Important Family Communication

For Families of Sunnycrest Residents

COVID19 Reporting

On 5/12/2021 we identified a staff member who tested positive for the COVID19. Outbreak testing is being conducted per CMS guidelines.

Respiratory Symptom Reporting  (as required by CMS)

We have no staff or residents with unexplained respiratory symptoms.

Covid Vaccination Information

98% of Sunnycrest residents are considered fully vaccinated.

Sunnycrest Response and Changes in Operation During Covid 19 Pandemic

Acronyms:    CDC – Center for Disease Control (Federal)     IDPH – Iowa Department for Public Health (State) 


Meals are served in the dining room on a limited basis. Residents who do not require supervision are eating in their room and are encouraged to either by the doorway or to be visible from the hall.  Residents requiring supervision or assistance with their meals eat in the common area of their village and are positioned to maintain a minimum of six feet between residents. Residents and staff are provided the menus in advance to select resident’s choices for each meal.


Large group activities occur when social distancing can occur. Activities staff are present in each village through-out the day and provide one to one or small group activities while maintaining six feet between residents.  Some larger village activities, such as bingo, are accomplished by keeping residents by their rooms in the hallways and using a loudspeaker. Activities staff accompany residents outside when weather permits.

Resident Movement

Residents are encouraged to spend free time in their rooms. They are able to be out of their rooms but proper distance is maintained between them and their peers. Residents who are able to follow procedure (sanitizing, maintain social distance) are able to go outside without supervision, however only one resident is allowed outside at a time and residents must arrange this with their CNA staff. Residents leaving their village areas are encouraged to wear a mask.


Upon reporting to work, staff temperature is taken and they are asked to identify any symptoms they have. Staff ability to work and return to work are based upon CDC and IDPH guidelines.  Staff wear either procedural mask with goggles or cloth mask with face shield when in contact with residents and full personal protective equipment when caring for residents in isolation. Staff are consistently assigned to the same village when possible. Staff are tested for the COVID 19 virus under recommendations from the CDC and when directed by the IDPH.


Three isolation units have been established: Isolation 1, 2 & 3.  

  • Residents will enter Isolation 1 when they are newly admitted to Sunnycrest or when they have left the facility and returned after being gone for greater than 23 hours. They will remain in isolation for 14 days. Should the resident leave the facility or be re-hospitalized prior to the conclusion of the 14-day period, a new isolation period of 14 days will begin upon return. Basic personal belongings can be brought to the isolation area to maintain comfort and quality of life.
  • Residents enter Isolation 2 when they present with respiratory or concerning symptoms and are considered under investigation for the COVID 19 virus. It is likely that they will be tested for the COVID 19 virus. The length of stay in isolation 2 is dependent upon symptoms and results of testing. Basic personal belongings can be brought to the isolation area to maintain comfort and quality of life.

Isolation 1 and 2 are located on the North end of the 3rd floor.

  • The Isolation 3 area is for residents who have tested positive for the COVID 19 virus. Residents will remain in this unit until they meet the CDC & IDPH guidelines to discontinue isolation. Basic personal belongings can be brought to the isolation area to maintain comfort and quality of life. The staff who are assigned to work in the Covid isolation area are not scheduled to work elsewhere in the building.

Effective 8/10/20, the Iowa Department of Public Health has established that a period of quarantine is no longer needed following a planned medical appointment. Residents must wear a mask to the appointment and there are requirements for transportation staff. Upon return to the facility, the resident attending an appointment must wear a mask when out of their room. The Iowa Department of Public Health continues to recommend telehealth appointments and in person appointments should only occur when telehealth is not possible.

Effective 9/4/20 the Iowa Department of Public Health removed the requirement for a 14 day period of quarantine following an emergency room or acute care visit of less than 23 hours.


ALL visitors are screened upon arrival. Testing is strongly encouraged. Visits will not be allowed if the visitor has symptoms, has had exposure to an infected person within the past 14 days or tests positive. All visitors are required to wear a mask covering their mouth and nose. Indoor visitors are required to wear a surgical mask provided by Sunnycrest. Children may visit if able to properly wear a mask. Social distancing of 6 feet is required. However, fully vaccinated residents can choose to be in close contact, including touch, with their visitors as long as they wear their mask and perform hand hygiene. 

Indoor visits will occur in designated areas and 2 visitors are allowed at a time. In-room visits may occur in certain situations. There is no limit to the number of outdoor guests as long as social distancing is maintained.  

Residents are able to go on car rides. Occupants of the car need to follow the visitor screening listed above. We ask that residents stay with the occupants of the car only and not go to places of business or similar indoor settings. IMPORTANT, PLEASE NOTE: If a resident goes to a place that is “high risk” they will need to quarantine for 14 days upon return to the facility (confined to their room). The driver will need to complete and turn in a form when the resident returns to the facility.

In person visits will be suspended if a resident or staff member is infected with the COVID19 virus. Visits will resume according to CMS/IDPH guidelines.

Compassionate care visits can occur at any time when a physical or psychosocial need is identified.

Visits can be arranged for any time so long as we have advance notice to ensure space is available and screening can be completed. Appointments can be made by contacting Activities or Social Services.   

Resident and Family communication

Sunnycrest Manor will continue to keep resident representatives notified of changes in resident’s health.

Residents and Resident representatives will be informed of changes in our normal operations through the Remind App, email, phone call, mail, or facility website. The timeline and the method for dissemination will be according to the level of urgency. Less urgent information will be posted on the facility website and resident representatives are encouraged to check the website periodically for changes.

Residents and Resident representatives will be informed when the facility has identified three staff and/or residents who present with new onset of respiratory symptoms within 72 hours of each other. This information will be shared on the facility website by 5 pm the next calendar day of occurrence.

Residents and Resident representatives will be informed when the facility has identified one or more staff and/or residents who have tested positive for the COVID 19 virus by 5 pm the next calendar day of occurrence.  This information will be shared via the Remind App. Resident representatives who do not have the Remind App will receive the information either by email or phone call. This information will also be available on the facility website.

For questions or additional information regarding this information, please contact:

  • Tammy Freiburger, Interim Administrator, Director of Nursing
  • Beth Vermeulen, Directors of Nursing
  • Anne Kauder, Nursing Facility Social Worker
  • Rachel Wall, Sunrise Social Worker