More than 26,000 coronavirus deaths reported at nursing homes.
WASHINGTON >> Nearly 26,000 nursing home residents have died from COVID-19, the government reported Monday, as federal officials demanded states carry out more inspections and vowed higher fines for facilities with poor infection control.
The partial numbers released by the Centers for Medicare and Medicaid Services and the Centers for Disease Control and Prevention are certain to go higher, as only about 80% of nursing homes have reported. Also, the federal data does not include assisted living facilities, which some states count in their coronavirus totals.
Monday’s report will add to the national soul-searching about the disproportionately high toll of the virus in nursing homes. It’s also likely to set off fingerpointing among federal agencies, state authorities and the industry over who is responsible for making things better. More than 60,000 people in nursing homes got sick as the coronavirus spread rapidly among frail residents.
Medicare and Medicaid Administrator Seema Verma told reporters that hand-washing continues to be a challenge in some nursing homes and that many states — who are charged with determining compliance with federal standards— must double down on inspections. “There is no substitute for boots on the ground,” Verma said.
Her agency noted wide disparities among states in the percentage of homes they have inspected for infection controls since the outbreak accelerated in early March. West Virginia, for example, inspected 11% of its homes, while Colorado inspected 100%. The agency said failure to complete inspections could result in states seeing reduced COVID-19 relief funding.
The numbers showed a sobering toll among nursing home staffers, with more than 34,400 getting sick and nearly 450 dying from the coronavirus.
“This data, and anecdotal reports across the country, clearly show that nursing homes have been devastated by the virus,” wrote Verma and CDC Director Robert Redfield to governors.
Verma said 1 in 4 facilities had at least one COVID-19 case, and 1 in 5 reported at least one death. Nursing homes rated at 1 or 2 stars in the government’s 5-star rating system fared worse. About 12,500 of some 15,400 nursing homes had reported as of May 24.
CMS is expecting to post the full data for researchers and the general public later this week. Nursing homes are also being required to report COVID cases to the families of residents. CMS will increase fines for nursing homes failing to comply with longstanding infection control requirements.
A federal watchdog report last month found a “persistent” pattern of infection control problems in nursing homes even before the coronavirus. The Government Accountability Office said that about 40% of the nursing homes inspected in each of the past two years were cited for problems with infection control and prevention.
Although the first wave of the pandemic may be easing in much of the country, that doesn’t mean nursing homes are in any less danger. Experts say in a virus rebound they can again become the stage for tragic scenes of death and despair, as well as a risk for the broader community.