, all visits are limited to a maximum of 2 visitors per visit. If there are 2 visitors, they must be from the same household.
•If a visit is scheduled, reception will conduct a pre-visit screening by phone, prior to the visit.
-If a visitor does not pass the screening, the visit cannot be conducted.
•When a visitor arrives, reception will re-screen the visitor to the same extent it screens all other persons that enter the facility.
-If a visitor does not pass the screening, the visit cannot be conducted.
•Visitors will be required to wear proper PPE, (which will be provided by the facility – if your facility is providing them with a new surgical mask for example), and will be required to comply with the facility’s policies and procedures in regard to social distancing, hand hygiene, infection control, and other COVID-19 related policies and procedures.
•Visitors must maintain a 6-foot distance during the visit, from both residents and staff. If the resident to be visited has been fully vaccinated, there may be close contact. However, a well-fitting mask must be worn, and hand hygiene must be performed before and after the contact.
•If a visitor fails to comply with the facility’s visitation policy, or any policies or procedures of the facility, then the facility staff may end the visit.

*These guidelines are subject to change based on CMS, IDPH, or facility policies and procedures. *

PLEASE NOTE: We will make every effort to ensure visitation appointments are kept. Due to circumstances beyond our control, the facility is permitted to postpone or cancel visitation for the day depending on the weather or other unforeseen situations that may affect implementation of infection control protocol.

Ready to get started? Complete this online form and after the facility has finalized all preparation, a staff member will reach out to you to help arrange a visit with your loved one.

Email *
My full name: *
My loved one's full name: *
My relationship to the resident: *
My phone number: *
Note: this will be the phone number used to contact you if [facility name] is able to conduct outdoor visitation.
A copy of your responses will be emailed to the address you provided.
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