Coronavirus Disease 2019 (COVID-19) in the U.S.

CDC is responding to an outbreak of respiratory illness caused by a novel (new) coronavirus. The outbreak first started in Wuhan, China, but cases have been identified in a growing number of other locations internationally, including the United States.

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Important Update: At this time, we are asking our patients, if you have a fever, cough, and/or shortness of breath and think you may have been exposed to the coronavirus, please do not go to your primary care clinic or to our Extended Hours Clinic without calling ahead and speaking with the staff. You can reach the Extended Hours Clinic at 989-912-6114 or the hospital at 989-872-2121. In order to keep our staff and other patients safe, your cooperation with calling ahead is vital and greatly appreciated.

If you have a previously-scheduled test (such as an EKG, etc) and you are NOT symptomatic, please proceed with the test as scheduled. If you have any questions, please call your physician's office for further direction.

We will not be allowing any visitors into the building at that time, unless is it with a pediatric patient or under extraordinary circumstances (as determined by medical staff).  We working on offering technology so that inpatients can Skype/Facetime with their loved ones - more on this soon.

Effective 3/16/2020 at 3:00pm

  • Cass City Fitness (at the MARC) building will be closed
  • The Caro Pool will be closed to all public sessions


Effective 3/17/2020 (and until further notice):

  • Hospital Drive Pharmacy will be drive through only. If you have any questions and/or have difficulty using the drive through, please call Hospital Drive Pharmacy at 989-912-6061


Please know that we are making these changes for your safety, and the safety of our employees & their families, and also to comply with Michigan law. We understand these changes aren't desirable and we thank you for your patience and understanding.

Please check back to this website for future updates.

David Komasara, DO
Board Certified - Emergency Medicine

Melanie Kramer-Harrington, MD
Board Certified - Family Medicine

COVID-19 Frequently Asked Questions

Is Hills & Dales open for elective testing (CT, X-Rays, Blood Testing, etc)

As of Monday 3/23, Governor Whitmer imposed a ban on non-essential travel and services. Per this guideline, we are performing medically-essential testing (as determined by your physician). If you have questions, please contact the ordering-physician’s office. 

What can I do to prevent catching or spreading this virus?
  • Wash your hands regularly for 20+ seconds with soap and water
  • Cover your nose & mouth with disposable tissue or flexed elbow when you cough or sneeze
  • Stay home and self-isolate if you or others in your household feel unwell
  • Avoid touching your face (mouth, nose, eyes)
  • Socially-isolate yourself. Eliminate unnecessary trips outside of the home and avoid close contact with others if you must go out
  • Clean “high-touch” surfaces frequently and avoid sharing household items such as cups, eating utensils, towels, etc.
Is Hills & Dales allowing family or friends come to visit loved ones who are hospitalized?

Hills & Dales has implemented a visitor restriction policy. We are making rare exceptions on a case by case basis. And any visitor allowed into our pavilions will have to pass our screening assessment.

We understand how important it is for hospital patients to have the support of loved ones during their stay, but these steps are necessary to protect the health and safety of our patients and staff. We encourage the use of phone-based video capabilities such as FaceTime and Skype, and we have devices available to our swing bed residents and inpatients to communicate with you.

Is Hills & Dales screening everyone for possible fever or respiratory symptoms or COVID risk factors upon arrival to your hospital & clinics?

Yes, everyone is being screened including employees. Due to the expanding COVID-19 emergency, we are screening everyone who enters the hospital to ensure they don’t have COVID-19 symptoms. We are also screening individuals who are coming for in-person visits to any of our off-site locations. Screening includes questions about symptoms, travel and contact exposure history.

  • If your temperature is 100 degrees or higher or the answer to any of our screening questions demonstrates that you are at risk for COVID-19 infection, we will not allow you in our any of our facilities.
  • Please refer to the “What should I do if I think I have COVID-19 symptoms” below.
Can I be tested to see if I have COVID-19?

If you are sick with fever and respiratory symptoms like cough or difficulty breathing, please call your primary care provider for guidance. For the health of our community, please do not walk into the hospital or physician’s office without calling first.

We are only providing testing to those patients who meet the CDC and MDHHS criteria for testing—which is testing appropriate symptomatic individuals (people with symptoms). We are not routinely testing asymptomatic individuals (people with no symptoms). Please note that specimens are not processed on-site. There is typically a 3-5 day delay for them to be mailed to the state and results returned to your physician.

What should I do if I am ill or become ill?

If you experience fever, cough, difficulty breathing, malaise, fatigue or muscle aches stay home and contact a healthcare provider for guidance—do not go to a healthcare facility prior to calling your doctor or a hospital emergency room for instructions.

What are the symptoms of COVID-19?

Most cases are mild with respiratory complaints such as:

  • Fever
  • Cough
  • Trouble breathing
  • Muscle aches
  • Fatigue or malaise

More severe cases of the infection can lead to pneumonia and there have been some deaths. Those with chronic medical conditions appear to be at high risk for serious complications.

The following symptoms DECREASE the likelihood you have a COVID-19 infection and are therefore reassuring:

  • Ear pain
  • Sinus pain
  • Nasal congestion
What should I do if I think I have COVID-19 symptoms?

People with COVID-19 infection typically have flu-like symptoms such as fever, cough, or shortness of breath. There are some clear risk factors for COVID infection such as travel within 14 days from China, South Korea, Iran, Europe, United Kingdom, and Ireland as well as places within the United States that have had significant COVID-19 infections; OR close contact within the last 14 days with a patient with COVID-19 infection. If you have the symptoms and are over 60 years old or have chronic diseases or your immune system is weak, you may be at higher risk for a severe COVID-19 infection. Not all patients with these symptoms or risk factors need COVID-19 testing. If you feel you have COVID-19 symptoms you should call your physician (but please be patient... there may be some delays due to the number of people calling).

Should everyone with symptoms be evaluated and tested?

Testing is being reserved for symptomatic, high risk individuals. These are individuals with fever and/or respiratory symptoms, the appropriate travel or contact history or who have significant chronic disease.

If you are otherwise healthy with symptoms of fever or respiratory symptoms, please stay home, practice social distancing and use supportive care. Supportive care includes rest, fluids, using fever-reducing medications, practicing social distancing. If you have other questions, please call your provider’s office to schedule a virtual visit.

Should I go to the Emergency Room if I think I have COVID-19 symptoms?

If you are experiencing a medical emergency, call 9-1-1 immediately.

As it relates to COVID-19: please refer to the “What should I do if I think I have COVID-19 symptoms” above.