• COVID-19 Screening

    COVID-19 Screening

    Crestwood Village South
  • COVID-19 Screening

    COVID-19 Screening

    Crestwood Village South

  • Staff Members

  •  -
  • Have you tested positive for COVID-19?*
  • Have you had close contact with someone who has tested positive for COVID-19 within the past 14 days WITHOUT wearing proper PPE?*
  • Are you currently ill?*
  • Do you have symptoms of a cold, cough, shortness of breath, or temporarily lost your sense of taste or smell? Do you have symptoms of nausea/vomiting or diarrhea?*
  • Do you currently have a fever, or have you had a fever or felt like you had a fever in the past 24 hours without taking fever reducing medications?*
  • Do you live with someone who has been a close contact and in quarantine due to a COVID-19 exposure? (Are you taking proper precautions for this such as: Not sharing bedroom, bathroom, food drinks, wearing masks if less than 6 feet of each other during this quarantine time of 14 days).*

  • IF YOU ARE FEELING ILL, YOU SHOULD NOT REPORT FOR DUTY
    This information serves as an informative inservice education for the employee on the screening questions for COVID-19. It is the responsibility of every employee to notify the facility of any signs/symptoms of illness as noted above, or any contact/exposure to a confirmed COVID-19 case. Any questions regarding this education training should be discussed with the Facility Infection Preventionist (IP) or Facility Management. Ongoing monitoring will be done per state and federal guidance.

  • Guest, Partner, Volunteer, Vendor or Family Member

  • Sign Out

  •  -
  • Do you have a cough, sore throat, fever or chills, shortness of breath or difficulty breathing today?*
  • Do you have congestion or runny nose, body aches, nausea/vomiting, or diarrhea today?*
  • Are you experiencing a new loss of taste or smell today?*
  • Have you been in close contact with someone with flu-like symptoms in the past 7 days?*
  • Have you traveled to an area with an on-going spread of the virus within the past 7 days?*
  • Have you traveled within the past 14 days outside of the country?*

  • Residents

  •  -
  • Were you away from the property for longer than 24 hours?*
  • Do you have a cough, sore throat, fever or shortness of breath today?*
  • Do you have congestion or runny nose, body aches, nausea/vomiting, or diarrhea today?*
  • Are you experiencing a new loss of taste or smell today?*
  • Have you been in close contact with someone with known COVID-19 or flu-like symptoms while away?*
  • Did you use proper hand hygiene, use your mask and practice social distancing while around  others?*
  • Do you agree to self-monitor for signs and symptoms for 14 days upon return and inform staff (RSC, Nursing or Executive Director) if you develop symptoms?*
  • Should be Empty: