COVID-19 Vaccine Update

• Yes, Life Care encourages residents and associates at its affiliated facilities to make an informed decision to receive the vaccine. We have seen that COVID-19 often has a greater detrimental impact on our residents due to their underlying health conditions more than it impacts the general population.

• While we believe that each individual should make informed decisions about the health care they receive, we have been and will continue to follow any government vaccination mandates. We are committed to ensuring our associates around the country understand the requirements laid out by various states and the federal government. Most of all, we are committed to the well-being of the residents in our care.

• Life Care believes it is vital that each individual resident and/or their legal representative make informed decisions about the healthcare the resident receives, and we also encourage them to consult with their primary physician for guidance. As such, while Life Care is encouraging all residents to take advantage of the COVID-19 vaccines, it is not requiring residents to receive the vaccine.

• Yes, all of our facilities, for any resident or associate who has chosen to vaccinate, have access to the vaccine.

• Yes, vaccines are available to our new associates and residents. We continue to work with our pharmacy providers to assist in the provision of these vaccines.

• Life Care-affiliated facilities have received the Pfizer, Moderna and Johnson & Johnson vaccines, depending on the location and availability.

• The vaccine is free of charge to associates and residents. Insurance will be billed by the administering pharmacy. For those without insurance, the administering pharmacy will work with the government's COVID-19 Program for Uninsured Patients regarding payment.

• Side effects will be shared by the drug manufacturer. As with any medication (over the counter or prescribed), there may be side effects. Life Care encourages all its residents and their families, as well as associates at local facilities, to review information from official health experts such as the Centers for Disease Control and Prevention and the American Medical Directors Association to make an informed decision about the vaccination.

• Scientists are continuing to monitor how long COVID-19 vaccine protection lasts. Recent studies show that protection against the virus may decrease over time. This reduction in protection has led CDC to recommend that everyone ages 12 years and older get a booster shot after completing their primary vaccination series. People who received the Pfizer-BioNTech or Moderna COVID-19 vaccine for their primary series should get a booster shot at least 5 months after completing the primary series. People who received Johnson & Johnson's Janssen COVID-19 vaccine should get a booster shot at least 2 months after getting their first shot. At this time, CDC recommends getting only one COVID-19 booster shot. The CDC continues to review evidence and will update guidance as more information is available.

• According to the CDC, the COVID-19 vaccines are effective at preventing COVID-19, including severe illness and death, in the vaccinated individual. However, if you are fully vaccinated and become infected with COVID-19, you can still spread the virus to others. For more information, please visit the CDC page here.

• Because the vaccine is not 100% effective, we will continue to test residents and staff as directed by the state and local health departments, CMS and the CDC.

• Yes. We continue to screen our associates prior to the start of their shift.

• Yes. We continue to follow CDC and CMS guidance, and at this time we are still required to wear masks while in the facility.

Life Care has been and will continue providing booster doses in accordance with current CDC recommendations, which are as follows:

Everyone 18 years of age and older should receive a booster dose of COVID-19 vaccine. The booster dose can be Moderna, Pfizer-BioNTech, or Janssen.

People who received:

• An mRNA primary series should receive a single booster dose at least 5 calendar months after completion of the primary series.
• A Janssen primary series should receive a booster dose at least 2 months (8 weeks) after completing their primary series. For more information about boosters, please visit https://www.cdc.gov/vaccines/covid-19/hcp/faq.html#booster-doses

We are working closely with our primary pharmacy provider in administering these Pfizer vaccine boosters to residents and associates.