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Life in Balance

Important Updates From Our Family To Yours

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November 19, 2020

To: Staff, Residents and Families
From: Joe Murabito, President and Managing Member

Subj: AMENDED>>>COVID 19 and OUR WORK TOGETHER TO STAY SAFE

Everyone, we have been working through this COVID challenge for many months now. We are all experiencing unprecedented cases and stress. I sit here writing this to you all from quarantine with my kids at a separate address from my wife who tested positive and is working through the process. If all goes well we will complete back to back quarantine on 11/25....23 days in total due to exposure dates for us. COVID has affected all of us. I pray that a vaccine is near release that will help us realize some semblance of normalcy. We must persist, be positive and continue forward.

Looking forward, given our current experiences, I implore everyone to sit tight and follow state and federal guidelines through the holidays more intently than ever. Holidays are tough for everyone in the best of circumstances. Normal holiday stress is highly exacerbated with the resulting effects of COVID in our lives. It will pass and we will get on with our lives.

I am asking for your continued diligence and help to keep yourselves safe by wearing your PPE, washing hands, keep socially distanced. This is difficult normally and more difficult during the holidays. No matter, we must stick to our plans and follow the guidelines from our leadership.

Specifically for the upcoming holidays, starting with Thanksgiving, I am asking for everyone’s support and cooperation in assuring our residents’ safety. It is my priority and objective that our residents stay with us at our facilities and not congregate with family and friends during the holidays this year.....I know it sounds ridiculous almost....but it is the way to minimize transmission until vaccination and treatment can help assure better outcomes as we manage this condition. Home visits and visits with friends at this time exponentially increase the risk of transmission and negative outcomes. I ask for your cooperation here please.

Staff we will be following all state and federal guidelines for your continued testing and ask that you recommit to your role in the community as a healthcare worker and minimize your travel and contacts. Wear your PPE please, wash hands....especially outside of work. PLEASE MINIMIZE YOUR SOCIAL CONTACTS....WE NEED YOU HELP TO CARE FOR OUR RESIDENTS. WEAR MASKS. WASH HANDS. EAT TURKEY WITH YOUR IMMEDIATE FAMILY AT HOME PLEASE. YOU’VE BEEN DOING GREAT....PLEASE PERSIST AND LETS GET THROUGH THIS.

Residents, our facilities are the best and most controlled environments to wait for a soon to be released vaccine. Please stay at the facility during Thanksgiving and possibly Christmas given current statistics and cases in the community. In the event you decide to leave the facility please know we will be implementing the following steps to assure our overall population remains as safe as possible:

1. Residents who leave the facility for 2 hours or less will continue to have temps/vitals taken and attestations upon return to the facility.

2. Residents who are out of the facility for more than 2 hours may be tested and temperatures/vitals taken each shift. Residents will quarantine for up to 14 days as determined by our clinical and medical team based on the nature and duration of the out of house trip.

3. BOTTOM LINE IS DO NOT LEAVE THE FACILITY FOR NON-MEDICALLY NECESSARY REASONS NOW - PLEASE. WHILE WE CAN ONLY EDUCATE AND DISCOURAGE, A RESIDENT LEAVING THE FACILITY FOR A NON-MEDICALLY NECESSARY REASON AT THIS TIME IS DOING SO AGAINST MEDICAL ADVICE GIVEN CURRENT COVID STATISTICS IN OUR COMMUNITIES. Despite all frustration with this process, we must continue to support one another and consider how our actions may affect others. There is a much bigger picture at hand. Our timely success over this challenge depends greatly on a collective and consistent approach to managing this issue. Nothing new....just much more important right now given all circumstances.

I want to express my sincere gratitude and appreciation to everyone. So many people have been supportive, positive and objective during these months. We will succeed ultimately and I believe that our actions now – together and in concert – will ultimately define our most timely return to a more comfortable and quality way of life.

I am hopeful this amended letter is more clear and everyone in our circles continues to be diligent until we are relieved from this burden we all share.

Sincerely and with my respect and appreciation,

Joseph Murabito Signature


November 13, 2020

To our Family and Friends,


This is to inform you that due to an individual testing positive for Covid-19 Aaron Manor must by Department of Health directive suspend resident visitation immediately. Aaron Manor will monitor daily and with no further Covid – 19 positive results will resume resident visitation in 14 day. We will continue virtual visits, and any medically necessary visits. We are saddened that we must suspend visitation, however we must for the safety of our Residents and the Staff. We appreciate your patience, and look forward to resuming visits soon.

Thank you,

Joseph B. Dilal III, Administrator




October 16, 2020

To: residents, families, visitors and local community

SUBJ: Resident Visits


As we have all adjusted to the new rules regarding visitation, we have done our best to compromise and safely accommodate all visits, utilizing outdoor space as needed.

Effective immediately, all scheduled visitation appointments will take place indoors, in the space provided, and only with a negative COVID-19 test including all necessary documentation. Visitors must provide COVID-19 test documentation that includes the visitor’s name, the date of test, the date of results, and a negative result. Tests are good for 7 days from the date the test was administered.

Furthermore, all visitors are expected to treat the staff of Aaron Manor with respect. We understand that it has been and continues to be very difficult to cope with not being able to freely visit your loved one here. Please be reminded that the facility is carrying out the directives put forth by the Department of Health. These measures are even more important at this time as we see a spike in Covid cases around the state. Our goal is to follow this guidance to ensure continued visitation.

Thank you for your continued patience and cooperation. We are all in this together.

Joseph B. Dilal III, Administrator




October 12, 2020

To: residents, families, visitors and local community

SUBJ: Resident Visits


Effective Monday, October 12, 2020, we will move visitation indoors. Visitation will take place in our Main Lounge only. All other rules for visitation remain the same.

Please note that in order to safely accommodate indoor visits, we have limited the number of appointments to three slots per appointment time. There will be four appointment times as follows: 10:00 a.m., 11:00 a.m., 2:00 p.m., and 3:00 p.m.

Visitation appointments can be scheduled on signup.com. If you do not have access to a computer you can call your loved one's unit Social Worker who can assist you with a time slot.

Thank you for your continued patience and cooperation.

Joseph B. Dilal III, Administrator




July 16, 2020

To: residents, families, visitors and local community

SUBJ: PUBLIC COMMUNICATION


Good Afternoon, We are proud to announce that we will be able to start limited outdoor resident visitation. Our goal is to have our first visitors on Monday 7/20/20.

  1. All visits MUST be scheduled and there will only be one visit per resident per week. This will change as each of our residents have had the opportunity to see their loved one.
  2. Outdoor visits will be limited to 30 minutes.
  3. Visitors should provide their own masks.
  4. All visitors must wear a mask which covers both their nose and their mouth at all times while on the premises.
  5. All visitors must be screened and complete an attestation.
  6. Visitors must maintain social distancing at all times. No touching, No hugging, No kissing. We understand this will be hard but is necessary.
  7. Only 2 visitors will be allowed per resident at any one time.
  8. Visitors under the age of 18 must be accompanied by an adult.
  9. Hand sanitizer must be used before and after visits.
  10. Staff will escort your loved one to and from the visit.
  11. Visitation is strictly prohibited in residents rooms or resident care areas.

Written guidelines are available on our website and Facebook page. Please review those for further details. We are very excited to have you back. Please do your part and keep us all safe and commit to our guidelines. We have worked very hard at keeping your loved ones safe.

Visitation appointments can be scheduled at signup.com.

If you do not have access to a computer you can call your loved ones unit Social Worker who can assist you with a time slot. Please note that if your loved one is signed up for more than one visit per week the visit will be cancelled.

Please note that all visits are weather permitting. We appreciate your time, cooperation and patience with this matter.

Joseph Dilal




July 10, 2020

To: residents, families, visitors and local community

SUBJ: PUBLIC COMMUNICATION


We are excited and proud to announce that the Department of Health will be allowing limited visitation starting soon. We are working on a comprehensive visitation plan to be submitted to the Department of Health before ANY visitation will start.

Some of the guidelines you can prepare for that will be incorporated in our plan will be:

  1. All visits must be by appointment ONLY
  2. We are limited to 10 percent of our resident census at any one time for the maximum number of visitors in the facility
  3. All visitors will go through a COVID screening, temperature must be taken and are required to wear a mask, a faceshield and gloves at all times during the visit
  4. All visitors must visit 6 feet apart

Please understand until we have a successfully submitted visitation plan to the department of health we are still restricting visitation.

We will be sending you our plan and all information that you will need regarding visitation once completed. Please wait for the plan, read it and then contact our Social Worker if you have any questions.

Joseph Murabito Signature


June 12, 2020

To: residents, families, visitors and local community

SUBJ: PUBLIC COMMUNICATION

As we head approach the middle of June we continue with the same restriction level as directed by NYSDOH. With shared challenge and frustration we continue doing everything in our power to prevent the transmission of COVID-19 to our most vulnerable population. To date with everyone’s cooperation and diligence, we have experienced a total of six COVID cases in a single facility in Rochester, with two staff positive cases. We remain proud of, and optimistic with, our efforts. With 450 beds and well over 500 employees, I can’t express my appreciation enough to all the healthcare workers who take this seriously every day. Our staff does an excellent job and we are so proud of them. We are thankful and committed to ongoing success here.


I want to again publically thank all of our leadership and staff for their focus and efforts so far. They have been great. We know that we must continue with our diligent work. As the world determines how it must begin to start our economic and social engines again I must stress that our operations will conduct themselves in a most conservative way. We were the first organizations to implement restrictions. We will be the last organizations to lift restrictions. There is no better option. If we can prevent transmission and subsequent suffering related to this condition then we will do so..


THROUGH THE 30th OF JUNE 2020 our organizations (all four locations), in an effort to be as conservative and proactive as possible will continue restricting ALL visitation to our facilities. We are only allowing residents to make critical healthcare appointments as directed by our Medical Directors and NYSDOH. Despite our optimism we know we are not out of the woods yet.


HOWEVER, please be assured that our management team is planning how we can begin structuring some controlled and managed visitation. We’ve begin increased socialization among our residents within our facilities and are trying to use our green spaces more effectively as the weather allows. We all look forward to taking more steps toward better and normal social interactions all around.


While it is impossible to guarantee that COVID-19 will not present itself within our facilities, we work diligently and are committed to protecting people. Your continued support with our decisions is important and very much appreciated. Please continue with your own efforts to minimize and hopefully eliminate transmission by following all the governmental guidelines and directives....it is worth the effort to protect our most vulnerable.


We take great pride in our work and continue to be honored with the privilege of caring for you and/or your loved one.


THANK YOU AGAIN FOR YOUR UNDERSTANDING AND SUPPORT. WE WILL RE-EVALUATE THIS CURRENT POSITION AT THE END OF MAY AND LOOK FORWARD TO SOME LIGHTER RESTRICTIONS AND MORE NORMAL INTERACTIONS IN THE DAYS AHEAD.

Joseph Murabito Signature


May 15, 2020

To: residents, families, visitors and local community

SUBJ: PUBLIC COMMUNICATION

The challenges with COVID management continue as we reach mid-May 2020. Our facilities continue with significant restrictions and exercise all the measures of caution and prevention we can to avoid the virus. With shared challenge and frustration we continue doing everything in our power to prevent the transmission of COVID-19 to our most vulnerable population. To date with everyone’s cooperation and diligence, we have experienced a total of six COVID cases in a single facility in Rochester, with two staff positive cases. We remain proud of, and optimistic with, our efforts. With 450 beds and well over 500 employees, I can’t express my appreciation enough to all the healthcare workers who take this seriously every day. Our staff does an excellent job and we are so proud of them. We are thankful and committed to ongoing success here.


I want to again publically thank all of our leadership and staff for their focus and efforts so far. They have been great. We know that we must continue with our diligent work. As the world determines how it must begin to start our economic and social engines again I must stress that our operations will conduct themselves in a most conservative way. We were the first organizations to implement restrictions. We will be the last organizations to lift restrictions. There is no better option. If we can prevent transmission and subsequent suffering related to this condition then we will do so.


THROUGH THE 31 st OF MAYour organizations (all four locations), in an effort to be as conservative and proactive as possible will continue restricting ALL visitation to our facilities. We continue cancelling all non-critical medical appointments. We continue cancelling traveling entertainment. We don’t like it either but as society begins to loosen its restrictions we need to refocus our efforts and watch things closely possibly into the end of May. Despite our optimism we know we are not out of the woods yet.


HOWEVER, please be assured that our management team has begun discussions and planning for how we can begin structuring some controlled and managed visitation. We’ve also discussed how and when we can begin some normal type interactions between residents through activities and managed social interaction. We know we need to take steps forward and expect some better information for everyone by months end. We are frustrated with the situation along with everyone else but know that small subtle steps forward will allow us to proceed safely and avoid unnecessary negative outcomes.


While it is impossible to guarantee that COVID-19 will not present itself within our facilities, we work diligently and are committed to protecting people. Your continued support with our decisions is important and very much appreciated. Please continue with your own efforts to minimize and hopefully eliminate transmission by following all the governmental guidelines and directives....it is worth the effort to protect our most vulnerable.


Lastly, I believe it is important to mention some key points specific to our organization’s efforts to comply with recent state mandates for COVID-19 testing. As you may know recent directives require all adult care facilities to test all personnel twice weekly. We strongly agree that testing leads to better knowledge and awareness allowing us to provide optimal care. While we support the intent of recent testing mandates and believe we have common goals with our governmental leaders, the resource and supply chain statewide prohibits total compliance as mandated, at least at the present time. At the same time, we are working diligently together to accomplish the goals as laid out by our government. Our testing success has increased notably in all areas and we push forward. We are optimistic support for our work will increase and improve.


We take great pride in our work and continue to be honored with the privilege of caring for you and/or your loved one.


THANK YOU AGAIN FOR YOUR UNDERSTANDING AND SUPPORT. WE WILL RE-EVALUATE THIS CURRENT POSITION AT THE END OF MAY AND LOOK FORWARD TO SOME LIGHTER RESTRICTIONS AND MORE NORMAL INTERACTIONS IN THE DAYS AHEAD.

Joseph Murabito Signature


April 29, 2020

To: residents, families, visitors and local community

SUBJ: PUBLIC COMMUNICATION

We are completing our second month of very active efforts to care for, preserve and protect our residents. Our facilities implemented significant restrictions and direction to all who come in contact with our residents for the purpose of doing everything in our power to prevent the transmission of COVID-19 to our most vulnerable population. To date with everyone’s cooperation and diligence, we have experienced only five COVID cases in a single facility in Rochester, with one staff positive case. The team in Rochester has worked very hard to contain this issue and provide the best care....they are doing an excellent job and we are all proud of them. In our other three facilities we continue with no cases in residents or staff. We are thankful and committed to ongoing success here.

I want to again publically thank all of our leadership and staff for their focus and efforts so far. They have been great. We know that we must continue with our diligent work. As the world determines how it must begin to start our economic and social engines again I must stress that our operations will conduct themselves in a most conservative way. We were the first organizations to implement restrictions. We will be the last organizations to lift restrictions. There is no better option. If we can prevent transmission and subsequent suffering related to this condition then we will do so.

THROUGH THE 15th OF MAY our organizations (all four locations), in an effort to be as conservative and proactive as possible will continue restricting ALL visitation to our facilities. We continue cancelling all non-critical medical appointments. We continue cancelling traveling entertainment. We don’t like it either but as society begins to loosen its restrictions we need to refocus our efforts and watch things closely possibly into the end of May. Despite our optimism we know we are not out of the woods yet.

While it is impossible to guarantee that COVID-19 will not present itself within our facilities, we work diligently and are committed to protecting people.

Your continued support with our decisions is important and very much appreciated.

Please continue with your own efforts to minimize and hopefully eliminate transmission by following all the governmental guidelines and directives....it is worth the effort to protect our most vulnerable.

THANK YOU AGAIN FOR YOUR UNDERSTANDING AND SUPPORT. WE WILL RE-EVALUATE THIS DECISION MID-MAY AS THINGS UNFOLD.

Joseph Murabito Signature


April 27th, 2020


Our staff and leadership continue their diligent efforts and work to manage all aspects of the current COVID-19 pandemic. We appreciate your continued support through this challenging time. We are dedicated to our work, our residents and our families as you know. We are available for questions and recognize the concerns people may have. With that said we ask for your continued patience and understanding as we continue to navigate all aspects of this topic.

The following is a link for information and resources on COVID: https://coronavirus.health.ny.gov/home

You may also contact directly the NYSDOH via email: icp@health.ny.gov OR covidadultcareinfo@health.ny.gov OR covidnursinghomeinfo@health.ny.gov

We understand and feel the stress of this matter and want to assure everyone that our complete focus and efforts are being directed toward managing this issue.

Thank you again for your support and understanding.



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