Bloom Senior Living Health Alert: Coronavirus Update #17

Dear Bloom Residents, Families & Friends:

We remain in extraordinary times. Our heroic but challenging period of providing care and enrichment to our dear seniors marches on within the walls of Bloom while the pandemic outside our walls simmers on. Meanwhile, we've been trying to wrap our heads around how we celebrate things like the beginning of Summer -- a time filled with joy at Bloom -- or the loosening of restrictions at Bloom (detailed below) -- a sign we're moving closer to the end than the beginning of this challenging time -- while the world outside our doors is fraught with turmoil.

The words of Dr. Martin Luther King seem especially fitting, “If you can’t fly then run, if you can’t run then walk, if you can’t walk then crawl, but whatever you do you have to keep moving forward.” While we keep moving forward and try to make sense of the world around us, we cannot stress enough that we, our Bloom community, are all in this together. We want our residents to be safe and feel that they're known, seen and deeply loved. We want our families to know how much we appreciate their continued help, support and partnership. We want our loyal, caring and hard working heroic associates to know how much they're respected, valued, supported and admired. Our collective efforts will surely light the path that moves our Bloom community forward in these uncertain times. Below is some updates on that path forward.

Testing

As reported last week, with testing becoming more widespread and available throughout the World, Countries are seeing a rise in positive and asymptomatic cases. We indicated that we wouldn't be surprised if Bloom ultimately sees the same within its communities.

That said, out of our 9 communities serving over 750 residents, our only Bloom community with knowable exposure is Bloom at Kokomo.

Regarding Bloom at Kokomo, o ur local leadership team, Area Director of Operation, Corporate Directors and Owners are working 24/7 on mitigating and eradicating the virus. Among other precautions, the Memory Care residents who tested positive were separated by floor from the Memory Care residents who tested negative. More than half of the positive residents are asymptomatic, and most of our residents who remain positive are getting better. The associates who tested positive are self-quarantined at home and eager to return to Bloom when it's safe and appropriate. We started retesting our Kokomo community this week. We've received some results back and expect to receive additional results later this week/weekend. Of the results received thus far, associates who previously tested positive have now tested negative. Given the dynamic nature of this virus, we may need to complete a few rounds of testing before the community is COVID negative. However, w e're cautiously optimistic that we turned the corner and the community will return to normal by month end. We've been updating our Kokomo families daily regarding our progress.

As we also reported last week, p er the State of Florida's Agency for Health Care Administration's new order, we were required to test all associates at Bloom at St. Petersburg. Over the last three months, we've been tracking all residents and associates at Bloom, including St. Petersburg. No-one experienced symptoms, nor did we have any reason to believe anyone had been infected by the virus. We're happy to report that all associate tests have, indeed, come back negative. We received around 50 negative tests. The State of Florida has mandated we now test all Bloom at St. Petersburg/Florida residents. We've updated our St. Petersburg families ( Update #1 and Update #2 )

In total, Bloom has already tested around 200 residents and associates.

We updated the table below to reflect the number of active associate and resident cases by community, and intend to keep this updated on a consistent and regular basis. As you can see, no residents or associates at any Bloom community, other than Kokomo, have knowable exposure, nor do we have any reason to suspect anyone is positive based on our tracking.

Bloom "Pandemic Rapid Response Plan"

Since Bloom first began responding and adapting to COVID‑19 in late February, we not only effectively closed our Bloom communities to protect the health and well‑being of our teams and residents, but initiated our Pandemic Rapid Response Plan that included, among other things, restricting access, screening essential visitors and associates, cancelling group activities and dining, limiting resident movement / rooming-in-place within the community, tracking anyone experiencing symptoms, isolating residents, testing through Bloom's partnership with an FDA approved laboratory and practicing social distancing. At the same time, Bloom rolled out a variety of new clinical and operational programs in order to keep our residents safely aging in place at Bloom as opposed to transitioning to higher levels of care,.

Bloom "Back On Track Plan"

We laid out Bloom's Back On Track (Reopening) Plan last week, which is a gradual and phased approach on a state-by-state and community-by-community basis that is dependent on mandates from County, State, Federal and Licensing authorities and our own assessments. The CDC has also now issued guidance for senior living communities as of May 29, 2020, which is consistent with Bloom's approach. As indicated, Bloom is looking at Key Indicators and Three-Part Phased Approach summarized again below:

Key Indicators:

Bloom defined public health indicators that will enable our company, consistent with what County, State and Federal public health experts should be reviewing, to determine COVID-19's trajectory in certain markets and guide the tightening/loosening of restrictions and moving through phases.

1. Decrease in newly identified COVID-19 cases (downward trajectory of documented cases over a 14-day period).

2. Decrease in emergency department and/or outpatient visits for COVID-19 like illness.

3. Critical care bed and ventilator capacity.

4. Testing capacity for COVID-19.

5. Contact Tracing.

Phase I:

Limit community access to one access / exit point.

Prohibit all non-essential visitors, including family/friends and vendors.

Memory Making Stations have been delivered to accommodate resident/family visits outside in a safe manner (in addition to the virtual Bloom Skype Program). Please note that one change to the release accessed by the hyperlink above and below is that we've been informed by the State of Indiana tonight that its allowing outside visitation, so Memory Making Stations will be delived to Bloom at German Church and Bloom at Eagle Creek in Indianapolis next Monday. Bloom at Bossier and Bloom at Kokomo will soon follow.

Deliveries should continue curbside.

Essential visitors who access the community and interact with residents will continue to adhere to strict protocols regarding screening, personal protective equipment and hygiene.

Communal activities of residents will resume provided strict social distancing standards are maintained.

Outside entertainers and resident outings remain prohibited.

Communal dining will remain restricted.

Residents at high risk for choking will continue to eat in the dining room with precautions and maintaining a strict 6 ft. distance from other residents.

Continue thorough environmental cleanings multiple times daily.

Continue to urge residents not to leave the community.

Phase II:

Limit community access to one access / exit point.

Prohibit all non-essential visitors.

Deliveries should continue curbside.

Essential visitors who access the community and interact with residents will continue to adhere to strict protocols regarding screening, personal protective equipment and hygiene.

Communal activities of residents will continue provided strict social distancing standards are maintained.

Outside entertainers and resident outings remain prohibited.

Communal dining will resume provided strict social distancing standards and general food safety practices are maintained.

Continue thorough environmental cleanings multiple times daily.

Continue to urge residents not to leave the community.

Phase III:

In the third and final stage, Bloom will be fully reopened and turn attention to reimagining itself in a post-COVID-19 world.

Permit visitation to resume through one central point of entry, but may limit occupancy and will be focused upon giving everyone lots of space.

Visitors subject to screening protocols and guidelines, which will be posted in highly visible areas.

Visitation hours may be established by the community.

Visitors required to wear a face mask at all times while they are in the community, practice social distancing (remain 6 ft. apart while in common areas) and practice proper infection control hand washing practices.

Outside entertainers and resident outings will resume under certain conditions.

Co-Existing With Phases: Guidance For Bloomers (In Our Communities & Public)

Implementation of Phase I of the Bloom Back on Track Plan

The following Bloom communities have moved into Phase I of the Bloom Back on Track Plan, and social distancing group activities have already resumed:

Bloom at Belfair

Bloom at Bluffton

Bloom at Bossier

Bloom at Hilton Head

Bloom at Lakewood

Once cleared by the States of Florida and Indiana, which we also hope is soon, Bloom at St. Petersburg, Bloom at German Church, Bloom at Eagle Creek and Bloom at Kokomo will move into Phase I in short order.

We'll be actively assessing the success of moving into Phase I, so we can begin moving into Phase II as soon as practicable.

Bloom’s response to COVID‑19 is still ongoing, and we recognize that the path forward may not be linear. Please know that in the event we now, or in the future, see COVID cases in our community or potential resurgence of this virus as states reopen or in the Fall, that does not mean our Bloom communities will be overwhelmed. Bloom has been effective in keeping the virus out, and mitigating spread if it gets into a community. We're prepared for any potential resurgence. Our clinical systems and protocols are strong, we're training and sharing best practices with each community, the company has ample supply of personal protective equipment, we're tracking resident's health and isolating anyone infected, we've forged a good partnership with an FDA approved laboratory, and we're continuing to operate out an abundance of caution.

As we've done with our prior communications, we're consolidating all prior updates, videos and news/announcements put out by Bloom since the emergence of COVID-19 below for your convenience and efficiency.

Please continue to look for further communications from us by e-mail and simultaneous posts to our Facebook page and website . Our daily updates in Indiana to our Indiana families will continue.

Sincerely,

Scott and Tony Kantor, and Bradley Dubin

Bloom Owners

BLOOM COMMUNITY COVID-19 DATA - "ACTIVE" CASES

Bloom at Belfair

Total Resident COVID-19 Cases: 0