Widespread COVID-19 infections announced at Billings care facility

Bullock: Facility was not conducting surveillance testing
Posted at 10:12 AM, Jul 07, 2020
and last updated 2020-07-07 19:39:10-04

Update 4 p.m. The Canyon Creek Memory Care facility had not been conducting regular surveillance testing of patients and staff for COVID-19 before its major outbreak, Gov. Steve Bullock said at a Tuesday afternoon news conference in Bozeman.

Canyon Creek is one of the 40 assisted-living facilities in Montana that has declined to conduct surveillance testing, which health experts say helps identify COVID-19 cases early among vulnerable populations to prevent a larger outbreak.

Nearly 80 percent of assisted-living facilities in the state have been conducting this testing.

Bullock announced during his news conference that he is authorizing the state Department of Public Health and Human Services to require all assisted-living and long-term care facilities in Montana to conduct surveillance testing before they can allow visitors.

Only five of the state's 72 long-term care facilities had not been conducting surveillance testing, according to Bullock.

In Yellowstone County, visitors were banned July 4 from all care facilities by county Health Officer John Felton after an employee at the St. Johns United nursing tested positive for COVID-19.

Bullock was in Bozeman with Montana State University football coach Jeff Choate to announce a new public-awareness campaign to promote face-mask wearing.

Watch the full news conference below:

(first story) A Billings care facility announced Tuesday it has recently received results that found 43 residents and 15 staff members tested positive for COVID-19.

In a press release issued Tuesday, officials at Canyon Creek Memory Care Community stated a total of 55 residents and 56 staff members were tested. Seven residents and 26 staff members tested negative, and test results are pending for nine residents and 15 staff members.

Two residents who tested positive have been admitted to the hospital. The facility located at 1785 Majestic Lane is under quarantine, the press release states, and residents and family have been notified of the situation.

"Since the beginning of the COVID-19 outbreak, we have closely monitored and implemented all guidance from the Centers for Disease Control and Prevention and from state and local health departments to prevent transmission of the virus," the press release states. "In Mid-February of this year, protocols were put in place at Canyon Creek to help prevent the exposure of COVID-19. These preventative procedures included; limiting visitation to only essential persons or in end of life situations, the screening of every individual upon entry to the community (including staff) for temperature, travel history, or known exposure and an increase in both food and PPE supply stock. We have been working with the RiverStone Health and are grateful for the support and cooperation of the staff, residents, and families at Canyon Creek Memory Care. Protecting the well-being of our residents and staff remains our top priority."

RELATED: Yellowstone County Health Officer restricts visitations to nursing homes

RiverStone Health issued this press release later Tuesday:

RiverStone Health and Montana public health officials are working to trace contacts of the 58 individuals who tested positive for COVID-19 in one Billings senior care facility.

Those testing positive include 15 employees and 43 residents of Canyon Creek Memory Care Community, a licensed facility on the West End. Two residents have been hospitalized.

“From the beginning of the COVID-19 pandemic, we have been concerned about an outbreak in a senior living facility,” said John Felton, Yellowstone County health officer and RiverStone Health president/CEO. “Canyon Creek is but one of the seven senior living residences reporting illness in residents and/or employees in recent days.”

Felton went on to say, “Seniors in congregate living situations are particularly vulnerable to tragic outcomes should they become infected with COVID-19. In this particular instance, we are especially concerned because of the challenges those with cognitive decline face in communicating, following personal hygiene instructions and their need for predictable routine.”

Canyon Creek management reports that it has notified all residents and their representatives of the outbreak and their test results.

Canyon Creek is licensed by the Montana Department of Public Health and Human Services as an assisted living facility. The state requires assisted living facilities to isolate residents who have tested positive and to quarantine residents who have been exposed to the virus, even if they have tested negative.

The facility is working with RiverStone Health and is setting up separate living situations for residents who have tested positive and those who have tested negative. Staff caring for those residents are also being segregated, thus reducing the likelihood of cross-contamination. The Centers for Disease Control and Prevention (CDC) issued COVID-19 testing guidance in response to an outbreak in senior living facilities and RiverStone Health will be working with Canyon Creek to help them follow the guidance.

Along with investigating each case associated with this facility, RiverStone Health is helping to ensure that there are sufficient supplies of masks, gowns, gloves and other personal protective equipment and that all the PPE is being used appropriately to prevent further spread of the virus.

“While we are early in our investigation, given the limited outside activities of these residents, we suspect that this outbreak began with a staff member or visitor who was infected with COVID-19,” Felton said. “This is a heartbreaking example of what can happen when we don’t follow the 3Ws – wash hands, watch your distance and wear a mask.”

People of any age can contract COVID-19 and may become seriously ill, although most people have only mild symptoms and recover. Eight out of 10 deaths from COVID-19 in the United States have been among people age 65 and older, according to the CDC.

Surveillance testing over the past several weeks found very few positive cases among residents and staff of Yellowstone County assisted living facilities and nursing homes.

A surge in the number of COVID-19 cases last week in Yellowstone County prompted Felton to issue a Health Officer Order prohibiting most visits to senior care and elder living facilities in Yellowstone County. Felton issued that Order Friday after learning that seven senior care residences reported infections in residents or staff.

Yellowstone County confirmed 96 new COVID-19 infections between July 1 and July 6. That is more cases than in any entire month since the pandemic arrived in Montana.