418 Washington
Quincy, IL 62301

Sunset Home’s Response to COVID-19


One staff member has tested positive today for COVID-19.  In an effort to reduce any spread, we are implementing immediate measures- No visitors are able to enter our building at this time.  Staff and resident testing will take place over the next 2 days to ensure we are not in outbreak status.



We will be able to open for visitors starting tomorrow 2/24/2021 at 9am. All visits must be scheduled with the front desk. Visit times are 9a-11a and 1p-4p every day. The length of the visit is one hour. Visitors must wear a mask and follow infection control guidelines. Residents who share a room will have their visit in the compassionate care room on 1st floor. Residents may have 2 visitors at a time, but they must be from the same household.  Copies of the visitation policy were sent out to POAs and guardians. These will also be available at the front desk and posted at the entrance. If we have one case in a staff member or resident, indoor visits will cease until the facility has gone 14 days without any new cases. CALL TODAY to schedule a visit with your loved ones. (217-223-2636)

Download our visitation Policy


Effective 11/20/20, Illinois enters Tier 3 Mitigations due to the high number of COVID-19 cases in the state.  For Skilled Nursing Facilities, this means:

  • All visits, including outdoor, are suspended.  The only exception is Compassionate Care Visits for end-of-life residents.
  • Communal Dining is suspended, meaning all residents are now taking meals n their rooms instead of gathering in the dining rooms.
  • Group Activities are suspended, so all activities become one-on-one in resident rooms.
  • Barber and Beauty Shop services remain suspended as in Tiers 1 and 2.


November 12, 2020

Visits are permitted by appointment only. We have times on Tuesdays and Thursdays from 1:00-3:00 pm for in-person visits. All visits must be scheduled ahead of time by calling Jeni at (217) 223-2636, ext. 326. We are not able to offer weekend or evening visits at this time.
*Visits will be scheduled on Wednesday 11/25 only for the week of Thanksgiving.
Visits are outdoors only. The visit area is covered but is open to the air so dress for the weather. Visits will be cancelled in the event of severe weather or storm warnings.
Visitors must be screened. Visitors will be asked a series of questions relating to health symptoms as well as having their temperature checked with a touch free scanner.
Visit guidelines:
•Visits are limited to 2 people and last 20 minutes.
•6-foot separation must be maintained and masks are required during visits.
•No items may be brought to visits or passed between residents and visitors. (these items may continue to be dropped off in the lobby vestibule.) ​
•No pets are allowed at visits at this time.
Where to go ••• Visits are held in the breezeway under the 1North unit. Entrance to the breezeway is at the black gate on 4th Street between Jefferson and Payson streets.
As COVID has taught us, guidelines and rules can change at any time. If we have to stop visits, change guidelines, or cancel for any reason please know we are at the mercy of regulating agencies and have to comply with their restrictions.


July 17, 2020

Due to the rise in cases in our county, the Adams County Health Department has asked all Skilled Nursing Facilities in our area to suspend outdoor visits.  Our Garden Visits are on hold until we receive guidance allowing us to offer those visits again.


July 7, 2020

We are now scheduling Garden Visits with our residents.  Those interested in scheduling a visit should call Jeni Yaeger at (217) 223-2636, ext 326 to schedule and for a list of guidelines to follow during that visit.

Family members are strongly discouraged from meeting their resident at a doctor’s appointment outside of our building.  Doing so may expose that resident to the virus unknowingly.  A new 14 day quarantine phase will begin for that resident and they will be placed in isolation.  Any residents in isolation are not able to come out of their room for garden visits or window visits.

Questions can be directed to the Nursing Supervisor by calling (217) 223-2636.


June 11, 2020

Currently, Sunset Home is restricted to visitors during the COVID-19 Pandemic.  Until further advisement from the CDC, CMS, IDPH, and Adams County Health Department, no visitors may enter our building.  Window visits and video chats can be arranged by calling the facility at (217) 223-2636.


In addition to the visiting restrictions, Sunset Home has also implemented the following Testing and Response Strategy:

Baseline Testing

  • Baseline testing was completed upon identification of first positive case in the facility on May 9th.


  • Testing while not in an outbreak in regards to staff
    • Any staff with fever or symptoms of COVID-19 will be excluded from work and directed to be tested
    • Adams County Health Department will be notified that there is a staff member in need of being tested.
    • Staff member will be excluded from work until test results are in.
    • If test results are negative, ability to return to work will be based on CDC and/or IDPH return to work guidelines
  • Testing while not in an outbreak in regards to residents
    • Residents will have vital signs and symptoms monitored every 8 hours
    • For any resident with fever or symptoms of COVID-19, their physician will be notified so that the resident can be evaluated.
    • Resident will be immediately placed in contact/droplet precautions until they are evaluated by physician or designee
    • Resident will be tested with order from physician and will remain in isolation until test results are back
    • If test results are negative resident will be removed from isolation


  • In event of positive case or outbreak regarding resident or staff
    • Adams County Health Department and Illinois Department of Public Health will be notified immediately of a positive test. NHSN COVID-19 module reporting will be completed. This notification will be made by the Director of Nursing, Infection Preventionist, or Administrator.
    • All staff and residents will be tested after 1 confirmed case
      • If testing capacity is limited at minimum all residents on the unit where the positive case was identified will be tested. As well as any staff members that have worked that unit in the last 3 days.
    • If testing is widely available all residents will be tested weekly until the testing identifies no new cases of COVID-19 among residents or staff over at least 14 days since the most positive test result.
    • If testing is widely available all previously negative staff members will be tested at least weekly until the testing identifies no new cases of COVID-19 among residents or staff members over at least 14 days since the most positive result.
    • If testing capacity is limited repeat testing will be reserved for residents that leave the facility for outpatient procedures (e.g. dialysis), or have known exposure to the positive case (e.g., roommates of cases or those cared for by a known positive staff member
    • Total number of tests performed, positive and negative results will be reported to Adams County Health Department, Illinois Department of Public Health, and on the NHSN COVID-19 module.


  • Consent and Orders for Testing
    • Orders for COVID-19 testing will be received from the Medical Director
    • Consent for testing will be obtained as follows:
      • A resident with a BIMS score of > or equal to 10 may consent to testing on their own
      • A resident with a BIMS score of <10, consent will be obtained from the resident’s power of attorney, guardian, or responsible party
        • Residents that refuse testing or ones whose representative refuses testing will be isolated for 14 days in droplet precautions.
      • Staff members will sign a written consent form for testing or give verbal consent to being tested
        • Testing is a condition of employment for staff.
          • Should a staff member refuse testing, they are voluntarily terminating their position at the facility.
          • New hires will be tested before they begin orientation. They will be asked to limit their contacts after testing until test results are in. Testing is a condition of employment. Should any potential new hire refuse testing, their job offer will be rescinded.
          • Any students completing clinical training in the building are required to be tested before beginning clinical training. Any student refusing testing will not be allowed to complete clinical training in the facility.


  • Obtaining a Specimen for Testing
    • A nurse that has been trained in the appropriate procedure for collecting a specimen may do so. The training will be in the form of a skills check off. This training may be completed by a nurse that was previously trained by a nurse contact from the Adams County Health Department.
  • Nasopharyngeal swab
    • Complete hand hygiene and don appropriate PPE including:
      • Gown
      • Gloves
      • Face shield or goggles
      • N95 respirator
    • Tilt person’s head back 70 degrees
    • Insert swab into nostril. (Swab should reach depth equal to distance from nostrils to outer opening of the ear.) Leave swab in place for several seconds to absorb secretions
    • Slowly remove swab while rotating it. (Swab both nostrils with the same swab)
    • Place tip of swab into sterile viral transport media tube and snap/cut off the applicator stick
    • Doff PPE, (if testing multiple residents when testing all residents in facility; remove gloves and complete hand hygiene before moving on to next resident. Use guidance on extended use of PPE if supplies are limited)
    • When finished with testing; Doff all PPE.
      • Use alcohol based hand rub on gloves
      • Untie and remove gown, rolling outward and discard
      • Remove face shield or goggles, do not touch the face when doing so
      • Remove mask or N95 by using the straps, discard do not touch the face
      • Remove gloves, discard
      • Complete hand hygiene
    • Nasal (Anterior Nasal) Specimen
      • Complete hand hygiene and don appropriate PPE including:
        • Gown
        • Gloves
        • Face shield or goggles
        • N95 respirator
      • Nasal sampling is less invasive and results in less patient discomfort than sampling from other upper respiratory anatomical sites.
      • A self-administered nasal swab is similar to a nasopharyngeal swab in detecting coronavirus. • Collection of nasal swab specimens is less technically complex, so can reduce the risk of the spread of infection to healthcare providers, by (1) reducing the duration of the procedure, and (2) allowing the patient to perform self-collection while under supervision.
      • It also lessens PPE utilization, given that the patient can perform self-collection under supervision (versus the health care provider performing the collection).
      • The procedure for nasal (anterior nasal) sampling is as follows:
        • Using a flocked or spun polyester swab, insert the swab at least 1 cm (0.5 inch) inside the nostril (naris) and firmly sample the nasal membrane by rotating the swab and leaving in place for 10 to 15 seconds.
        • Sample both nostrils with same swab.
      • When finished with testing, doff all PPE
        • Use alcohol based hand rub on gloves
        • Untie and remove gown, rolling outward and discard
        • Remove face shield or goggles, do not touch the face while doing so
        • Remove N95 by using the straps, discard, do not touch the face
        • Remove gloves, discard
        • Complete hand hygiene
      • Protective Practices for Healthcare Providers Performing Nasal (Anterior Nares) Specimen Collection
        • For healthcare providers collecting nasal (anterior nares) specimens, or within 6 feet of patients suspected to be infected with SARS-CoV-2:
          • Maintain proper infection control and use recommended personal protective equipment (PPE), which includes an N95 or higher-level respirator (or facemask if a respirator is not available), eye protection, gloves, and a gown, when collecting specimens.
        • For healthcare providers who are observing patient self-collection of nasal (anterior nares) samples, so are therefore handling specimens, but are not directly involved in collection and not working within 6 feet of the patient:
          • Follow Standard Precautions
          • Gloves are recommended. Note that healthcare personnel are recommended to wear a form of source control (facemask or cloth face covering) at all times while in the healthcare facility.
          • PPE use can be minimized through patient self-collection while the healthcare provider maintains at least 6 feet of separation.



  • Testing Lab Coordination
    • Testing will be coordinated through the Adams County Health Department for a suspected resident or staff member. Specimens will be couriered to the Illinois Department of Public Health lab in Springfield, IL. Infection Preventionist or Director of Nursing will contact Adams County Health Department to obtain testing materials as needed.
    • Subsequent weekly testing after positive case is identified and initial full round of testing is completed will be handled through Quest Labs. Infection Preventionist or Director of Nursing will notify Quest Labs that equipment for testing is needed.



References and Resources


For Additional Information FDA FAQs on Diagnostic Testing for SARS-CoV-2 – https://www.fda.gov/medical-devices/emergencysituations-medical-devices/faqs-diagnostic-testing-sars-cov-2


CDC Interim Guidelines for Collecting, Handling, and Testing Clinical Specimens from Persons for Coronavirus Disease 2019 (COVID-19), updated as of April 29, 2020 – https://www.cdc.gov/coronavirus/2019-ncov/lab/guidelines-clinical-specimens.html


CDC Laboratory Biosafety and COVID-19: Questions and Answers – https://www.cdc.gov/coronavirus/2019-ncov/lab/biosafety-faqs.html