Phone Will Be Used for Public Comment and Attendance

GRAND TRAVERSE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES BOARD 9:00 AM West Bay Beach, a Delamar Resort – Dayclub Room 615 East Front Street, Traverse City, MI 49686

On October 9, 2020 Robert Gordon, MDHHS Director, signed into effect an Emergency Order MCL 333.2253 to reduce the spread of COVID-19 by limiting the number of people at public indoor gatherings.

A conference phone will be used for public comment and attendance. The Board Chair will announce when it is time for public comment and will give all call-in numbers the opportunity to speak during this time. This meeting will be recorded and saved on upnorthmedia.com and will also be shown on Charter cable channel 189.

Conference number for the public Phone: 1-510-338-9438 Meeting number (access code): 126 751 3894 Meeting Password: 27349682

October 30, 2020 AGENDA

1. CALL TO ORDER – 9:00 a.m. Grand Traverse Pavilions – John Rizzo, Chair, Grand Traverse County Department of Health and Human Services Board

2. FIRST PUBLIC COMMENT/INPUT Any person shall be permitted to address a meeting of the Grand Traverse County Department of Health and Human Services Board which is required to be open to the public under the provisions of the Michigan Open Meetings Act, as amended. (MCLA 15.261, et.seq.) Public comment shall be carried out in accordance with the following Board Rules and Procedures: 1. Any person wishing to address the Board shall state his or her name and address. 2. Persons may address the Board on matters which are relevant to Grand Traverse Pavilions issues. 3. No person shall be allowed to speak more than once on the same matter, excluding time needed to answer Board Members questions. The Chairperson shall control the amount of time each person shall be allowed to speak, which shall not exceed three (3) minutes. (1) Chairperson may, at his or her discretion, extend the amount of time any person is allowed to speak. (2) Whenever a group wishes to address the Board, the Chairperson may require that the group designate a spokesperson; the Chairperson shall control the amount of time the spokesperson shall be allowed to speak, which shall not exceed fifteen (15) minutes.

3. COUNTY LIAISON REPORT

4. APPROVAL OF AGENDA

5. CONSENT CALENDAR The purpose of the consent calendar is to expedite business by grouping items to be dealt with by one Board motion without discussion. Any member of the Board, or staff may ask that any item on the consent calendar be removed and placed elsewhere on the agenda for discussion. Such requests will be automatically respected.

If any item is not removed from the consent calendar, the item on the agenda is approved by a single Board action adopting the consent calendar.

A. Review and File HANDOUT#

(1) Minutes of the 9/25/20 Board Meeting 1 (2) Roberts Thank You 2 (3) Watson Thank You 3 (4) Minicucci Thank You 4 (5) Bowling Thank You 5 (6) P.E.P. Talk Employee Newsletter – October 6 (7) Media Report – September 7 (8) AAANM Adult Day Caregiver Respite Grant 8

6. ITEMS REMOVED FROM CONSENT CALENDAR (1)

7. GRAND TRAVERSE MEDICAL CARE -- Korvyn R. Hansen

A. General Information (1) Pension Bond Presentation 9 (2) COVID-19 Update 10 (3) Third Quarter Overtime Report 11 (4) Third Quarter Annual Plan Update 12 (5) FY21 Medicaid reimbursement Rate 13 (6) FY21 Quality Assurance Supplement Payment 14

B. Chief Executive Officer Board Report 15

C. Business (1) Financial Report 16

D. Medical Staff (1) Donald Willman, DO 17 (2) Jane Smallwood, NP 18 (3) Mark Byland, MD 19

G.T.P. Announcements (1) September Service Excellence Award 20 (2) Legacy 21

8. SECOND PUBLIC COMMENT/INPUT Refer to Rules under First Public Comment/Input above.

9. CLOSED SESSION (1) QAPI Quarterly Update (2) Resident Quarterly Incidents (3) Administrator/CEO Employment Contract Renewal and Evaluation

10. ADJOURNMENT

GRAND TRAVERSE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES BOARD 1000 Pavilions Circle, Traverse City, MI 49684

MINUTES OF THE SEPTEMBER 25, 2020 MEETING

PRESENT: Cecil McNally, Ralph Soffredine Board Kory Hansen, Rose Coleman, Robert Barnes, Lindsey Dood, Darcey Gratton Staff ABSENT: John Rizzo Board Gordie LaPointe Commission GUESTS: Steve Burke, Warren Creamer, Roger Swets, Jon Lanczak

The regular meeting of the Grand Traverse County Department of Health and Human Services Board was called to order at 9:06 am by Board Chair Cecil McNally in the Dayclub Room at the West Bay Beach, a Delamar Resort.

On September 11, 2020 Governor Whitmer signed into effect Executive Order 2020-181. In an effort to reduce the spread of COVID-19 by limiting the number of people at public gatherings, this order suspends the rules and procedures for governmental entities requiring physical presence at meetings and hearings and it temporarily alters the rights of the public to be present at meetings. Due to the Board meeting in a space of 10 or under, Grand Traverse Pavilions provided a link on its website for public participation. This meeting was recorded and will be saved on upnorthmedia.com and also shown on Charter cable channel 189.

Public Comment

Andi Gerring

Claudia Bruce

County Liaison Report – None

Approval of Agenda – Vice Chair McNally asked if there were additions, changes or corrections to the agenda. Hansen requested to add under 7. C. Business (3) COVID-19 Temporary Wage Adjustment Extension, Resolution 2020-4. Motion was made by Soffredine to approve the Agenda with additions/changes as presented, seconded by McNally and carried unanimously.

The purpose of the Consent Calendar is to expedite business by grouping items to be dealt with by one Board motion without discussion. Any member of the Board or staff may ask that any item on the Consent Calendar be removed and placed elsewhere on the agenda for discussion. Such requests will be automatically respected.

REVIEW AND FILE

(1) Minutes of the 8/28/20 Board Meeting

Page 3 of 120 1

(2) Weber Thank You (3) Bagroski Thank You (4) P.E.P. Talk Employee Newsletter – September (5) Media Report – August

McNally requested the minutes to reflect the difficulty of public to hear the meeting over the phone. Motion was made by Soffredine to approve the Consent Calendar with additions/changes as presented. Motion seconded by McNally and carried unanimously.

Items Removed From Consent Calendar – none

COVID-19 Update – Coleman provided an update on the on-going status of COVID-related topics that affect the operation of the Pavilions. Coleman shared that she was alerted on September 23 that two staff members tested positive from the September 21 testing. Regarding recent communication that allow for the potential of outdoor visitation of residents with families, Coleman stated this can only be initiated once the facility has had no new COVID positive tests from staff or residents within the previous 14 days. Once the Pavilions meets the mandated guidelines that are required to allow for outdoor resident visitation, new visitation procedures will be shared with the families. Hansen covered COVID-related relief payments and reimbursement that have been received since the last board meeting.

Resident/Family Satisfaction Survey Report – Hansen reported that in June and July a satisfaction survey was conducted by My InnerView, a national survey company who conducts similar surveys for many nursing homes. Hansen reported that we had sent out 209 surveys and 94 were returned for a 45% response rate. Hansen reviewed the breakdowns of the data and stated this was a good survey with similar results to last year if not slightly better.

Pension Bond Resolution – Dood reviewed the pension bond resolution to authorize actions with respect to the pension bonds. The Professional Service Team of Steven Burke, President of MFCI, Warren Creamer III, Managing Director of Public Finance at Baird, Roger Swets, municipal bond attorney for Dickinson Wright and Jon Lanczak, Senior Manager of Senior Care & Living Strategy and Operations at Plante Moran participated via conference phone. After extensive discussion and evaluation it was determined to be in the best in interest of the Grand Traverse Pavilions for the County of Grand Traverse to issue its limited tax general obligation bonds to finance part of the cost of the Pavilions’ unfunded pension liability of its defined benefit retirement program as authorized by Section 518 of Act 34, Public Acts of Michigan, 2001, as amended. Motion was made by Soffredine, seconded by McNally to approve the resolution recommending approval by the Grand Traverse County Board of Commissioner to authorize pension bonds as presented and carried unanimously.

Financial Report – Dood reviewed the financial operations report for August, 2020. Dood outlined revenue and expenses compared to budget for each of the Pavilions’ programs that include the Medical Care Facility (skilled nursing), The Cottages (Assisted and Independent Living) and Adult Day Services. Additional information was provided on respective census and accounts receivable along with the total cash ending balance. Dood summarized the review of vouchers for the month that were in order without exception. The Social Accountability Summary was reviewed indicating the amount of uncompensated care provided and volunteer hours for the month. Motion made by Soffredine to accept the financial operations report as presented. Motion seconded by McNally and carried unanimously.

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COVID-19 Temporary Wage Adjustment Extension - Resolution 2020 - 4 - Hansen reviewed the proposed COVID-19 Wage Adjustment Extension. The State of Michigan has approved the fiscal year 2021 budget which included an appropriation to extend the temporary two dollar per hour wage increase for direct care workers in skilled nursing facilities between October 1, 2020 and December 31, 2020. Hansen proposed including all other workers, as originally excluded from the SB 690/PA123, a similar temporary wage increase. Motion was made by Soffredine to approve the COVID-19 Wage Adjustment as presented. Motion seconded by McNally and carried unanimously.

Chief Executive Officer Report – Hansen reviewed his monthly report for August and answered board member’s questions.

Grand Traverse Pavilions Announcements - (1) August Service Excellence Award - Hansen reviewed weekly winners

Public Comment/Input

Andi Gerring

Claudia Bruce

Meeting adjourned at 10:12 am

Signatures:

Cecil McNally – Vice Chair Grand Traverse County Department of Health and Human Services Board

Korvyn R. Hansen, Assistant-Secretary

Date: October 30, 2020 Approved Corrected and Approved

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Page 6 of 120

1969, and became a life mem ber. istee Elks Lodge #250 or to She also worked at Pranges Mary an He was the Manistee Lodge The Grand Traverse Pavilions. for several years as a sales as cared for The Record-Eagle - 09/19/2020 exalted ruler for two terms and The Terwilliger Funeral sociate where she earnedPage : B04 Jonkhoff the chairman of the trustees. Home, in Kaleva, is in charge many awards. She loved golf, He was also a past district of arrangements.

Robert Bud' Watson W Died September 14, 2020

TRAVERSE CITY - Scouts of America, Robert "Bud" Watson serving as scoutmas ‘Forrest Gu passed away Sept. ter, senior patrol 14, 2020, at Grand leader for senior FAIRHOPE, Ala. (AP) Traverse Pavilions. scouts and scouting — Winston Groom, the Bud was born Oct. commissioner for the writer whose novel “For 25, 1928, to the late Scenic Trails Council. rest Gump” was made into Kenneth and Nellie He was the recipient a six-Oscar winning 1994 (Monroe) Watson. of many scouting movie that became a soar After graduation awards, including the ing pop cultural phenom from Highland Park prestigious Silver enon, has died at age 77. Beaver Award, for dis High School he joined Mayor Karin Wilson the U.S. Navy, in tinguished service 1948. and making an impact of Fairhope, Alabama, Bud married Janet on the lives of youth said in a message on (Coleman) Watson on through service to the social media that Groom Saturday, July 22, council. had died in that south 1950, in Traverse After retirement, Alabama town. A local City, and raised three Bud remained active funeral home also con children. as an electrical in- firmed the death and Bud is survived by = spector for Leelanau said arrangements were County and courtesy those children; Bob- pending. bie (Greg) Simon, of driver for Fox Motors. “While he will be re In thi Traverse City, and their two He enjoyed spending his retire author children, Phil (Amy) Simon and ment with his friends, children membered for creating Middle Kelli Werner; Rick (Pat) Wat and grandchildren, until his Forrest Gump, Winston son, of Traverse City, and their health curtailed his activities. Groom was a talented can pri three children, Chris (Sara) He spent the last four years of journalist & noted au Vietna Watson, Mark Watson and life at the Grand Traverse thor of American history. laborat Heidi (Chris) Dobias; Don (Jan) Pavilions. Our hearts & prayers are Prize f Watson, of Cadillac, and his Visitation will be on Monday, extended to his family,” two daughters, Erica (Bernie) Sept. 21 beginning at 9 a.m. to the u Alabama Gov. Kay Ivey Cordell and Leslie (Wil) An until 11 a.m. and the funeral It wa said in a statement. toine; sixteen great-grandchil- service for Bud will be at 11 — and “Forrest Gump” was dren; one great-great- a.m. at the Reynolds-Jonkhoff 1994 the improbable tale of a grandson; many nieces; Funeral Home. Hanks nephews; and loving friends. Graveside committal services slow-witted but mathe Other surviving family mem will be held at Grand Traverse matically gifted man who of Gum bers include two half sisters, Memorial Gardens following was a participant or wit Field a Barbara Salisbury and Char the funeral service. Friends ness to key points of 20th — that lene Adams. and family may watch the fu century history — from spread He was preceded in death by neral service live by visiting Alabama segregationist financi his beloved wife, Janet; and an www.rjfh.tv. The n infant son, Jeffery. The Watson family would like Gov. George Wallace’s “stand at the schoolhouse ably di Bud learned the electrical to thank the staff at Grand Tra film. D trade in the Navy, worked in verse Pavilions for their care door,” to meetings with construction in Traverse City and compassion during our fa presidents. sity of and ultimately served for many ther's stay. It was the best known emerit years as mechanical mainte In lieu of flowers, memorials book by Groom, who grew40-yea nance supervisor at the Tra may be directed to the Grand up in Mobile, Alabama, told Th verse City State Hospital, until Traverse Pavilions, 1000 Pavil and graduated from the that the ions Circle, Traverse City, Ml his retirement. University of Alabama er” and He and Janet were active 49684. movie. members of the Asbury Please share a memory with in 1965, according to a Methodist Church; assisting in Bud's family by visiting his biography posted by the “You the construction of the current tribute page at www.reynolds- university. of mon church building on Ramsdell jonkhoff.com. Groom served in the writer, Road and conducting monthly The Reynolds-Jonkhoff Fu Army’s Fourth Infantry no resp fundraising dinners for many neral Home and Cremation Division from 1965 to “But ‘F years. Services is serving the family. 1969, the university said. ally ac Bud was active with the Boy His service included a novel. tour in Vietnam — one of and mo DEATHS the settings for “Forrest richer Gump.” The m LARRY W. O'MARA, 78, cared for by Reynolds- He wrote 16 books, fic starred of Traverse City, passed Copyright (c)2020 The Record-Eagle, Edition 09/19/2020 Page 7 ofJonkhoff 120 Funeral Home tion and nonfiction. One, Mykel October 1, 2020 8:20 am (GMT +4:00) away Sept. 14, 2020. and Cremation Services. “ConversationsPowered bywith TECNAVIA the came d The family is being Enemy,” about a Ameri the Am

Genevieve taught in Grand fondly remembered. they married in 1949 and www.sunsetcommunities.org/ form Rapids Public Schools from Arrangements are being han- resided in Detroit, where they senior-communities/waterford- 1969 1945 to 1949. dled by Jowett Family Funeral raised their five children. place/donate. Condolences New While living in Grand Haven, Homes & Cremation Service, Harry and Rayanna moved to may be sent online at fathe The Record-Eagle - 09/20/2020 Copy Reduced to 70% from original to fit letter pageTraverse City in 1976, where www.mkdfuneralhome.com.Page : B07 she taught at Mary A. White El- Benzonia. comp Rayanna worked as an admin- to re Albert 'Al' Minicucci manu tape Died September 12, 2020 PTFE LAKE ANN — Albert and at Scripps Green DuPo "Al" Minicucci, 93, of Hospital Torrey Pines, Jour Lake Ann, died Sept. in San Diego. 12, 2020. Al loved the Al was a good soul, outdoors and it was clearly content and ruth bader g fitting that he was grateful for his full and surrounded by the happy life, filled with soothing sights and loving family and sounds of nature friends. You could al• Supreme Court justice when he passed away ways find him singing, peacefully in the dancing, joking and calming, beautiful set• entertaining those WASHINGTON (AP) — ting of Munson Hos• around him with his Supreme Court Justice pice House. wit and endearing Ruth Bader Ginsburg, a Al was born in 1927, personality. Al never towering women’s rights at home, in Millsboro, sought to be the cen• champion who became Pennsylvania, to ter of attention but his the court’s second female Katherine Kronberg sweet, rascally nature justice, died Friday at her Minicucci and Albert always drew in a home in Washington. She crowd. He especially Minicucci, Sr. was 87. He was the enjoyed his years of Ginsburg died of com- youngest of six, creative, silly play following Margaret with his young grand• plications from metastatic Sepsi, Fred, Bill, children, nephew and pancreatic cancer, the Norma McAllister and Caroline niece. court said. Davey, all of whom are de• For 25 years, he looked for• Her death just over ceased. He was also prede• ward to spending the sunny six weeks before Elec- ceased by his elder son, late fall and winter in San tion Day is likely to set Timothy. Al attended East Diego and the beautiful spring, off a heated battle over summer and early fall in North• Bethlehem High School in whether President Donald Pennsylvania, where he played ern Michigan. In this Aug. 10, 1993, fle pho Trump should nominate, four years of football and Al was a kind man and he Justice Ruth Bader Ginsburg ta headlined as "Mr. E. B." in the could make Dianne laugh every and the Republican-led from Chief Justice William Rehn city newspaper. He accepted a day, even during a disagree• Senate should confrm, a ceremony in the East Room of her replacement, or if the four•year football scholarship ment. Washington. Ginsburg’s husban to Waynesburg University, Al is survived by his wife, Di• seat should remain vacant where he earned a Bachelor of anne Minicucci; his daughter, until the outcome of his Bible and President Bill Clinton w Science in Psychology and Dena Minicucci; son, John race against Democrat Joe colleagues decline and a seri Education. (Amy) Minicucci; daughter•in• Biden is known. law, Phyllis Minicucci; grand• pass away. And, the pass- views Although drafted by the Trump, who called Pittsburgh Steelers after grad• children, Sean (Ashley) Conley, ing of my dear colleague, him a Ginsburg “an amaz- uation, rather than risk getting Nick (Kate) Conley, Jake Ruth, is profoundly diff- apolo more injuries, he decided to (Krista) Fullerton, Taylor (Ash• ing woman,” made his cult and so very sad. I will Her enlist in the Air Force during ley) Fullerton, Tessa (Nathan) view clear on Saturday: dearly miss my friend.” Presid the Korean War. He served as Frost and Zach Minicucci; He urged the Senate to Ginsburg announced in in 199 the information education offi• great•grandchildren, Tristan, consider “without delay” July that she was undergo- Demo cer in Korea, with the rank of Nikayla, Jameson, Nolan and his upcoming pick for the ing chemotherapy treat- initia first lieutenant until the end of Freya; sister•in•law, Sylvia high court. “We were put ment for lesions on her able i the war, one year later. Lockhart; niece, Patricia Lock• in this position of power liver, the latest of her sev- somew After moving to the midwest, hart; nephew, Christopher and importance to make he obtained a Master's in Edu• (Amanda) Lockhart; grand• eral battles with cancer. on a c decisions for the people cation from the University of niece and nephew, Evelyn and Ginsburg spent her fnal domin Michigan. Charles Lockhart; godchildren, who so proudly elected years on the bench as the appoi Al spent his entire career at Steve Sarotte, Mary Sarotte us,” Trump tweeted, “the unquestioned leader of voice Roseville Community Schools, and Mark Schiefsky. most important of which the court’s liberal wing longe where he was popular with Al was also survived by his has long been considered and became something of Gins both students and staff. He special friends and care• to be the selection of a rock star to her admirer of two givers, Lin Harris and Renee coached football and taught United States Supreme s. Young women especially an int U.S. history and American Hurcomb, in Lake Ann, and the Court Justices. We have seemed to embrace her, liked government before specializ• Drew Peterson family, of Del this obligation, without ing in media services. Mar, California. affectionately calling her ninity delay!” He and his wife, Dianne, Clipper, Al's current hearing• the Notorious RBG, for sorize spent summers traveling the ear dog, kept vigil on the end Majority Leader Mitch her defense of the rights and b U.S. and Canada in their Volk• of his hospice bed. McConnell said late Fri- of women and minorities, deligh swagen Vanagon, sometimes The family would like to thank day that the Senate would and the strength and resil- featur with their best friends, Gail and Dr. Jessica Slocum and the vote, even though it’s an ience she displayed in the would Frank Sarotte. They also vis• staff at Munson Nephrology, election year. face of personal loss and argum ited Europe, even exploring the physical therapist, recre• Biden said the winner health crises. ornat ational therapist, speech ther• Al's ancestry during a trip to of the November election Those health issues know Italy. apist and dialysis nurse, of should choose Ginsburg’s included fve bouts with into c Al retired, in 1983, at the age Grand Traverse Pavilions, dur• replacement. “There is no of 56, before the introduction ing his three•week stay for re• cancer beginning in 1999, being of the internet. habilitation after his hip• doubt — let me be clear falls that resulted in ing th At the beginning of his 37• fracture repair. He spent one — that the voters should broken ribs, insertion of She year•long retirement, he en• day in the gentle care of the pick the president and a stent to clear a blocked befor joyed special trips to Alaska to staff at Munson Hospice the president should pick artery and assorted other 1970s fish with his son, Tim, who was House. the justice for the Senate hospitalizations after she archit an Alaska state fisheries biolo• Due to the COVID•19 crisis, a to consider,” Biden told turned 75. rights gist. celebration of life memorial will reporters after returning She resisted calls by fve. Al was an avid golfer and be planned for spring, when it to Wilmington, Delaware, liberals to retire during “Ru tomato gardener. is safe for family and friends to from campaign stops in He and his inseparable part• gather. Barack Obama’s presiden- does n ner of 42 years, Dianne, were Those planning an expres• Minnesota. cy at a time when Demo- the Su 30•year volunteers at the Inter• sion of sympathy may wish to Her colleagues on the crats held the Senate and her pl lochen Center for the Arts. consider a memorial donation court penned heartfelt a replacement with simi- histor They were also active with Pet• to Animal Welfare League of messages of grief, respect lar views could have been said a Safe Animal Rescue and did Benzie County, Benzie Area and awe for Ginsburg that confrmed. Instead, Trump appoi water testing for the Ann Lake Christian Neighbors (BACN) or also refected the personal will almost certainly try to alread Property Owners Association. Munson Hospice House. ties between the justices. push Ginsburg’s successor Foll For many years, Dianne, Al Please visit “Through the many chal- through the Republican- Clinto and his hearing•ear dog, www.lifestorytc.com to share lenges both professionally controlled Senate — and on the Budzo, who was also a certi• your thoughts and more. fied delta therapy dog, visited and personally, she was move the conservative even m patients at Munson Hospital the essence of grace, civil- court even more to the tions ity and dignity,” Justice right. her.” Clarence Thomas wrote. Ginsburg antagonized On t “The most diffcult part of Trump during the 2016 was k a long tenure is watching presidential campaign in writer Copyright (c)2020 The Record-Eagle, Edition 09/20/2020 Page 8 of 120 October 1, 2020 8:16 am (GMT +4:00) Powered by TECNAVIA

Smith, of Monroe, Robert 2020, at 1036 North Haze in woman; a wonderful mother son, Silas Smith, of Elkhart Indiana; long Beulah. and grandma who always (Gerald) B time girlfriend, Kathy Myers, of It will be outside in the made her family a priority. dicott; and The Record-Eagle - 09/19/2020 Page : B04 Manistee; grandchildren, orchard, bring chairs and food She enjoyed shopping, play She was Kelley, Emma, Kiara and Tyler; will be provided. ing cards and was known for by her par siblings, Gayle Smith, of making delicious pies from A private scratch. Sherry was very so will take p Vern R. Bowling cial, had a great sense of hu Memoria mor and loved to laugh. be made, Died September 12, 2020 She will be remembered as a the Ameri hard worker who loved people, and Muns BEAR LAKE - Vern deputy grand exalted which is why she shined as a Arrange Russell Bowling, 85, ruler. He was famous waitress for many years. entrusted of Bear Lake, died for the Manistee She moved to Traverse City and Crem Saturday, Sept. 12, Lodge's annual Vern 20 years ago and one of her fa- 2020, at The Grand Bowling's lobster din Traverse Pavilions, in ner. Mary A. Lyon Traverse City. Vern is survived by He was born Dec. his children, Lisa (Stu Died September 17, 2020 21, 1934, in Bear art) Yankee, of Hol Lake, the son of land, Vern (Jennifer) TRAVERSE CITY - Russell and Emma Bowling Jr., of Tra Mary Ann Lyon, 87, of May (Edmondson) verse City, and Brian Traverse City, com Bowling. (Vicki) Bowling, of pleted her earthly Vern was a veteran Blue Springs, Mis journey on Sept. 17, of the United States souri; six grandchil 2020, at Munson Army. dren; nine great Medical Center, with He was a certified grandchildren; his her loving family at public accountant, siblings, Carolyn her side. working in Saginaw (Frank) Hospenthal, Mary was born in and East Tawas be Larry (Carol) Bowling, Traverse City on June fore returning to Man- u Sandra Bowling, 19,1933, to the late Lawrence dren; 13 g istee, where he ■ Wayne (Sue) Bowling Blackett and Lucille (Gardner) many niec opened his account- and Marilyn (Paul) Shaw. friends. ing firm. Kaczanowski; many nieces; While in high school she met She was Vern's true passion was fly nephews; and cousins. the love of her life, Bob, and by her par ing. Having received his pilot's He is also survived by his sig they were married for 69 years. (Pappy) a license at an early age, he en nificant other of 36 years, Together they raised their four infant dau joyed all things aviation-related JoAnn Krus, of Bear Lake, and children on a cherry farm on her son-in and spent time traveling to her children, Joseph, Daniel, the Old Mission Peninsula. Visitatio plane expos and served on the Brian and Lynn Krus. In their later years, they re Sunday, S board of the Manistee County Vern was preceded in death tired to their cottage on Rennie to 6 p.m. i Airport Authority. by his parents; and his broth Lake, in Traverse City, and Reynolds When Vern was younger, he ers, Gene Bowling and Ronald wintered in Tavares, Florida. Home. also loved boating, especially Bowling. She was active in many orga The fune on the Great Lakes. The family will receive friends nizations throughout her years be held in Vern also enjoyed hunting from 5 to 7 p.m., Thursday, including her children's Monday a and fishing; he especially en Sept. 24, 2020, at the Ter- school, the Beta Sigma Phi Mary w joyed the annual deer hunts at williger Funeral Home in service sorority and the Na Grand T Macken's Deer Camp. Kaleva. tional Cherry Festival, where Gardens. Vern was initiated into the In lieu of flowers, the family is she volunteered for over 50 Please v Manistee Elks Lodge #250, in suggesting memorial contribuyears and was lovingly known jonkhoff.c 1969, and became a life mem tions may be made to the Man as "Mother Mary." memories ber. istee Elks Lodge #250 or to She also worked at Pranges Mary an He was the Manistee Lodge The Grand Traverse Pavilions. for several years as a sales as cared for b exalted ruler for two terms and The Terwilliger Funeral sociate where she earned Jonkhoff F the chairman of the trustees. Home, in Kaleva, is in charge many awards. She loved golf, He was also a past district of arrangements.

Robert Bud' Watson W Died September 14, 2020

SMILE + EYES = SMIZE OCTOBER 2020 IN-SERVICES Mask, goggles, gloves, etc. Do you ever don all your gear to hit the floor Due October 31, 2020 each day feeling like maybe you’re headed on an interplanetary mission?  Relias: Mandatory – All STAFF: You’re not alone. If you take the time to look at the faces of the people be- Hazardous Chemicals: SDS hind the martian masks, you will notice that most people keep a fairly flat  Relias: Mandatory – All STAFF: Tuberculosis – The Basics facial expression behind their gear, but now and then you see someone who  Relias: Mandatory – ALL STAFF: smiles at you. How do you know they smiled? Because they “smized”! All Page and Code Status For those of you who are not fans of (or even familiar with) the television  Relias: Mandatory – CERTIFIED show, “America’s Next Top Model,” “smize” is slang for “smiling with your NURSE AIDES: Pressure Injury / eyes.” First coined by the host of the show, supermodel Tyra Banks, “smize Ulcer Prevention combines the word “smile” with the sound of the word eyes. In these days  Relias: Mandatory – LICENSED NURSES: Managing Pain for a of Covid-19 and the new era of masks, what could be more important than Palliative Care Perspective to smize?  Relias: Mandatory – LICENSED Smiling (or smizing, these days) can transform our entire outlook. Psycholo- NURSES: Antibiotic Stewardship gists and scientists as far back as Charles Darwin have argued that emo-  Relias: Mandatory – Licensed tions can be regulated by behavior. We usually think the opposite - that we Nurses: Psychotropic Medica- smile when we are feeling happy - but science has shown that we can create tion Use in the Long Term Care happiness by the act of forming a smile. Setting  Relias: Mandatory –UNIVERSAL For example, scientists have discovered that when a person smiles, it trig- WORKERS: Preventing Urinary gers physiological changes in the brain that cool the blood, which in turn Tract Infections controls our mood, which causes a feeling of happiness. Translation: we can change our inward emotion by changing our outward expression. Relias Link: https:// And that’s just the beginning. What we feel in our hearts manifests itself in gtp.training.reliaslearning.com our behavior, and how we act over time is what we become. Consistently reminding ourselves to smile throughout our daily lives may eventually change our hearts. And when our hearts change, the way we encounter the world changes. That is when we can truly begin to affect those around us. Think of the famous lyrics by Louis Armstrong: “When you’re smiling, the whole world smiles with you.” Armstrong was onto something, as neuroscience has shown that merely seeing a smile (or a frown) activates mirror neurons in the brain that mimic the emotion. Translation: When someone smiles at us, we smile back, and vice versa. And now, thanks to Covid, we’ve learned that seeing a smile expressed through the eyes has the exact same effect. This idea has caught on in a number of industries, including the hospitality business. For example, both Walt Dis- ney World and the Ritz Carlton use what’s called the 10/5 Rule. When hotel employees are within 10 feet of a guest, they must make eye contact and smile. When they get within 5 feet of the guest, they must say hello. The bottom line? Joy is contagious. Here’s the moral of the story: Just because you are wearing a mask and feeling like you are on a Mars mission doesn’t mean you can’t feel and share joy. In fact, this is a time when we need joy more than ever! Try it this week. Put on your mask and smize! Consider nominating someone who smized at you for the Service Excellence Award! Let’s make this contagious! I double-dog dare you!!

Page 10 of 120 P E P T A L K VOLUME 8, ISSUE 10, OCTOBER 2020 P A G E 2 So many years...so much experience...

ANNIVERSARY MILESTONE 20 Years: Dan Butler For 20 years Dan has served our resident population with his heart and soul. Trusted and compassionate care are two of the focal points of the GTP mission and Dan has modeled that behavior his entire career and as the current Director of Information Systems. Always willing to help, he is often here on off hours serving the residents by repairing call light systems, restoring computer connections, and doing everything asked of him to help staff when problems arise. Dan faces challenges head on, seemingly never phased and always focused on a successful outcome. Congratulations, Dan, on your 20 years of dedication and service at the Grand Traverse Pavilions.

ANNIVERSARY MILESTONE 20 Years: Rebecca Corby Becca is a one of our regular Aspen nurses and we are so lucky to have her. She brings a light-hearted feel to the floor and has a great sense of humor. Becca does a nice job ensur- ing her residents have what they need, and collaborates with others when she feels something could be done differently. Thank you Becca!

ANNIVERSARY MILESTONE 15 Years: Oksana Postaychuk Oksana started at the Pavilions on October 26, 2005, working as a Housekeeper. She is the primary Housekeeper on Elm Pavilion, always keeping the best interests of the residents in mind while performing her job duties. Thank you, Oksana, for your 15 years of service to the Pavilions.

World Mental Health Day is observed on October 10 every year, with the overall objective of raising awareness of mental health issues around the world and mobilizing efforts in support of mental health. During what has been an incredibly difficult year, we feel that supporting mental health is more important now than ever. Please see the bulletin board in the tunnel hallway near the screening station, which will be continually updated with mental health and wellness resources, including a Mental Health Hotline, which is available to any employee, regardless of their health insurance status. Call 1-833-848-1764 to speak with someone 24/7. It’s sweater off sweater on sweater off sweater on again weather Page 11 of 120 P E P T A L K VOLUME 8, ISSUE 10, OCTOBER 2020 P A G E 3 ...so many reasons to be thankful

ANNIVERSARY MILESTONE 15 Years: Stephanie Talaga Stephanie began employment with the Pavilions on October 26, 2005. Stephanie is a hard worker and always willing help her coworkers and the department in any way that is needed. She is relied upon for her experience and creativity and is a mentor for her teammates especially in the area of splinting. Thank you, Stephanie, for the 15 years of care that you have provided to your patients and for your 15 years of service and commitment to the Pavilions.

ANNIVERSARY MILESTONE 10 Years: Kristen Packard Kristen has taken on many challenges during her time with the Pavilions. She accepted the Director of Nursing position 2 years ago and has made great strides with her staff and department. Kristen is very knowledgeable with current practices in nursing and geriatrics. She is certified as a director of nursing services and infection control. I appreciate the way she handles the challenges within the nursing department. Thank you, Kristen, for your 10 years of service and for bringing your awesome skills to the Pavilions!

ANNIVERSARY MILESTONE 10 YEARS: Judy Sheffer There are not enough words to describe the joy Judy brings to everyone around her, especially the residents she cares for! Judy has been a Certified Nurse Aide with the Pavilions for 10 years, primarily at Willow Cottage. Judy’s positive attitude, upbeat personality and hard work ethic makes it a pleasure to be around her. Judy consistently goes above and beyond for the residents and takes pride in bringing a smile to everyone’s face. Judy, thank you for your creativity, for always communicating, and for your devotion to Grand Traverse Pavil- ions. We appreciate you!

ANNIVERSARY MILESTONE 5 Years: Nicole Hamner Nicole is a delightful addition and team member on the Birch Pavilion. She is a great nurse and provides attentive and compassionate care to all of the residents under her care. Ni- cole is detail oriented, has excellent nursing skills, and always advocates for her residents’ needs. Nicole is a team player and always ensures her co-workers have what they need to succeed. Thank you for your 5 years of hard work and dedication to the Grand Traverse Pa- vilions!

CANDY CORN FRUIT PAR FAITS Fun and healthy fruit parfaits that look like Candy Corn!

Pineapple Chunks Mandarin Oranges Whipped Cream Candy Corn Clear plastic cups or small mason jars

Place pineapple chunks at the bottom of each cup. Top pineapple with a layer of mandarin oranges. Top oranges with whipped cream and one candy corn treat. Serve!

Page 12 of 120 VOLUME 8, ISSUE 10, OCTOBER 2020 P A G E 4

Kelsea Fullwood Soy Koumliene Shannan MacGillivray Michael Newberry

Child Care Assistant Custodian Universal Worker Occupational Therapist

DAYS THESE DOWN UPSIDE IS EVERYTHING Halloween may not look like it has in years gone by, but we would still like to make it a fun day for our residents. Please send photo(s) of your costume from previous years to [email protected] Submissions will need to be received by Monday, October 26, 2020. Photos collected will be broadcast over our Osborn Pavilions Channel on the resident televisions throughout the day on Hallow- een. If you have any questions please call 231-932-3018 or e-mail [email protected].

COMBATING PANDEMIC FATIGUE An unintentional phenomenon is on the rise – pandemic fatigue. People are tired of staying at home. People want to be the social creatures they inherently are. People want their “normal” back.

This collective fatigue is making some people – consciously or unconsciously – disregard pandemic guidance such as social distancing and mask wearing. Others may be reaching a mental health breaking point. Alarming data from a U.S. Census Bureau survey revealed the psychological toll taken by the pandemic. American adults were asked typical mental health screening questions. Twenty-four percent showed clinically significant symptoms of major depressive disorder, and 30% showed symptoms of generalized anxiety disorder. Those rates were higher among younger adults (ages 18 to 29), women and people making less than $25,000 a year. If you feel like you’re battling pandemic fatigue and losing self-discipline, stay the course with these coping tips:  Try a new exercise. If you’ve been finding it harder to stay active, experiment with something new like walking, yoga or cycling.  Try meditation. Mindful activities can help lower your stress levels and improve your mood.  Try saying it out loud. Sometimes you just need to talk to someone about how you’re feeling, especially if you’re stressed, frustrated or anxious. Ignoring those strong feelings won’t make them go away.  Try new recipes. You’ve likely already mastered the pandemic sourdough or banana bread, so roll up your sleeves and whip up something else. This is a good time to prepare healthier meals and use that time as a fun daily activity for you and your family.

Consider how you relaxed pre-pandemic, and try to get back to that lifestyle. If you find cooking, reading or listening to music relaxing, make time to keep that a part of your routine.

If you’re worried about your mental well-being, please contact your doctor. Page 13 of 120 September, 2020 Media Report

Broadcast Report:

WTCM-FM: Recruitment/Join the Team Broadcast advertising ran from September 1-30, 2020.

WTCM-AM: Recruitment/Join the Team Broadcast advertising ran from September 3, 2020. Recruitment/Join the Team Broadcast advertising ran from September 8, 2020. Recruitment/Join the Team Broadcast advertising ran from September 16, 2020. Recruitment/Join the Team Broadcast advertising ran from September 21, 2020.

WKLT-FM/WBCM-FM: Recruitment/Join the Team Broadcast advertising ran from September 1-30, 2020.

Record Eagle: A Career that Loves you Back.. September 6, 2020. Make It Grand-Parent Video Charity Challenge September 6, 2020. National Assisted Living Week – Cottages September 13, 2020. A Career that Loves you Back.. September 20, 2020.

NorthCoast: On-Site Dialysis Services September 12, 2020. A Career that Loves you Back.. September 26, 2020.

Digital Campaign Results

 81,542 impressions in September from people in Northern MI who have interests/behaviors relating to job seeking, job searches, nursing jobs, etc. 82 clicks.  Top Geographic Areas: Traverse City, Boyne City, Lake Ann and Cadillac.  Garnered 64 branding actions in September. This includes: 1. 55 view-through other actions: this is when someone sees your ad, doesn’t click on it, but then later goes to your website (either organically through Google or by the direct URL) for more information. 2. 9 click-through other actions: this is when someone clicks on your ad to the careers page and then later comes back to your website (either organically through Google or direct URL)

Obituary Ad online Results:

406,039 views in the exclusive Obituary Sponsorship position in less than five months (started 5/15)…reaching the assisted living demographic of 50+. 78,858 of those were in August alone and 64,315 of those were in September to-date.

117 people clicked through to your website for further information. 24 of those were in August alone and 19 were in September to-date!

Page 14 of 120 Page 15 of 120 Page 16 of 120 Page 17 of 120 Page 18 of 120 Page 19 of 120 COVID 19 Report –October 2020

Testing Results We are still receiving our COVID results within 48 hours of receipt. During the testing period of 10/12, five staff members returned with COVID-19 positive tests. Two work in dietary, one works on the Elm pavilion, one was attempting to return from a medical leave and the last one works in the marketing office. We were also notified of a direct care worker who went on vacation on 9/30 out of state and when returning from vacation became ill and tested positive for COVID. This individual did not return to work nor have they and any contact with residents or other staff since 9/30. The testing results for the week of 10/19 have all came back with no new positives. We completed testing on 10/26 and 10/27 for all staff and SNF residents and are awaiting results.

Staff screening Staff are required to enter the building through the employee tunnel wearing their mask. Employees have their temperature and photo taken via the thermal camera. If a temperature is outside of the acceptable range of 94-100 degrees, the nursing supervisor and administration are instantly alerted. An assessment is conducted by nursing at this time. If the temperature is acceptable, the screen on the thermal camera flashes green and staff proceed to the questionnaire kiosk to complete the screening. Should staff check yes to any symptoms, the system prevents them from completing the screening process and a nursing assessment is completed at this time as well.

Visitation We continue with a large volume of electronic visits between the residents and their families. Window visits continue weekly and we are looking at options for when the weather changes. As of now, we provide golf cart transportation if needed, tents with chairs are provided at the window visitation sites. The State has published guidance that allows nursing homes to engage in limited indoor visits. This order takes effect on October 26, 2020. We will need one more week without any positive COVID cases in order to initiate these visits. All visitation requires social distancing and are by appointment only. This order also contains language that allows visitors that support the activities of daily living of a resident or are necessary to ensure effective communication with individuals with hearing, vision or speech impairments that existed prior to March 14, or deemed necessary by assessment. There are other caveats surrounding this exception, however at this time we do not have any residents that require these exceptions. This language aligns with previous orders.

Communication In addition to phone conferences between families and staff, COVID information and facility happenings can be found on our website under the Weekly Family Update tab, the Neighborhood News and the Legacy publication. In the event that families need to be notified of a positive COVID case, a ROBO call is sent out with information needed and direction to review the facility update page. Staff receive a facility text notifying them of a positive COVID. Our residents are notified verbally with reassurances and questions answered.

Page 20 of 120 Infection Control Employee and any resident illness is tracked through our infection control processes to ensure that staff and residents are not exposing otherwise healthy individuals to potential germs. Staff and residents practice strict hand hygiene. Facility surfaces are disinfected several times daily and as needed. Staff are continually provided education on infection control practices within the workplace, in the community and at home. Staff are also required to wear eye protection while in the resident areas. This month we are administering the influenza vaccine to staff and residents.

Personal Protection Equipment (PPE) Currently we have an adequate supply of gowns, face shields and masks. There is a shortage of gloves in all sizes nationwide. We order continually and sometimes the order is received and others times we are placed on a wait list. We received the additional shipment from FEMA which included masks, gowns and hand sanitizer. We were not given any gloves as this product ran out prior to distribution to all facilities. We have managed a healthy supply of PPE to last us through the winter and flu season. We continue to search out legitimate suppliers of approved PPE.

COVID Surveys We have not had any further surveys however we are working with the Quality Improvement Organization as required by CMS on two separate projects. The first project is regarding antibiotic usage and the second is environmental disinfection practices. This is in its early stages with no data to report yet.

COVID Requirements As interpreted by MDHHS, all new admissions, readmissions and those residents who leave the facility for appointments must be quarantined (preferably on the same unit) for 14 days regardless of a resident’s COVID status. The Rehab unit is being utilized for this purpose and has been divided into three sections – new and readmissions, those who go out for an appointment and those who may become COVID positive. Staff on this unit are required to wear KN95’s along will full PPE including face shields when entering any isolation room.

COVID Funding Relief A Medicare advance payment of $734,999 was received in September. CMS just recently amended the repayment terms that extended the start date of repayment to one year from the issuance of the advance, previously 120 days. Additionally, once repayment is initiated, the new terms provides recoupment will only be 25% of future Medicare receipts over the following eleven months until 100% of the advanced funds are recouped. In September, the Pavilions continued to receive reimbursement for COVID-related costs, including $50,151 from the MDHHS towards the $2/hour wage premium for direct-care staff; and $52,769 from MDHHS towards weekly COVID testing administration of residents and staff. The Pavilions’ $250,000 grant towards PPE through CARES Act funded program made available from the State of Michigan was not approved based on the large number of applications submitted and our non-profit governmental status. The grant application for $18,500 submitted through the Michigan Department of Health and Human Services (MDHHS) for infection prevention and control equipment was recently approved and are awaiting the distribution of funds.

Page 21 of 120 Grand Traverse Pavilions Overtime 2020 Pay Dates In: Department 1st Qtr 2nd Qtr 3rd Qtr 4th Qtr 2020 Total

Administration $595.22 $867.59 $620.83 $2,083.64

Adult Day Services $28.03 $0.00 $12.65 $40.68

Child Day Care $312.55 $46.50 $695.78 $1,054.83

CNA $122,203.34 $95,389.40 $75,605.58 $293,198.32

CNA Training $0.00 $0.00 $0.00 $0.00

Marketing/Foundation $0.00 $0.00 $0.00 $0.00

Cottages $21,185.60 $26,147.94 $21,157.80 $68,491.34

Diversional Therapy $3,839.66 $3,843.21 $2,382.03 $10,064.90

Financial Mgt. $168.55 $153.24 $0.00 $321.79

Housekeeping $7,697.63 $6,954.64 $8,873.30 $23,525.57

Human Resources $957.24 $351.65 $9.00 $1,317.89

Human Services $90.35 $27.14 $19.44 $136.93

Laundry $2,552.64 $2,374.23 $3,345.37 $8,272.24

LPN $23,981.00 $14,374.57 $15,563.37 $53,918.94

Maintenance $5,571.81 $5,876.36 $5,974.12 $17,422.29

Nursing Administration $2,558.93 $3,801.30 $1,989.98 $8,350.21

RN $47,595.01 $33,564.14 $31,489.69 $112,648.84

Therapies - PT, OT $561.11 $2,216.79 $1,991.80 $4,769.70

Totals $239,898.67 $195,988.70 $169,730.74 $0.00 $605,618.11

% of payroll 6.12% 4.56% 4.45% 0.00% 5.04%

Page 22 of 120

Annual Plan 2020

Third Quarter

Page 23 of 120 GRAND TRAVERSE PAVILIONS OBJECTIVES and ACTION PLAN 3rd Quarter 2020

1. To maintain and enhance a motivated and competent workforce and to promote wellness and safety in the workplace

1.1 Develop and implement recruitment strategies for attracting direct-care staff

Human Resources has been aggressively working to establish a broader recruiting network by developing relationships with businesses and Universities including Michigan Works, Northwest Michigan College, Grand Valley State University, the Career Tech Center, Northern Michigan Health Training School, and Ferris State University. Additionally, Human Resources has been increasing the Pavilions presence at local recruiting events and online talent resources such as Indeed, and MI Talent Bank. Human Resources worked closely with Marketing to develop recruiting messages for both broadcast and print media. A new series of advertisements on local radio was created to attract both temporary and full time candidates that have been displaced due to the COVID 19 pandemic. Compared to 2019, the first quarter of 2020 has seen a 16% increase of application and a 32% increase of interviews.

The Human Resource team continued working closely with Marketing to develop recruiting messages for both broadcast and print media in the second quarter. Recruitment ads were broadcast on Midwestern Stations and a digital recruitment ad ran on the North Coast/Record Eagle site on April 25. Grand Traverse Pavilions Website Employment Opportunities page views totaled 1,127. However, applications, interviews, and new hires all declined during the second quarter due to the impact from Covid-19 causing long-term care to be a less desirable employment opportunity and the unemployment compensation increase causing an incentive for unemployed workers. Recruitment ads for temporary workers displaced by the COVID shutdown ran in May resulting in several hires. The Pavilions entered into an agreement with the Apprenticeship Institute, as a partner under a Michigan Health Endowment Fund grant, for the recruitment and training of certified nursing assistants (CNAs).

In the third quarter, marketing strategies supported recruitment efforts through print advertising in both North Coast (free) and Record Eagle (delivered/online subscription) Publications. Weekly broadcast advertising July – September focused on recruitment on the WTCM FM and WKLT stations with multiple live reads with Christal Frost. The Pavilions Facebook/Social media was utilized to post available direct care and food service positions. On August 1, 2020 the Travers City Ticker featured an article on Facing Hiring Crisis before Pandemic, Local Employers Now See Even More Hurdles, Fewer Candidates, with quotes from Pavilions HR staff. On August 27, 2020 Marketing and HR worked to put a direct care worker advertisement in the Leelanau Enterprise as a test. A cooperative marketing initiative titled “Careers of Caring” is currently being

Page 24 of 120 developed in cooperation with AAAMN, the Bay Area Senior Advocacy Group, and Midwestern Broadcasting to enhance awareness about the opportunities and benefits of being employed in the elder-caregiving industry. The program will incorporate advocacy messaging, recruitment strategies with measureable outcomes to enhance employment within the industry.

1.2 Identify and implement strategies for staff retention, particularly among direct-care staff

The Recruitment and Retention Committee met regularly to brainstorm ideas to increase staff retention. Ramped up efforts to demonstrate staff appreciation included providing meals, snacks and beverages to staff on random days. An initiative from the Customer Service team has been implemented to help with improved communication and staff morale. The CNA Bonus Program is proving to be very successful. In the 1st quarter, the CNA Bonus Program yielded payments of $50.00 to one hundred fifty (150) CNAs; $100.00 to forty-one (41) CNA’s; $150.00. Ninety CNAs achieved the qualifications to receive a bonus award.

The COVID-19 Pandemic continues to provide additional challenges during all of the second quarter. Helping to boost employee moral during this difficult time is a major focus for employee retention. One example of a creative approach was to provide meals, snacks and beverages to staff every day of Skilled Nursing Home Week to show the staff how much they are appreciated. Due to the pandemic, attendance points were not issued March through June for illness call offs. Without this adjustment, several employees would have attained termination status due to attendance points. The CNA Bonus Program continues and in the 2nd quarter, the CNA Bonus Program yielded payments of $50 to 81 CNAs; $100 to 99 CNA’s; $150 to 60 CNAs that met the requirements. The Recruiting and Retention Committee continues to meet monthly to brainstorm new ideas on how to attract new employees and retain current staff. The Pavilions celebrated staff during National Nursing Home Week, May 10 – 16, with a banner and employee appreciation events throughout the week. On June 18, the Pavilions Facebook site featured “Grand Traverse Pavilions Celebrates “National Nursing Assistants' Day” Recognizing Certified Nursing Assistants (CNA) who have dedicated their lives to the well-being of others” had an estimated reach of 1,108 with 375 engagements (likes, shares, re-posts). Senate Bill 690 was passed by the Michigan legislature and signed by the governor on July 1, that provided among other items, funding for a temporary 3-month $2/hr. wage increase to direct care staff working in skilled nursing facilities. The Pavilions board passed a resolution to extend the temporary rate increase to all other workers not covered by the bill.

In the 3rd quarter, the CNA Bonus Program yielded payments of $50.00 to 89 CNAs; $100.00 to 11 CNA’s; $150.00 to 46 CNAs that met the requirements. In July, the Employee Recognition Event took place in the Multi-Purpose Room for Grand Traverse Pavilions and Sodexo employees. All enjoyed a barbecue featuring hamburgers, hot dogs and chicken, salad bar, potato chips, watermelon, dessert and beverages. The highlight of the day was the “Years of Service” presentation where 43 employees were individually celebrated for milestone anniversaries ranging from 5 to 40 years. Directors wrote of their

Page 25 of 120 staff’s dedication and commitment to the Pavilions. The comments of the celebrated individuals and their photos were shown in a slide show on the TV screen for all to see. The Recruiting and Retention Committee continues to meet formally monthly to brainstorm creative ideas and evaluate prior initiatives taken. On July 29, the Pavilions Facebook Post Celebrated Employee Longevity, listing the staff milestone anniversary in 2020, the post reached 806 people, with 66 likes/loves, nine comments and four shares. The next day, July 30, was Direct Care Workers Appreciation Day and a post on the Pavilions site featured a “Thank you” from Kory to Pavilions staff reaching 649 people, 40 likes/loves, five comments and six shares. The August Issue of the Pavilions “Legacy Publication” featured a reprint of the Pavilions employees celebrating milestone employment opportunities, and was geared to the many challenges and examples of the exceptional efforts of the Pavilions direct care staff. The temporary $2/hr. wage increase for direct care staff was paid throughout the quarter. The state’s FY21 budget included funding to extend this pay through the end of the year.

1.3 Implement continuous performance management practices for non-union employees, replacing traditional annual employee evaluation model

Staff participated in phone conferences with representatives from Smartlinx. They have partnered with Deltek, a leading software firm that has developed a talent performance module that integrates with Smartlinx. They are currently in the testing phase and expect to have the ability for trials within the next few months. Using our existing Smartlinx system, the integration of a talent performance module will allow us to customize a performance management base evaluation process that will be electronic.

During the second quarter, staff continued to have conversations with Smartlinx and Deltek representatives. After several meetiongs, it was determined that Deltek had two significant disadvantages that were not acceptable for moving forward. The cost for the program was much higher than originally expected and the level of integration with Smartlinx was not anywhere close to where it needed to be. As a result, Smartlinx has decided to work on creating their own in-house product that is expected to be far less expensive than Deltak and would fully integrate with our current Smartlinx program. Smartlinx representatives expect to present the new product early in the 3rd quarter.

During the 3rd quarter, multiple phone conference calls took place between Pavilions staff and Smartlinx representatives. Smartlinx rolled out their new Performance Management module which was developed within the Smartlinx system and fully integrates with the Smartlinx modules we currently use. Pavilions has purchased seats in Smartlinx Performance Management and will begin live testing during the 4th quarter with implementation by the end of the year.

1.4 Develop a career ladder program for Certified Nurse Aides

An internal committee from Nursing Administration met several times thoughout the quarter to brainstorm and develop ideas around a Certified Nurse Aide (CNA) career ladder. This career ladder would consist of a series of steps providing

Page 26 of 120 opportunities to increase one’s professional knowledge and skills in resident care as well as developing leadership skills for mentoring, training and influencing other CNA’s.

The only activity this quarter was collecting information on other entities’ career ladder programs. Key skills were identified and prioritized to include on the different tiers.

There has been no activity for the third quarter.

1.5 Explore foreign-worker opportunities for direct-care staff positions

Discussions with United Methodist Healthcare Recruitment continued in the first quarter. Their contract documents are currently being reviewed. Discussions also took place with Leading Age corporate staff for additional information on recruiting foreign born workers. Arrangements have been made with Congressman J. Bergman to facilitate a visit to the Pavilions and discuss the need for improvements to the current US immigration policy on recruiting healthcare workers.

During the second quarter, conversations continued with United Methodist Healthcare Recruitment regarding the hiring of foreign-born nurses. In May, a “Reservation Agreement” was signed that formally begins the process of assigning the nurses. The federal government, because of the current Covid-19 pandemic, has temporarily placed restrictions on immigration of foreign workers into the US. The effect these restrictions have on the timing of when nurses will be available to the Pavilions is currently unknown. The goal is to have two nurses on-site by the end of the year. Congressman Bergman’s staff has informed us the Congressman is still eager to visit the Pavilions, however that will have to wait until visitation restrictions have been lifted.

The federal government restrictions on foreign workers continued during the 3rd quarter as a result of the Covid-19 pandemic. United Methodist Healthcare Recruitment is still hoping to provide the Pavilions with two foreign born nurses by the end of 2020, however, it is dependent on the federal government easing restrictions on immigration.

1.6 Develop and implement a leadership development program for supervisory level employees

During the first quarter, the leadership development team continued to work on identifying key leadership behaviors and brainstorm on the best method for training objectives to meet those desired behavior traits. A training platform in Relias is being evaluated and a meeting with Munson employee development staff was conducted to determine potential for cooperation on leadership training.

During the second quarter, the leadership development team continued to meet. Finalization of key leadership behaviors is nearly complete as is the list of on-line training opportunities within Relias, our on-line staff training platform. The team is still evaluating opportunities for in-person training and should have a better direction on that within the coming months.

Page 27 of 120

The leadership development team continued to work on key leadership behaviors and courses available on Relias. The first leadership training will occur on October 27 with a select group of 10 mid-management employees. During September there was several meetings with Training Direct LLC, whom the Pavilions has engaged to conduct an in-person one-day seminar on “Everything DISC.”

2. To enhance and ensure the quality of care and quality of life of our residents

2.1 Implement strategies to improve upon targeted quality indicators and hospital readmission rates

The ADON on rehab was briefed on goals for subacute care such as reducing readmissions, improving discharge satisfaction surveys, and increasing knowledge within the nursing department. The ADON’s and Staff Development have been working with the nursing staff to increase their knowledge of various nursing processes, like wound care, infection control, etc. We continue with our step-down sepsis screen to assess and detect early signs of sepsis. If a patient has a positive screen, they may receive treatment here unless they are too fragile. Social work was given the opportunity to attend an educational workshop on having end of life discussions with patients and families. Our goal is not to discourage hospitalization, but to help those we serve to make informed decisions. Social work has been strongly advocating and communicating with insurance companies for extended coverage if they feel confident someone is not ready to discharge in an effort to reduce readmissions to the hospital after discharge from skilled nursing.

With the majority of Emergency Department (ED) transfers and admissions from the rehab pavilion, the DON and rehab ADON have worked closely to review ED transfers to ensure that a transfer was necessary or if the patient could have received further treatment in the facility, thus avoiding a transfer. It was discovered that some nurses are uncomfortable with a patient’s declining condition. Nurses will be consulting with their ADON or Campus Manager to assist in their assessment prior to a transfer decision.

The rehab ADON has been meeting with small groups of nurses to review processes of which they find confusing or have forgotten steps. The ED transfer process is one that sometimes staff do not understand entirely. This is currently being changed to shorten the ED Transfer form to allow for more concise and valuable information. This has been in collaboration with MMC ED. This last quarter we asked nurses to consult with ADON or CM before sending patients out to ED. What we have found is that their assessment and interventions when under duress may benefit from having a second opinion or assurance from another nurse. We changed our practice on sepsis protocol to implement with a change in condition to help work through trying to pinpoint a problem and potentially implement treatment. Rehab ADON has had a lot of conversation with staff regarding code status and that full code does not mean we cannot try treatment here. Both CM’s and ADON’s have been running through hypothetical situations with nurses to ease their mind about caring for residents with a full

Page 28 of 120 code. Additionally, they have been helping the nursing staff to differentiate acutely ill from potential to stop breathing.

2.2 Incorporate LEAN huddles within the daily clinical management process

The LEAN Huddle steering committee was organized to include the following members, Kory Hansen, Rose Coleman, Holly Kazim, Robert Barnes, Jamie Wilson, Katy Leach and James Hunter. The steering committee attended a webinar training on January 9 as a kick off to our LEAN journey. The steering committee traveled to Manistee County Medical Care Facility on February 4 to observe their established LEAN huddles and learn more about their process. The steering committee then attended full day training in Lansing on March 6. Our plan was to go live with the huddles in April; however that has been postponed at this time due to the COVID-19 pandemic. We are unsure when we will roll this out to staff but are excited and eager to get started with education and implementation.

COVID-19 has derailed our original timeline for implementing LEAN huddles. We have determined that we will be able to restart implementation in the third quarter.

During the third quarter we have had conversations with Steve Palmreuter regarding potentially starting the huddle process with the non-clinical departments. We are currently reviewing this proposal to ensure we have the appropriate staff to implement.

2.3 Utilize innovative technology, devices and software to improve and enhance resident care

The Clinical Care team has been evaluating the Swift Wound Care software and have applied for a Foundation grant. We are also looking at a Medline billing system for our residents who utilize ostomy, catheter and pressure injury supplies. These supplies should be billed under Medicare B automatically when ordered. We continue to evaluate other equipment and available technology such as vitals machine carts that integrate data into our EMR software and incontinent management products to improve patient care. Hansen and Allen met with Jesse Wolff from 20 Fathoms, who is the Managing Director for Health Spark, a healthcare technology incubator program that facilitates healthcare providers with new technology ventures. The Pavilions expressed potential interest as a beta site for testing newer technologies that could be of benefit to the organization.

We are working with Medline who has provided nursing with the opportunity to work with their Wound Care Consultant (WCC) electronically. The WCC is able to assist in wound assessment, consult, and recommend products. We continue to strive to decrease the number of facility acquired pressure injuries and promote healing in those admitted with wounds. Additionally, we have begun working with Medline’s Medicare B billing division in order to bill Medicare B for supplies used for patients with ostomies, catheters, and wounds. With the almost immediate stop of transferring residents to medical office appointments, we have catapulted into using Telehealth services. We are currently holding a vision clinic via telemedicine and conferencing with several specialists including

Page 29 of 120 but not limited to neurologists, psychiatrists, hospice, and palliative care. In addition, we have been conducting several family visits via Facetime to allow residents to continue to see their families and have an emotional connection. For many, this has been beneficial to their mental well-being. The Pavilions made the submission of a Civil Money Penalty (CMP) Reinvestment grant application in response to COVID-19 for Communicative Technology Requests to allow for the continued virtual connectivity of residents and family members during the “no visitation” mandates. The maximum allocation per facility is $3,000, which we applied for towards several ipads.

Currently, the greatest use of technology we have is Telehealth, our own EMR, and FaceTime. Facetime benefits the residents by allowing them to keep in contact with loved ones, particularly at this time when visitation is not allowed. Telehealth allows us to continue to communicate with outside physicians without having to expose our residents to the community. Through our work with the nursing staff, we have found areas within our EMR that could use improvement. We have been working diligently to update and improve our processes and forms. An example, is the ER Transfer form as mentioned prior. This transfer form has always been about two pages in length. With the help of MMC, we have been working to reduce this form to one page and allow the nurses an opportunity to be descriptive and patient-centered in their typed report versus checking boxes that may or may not fit the patient.

2.4 Streamline processes within the EMR software to improve clinical outcomes

For the first quarter, the Clinical Management team has been working with Netsmart to incorporate the CareQuality module into our EMR. This module allows the facility to receive discharge information from the hospital directly imported into our EMR for admission and medication review. This process has hit several road blocks due to the Commonwell system that is a third party for Munson. The engineers at Netsmart continue to work with Commonwell to resolve this issue. The second module currently being implemented it the Care Connect Inbox. This feature allows staff to send and receive medical records across a secured platform that can be imported directly into our EMR. There is currently a slow down due to the COVID 19 pandemic.

The Care Connect Inbox is almost complete. This allows the facility to receive documents from a hospital EMR which can then be imported into our EMR saving hours of input time by a licensed nurse. The CareQuality module is still struggling with the software Munson Hospital utilizes. We continue to work on that with the vendor, Munson and our IT department. We started the implementation of KPI dashboards. This is an analytic module that allows leadership and key staff to view metrics, monitor facility quality measures and other analytics that can be extracted from our EMR.

During the third quarter we have implemented KPI dashboards for those responsible for measuring and monitoring specific metrics depending on their role within the organization. This is new to us and we are currently exploring the many ways to view, monitor and utilize this information.

Page 30 of 120

3. To nurture resident and family satisfaction through a customer service perspective

3.1 Through our Customer Service initiative, utilize the administrative team to model an organizational culture of service excellence

The Customer Service team continued to meet in the first quarter. Ideas on how to positively impact employee morale and staff appreciation were identified and implemented. Examples are increased focus on the 20-10 initiative, random acts of kindness including meals, snacks, and beverages for staff.

During the second quarter, the Customer Service Team continued to meet monthly. Looking for a way to continue more initiatives without causing additional burden on an already stressed staff, due to the effects of the Covid-19 pandemic, the team elected to continue modeling and reinforcing the importance of the 20-10 rule. Looking forward to the eventual ending of the restriction on visitation, the team decided to focus on a plan to create a very positive experience for both residents and family members as they are able to begin visiting loved ones inside the building. The team will solicit ideas and formalize a plan early in the 3rd quarter.

The Customer Service Team continued to meet regularly during the 3rd quarter. Multiple events occurred that were intended to show employee appreciation and boost morale, including Employee Appreciation Day held in July with highlights such as an employee lunch, games with prizes, and years of service recognition. Also, in September, employees were treated to fresh apples from a local orchard. The team is working on a plan to welcome back visitors once current restrictions allow visitation to take place.

3.2 Utilize the resident satisfaction survey data to drive improved customer experience

The Quality Assurance Performance Improvement (QAPI) Initiative Committee has reviewed the past resident satisfaction survey and identified two specific areas to work towards improvement which include dining services and responsiveness of management. Equipment will be ordered including a cart and a hot plate pallet system to pilot meal delivery on the Cherry unit. The outcome of this pilot will determine if this system is going to be effective in meeting the residents and staff needs relating to meal delivery, temperature and taste of food. The members of the QAPI initiative team have divided the rooms on each unit to ensure that one member is greeting and spending about 2-5 minutes with a resident to see how they perceive their care and quality of life within the facility. Problems or concerns are forwarded immediately to the appropriate party and the visiting member will follow up on the next resident visit.

Grand Traverse Pavilions has again contracted with the third-party research firm MyInnerview to conduct the annual resident satisfaction survey. The 2020 resident satisfaction surveys were distributed to residents/families on June 15. The completed surveys are to be returned to MyInnerview and postmarked by

Page 31 of 120 July 3 in order to be included in the compiled results. MyInnerview will provide a report of the accumulated data around the end of July.

We have received the results of the annual satisfaction survey. There is modest overall improvement in most categories from last year. The lowest scoring items are contentment, joy and fun and participating in community life. This may be attributed to the lockdown our residents are experiencing during COVID. We will be focusing on improving this over the next quarter starting with a review of those activities that we can offer and finding new ways of bringing joy during the pandemic.

3.3 Implement customized photo art throughout Main Street and each pavilion to further enhance a personalized home-like environment

During the month of January, the project to update main street artwork was completed. The donated images used to create the canvas art have a dual purpose of providing a visual stimulation for our residents, while inspiring joyful memories of local attractions, scenes and events from throughout the region. In February, Darcey Gratton, Administrative Services Director worked with Environmental Services to get quotes on painting the walls of Aspen through Dogwood Pavilions to update the look of each pavilion with a fresh coat of paint. Due to the new restrictions for COVID-19 that began in March, this project as well as creating new artwork for the pavilions, has been put on hold for a later date.

No activity in the 2nd quarter.

During the month of August the Aspen Pavilion corridors were painted. Purchasing new artwork has been put on hold until updated photos of normal resident activity resumes.

4. To maintain and enhance financial stability and emphasize fiscal responsibility in planning for today and the future

4.1 Provide additional funding for OPEB and/or MERS pension unfunded liabilities from excess cash reserves

On January 3, Lindsey Dood, Chief Financial Officer held a telephone conference with Chris Veenstra, Actuary and President of Watkins Ross to discuss the outcomes of the roll forward OPEB liability from 12/31/2018 to 12/31/2019. Additionally discussed funding strategy of regular payments to supplement the trust assets in order to gradually decrease liability. On February 7, Dood met with Nick Maeder, Associate, Plante Moran to discuss recent reimbursement proposals and strategies for funding the pension liability. On February 10, Kory Hansen, Administrator/CEO and Dood met with Tony Radjenovich, MERS Regional Manager to discuss pension funding strategies including the ability to fund with a bond if only one division is closed.

On April 7, Dood and Hansen held a teleconference with Roger Swets, an attorney with Dickenson Wright specializing in municipal bonds to learn about the process for issuing a bond for use in paying pension liabilities. On May 5, Dood

Page 32 of 120 and Hansen held a conference call with Dean Bott, Grand Traverse County Finance Director and Heidi Scheppe, Grand Traverse County Treasurer to discuss the potential for issuing a bond for use in paying pension liabilities. On May 18, Dood attended “An Investment Update from MERS” webinar. On May 19, Dood and Hansen attended a telephone meeting with Nick Maeder, and Rob Long, from Plante Moran for an update on pension funding experience.

On July 13, Dood met with Korvyn Hansen, CEO/Administrator and Gordon LaPointe, Grand Traverse County Commissioner and DHHS Board Liaison to discuss our pension funding initiative for 2020 and to review Medicaid reimbursement methodologies and pension reporting. On July 20, Dood held a call with Roger Swets, Member, Dickinson Wright to discuss his representation of the Pavilions in developing an actionable presentation on pension bonding for the DHHS Board and County Board consideration. On July 29, Dood participated in a call with Swets, Warren M. Creamer III, Managing Director-Public Finance, Robert W Baird and Steven Burke, CFA, President, MFCI, LLC to discuss the possibility of the group working together to develop an actionable presentation. On August 4, Dood participated in a call with Swets, Creamer III and Burke, to discuss the moving forward. On August 20, Dood participated in a call with Hansen and representatives of Plante Moran, PLLC (Jon Lanczak, Senior Manager and Megan Schaefer, Senior Consultant) to review analysis based on the cost reports filed for 2019 including projected rates and comparative costs. Also discussed report estimating the Medicaid reimbursement resulting from funding the pension plan with bond proceeds and proposed changes to the reimbursement system that could negatively impact the projected benefits. On September 14, Dood participated in a call with Swets, Burke and Hansen to discuss the results of the pension bonding analysis and discuss moving forward the proposed resolution. On September 22, Dood met with Hansen, Barnes, Mallory Tony Radjenovich, Regional Manager for MERS and Lindsey Terrell, Employee Benefits Manager to discuss the potential introduction of a new defined contribution plan for nonunion new hires. This would be to replace the current defined benefit plan if it is closed as part of the process of issuing bonds to partially fund the liability. On September 24, Dood virtually attended the MERS Portfolio Management and Performance Update to assess ongoing performance. On September 25, Hansen, Dood and the Pension Bond team presented to the DHHS board. The board approved a resolution to recommend to the GT County Board of Commissioners to authorize Pension Bonds.

4.2 Research opportunities and implement initiatives that enhance operational efficiencies, including converting to a paperless purchasing system

On January 30, Dood met with Todd Moeggenborg, Chief Financial Officer, Michigan Masonic Home in Alma to discuss and observe the operation of their integrated general ledger and purchasing system (MIP and Microix). Users and the Financial department are very satisfied with their software. On January 31, Dood met by telephone with Joe Gonzalez, Account Executive, Nonprofit Solutions, MIP® Fund Accounting to discuss the Pavilions 2020 goal to research and implement a paperless purchasing system and how MIP/Microix might help achieve that goal. Preliminary quotes were prepared by Gonzalez and reviewed by Dood and discussed with Dan Butler, Information Systems Director, who indicated no preference between cloud based and self-hosted solution. On

Page 33 of 120 February 3, Dood met by telephone with Joe Gonzalez, to view a recorded demonstration of the product and to discuss further. Finalized quotes were prepared by Gonzalez based on the discussion during the demonstration. On February 4, Dood met with Kory Hansen, Administrator/CEO to review the proposal and discuss the best timing for implementation. Agreed it would be more cost effective and time efficient to change as of year-end instead of mid- year.

On May 7, Dood had a telephone conference with Alex Bruno, Salesperson, with PointClickCare (PCC) to discuss the potential for utilizing PCC in conjunction with myUnity for billing, A/P and general ledger. It was learned that a new PCC module was developed to automate budget tracking and electronic approval of PO’s and invoices. A meeting to further vet this option will be scheduled in the next quarter.

On August 21, Dood participated in a conference call with Provinet representatives to review their preliminary assessment of the Pavilions financial configuration of myUnity and the estimated effort to change that configuration to enable the Pavilions to bill all payers using the software. On August 26, Dood attended training on the myUnity Dashboard and identified gaps in data accuracy for use in improving financial systems going forward. On August 28, Dood participated in a conference call with Provinet representatives, Ball and Gordon to review Provinet’s reconsidered opinions and provide details on current process, develop project objectives and request proposal for assistance in achieving objectives. Objectives identified include dashboard functionality, in source billing, create electronic closing process, receive recommendations on electronic PO and AP approval software and related GL software, electronic cash receipts posting and other process efficiencies as the department prepares for future retirements.

4.3 Double annual donation revenue to $500,000 annually within 3 years

The Grand Traverse Pavilions Foundation approved a 2020 Development Plan that addressed the increase in sponsorship revenue, the planned solicitation of strategic grant initiatives, and enhanced direct donor engagement essential to rebuild the Pavilions donor based after having redirected efforts over the past few years to support the PACE capital campaign initiative. During the quarter the Foundation were awarded two grants to support the dialysis den, including $20,500 from the Schmuckal Family Foundation and $10,000 from the Grand Traverse Band of Ottawa and Chippewa 2% Allocation funding.

Due to the pandemic and restrictions on events, the Foundation understood the necessity to cancel the public Concerts on the Lawn, one of the Foundation’s largest annual fundraising efforts. With the support of media sponsor Midwestern Broadcasting, the event was restructure into a broadcast format titled “Concerts on the Lawn Goes Radio Retro”. Funding support from Serra Subaru of Traverse City, the Michigan Council for the Arts and Cultural Affairs, and local Headliner sponsors have totaled more than $17,000 toward the annual sponsorship goal. An additional grant for $5,000 was submitted in May to the DTE Foundation, and it currently under consideration. The Foundation made application to the Grand Traverse Regional Community Foundation – Urgent

Page 34 of 120 Need Fund established to support non-profit organizations during COVID-19. The Pavilions was awarded two $5,000 grants in the 2nd quarter of 2020 to purchase two Thermal Imaging units to be utilized to screen staff and visitors as part of the anticipated ongoing prevention efforts. Additional funding requests were submitted to the Area Agency on Aging for Northwestern Michigan for a $25,000 grant to support the capital enhancements of an additional bathroom facility to support the Adult Day Program in response to enhanced sanitary requirements during COVID-19, and a related Thermal Imaging Scanner to also support the screening of Adult Day participants to ensure the safety of Cottages residents and Adult Day participants. The Foundation assisted with the submission of the Civil Money Penalty (CMP) Reinvestment Application in response to COVID-19 for Communicative Technology Requests to allow for the continued virtual connectivity of residents and family members during the “no visitation” mandates. The application was for the maximum allocation of $3,000 for several Ipads. The Pavilions Foundation was notified that the March sponsorship funding request submitted to PNC Bank to be the Grand Event Sponsor for $6,000 was reevaluated by PNC in light of the pandemic, and a confirmation of $4,000 was received with $1,500 to be allocated to Concerts on the Lawn Goes Radio Retro, and the balance for a new fundraising concept of a virtual Grandparent Video Charity Challenge to coincide with Grandparents Day on September 13, 2020. The Spring issue of Legacy Magazine, a Foundation publication, was distributed in May, including a direct appeal and donation return envelope.

The Pavilions Foundation’s fundraising efforts have seen an decline in fundraising revenue as a result of the COVID-19 pandemic and the federal/state/and regional mandates requiring skilled nursing home facilities to restrict visitation for their residents. These mandates have created much frustration for the industry and put nursing homes in the spotlight with less than favorable reporting, which seems counterproductive for a facility that is desperately striving to maintain the health and wellbeing of the vulnerable population served. The summer issue of Legacy newsletter was digitally distributed in August.

5. To heighten community awareness about Grand Traverse Pavilions and reinforce a positive public image

5.1 Provide and participate in community-based events to engage Pavilions’ residents, families, staff and the community at large, to help build public awareness and appreciation for services provided

The 2020 Marketing Plan presented a comprehensive and ambitious marketing and community engagement strategy through participation, leadership and support for several “ageing related” community partner events, such as an updated Family Caregivers Conference, the BASA Senior EXPO, the Parkinson’s Association Summer Forum, and the Alzheimer’s Association “Accelerate for a Cause” and “Annual Alzheimer’s Walk”. Additional community based events approved for 2020, the Pavilions as the “Senior Event Sponsor” for the National Cherry Festival, including the Honored Lifetime Achievement Award and Breakfast, the Thursday Night Concert on the Lawn, and the Senior Golf Event. A new event this year scheduled for September is the planned “Pow Wow –

Page 35 of 120 Celebrating our Elders”. These community events are in addition to the fundraising events coordinated by the Grand Traverse Pavilions Foundation; the 2020 Concerts on the Lawn outdoor music series, and The Grand Event LIFE.

In June the Marketing/Development Department announced the restructuring of the Pavilions thirteen week summer concert series into a weekly broadcast format in cooperation with Midwestern Broadcasting, Serra Subaru of Traverse City, and the Michigan Council for the Arts. The beloved music therapy concert programs will remain available to our resident (through the internal Osborn TV network) and the community through a new Radio Retro format aired weekly on Thursday evenings at 7pm on WTCM 107.5 FM expanding the Pavilions brand to more than 300,000 households. Concerts on the Lawn is the Foundation’s most public annual fundraising effort. A second virtual fundraising event is being coordinated in cooperation with Media Partner TV 9&10 for a northern Michigan based “Make it Grand-Parent Video Charity Challenge” to promote successful aging by encouraging families to submit a one-minute video of a grandparent demonstrating successful aging (ideas include biking, hiking, story-telling, dancing, singing, or baking, etc). The clips will be accepted and posted on TV 9&10’s digital platform with the Grand Prize being awarded to the video that generates the most votes that are accomplished through online donations (each donation is a $5 minimum). Additional sponsors and prizes are currently being sought and the event details are being finalized for an August 1 launch. The video submissions will be accepted through September 1, and the Grand Prize winner announced on Sunday, September 13 – National Grand Parents Day. The event will provide unprecedented exposure for Grand Traverse Pavilions, and will demonstrate our commitment to advocacy for successful aging.

The August (Summer 2020) Legacy Newsletter was digitally published to test a more cost effective postcard being mailed to the previous newsletter distribution list, with a link to access the publication electronically, or with the option to call the Marketing Office to receive a mailed copy. Then 500 copies were printed to be distributed internally or externally as requested. The message was related to the processes implemented to keep residents and staff safe during the COVID- 19 Pandemic. Due to the pandemic and restrictions on gatherings/events many of the planned community engagement events with partner agencies were cancelled. The Foundation altered the 2020 fundraising event strategy that previously required public gatherings. Earlier in the year the Foundation’s most public annual fundraising effort Concerts on the Lawn was adjusted with support of media sponsor Midwestern Broadcasting. While the new format enhanced brand recognition and promoted the Pavilions to a much larger geographic and demographic audience, the actual donations received from the weekly musical broadcasts were minimal. A positive, however, was support for the new format in 2020 exceeded the stated $20,000 sponsorship goal. The concert season/program concluded on August 27, 2020 and is anticipated to resume in June of 2021. A second virtual fundraising event was initiated in August in cooperation with Media Partner TV 9&10 for a northern Michigan based “Make it Grand-Parent Video Charity Challenge” to promote successful aging by encouraging families to submit a one-minute video of a grandparent demonstrating successful aging (ideas include biking, hiking, story-telling, dancing, singing, or baking, etc.). The clips will be accepted and posted on TV 9&10’s digital platform with the Grand Prize being awarded to the video that

Page 36 of 120 generates the most votes that are accomplished through online donations (each donation is a $5 minimum). Sponsorship support from PNC for $2,500 was secured, along with $500 in Downtown TC Gift Certificates to provide a $1000 Grand Prize awarded on 9&10TV on Sunday, September 13, 2020 National Grandparent’s Day. The event will provide unprecedented exposure for Grand Traverse Pavilions, demonstrated the organizations commitment to advocacy for successful aging, yet yielded minimal donations. Net proceeds were estimated at $1500.

5.2 Explore and identify initiatives, partnerships and advocacy efforts to demonstrate the Pavilions’ vision as the recognized leader for successful aging services

A 2020 advocacy initiative was presented to work with the Area Agency on Aging of Northwest Michigan, the Bay Area Senior Advocacy (BASA) group and several other like-minded organization who recognize the importance and impact that the shifting demographic is having, and will continue to have, on the region. Several meetings took place throughout the first quarter to engage partner organizations and develop strategies for moving advocacy forward. One consideration is to develop a white paper on the topic that could be distributed to elected officials, community leaders and grant funders.

The meeting previously scheduled with various community leaders to discuss the white paper concept was cancelled due to the pandemic announcement in early March. Communication with AAANM leadership in late June has reinitiated discussions on how to revitalize the awareness and advocacy efforts that were progressing pre-COVID.

Based on Pavilions supported community engagement efforts, Allen was proposed to the AAANM Board of Advisors and has accepted the role of Chair of the BOA Advocacy Committee. A cooperative marketing initiative titled “Careers of Caring” is currently being developed in cooperation with AAAMN, the Bay Area Senior Advocacy Group, and Midwestern Broadcasting to enhance awareness about the opportunities and benefits of being employed in the elder-caregiving industry. The program will incorporate advocacy messaging, recruitment strategies with measureable outcomes to enhance employment within the industry. Allen is working to help lead this regional effort to address staffing shortfalls.

6. To heighten community awareness about Grand Traverse Pavilions and reinforce a positive public image

6.1 Explore opportunities to complete our continuum of care with senior independent living apartments on campus directed toward our mission to serve the indigent

No activity in the 1st quarter.

No activity in the 2nd quarter.

No activity in the 3rd quarter.

Page 37 of 120 Page 38 of 120 Page 39 of 120 Page 40 of 120 Page 41 of 120 Page 42 of 120 Page 43 of 120 Page 44 of 120 Page 45 of 120 Page 46 of 120 Page 47 of 120 Page 48 of 120 Page 49 of 120 Page 50 of 120 Page 51 of 120 Page 52 of 120 Page 53 of 120 Page 54 of 120 Page 55 of 120 Page 56 of 120 Page 57 of 120 Page 58 of 120 Page 59 of 120 Page 60 of 120 Page 61 of 120 Page 62 of 120 Page 81 of 120 Page 94 of 120 GRAND TRAVERSE PAVILIONS Service Excellence Award Program September 2020

Date: 09/02/2020 Employee: Stephen Pickard Thank you for always being yourself, choosing to have a good attitude and getting your Awarded for: work done Position: CNA Nominated by: Abby RN

Date: 09/09/2020 Employee: Derek Councilor Repairing the small bus, having to lay on the ground in the rain, so it would be ready for Awarded for: when I started my shift Position: Maintenance Nominated by: David Vorpagel

Date: 09/16/2020 Employee: Susan Olsen Susan recognized a resident’s change of condition and responded quickly and very Awarded for: professionally by notifying the nurse of the change! She's a great CNA and will be an awesome nurse! Position: CNA Nominated by: Anonymous

Date: 09/23/2020 Employee: Bethany Sherwin always going above and beyond performing extra tasks, like doing AM showers or getting Awarded for: multiple people up and ready for the day shift. Because of her hard work, day shift always has an easier start to their day Position: CNA Nominated by: Melissa Tipton

Date: 09/30/2020 Employee: Derrick Timerman Awarded for: always having a good, positive attitude! Love working with him.” Position: CNA Nominated by: Shelby Brook

Page 108 of 120 Weekly drive-up coronavirus testing for Pavilions staff is the new norm.

“As a skilled nursing facility (SNF)  The New Norm...For Now in Michigan the Grand Traverse  Guest Article from Heidi Gustine, AAANM  COVID-19 Testing and Reporting Pavilions is mandated to complete  Music Therapy Goes Radio-Retro weekly COVID-19 testing of our staff.”  Tree Huggers Encouraged Rose Coleman, RN and Chief  MAKE IT GRAND-Parent Video Operating Officer for Clinical Services Page 109 of 120 Legacy Summer 2020 A Grand Mission The mission of the Grand Traverse Pavilions is to provide accessible, trusted and compassionate care that enhances quality of life for aging adults. As the region’s first and only public, nonprofit Continuum of Care the Pavilions features: • Long-term Skilled Nursing Care • Short-term Rehab • The Wellness Center: Inpatient and Outpatient Therapy • The Cottages: Independent and Assisted Living • Overnight Respite and Adult Day Services • Onsight Dialysis Services Among the top employers in Grand Traverse County with over 450 employees, The Pavilions injects more than $30 million into the local economy making a significant economic impact in our community. Grand Traverse Pavilions has operated financially self-sufficient for over 30 years and does not rely on allocation of county general funds or an operational millage while providing $4.4 million worth of charitable care annually to some of the area’s most vulnerable citizens. With residents, participants, therapy patients, volunteers, and staff, Grand Traverse Pavilions is more than just a nursing home. It’s a grand community of caring for generations.

GTPavilions.org | 231.932.3000 Page 110 of 120

Grand Traverse Pavilions THE NEW NORM...FOR NOW 2 Foundation Board of Trustees By Kory Hansen Dennis Prout, President Cynthia Klingler, Vice President PAVILIONS RECOGNIZES STAFF LONGEVITY 3 Kory Hansen, Secretary Employee Milestones Christopher Chang, Treasurer Betsy Aderholdt AREA AGENCY ON AGING OF 4 William Brown NORTHWEST MICHIGAN: WHAT’S NEXT Penny Hanks By Heidi Gustine John Harvey Agnes Hayden WINDOW VISITS 5 Deb Jackson Let the Smiles Shine In Brad Mackler Barbra Mikowski CONCERT WRAP UP RADIO-RETRO 6 Ramona Pleva, DC By Deborah Allen Jennifer Simmer Anne Spieles COVID-19 TESTING; NEW REALITY 8 Michael Watkins By Rose Coleman Jan Warren DHHS Board Members THERMAL IMAGING EQUIPMENT 9 ENHANCES SCREENING PROCESS John Rizzo, Chair By Robert Barnes Cecil McNally, Vice-Chair Ralph Soffredine MAKE IT GRAND-PARENT 10 Staff Video Charity Challenge Deborah Allen, Chief Development and Community Engagement Officer Jena Capriccioso, Marketing/Development Administrative Assistant Jessi Weir, Marketing/Development Assistant

Legacy is a publication of the Grand Traverse Pavilions Foundation. If you no longer wish to receive mail from us or to change your contact information please contact Jena at [email protected] or call (231) 932-3019. We would also love to add you to our email list. Please share your email with us so we can keep you better informed of what’s happening here at Grand Traverse Pavilions.

1000 Pavilions Circle Traverse City, MI 49684 (231) 932-3018 Page 111 of 120 Legacy 1 We at the Pavilions are passionately committed to preventative and precautionary efforts to protect our residents and staff. The New Norm...For Now

or the past five months, A commitment to compassionate care has been at the Grand Traverse Pavilions cornerstone of our organization for decades, and the recent has had to rethink how we restrictions to limit face to face visits, gatherings for meals Fcare for frail elderly residents and and social activities, has been exceptionally difficult on our our staff due to COVID-19. We residents, as well as, staff. have had to adapt to changes in safety, sanitation, PPE procure- In late June, all Skilled Nursing Facilities (SNF) in Michi- ment, staffing, activities, events, gan were required to conduct baseline testing of both meetings, as well as, the organiza- residents and staff, which for Grand Traverse Pavilions and By Kory Hansen, Administrator/CEO tions budget. Really, there is not a the Cottages totaled more than 700 tests done over a two- single aspect of how we operate that has not been impacted. day period. Although we prepared for positive test results, we have had no active cases of COVID-19 in our facility. Already one of the most regulated industries, nursing The influx of positive cases across the state triggered weekly homes because of the pandemic, have been in the spotlight testing of all nursing home staff. All of these new mandates and scrutinized more than ever. It is understandable that have certainly affected the quality of life of our residents, there would be great concern over the safety and care for their families, and our staff, in ways that we could have such a vulnerable population, however, the concern has never imagined. translated with only modest support in funding, essential medical supplies and testing for these care facilities. The fact that the Pavilions, as the largest county medical care facility in the state, has had no active cases is a testa- We at the Pavilions are passionately committed to preventa- ment to the commitment of our entire team. The ability of tive and precautionary efforts to protect our residents and Department Directors to adjust processes and procedures staff. The clinical and support teams have been working on a seemingly daily, if not hourly basis, to meet the ever- diligently to preserve life and prevent the spread of the vi- changing mandates, has been nothing short of heroic. Faced rus. As one of the first skilled nursing facilities in the region with an abundance of these challenges, our team has truly to implement preventative measures, such as a no visitation been amazing! policy, daily employee temperature screenings, mandatory masking, as well as, travel restrictions, which have all been Honestly, I could not be more proud of the resiliency of our in place for nearly six months now. leadership team, our staff, our residents and their families, who have understood and accepted, although sometimes I personally am committed to remaining focused on our disparagingly, that this new restrictive environment is organizational mission, “To provide accessible, trusted and necessary to preserve the health of our residents and staff. compassionate care that enhances quality of life for aging I was admittedly pleased about the temporary $2 per adults,” through the pandemic. We remain committed to hour increase for direct-care workers through Senate Bill accessibility, although understandably, community place- 690. Likewise, I was equally grateful to the Grand Tra- ment into the nursing home and assisted living under the verse County Department of Health and Human Services current restrictions has significantly resulted in declining (DHHS) Board for approving the recommendation to ex- census. Other community-based services temporarily closed tend this increase to all staff throughout our organization. per the Governor’s Executive Order, such as Adult Daycare There is simply no other segment of the workforce that has and Outpatient Rehabilitation, have reopened. While we been asked to give so much, for so long, at both personal receive ongoing praise for being trusted in our approach to and emotional cost, than those who are caring for our keeping our residents and employees safe, these constantly communities’ most vulnerable aging adult residents. evolving protocols undeniably come at an emotional cost to our staff, our residents and their loving families.

Page 112 of 120 Verry-Cherry Cottage Porch decorations celebrate National Cherry Festival Porch Parade July 1st - 12th. CONGRATULATIONS Grand Traverse Pavilions believes our employees are our most valuable asset. With 450 sta members, the Pavilions is recognized as one of the largest employers in Grand Traverse County. The longevity of our employees demonstrates their ongoing commitment and dedication to providing the best possible care to our residents each and every day. Congratulations to the Following Employees Celebrating Milestone Years Of Employment:

40 YEARS OF SERVICE 20 YEARS OF SERVICE (continued) 5 YEARS OF SERVICE Samantha Neahr, CNA Kristin Mikowski, Human Resources Deborah Allen, Chief Development & Technician Community Engagement Ocer 30 YEARS OF SERVICE Amanda Prance, Scheduler Marcey Boven, RN Jennifer Johnson, Administrative Secretary James Wakeeld, Housekeeper Jacob Dean, LPN Rachael Favela, RN 25 YEARS OF SERVICE 15 YEARS OF SERVICE Erica Gary, CNA Elizabeth Maya, Universal Worker Kari Belanger, Recreational Therapist Sheila Gorsuch, CNA Derek Councilor, Maintenance Nicole Hamner, LPN 20 YEARS OF SERVICE Carrie Delk, Admissions Coordinator Shanley Harrigan, LPN Daniel Butler, Information Systems Director Oksana Postaychuk, Housekeeper Tanyshea Johnson, LPN Rebecca Corby, RN Laura Richard, CNA Sara Maddern, RN Shannon Downey, CNA Stephanie Talaga, Occupational Therapist Rose Marinello, RN Nicole Eason, CNA April Marsh, RN Jeanie Hickman, CNA 10 YEARS OF SERVICE Susan Olsen, CNA Penny Hultman, CNA Brean Harris, LPN Ame Rica Palacpac, Physical Therapist Gretchen Limbocker, Housekeeper Kristen Packard, Director of Nursing Anca Potroanchenu, RN Edward Potrafke, CNA Shea Poulisse, Launderer Judy She er, CNA Adam Sargent, CNA Kimberly Silvas, CNA Michael Symons, Custodian

gtpavilions.org • (231) 932-3000

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What’s Next - Finding a New Normal? t is not new news sations are shifting from are choosing to provide personal care to say that the CO- “when the pandemic is (bathing, dressing, feeding, assisting VID-19 pandemic over” to the pandemic with meal preparation) and other Ihas touched the lives may be a longer-term support while risking contraction of of just about everyone. state and how do we the virus; or they are providing care We are living in a new adapt to changing condi- to older adults with the virus. The paradigm that can be tions, continue to pivot work they do is vital to the quality of challenging and is chang- how services are deliv- life and wellbeing of older adults in ing all dimensions of our ered, build resiliency, and our communities. By Heidi Gustine, MPA society – from the role of Executive Director, Area Agency on care for our communities government and our eco- Aging of Northwest Michigan all at the same time? I As we continue to adapt together, I nomic systems, to how am continually amazed want to thank the Grand Traverse we provide healthcare and long-term by the passion, compassion, strength Pavilions for their service and leader- care, to the structures and routines of and innovation of organizations and ship in our community. And I wish our daily lives. Congregate long-term individuals supporting older adults everyone health and wellbeing. For care facilities, like the Grand Traverse during this time. more information about the Grand Pavilions, have been in lockdown for Traverse Pavilions, please visit www. several months now. This time has In our emerging “new normal,” two gtpavilions.org. For information been challenging for residents, family themes keep arising in the aging about community resources and members of residents, and staff alike. services sector that demand our at- services for older adults and caregiv- Our community is blessed to have tention! ers, please contact the Area Agency on Aging of Northwest Michigan at organizations like the Grand Traverse First, the impact of social isolation Pavilions who are taking proactive 231-947-8920 or www.aaanm.org. during these times is tremendous. In To learn more about the COVID-19 steps to prevent the spread of CO- addition to causing anxiety and de- VID-19 including continuously re- pandemic and resources, please visit pression, social isolation may contrib- GTCountyCovid-19.com. viewing and implementing the latest ute to rapid declines in health. As the safety protocols, and deploying new pandemic continues, and especially as innovations like thermal imaging we go into the cold winter months of technology to take the temperature northwest Michigan, we need to be of staff, families and other visitors creative as a community about main- Are you over 70 ½? without touching a thermometer. taining our relationships and social connectivity – for all ages – while Individuals over 70 and a half At the time of this writing, positive years of age can make a charitable COVID-19 cases are increasing in being safe and preventing further our region, impacting all age groups. spread of COVID-19. Older adults, rollover gift from their individual In our role as a regional planning whether in a congregate setting like retirement account (IRA). Your gift entity for the needs of older adults, the Grand Traverse Pavilions or living will count toward the required at home, are at high risk for feeling the Area Agency on Aging of North- minimum distribution and will not alone and isolated. west Michigan (AAANM) continues be taxed. Please consider this op- to monitor and assess the impact Second, we need to recognize and portunity to support programs and of the pandemic on the health and embrace those working on the front services for less fortunate elderly wellbeing of older adults, families lines in congregate facilities (nursing in our community by contacting and caregivers in our region, and the homes, assisted living facilities, adult workforce that provides direct care foster care homes) or providing care the Grand Traverse Pavilions Foun- and support to older adults. Conver- directly in homes. These individuals dation at (231) 932-3019.

4 Legacy Page 114 of 120 Window Visits; Let the Smiles Shine In Window Visit Policy was initiated in early June in response to resident family requests to find alternative ways to “visit” with their family mem- Abers while social distancing and state mandates restricted the ability to meet face-to-face. The window visits are The Window Visit policy can be found at in addition to scheduled electronic visits (such as Skype, https://www.gtpavilions.org/family-weekly-updates/ FaceTime, and Zoom) being coordinated by the Pavilions and then click on the June 2, 2020 Window Policy. Social Workers to ensure connectivity, communication, and compassionate care by allowing families and friends to visit virtually or at a safe distance with residents during the COVID related restrictions. According to Deborah Allen, Chief Development and Community Outreach Officer, “Families and friends of our residents have found creative ways to stay connected and “see each other” in this visit restrictive environment. Everyone realizes these safeguards are for the protection of our vulnerable population. So, it is extra-joyful to witness the joking, smiles, and even helpful tips for the cross-word puzzle, shared between the glass during the window visits.”

PACE (Program of All-inclusive Care for the Elderly) will help northern Michigan seniors to remain independent in their own homes and communities.

Receive comprehensive medical care.

Live safely in your home.

Be part of a community.

Page 115 of 120 Legacy 5 Thank You Concerts on the Lawn Radio-Retro Sponsors!

The Grand Traverse Pavilions found a “silver Title Sponsor lining” to the coronavirus pandemic, which ultimately caused the cancelation of the traditional 2020 Concerts on the Lawn outdoor music series, by rethinking the live concerts into a pre-recorded Retro broadcast format. Headliner Sponsors The continued sponsorship support from Title Sponsor - Serra Subaru of Traverse City, along with the Michigan Council for the Arts and Cultural Affairs, Broadcast Media Spon- sor - Midwestern Broadcasting (and their collection of stations), Print Media Sponsor - The Record Eagle, along with the Headliner sponsors, made it possible for the Pavilions to meet its objective of providing music therapy for the Pavilions residents. The sad reality is that we were not able to enjoy the music in person with the community, however, on a positive, we were able to share the experience of enjoying local Michigan musicians with a much larger listener- ship through the new broadcast format on Media Sponsors WCCW 107.5FM. We certainly look forward to returning to our normal outdoor format in 2021!” Stated Deborah Allen, Chief Develop- ment and Community Engagement Officer.

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Essential Michigan CARES ACT Direct Care Workers Offers Charitable Rewarded Incentive

As of July 1, 2020, Senate Bill 690 approved the You have heard it said, “We’re all in this fight against the disbursement of $120 million of the $3.1 billion in Coronavirus together”. Well, now there is a way that you can CARES Act funding received by the State to provide a help non-profit charitable organizations like the Grand Tra- temporary $2-per-hour pay increase for direct care verse Pavilions Foundation, and your generosity will help workers in nursing homes. you as well. The CARES Act: Charitable Giving Incentives allow taxpayers to deduct up to $300 of their charitable The temporary increase will be offered to Pavilions staff donations in 2020, without needing to itemize deductions. from July 1, 2020 through September 30, 2020. While the According to the Association of Fundraising Professionals CARES Act distribution was specifically approved for direct (AFP), the Temporary Universal Charitable Deduction can care workers, the Grand Traverse Department of Health benefit Taxpayers who do not itemize their deductions, by and Human Services (DHHS) approved the allocation for allowing a one-time deduction of up to $300 for gifts made all Pavilions staff acknowledging that the mandates issued to charitable organizations. The provision is intended only from the CDC, CMS, and the Governor’s Office have im- for the year 2020; however, in the text of the bill, it states pacted not just direct care workers, but everyone that sup- taxable years “beginning in 2020 …” and does not include a ports their efforts to provide care to the Pavilions residents. sunset date, thus it conceivably could extend beyond 2020. The deduction is ONLY for gifts of cash made in calendar The impact on all of the Pavilions workers couldn’t be year 2020 and does not cover other types of gifts or con- more evident, than by the mandatory nasal swab testing tributions made to donor-advised funds or private founda- that started July 1, 2020 and is required to be completed tions. For more information, please seek the advice of your weekly until further notice.” Tax or Financial Advisor.

The Convenience of On-Site Dialysis. The Dialysis Den at Grand Traverse Pavilions now offers on-site dialysis for their residents. Whether at the Pavilions for short-term rehab or as a permanent resident, life sustaining dialysis treatment is available.

Benefits of this program include: • Convenience – eliminates the time, effort and cost of transportation The Dialysis Den to and from a dialysis center. Grand Traverse Pavilions • Safety – eliminates the exposure to viruses, illnesses and fall risks from harsh weather conditions. • Flexibility – in scheduling around visitors, rehabilitation, medications, For more information please contact: medical appointments, meals and activities to enjoy a more fuller life. Grand Traverse Pavilions Admissions • Frequency – Offers shorter, more frequent and tolerable treatment (231) 932 - 3000 options as medically determined, typically leading to improved recovery time and increased energy.

1000 Pavilions Circle | Traverse City | gtpavilions.org Page 117 of 120 Legacy 7

COVID Testing an Ongoing Reality

n June 15, 2020 the Michi- responsible parties gan Department of Health during COVID-19, and Human Services (MD- that “We are working OHHS) Director Robert Gordon, through the man- issued an Order requiring regular dates and developing testing, timely and accurate reporting our testing plan for of cases, deaths, personal protective submission on June equipment and staffing shortages. 22, 2020 to the state of Michigan as required. The Order required Michigan We hope to have a nursing facilities to conduct the solid draft by end following COVID-19 testing for of the week to share residents and staff: with families, resi- • Initial testing of all residents dents and staff. There is much to take After thoughtful consideration, the and staff. into consideration. Please know we Pavilions has decided to utilize a dif- greatly appreciate your patience and ferent lab than initially contracted, • Testing of all new or returning understanding as we sort through the with a goal of receiving results quicker, residents during intake unless mandates and required processes. This which would in turn decrease the tested within 72 hours of intake. is one of the requirements that we will potential for exposure. The lab would need to complete before we are given be able to have results within 48 • Testing of any resident or staff any orders or guidance on when we hours from when they receive them member with symptoms or can open our facility to families and [the samples]. We hope that this will suspected exposure. visitors.” according to Rose Coleman, provide greater peace of mind know- • Weekly testing of all previously Chief Operating Officer (COO) ing that results will be received in a negative residents and staff in facili- Clinical Services for the Pavilions. considerably shorter timeframe. ties with any positive cases among Coleman shared, “The required base- According to Kory Hansen, residents or staff, until 14 days after line testing was completed on June 30, CEO/Administrator for the the last new positive result. 2020, and we continue to conduct the Pavilions commended staff, stat- • Weekly testing of all staff in weekly testing as required based on ing “We have been compliant and regions of medium or higher the regions classification as a moderate transparent regarding our efforts to risk on the MI Safe Start Map risk region for COVID-19.” Coleman maintain the safety of our residents (https://www.mistartmap.info/) admits “This is a huge undertaking and staff, and have remained diligent for our staff, in addition to the in- since the onset of the Pandemic. We • Testing of all staff in Regions 1 creased requirements and preventative are continually looking to implement through 5 and 7, at least once measures that we have implemented new technology and best practices between the date of this order to maintain the safety of our residents that have been proven to reduce expo- and July 3, 2020. and staff. The key aspect that I would sure and prevent potential risks. Our In response to these orders, on June like to share is… We continue to entire staff has remained committed 16, 2020 Grand Traverse Pavilions monitor our residents and staff, and to the required testing processes and posted in the Weekly Family Update, have no symptoms of COVID-19 in committed to the care of our residents a web-based update for residents and our facility.” through these new and evolving mandates, and for that we are extremely grateful!” 8 Legacy Page 118 of 120

Beautification Tree Hugger Living Memorials Grand Traverse Pavilions is taking an who made the contribution or they eco-friendly approach in creating a living will have the option to recommit their legacy to memorialize or pay tribute to a support – creating a lasting memorial loved one by incorporating “tree hugger” that everyone can enjoy for decades plaques on the campus as part of a Cam- to come! pus Beautification initiative. The plaques, also called “tree bracelets” are custom For more information on how you can engraved on 4” x 6” military grade establish a memorial or tribute gift at bronze acrylic material that can stand the Grand Traverse Pavilions, please visit up to subzero temperatures and won’t our website at https://www.gtpavilions. release any harmful toxins or chemicals As part of the Beautification Initiative, org/foundation/beautification-project/ into the environment. The plaques are the tree plaques will be assigned to an beautification-contribution/ or contact equipped with encased springs that gen- existing tree on campus for a ten-year Jena Capriccioso at 231-932-3019 tly wrap around the tree and will expand minimum. After which, the plaque will or email [email protected]. without harming the tree as it grows. be safely delivered back to the individual Thermal Imaging Equipment Enhances Screening Process ach day, the new normal at consuming, delaying staff start times, tial exposure to residents and staff.” Grand Traverse Pavilions and requiring administrative staff- Additional funding support for the is that every employee is ing support for screening process equipment and to expand its use to Escreened for signs and symptoms of verification. According to Robert the Adult Day Program at Willow COVID-19 before they are allowed Barnes, Chief Operating Officers Cottage was provided by a grant into the facility. This process has of Facilities, “The new technology from the Area Agency on Aging of been taking place since early March, has fully automated the check in, Northwest Michigan (AAANM). when the initial mandates from the screening, and verification process. “The Pavilions is incredibly grateful Centers for Disease Control and With any variances from acceptable to our community partners for help- Prevention (CDC) issued guidelines temperature ranges being alerted ing us find solutions to challenges to ensure employee safety and pre- to the employee, and to Nursing during the COVID-19 pandemic.” vent the potential spread of the virus. Administration, to avoid any poten- Shared Barnes. While this practices is not specific to the Pavilions, what is unique is the use of technology, made possible through several community based grants. The Grand Traverse Regional Community Foundations “Greatest Needs Fund” has issued two grants to assist with a solution to fully-automate the check-in process for staff. The Pavilions has nearly 450 employees, without the use of an automated system this daily task was quite time Page 119 of 120 Legacy 9 Make it Grand-Parent The Make it Grand-Parent Video Charity Challenge is a digital fundraising event that both celebrates aging adults and helps provide for their care. Presented by Grand Traverse Pavilions Foundation, this event will take place over the remainder of the summer, culminating in the announcement of the winning GRAND-parent video on National Grandparents Day, September 13th, 2020. For information on this event please visit the links below: EVENT Page on Facebook: https://www.facebook.com/events/1000208110403328/ VOTE/DONATE on the Pavilions Web Site: https://www.gtpavilions.org/vote-make-it-grand/

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