As the Covid-19 pandemic explodes around the country, cases and deaths among nursing home residents increasing rapidly as well. A new analysis by AARP finds that the rate of facility-based cases doubled from mid-October to mid-November, from 2.8 cases per hundred residents to 5.7. Deaths also rose sharply--though at a lower rate than cases—from 0.48 deaths per 100 residents to [...]
The statistics simply are staggering. More than 728,000 residents and staff of long-term care facilities have contracted covid-19 over the past nine months. More than 100,000 have died—a number that has doubled since June. That is equal to roughly the entire population of San Mateo CA, or Green Bay WI. Four of every 10 covid-19 deaths in the US have [...]
What has it been like to live in a nursing home during the covid-19 pandemic? Because access to facilities is so limited, it is hard to know. But, for the first time, a survey of residents tells a grim story of loneliness and isolation: 90 percent said they never left their campus, 60 percent said they never even went outside [...]
A national Coronavirus Commission on Safety and Quality in Nursing Homes has identified more than two dozen major flaws in the response of government and the nursing home industry to the covid-19 pandemic. However, the panel, created by the Trump Administration, was relatively passive in its recommendations for how to fix those shortcomings. It feels a bit like reading the [...]
Hundreds of thousands of older adults and younger people with disabilities are living in nursing homes only because that is where Medicaid drives them. They have no clinical need for skilled nursing care, and, if better options were available, many could be living in other settings, including their own homes. Medicaid—the joint state/federal health care program for the very poor—sends [...]
What have we learned from the 50,000+ covid-19 deaths of residents and staff in long-term care facilities? As the pandemic spreads aggressively in states such as California, Texas, Arizona, and Florida, we are about to find out. Multiple studies found that facility-based covid-19 cases and deaths from March-May closely tracked the experience in surrounding communities: If a facility was located [...]
Nothing I have written lately has generated more heartfelt response than my articles about family members who, due to the covid-19 pandemic, are unable to visit their loved ones in long-term care facilities. And the writers are consistent: They want to visit, no matter the risk. Here are just some of the emails I’ve received in the past few weeks: [...]
We are beginning to learn which nursing homes are most likely to be hit with COVID-19. And while studies are preliminary and based on very limited data, they tell a troubling story: Location and the race of residents matter a lot. But they also tell a surprising story: Quality (at least as measured by Medicare), the share of Medicaid residents, [...]
“When will I be allowed to visit my mother again?” That’s been the question on the minds of the families of millions of residents of nursing homes, assisted living facilities, and other senior communities who effectively have been locked down since the COVID-19 pandemic took hold two months ago. Yesterday, the Centers for Medicare and Medicaid Services (CMS) put out [...]
The Centers for Medicare and Medicaid Services (CMS) appears to be preparing to allow nursing homes to open their doors to families and other visitors, despite the COVID-19 pandemic. If not done carefully, this would be folly, and could put residents, staff, and families at risk. The new rules, which still are under consideration, would reverse March 16 CMS guidance [...]