Showing posts with label long-term care facilities. Show all posts
Showing posts with label long-term care facilities. Show all posts

Friday, February 28, 2025

AARP Florida urges lawmakers to support SB 64 – electronic monitoring devices in long-term care facilities


Electronic monitoring devices would not only deter potential abuse but also protect caregivers from false accusations.

Protecting the rights and safety of our most vulnerable citizens — our seniors and individuals with disabilities residing in nursing homes and assisted living facilities — should be a priority for all of us. That’s why AARP Florida strongly supports legislation allowing residents to install electronic monitoring devices in their rooms at their own expense.

Far too often, concerns about abuse, neglect or mistreatment arise in long-term care settings, yet without clear evidence, families are left in the dark, and law enforcement faces challenges in proving or disproving allegations. A simple, cost-effective solution is to give residents the right to install electronic monitoring devices, providing peace of mind for families and a critical tool for law enforcement to investigate incidents fairly and accurately.

Electronic monitoring devices would not only deter potential abuse but also protect caregivers from false accusations. Transparency benefits everyone. If a resident or their family wants this added layer of security, they should have the right to make that decision.

This legislation concerns accountability, safety, and ensuring that every person in long-term care is treated with dignity and respect. AARP Florida urges lawmakers to support this common-sense measure, which prioritizes resident well-being while strengthening protections for both residents and staff.

Zayne Smith is the senior director of Advocacy for AARP Florida, overseeing advocacy efforts across various issues. She has represented AARP Florida in several coalitions and task forces, including the Working Interdisciplinary Network of Guardianship Stakeholders and the Florida Don’t Text & Drive Coalition. The News Service of Florida honored her with the 2023 Above & Beyond Award, and she is a Leadership Florida Cornerstone Class 42 member.

Full Article & Source:
AARP Florida urges lawmakers to support SB 64 – electronic monitoring devices in long-term care facilities

Saturday, February 22, 2025

House panel OKs the use of ‘granny cams’ in long term care facilities

By: Christine Sexton


“Granny cams” may be coming to Florida nursing homes.

A House panel on Thursday overwhelmingly voted to approve a bill (HB 223) that would allow long term care facility residents to install electronic recording devices as long as they are willing to foot the bill for installation, removal, and the internet needed to run them.

Nursing home residents who share rooms would have to secure permission from their roommates to use the cameras. Consenting roommates are allowed to put restrictions on camera use and require that the camera be pointed away or prohibit use of specific devices.

If a roommate doesn’t agree, the legislation would require a facility to make accommodations by moving one of the residents to another room.

“If you look at the news lately, you’ll see and you’ll find whether there’s a lot of issues happening that people catch on cameras that they otherwise would would not. And they’re horrific scenes happening to people who are elderly, who can’t take care of themselves, and who, even if they could say what happened, people wouldn’t believe it, because maybe they have dementia or Alzheimer’s or something that would cause someone to not believe what they are saying,” bill sponsor Rep. Susan Plasecia, a Republican representing part of Orange and Seminole counties, told members of the House Health Care Facilities & Systems Subcommittee Thursday.

“And so for me, it’s important to speak for them and that’s what brought me here.”

Nineteen states allow camera use in nursing homes, Plasencia said. Florida law, though, is silent on whether electronic recording devices can be used. That means facilities decide whether to allow them.

Plasencia said her bill protects the public and puts “guardrails” into statutes outlining what can and cannot be done.

The vote to advance the bill came over objections of Florida’s long term care industry.

We know that nursing home and assisted living facility cameras help with deterring abuse and neglect and also help with identifying where there can be improvements made to a loved one's care.

– AARP Florida Associate State Director of Advocacy Karen Murillo

Jen Lawrence, chief nursing officer at Aston Health and a member of the statewide nursing home association, the Florida Health Care Association, said lots of personal things happen in residents’ rooms, including bathing and grooming, psychiatric visits, and meetings with clergy. The cameras, she said, will capture it all.

Moreover, she expressed concerns that the resident’s family or guardian would be responsible for ensuring the roommate’s privacy is protected. “This is a family member of a roommate. How do we trust those folks in controlling what is being videotaped and recorded?” Lawrence asked.

Maryellen Lalor with the group Protect Florida Seniors testified for the bill, sharing the story of her husband who lived in a nursing home for more than 2 1/2 years before dying. She tried to sneak a camera into her husband’s room after he was admitted but the facility found it and made her remove it. She said she never complained out of fear of retaliation against her husband, knowing he would reside in the facility until he died.

Lalor countered Lawrence’s testimony by telling the subcommittee members that nursing home residents in semi-private rooms don’t enjoy the privacy that people think they might.

“As far as confidentiality, when you’re in a semi-private room and they’re going to do personal care to the other person, the curtain is pulled. When you are meeting with a psychologist or therapist, that person goes right in. The other [resident] can hear, okay? So as far as the concern about hearing other people, everything is exposed.”

FHCA wasn’t the only long term care association to flag concerns. Florida Assisted Living Association CEO Bijou Ikli and Florida Senior Living Association vice president for Public Policy and legal Affairs Jason Hand also expressed concerns.

But Karen Murillo, AARP Florida’s state director for advocacy, argued the bill would improve safety and keep the family members abreast of the care being provided to their loved ones.

“We know that nursing home and assisted living facility cameras help with deterring abuse and neglect and also help with identifying where there can be improvements made to a loved one’s care. AARP is a big advocate of family caregivers, especially those who are far away, and these cameras will provide peace of mind and the ability for family caregivers to be advocates, present, and part of their loved ones’ care,” Murillo said.

Spike in abuse reports

The legislation comes a year after the Tampa Bay Times reported a spike in allegations of serious violations against Florida nursing homes — between 2019 and 2022, nearly double the reports during the previous six years.

The Times’ reporting showed that in 2022, nursing homes were cited 83 times for putting older adult residents at risk of immediate danger. 

Looking ahead

Several of the committee members asked about privacy, how often the agreements between roommates could be altered, who would enforce the agreements, and whether long term care facility staff could access the images being captured.

Rep. Hillary Cassel, a Republican from Fort Lauderdale, worried about how visitors, some of whom could suffer from dementia or have vision problems, would know video cameras were being used in the room.

Plasencia committed to continuing to work with members to address their concerns. Reps. Daryl Campbell, a Democrat from Fort Lauderdale, and Gallop Franklin, a Democrat from Tallahassee, voted against the bill.

HB 223 has two more committee stops (Judiciary and Health and Human Services) before it can be heard on the floor.

A companion bill (SB 64) was filed by Republican Sen. Illeana Garcia. It has been referenced to three Senate committees (Health Policy, Judiciary, and Rules) but has yet to be considered.

Full Article & Source:
House panel OKs the use of ‘granny cams’ in long term care facilities

Saturday, August 14, 2021

New Hampshire long-term care facilities face ‘huge’ staffing shortage

by Amy Coveno
 
Long-term care facilities around New Hampshire are struggling with critical staff shortages.

Nursing homes are facing stiff competition when it comes to finding workers.

Some restaurants are closing during the week or cutting their hours down because of staff shortages, but long-term care facilities don't have that option. They are all-day, everyday operations and they desperately need workers.

"The fact that we are experiencing a huge staffing crisis has been troubling when it comes to all facets of facility operation," Brendan Williams, president and CEO of the New Hampshire Health Care Association, said.

Williams told WMUR he is more worried right now about staffing shortages than about the summer surge in COVID-19 cases around the state.

"Staff is really the existential issue right now and facilities just don't have the means with their Medicaid reimbursement to be as competitive as they want to be with a thriving service economy right now," Williams said.

Low unemployment in New Hampshire has employers competing for a work force that is lured to other industries by incentives that nursing homes just can't compete with.

"When I hear examples of restaurants that are offering $20 and hour and 401k's and health insurance and yet can't find takers, and this is in the Seacoast area for example, you know facilities can't compete with that," Williams said.

There are openings for all kinds of workers, including dietary, facility and nurses and nurse’s aides.

Nursing homes can only take the number of people that they can appropriately provide care for and Medicaid reimbursement rates just can't compete with private sector hourly wages, according to Williams.

"I almost wince when you drive around the state and you see these help-wanted signs in all the windows, or you go by a Walmart and you see that they are offering $16 to $17 and hour," Williams said.

The "New Hampshire Needs Caregivers" website is aggressively recruiting licensed nursing assistants right now.

The website is promoting training costs reimbursed by the state, and even has an option for people under the age of 18 to apply for the program, as well as a $500 bonus.

Full Article & Source:

Monday, April 5, 2021

Varying visitation rules at long-term care facilities frustrate families

‘It’s hard emotionally’ one woman says of efforts to see her mother

 

by Marilyn Parker

JACKSONVILLE, Fla. – Not every long-term care facility immediately opened its doors after Gov. Ron DeSantis lifted visitation restrictions in Florida.

Families say that makes it difficult because not everyone is playing by the same rules, despite the governor telling them to open the doors.

Some of those families told News4Jax they need all the time they can get with their loved ones because moments are precious when their loved ones are slipping away.

Carrie Farmer and her mother have one 15- to 30-minute scheduled visit a week, and during the visit they’re kept apart and dressed in PPE.

“She keeps asking when can she come home for a visit for a few hours,” Farmer said. “It’s frustrating and it’s hard emotionally because some people are able to get in and see their love ones and be there for them fully.”

Terri Alderfer’s mother, like Farmer’s, suffers from dementia and struggles with isolation. Alderfer recently got to pick her up from the facility.

“I got to take her out. She got to walk outside those doors for the first time in 14 months,” Alderfer said. “It’s just been a long time. But it’s better now. And we’re going to be thankful for what we have.”

DeSantis’ administration lifted visitation restrictions late last month, but not all facilities immediately followed the updated guidelines.

One woman told us a facility in Orange Park suspended visits dues to positive COVID cases. Others say they got emails the same week, saying their facility no longer required appointments or time limits for visits.

Every facility is different, and it’s best to contact them directly for their current rules.

The Agency for Health Care Administration said according to the governor’s order, residents can leave without time restrictions, vaccinations are not required for residents or visitors but are encouraged, physical contact is allowed, and there are no restrictions on the number of visits unless the facility says otherwise.

The facilities still follow CDC guidance and loved ones are encouraged to reach out to AHCA with questions.

Full Article & Source:

Sunday, April 4, 2021

MDH: Minnesotans Can Leave Long-Term Care Facilities for Easter, Other Celebrations


(FOX 9) – Minnesota long-term care facility residents can now leave their facilities for less than 24 hours without having to quarantine when they return, giving many Minnesotans the opportunity to visit family and friends ahead of the Easter holiday weekend.

The Department of Health announced the updated guidance Thursday, allowing for one-day outings for holidays such as Easter, Passover, and other celebrations.

Regardless of their vaccination status, in almost all circumstances, Minnesota’s long-term care residents can leave their facilities for fewer than 24 hours and return without having to quarantine as long as they do not come into close contact with someone who has COVID-19.

Minnesota Health Commissioner Jan Malcolm said, however, that residents and their companions should still follow recommendations like wearing masks and social distancing.

Residents that are gone more than 24 hours will be treated as new admissions or readmissions and will have to quarantine, health officials say.

Recommendations related to outings:

  • Residents who are fully vaccinated do not have to quarantine after non-medically necessary outings unless they spend 15 minutes or more in a 24-hour period within 6 feet of someone who can spread COVID-19.
  • Residents who are fully vaccinated may gather indoors or outdoors with other people who are fully vaccinated.
  • Residents who are fully vaccinated can visit indoors or outdoors with unvaccinated people from a single household who are at low risk for severe COVID-19 infection.
  • If the resident is fully vaccinated, they can choose to have close contact (including touch) with the people they are visiting.
  • If a resident who is fully vaccinated chooses to attend a place of worship or other group events, or to shop or eat in public establishments, the resident should follow the core principles of COVID-19 infection prevention. MDH strongly encourages attending places of worship or other group events only when the 14-day county percent positivity rate is below 5%.
  • Unvaccinated residents who leave the building to gather with others may be required to quarantine when they return. At this time, quarantine recommendations remain unchanged for an unvaccinated resident, regardless of the vaccination status of those with whom they gather. 

Recommendations related to facility visits:

Residents should be able to have private visits.

  • If a resident is fully vaccinated, they can choose to have close contact (including touch) with their visitor while wearing a well-fitted face mask (if tolerated) and performing hand hygiene before and after.
  • While taking a person-centered approach, outdoor visitation is preferred even when the resident and visitor are fully vaccinated against COVID-19, because outdoor visits generally pose a lower risk of spreading the disease. Visits should be held outdoors whenever feasible. 
  • Compassionate care visits, essential caregivers, and visits required under state and federal disability rights laws should be allowed at all times, regardless of a resident’s vaccination status, the county’s COVID-19 positivity rate, or an outbreak.
  • Facilities in medium or high positivity counties are encouraged to offer testing to visitors as feasible. Visitors should also be encouraged to get vaccinated when they have the opportunity. While visitor testing and vaccination can help prevent the spread of COVID-19, neither testing nor vaccination should be required of visitors as a condition of visitation, nor should proof of such be requested.
  • Screening questions must now include whether the visitor has had close contact in the prior 14 days with someone who is infected with COVID-19 (regardless of whether the visitor is vaccinated). If the visitor answers yes, the visitor should not be allowed to enter.

For more information on guidance, click here.

Full Article & Source:

Tuesday, March 23, 2021

Group creates Easter baskets for those in assisted living, long-term care facilities

A mountain community is getting ready for Easter -- with plenty of baskets!

A group gathered at the Rutherfordton Clubhouse Sunday morning to assemble 600 of them.

All the Easter baskets are going to people in assisted living and long-term care facilities.

A special thanks was offered today to the woman who organized this special event.  

March 21, 2021 - A group gathered at the Rutherfordton Clubhouse Sunday morning to assemble 600 Easter baskets which will go to people in assisted living and long-term care facilities -- those especially impacted by pandemic shutdowns over the last year. (Photo credit: WLOS Staff)

"I think this past year has been rough on everybody but I think the residents have had a really hard time not getting to see their family members," said Donna Bennett-Cobb, Rutherfordton resident. "As a community, it's good fellowship for us, too, and we've had a good time doing it and just spending some time together. Something good, nothing negative at all."

The group said that Bennett-Cobb did something similar on Valentine's Day, reaching out to pandemic-bound people in Rutherford County.

Full Article & Source:

Friday, March 19, 2021

Hugging, longer visits allowed at Indiana long-term care facilities

by: Corinne Moore

INDIANAPOLIS (WANE) — Indiana long-term care facilities will now be required to allow up to two-hour visits for all residents, at all times with a few exceptions, Indiana Health Commissioner Dr. Kristina Box announced on Wednesday. This announcement comes after the Centers for Medicare and Medicaid Services (CMS) announced new guidelines.

Indoor visits should be allowed at all time for all residents, except for circumstances that would be considered a high risk of COVID-19 transmission, the CSM said. These high risk scenarios include:

  • A resident is unvaccinated if the nursing home’s COVID-19 county positivity rate is >10% and <70% of residents in the facility are fully vaccinated.
  • A resident has a confirmed COVID-19 infection, whether vaccinated or unvaccinated. until they have met the criteria to discontinue Transmission-Based Precautions.
  • Residents in quarantine, whether vaccinated or unvaccinated, until they have met criteria for release from quarantine.

“These visits can occur in single occupancy rooms but are still discouraged in double occupancy rooms,” Dr. Box said. “Physical touch such as hugging is permitted for residents who are fully vaccinated, provided that the residents wear a well-fitted mask and preform hand hygiene before and after physical contact.”

Dr. Box added that facilities must allow up to two hours for visits unless unique circumstances make that impossible. These circumstances need to be discussed with the state’s regulatory division in advance.

Outdoor visits should be held whenever possible, the CMS website said. Facilities are encouraged to create accessible and safe outdoor spaces for visitation. However, Dr. Box said that “outdoor visitation will no longer be automatically suspended in the event of an outbreak.”

The CMS recently announced new guidelines for visitations in long-term care facilities. The guidelines that should be adhered to at all times include:

  • Face covering or masks (covering mouth and nose)
  • Hand hygiene (use of alcohol-based hand rub is preferred
  • Social distancing at least six feet between persons
  • Cleaning and disinfecting high-frequency touched surfaces in the facility often, and designated visitation areas after each visit

“These changes represent a vast improvement to the quality of life for our most vulnerable Hoosiers,” Dr. Box said. “And we know that many families will be extremely happy to reconnect with their loved ones.”

More recommendations and directions for facilities will be released in the near future.

To read the full guidelines recommended by CMS, click here.

Full Article & Source:

Tuesday, March 2, 2021

Tennessee lifting nursing home visitation restrictions Sunday


By Brandon Richard

MEMPHIS, Tenn. (WMC) - On Sunday, the State of Tennessee will lift its visitation restrictions at nursing homes and long-term care facilities.

Tennessee Gov. Bill Lee says the state is taking this step because 100% of the state’s nursing homes and other long-term care facilities have completed both doses of the COVID-19 vaccinations.

“There has been a lot of isolation, a lot of separation for the elderly in our state, so we’re really glad to be in this spot,” said Lee.

Tennessee Health Commissioner Dr. Lisa Piercey says anyone planning to visit a nursing home in Tennessee needs to keep in mind that there are still federal guidelines in place, and individual long-term care facilities can also implement their own visitation rules.

“That does not mean that every nursing home or long-term care facility will be open season and when their doors open on Sunday or Monday anybody can come in,” said Piercey. “Individual facilities will still have their own policies, particularly those not under the purview of CMS (Center for Medicare and Medicaid Services). They will have their own facility guidance.”

Under federal guidelines, nursing homes may allow indoor visitation if there have not been any COVID-19 cases reported in the last two weeks and if there’s no outbreak testing going on, according to the Tennessee Department of Health.

According to state data, more than 2,600 long-term care facility residents in Tennessee have died from COVID-19 since the pandemic began.

The death rate significantly decreased over the last month as more vaccinations were administered.

Full Article & Source: 

Tuesday, February 23, 2021

COVID-19 vaccines aren’t changing lives inside Maine’s nursing homes

by Caitlin Andrews

A sign urges people to stay away from Stillwater Health Care nursing home in Bangor to protect people at the facility in this April 21, 2020 photo. Credit: Natalie Williams / BDN

For months, Heather Brown has had to be extra careful at home and at work.

She works at a residential mental health facility and her husband works at a grocery store, which puts them both at elevated risk of getting the coronavirus. Brown also has a chronic illness that could make getting sick more severe. She said she had to leave her prior health care job because the people she worked with were not quarantining, a risk she said she could not afford to take both for health and financial reasons.

Brown received her second COVID-19 vaccine shot last week and will soon be fully immunized against the virus. That status has allowed her to worry a little less.

“I can’t bring it home to me, and I can’t catch it and die and leave my husband to raise three children alone,” she said.

Every resident and workers in Maine nursing homes and assisted living programs covered under a federal program has been offered first doses, with many now onto second and third clinics. But life has still not returned to normal for Brown and those she works with and cares for, since vaccinations are not the deciding factor loosening rules at long-term care facilities.

While Brown no longer has to quarantine if she is exposed to someone who is sick, she cannot travel to see her parents in Massachusetts without quarantining for 10 days under state guidelines. At work, the protocols of screening residents and enforcing distancing and mask wearing remain.

In Maine, more than 33,000 people have gotten shots in these homes under a retail pharmacy program, according to the U.S. Centers for Disease Control and Prevention. More than 22,000 people have gotten their first shots and another 10,000 have gotten both doses. Vaccine acceptance among residents has been high, but staff uptake is lagging in Maine and nationally.

That high concentration of vaccines may be contributing to fewer outbreaks at long-term care facilities, which were hammered over the first seven months of the pandemic here. In Maine, 59 percent of deaths have come in these places, a figure that is sixth-highest among states with all New England states registering high shares, according to Kaiser Family Foundation data.

Family members, workers and administrators say they are relieved the vulnerable population is being protected, but their ability to return to more-or-less normal operations is largely based on how prevalent the virus is in their county, a situation that homes have little control over.

Wendy Hanscom of Newry was able to see her mother staying at Pinnacle Health and Rehab in Canton for 20 minutes in person for the first time in months last weekend. The 113-bed facility was rocked by an outbreak from mid-November to early January that affected 92 residents and 51 staff members.

She had been worried about her mother getting sick since she was hospitalized with an infection before Thanksgiving. Now, with her mother being vaccinated and her father having gotten his first shot at Walmart, she feels less scared that she could inadvertently get them sick.

“Even if we get sick, we’re not going to get them sick,” she said. “We’ll feel much safer with them.”

Mark Jacobs, Pinnacle’s administrator, said Hanscom’s visit did not happen because her mother was vaccinated. State rules allowed for it because Oxford County’s 14-day positivity rate was low and the facility cleared its outbreak, Jacobs said.

Congregate settings such as nursing homes are allowed to have indoor visits if their county’s positivity rate is at least below 10 percent under recently revised state guidelines. Group activities like dining and socialization are allowed depending on the number of residents and whether those once infected with the virus have recovered or are confirmed to not be sick. Distancing measures still apply.

Because indoor visits are time-limited, Jacobs said he has to schedule them out weeks in advance. That could all be upset if the county’s positivity rate changes or another outbreak occurs. New case counts and hospitalizations have been dropping in recent weeks, but public health officials worry the presence of a new, more contagious variant could upend that.

“I can’t quantify if the vaccine is making a difference in our facility,” Jacobs said. “I think vaccination from a general standpoint lowers the risk of an outbreak and lowers the county’s numbers, but we have to keep COVID out of the building.”

That could be difficult as Jacobs said he has new employees who have yet to get vaccinated. The federal retail pharmacy program only requires providers to visit a facility three times — once for an initial shot, a follow-up dose and another chance for anyone who initially waited and a third to give any remaining second doses.

Any facility experiencing similar difficulties should reach out to the state to arrange further clinics, said Robert Long, a spokesperson for the Maine CDC, citing the importance of getting those staff vaccinated to lower the risk of transmission.

It could be a while before life at long-term care facilities returns to normal, said Dr. Jabbar Fazeli, a spokesperson for the Maine Medical Directors Association and a nursing home medical director in Kittery. The vaccination level at a facility does not change visitation rules, which he expected will frustrate family members, residents and staff.

“Some will be saying, ‘What’s the point of vaccinating if we still have to maintain the same protocols and need surveillance testing?’” he said.

Correction: A previous version of this report misspelled Wendy Hanscom’s last name.

Full Article & Source:

Monday, February 22, 2021

Indoor visitation resumes at some long-term care facilities in Ky.


By Jessica Costello

KENTUCKY (WFIE) - Over in Kentucky, new COVID-19 guidance that could impact thousands of state residents and their loved ones went into effect this weekend.

These new guidelines will affect a select number of long-term care facilities across the commonwealth, but not all of them.

Governor Andy Beshear announced earlier this week that some long-term care facilities, specifically non-certified facilities, will resume indoor visitation on Saturday, as long as they went through the full vaccination process. The facilities influenced by these changes include assisted living, personal care homes, intermediate care facilities for individuals with intellectual disabilities, and independent living facilities.

In these specific facilities, there can now be additional outside visitation in place for families to see their loved ones, which is something the governor acknowledges has been highly anticipated.

”I know that has been difficult for a long time,” Gov. Beshear said. “Group activities and communal dining will also resume, again, for those who have been fully vaccinated. Visitation amongst residents will resume for vaccinated residents. What this means is once someone is better protected from this disease, we want them to be able to see their loved ones.”

There are still some requirements that people have to meet for visitation.

“We do ask that all visitors are scheduled with the facility and this is really an effort to avoid mass gatherings,” Adam Mather, inspector general of the Kentucky Cabinet for Health and Family Services said. “So we’re asking that these visits are limited to one visitor or two individuals from the same household.”

Other requirements are visitors will be screened at the door and would need to present a negative COVID-19 test or show proof of their vaccination records.

As for Medicare-certified facilities, the state is still waiting on a change in guidance from the Centers for Medicare and Medicaid Services

Full Article & Source:

Saturday, February 13, 2021

COVID-19 Deaths in Nursing Homes and Long-Term-Care Fa­cil­ities Closer to 15,000, New Data Shows


By Zack Fink

The overall picture of how COVID-19 devastated nursing homes in New York is growing grimmer. It comes after the Cuomo administration quietly released new data late last week that included deaths of residents who were in long-term care or assisted living facilities. 

“The number of hospital deaths of long-term-care facility residents was 1,500. Over 1,500. So that number went from being 200 to 1,700 overnight,” explained Bill Hammond, a senior fellow of health policy for think tank Empire Center.

As a result of the revised figures, the total number of nursing home and long-term-care facility deaths went from 9,154 last month to 14,933. That’s an increase of 5,778, or 63%.

The new numbers only came out because of a lawsuit from the Empire Center.

“We filed a FOIL request,” Hammond said. “They delayed responding. Because of that delay, which we thought was not in keeping with the law, we filed a lawsuit. And the judge agreed with us. She said the flats by the Health Department was unreasonable and not within the law. She found three in violation of the law.”

The reason for the discrepancy is that the Cuomo administration was not counting deaths of nursing home residents or long-term care-facility residents who died in hospitals. Nor were they counting probable COVID-19 deaths as part of the overall total. Critics say the obfuscation seems purposeful.

“Administration, the Department of Health, have only released this information after being forced to by a judge and after being shamed by a report from their own Democratic Attorney General,” said Senate Minority Leader Rob Ortt. “So, there is no question they were construing this data differently to paint a different picture than the one that is real. And that is what’s most troubling.”

We reached out to the Cuomo administration for a response and they referred us to an older statement from Health Commissioner Howard Zucker, which said, “New York State Department of Health has always publicly reported the number of fatalities within hospitals irrespective of the residence of the patient, and separately reported the number of fatalities within nursing home facilities and has been clear about the nature of that reporting.”

Zucker is expected to testify before the legislature later this month. Republicans are asking that he appear on multiple days, to allow for more questions, rather than just that one day.

Full Article & Source:

Wednesday, February 10, 2021

Nursing home legislation set to pass through committee this week


by: Corina Cappabianca

ALBANY, N.Y. (NEWS10) – Legislation is in the works to promote better care at long-term care facilities in New York. A recent report from the State Attorney General’s Office found that many nursing homes did not comply with infection control policies, putting residents at risk. 

Now, several bills to make long-term care facilities safer are expected to head through committee this week. Democrat Senator Rachel May who chairs the Aging Committee says a big issue remains visitation. “There’s evidence that people have died just because they didn’t have family members coming in, paying attention to whether they were eating or whether they were taking care of themselves in the most basic ways or if the staff had been aware of an infection or something like that,” she said. 

May is sponsoring legislation that would allow residents to designate someone for personal care visitation and it would expand compassionate care visits. “We really need people to be able to get back into nursing homes and see their loved ones and so this has been a long time in process, but I’m really excited that it’s coming up in committee this week, and hopeful that we’ll vote on it next week,” May said.

She’s also has a bill to reform the long-term care ombudsman program, and another that has already passed in the Senate to “reimagine” the long-term care task force.

“We’re going to pass a number of bills through committee this week that have to do with oversight of nursing homes, with transparency communication with residents and their families about what’s been going on in nursing homes, infection control, PPE, just the whole gamut and also reporting of both deaths and other outcomes in nursing homes,” she said.

While Republicans have called on May to issue the Department of Health a subpoena over the nursing home deaths, May says, “The subpoena issue I do think is kind of moot at this point.”

She notes one of the bills lawmakers are planning to pass tomorrow through the health committee requires reporting of deaths of nursing home residents, even if they died in hospital, and it’s retroactive to March of last year. 

Full Article & Source:

Monday, February 8, 2021

Coronavirus cases show decline at nursing homes, other long-term care facilities

BIRMINGHAM, Ala. (AP) — Coronavirus cases have dropped at U.S. nursing homes and other long-term care facilities over the past few weeks, offering a glimmer of hope that health officials attribute to the start of vaccinations, an easing of the post-holiday surge and better prevention, among other reasons.
 
More than 153,000 residents of the country’s nursing homes and assisted living centers have died of COVID-19, accounting for 36% of the U.S. pandemic death toll, according to the COVID Tracking Project. Many of the roughly 2 million people who live at such facilities remain cut off from loved ones because of the risk of infection. The virus still kills thousands of them weekly.

The overall trend for long-term care residents is improving, though, with fewer new cases recorded and fewer facilities reporting outbreaks. Coupled with better figures for the country overall, it’s cause for optimism even if it’s too early to declare victory.

“We definitely think there’s hope and there’s light at the end of the tunnel,” said Marty Wright, who heads a nursing home trade group in West Virginia.

Nursing homes have been a priority since vaccinations began in mid-December, and the federal government says 1.5 million long-term care residents have already received at least an initial dose.

Researchers and industry leaders say they are seeing marked improvements after months in which some nursing homes lost dozens of residents to the disease and had to keep others in semi-isolation for protection. Some 2,000 nursing homes are now virus-free, or about 13% nationally, according to an industry group, and many are dealing with far fewer cases than before.

In West Virginia, where about 30% of the state’s roughly 2,080 COVID-19 deaths occurred at long-term care centers, fewer outbreaks are happening and fewer residents are requiring hospitalization, said Wright, chief executive of the West Virginia Health Care Association. Pennsylvania-based Genesis HealthCare, which operates more than 325 nursing homes, assisted-living facilities or senior living communities in 24 states, has seen similar improvements, said spokeswoman Lori Mayer.

The American Health Care Association and National Center for Assisted Living, an industry trade organization, said Thursday that data from about 800 nursing homes where initial vaccine doses were administered in late December offered promising results. Cases among residents fell by 48% at homes where immunizations had occurred, compared to a 21% decline at non-vaccinated facilities nearby. Meanwhile, cases among employees dropped by 33% at vaccinated homes, compared to 18% at non-vaccinated facilities.

After reaching a high of almost 73,600 new weekly cases in long-term care facilities nationwide in mid-December, the number was down 31% by late January, to about 50,000 new cases per week, an Associated Press analysis found. Still, the most recent weekly count is 18% higher than the seven-day period that ended on Thanksgiving, when numbers started climbing.

The weekly count of new deaths remains stubbornly high, with a record 7,042 recorded during the seven-day span that ended Jan. 14 and only a slight decline since. By comparison, for the seven days that ended on Thanksgiving, 3,181 deaths were recorded. More encouragingly, the COVID Tracking Project found that only 251 facilities reported new outbreaks recently, compared to 1,410 in early January.

Dr. David Gifford, chief medical officer for the national association, said the numbers show signs for hope since they indicate vaccines might decrease the spread of COVID-19, a finding not shown in trials.

“If verified with additional data, this could expedite the reopening of long-term care facilities to visitors, which is vital to residents’ health and wellbeing,” he said in a statement.

The ability to visit left Mark Badger and his 91-year-old father Billy, who is in an Anchorage, Alaska, nursing home, in tears. It was the first face-to-face visit in a year. Mark Badger’s mother had died at the home a year ago.

“This is a period when he really needs us,” Mark Badger said. “He’s been lonely.”

Experts caution that only some of the improvement can be linked to vaccines.

Studies from Israel show it takes a patient about 12 days for the first of the two-dose Pfizer or Moderna vaccines to provide meaningful protection, said Roni Rosenfeld, a computational epidemiologist who heads the Machine Learning Department at Carnegie Mellon University. Despite all the long-term care facility residents and workers who have received at least one dose of vaccine, those doses haven’t had enough time to work for most people, he said this week.

“The vaccine likely contributed, but very, very little,” said Rosenfeld.

Health officials say other factors are likely playing a larger role, including an ebb in the post-holiday surge, an ever-larger number of people who are immune because they’ve had the disease, behavioral changes and more abundant protective gear. And they caution that there are still threats lurking, including more contagious strains of the virus and a reluctance by many nursing home workers to get vaccinated.

At Arbor Springs Health and Rehabilitation Center in Opelika, Alabama, where 19 patients died of COVID-19 early in the pandemic, none of the roughly 115 patients are infected now, said Mark Traylor, who heads the facility’s parent company, Traylor-Porter Healthcare.

“We look after each other in here. We take care of each other,” resident Susan McEachern said Wednesday as she and a friend — both wearing masks — sat in a communal room that was recently reopened because many residents had been vaccinated.

Traylor said a better understanding of how to prevent the spread of the virus and how to treat COVID-19 was the difference between “looking into an abyss” during those first weeks of the crisis and visitors now being allowed back on a limited basis.

“We’re going to be in great shape once we get everybody vaccinated,” said Traylor.

PruittHealth, which operates about 100 nursing homes in the Carolinas, Georgia and Florida, has 29 locations that are free of COVID-19 and fewer patients overall testing positive in recent weeks, said CEO Neil Pruitt.

Although more than 70% of PruittHealth’s eligible nursing home residents have been immunized, only 27% of its employees have agreed to be vaccinated, Pruitt said. Without a big improvement in that employee figure, he’s worried cases could spike again once people start traveling over spring break.

“Right now, I’m not confident,” he said.

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Wednesday, January 27, 2021

'They just did it wrong': How COVID-19 ravaged Pennsylvania's long-term care facilities

by Jasmine Brooks


Nearly 20,000 Pennsylvanians have died from COVID-19 in less than a year, with seniors accounting for half of those deaths.

We're getting a firsthand account of what happened inside some of the nursing and personal care facilities from a nurse who says, she witnessed it.

"No one should ever die alone," says Margaret Barajas of the Pa Department of Aging.

Pennsylvania's nursing and personal care facilities; ground zero for COVID-19.

"The amount of overall death and destruction I’ve seen has been tremendous."

The deadly virus has already taken the lives of more than 10,000 seniors.

"By the time they found maybe one or two people who had positive tests, within a day or two those numbers doubled, tripled sometimes quadrupled."

A candid conversation with a nurse who has asked us to conceal her identity to protect her job. She's worked the floors of nearly ten-facilities in Pennsylvania, witnessing hundreds of patients trying to survive the quick and aggressive virus.

"Describe the worst situation that you've witnessed," asks CBS 21’s Jasmine Brooks.

"Honestly, there were some days where in a 12-hour shift there would be 10 to 15 people that would die. That was just hard as a nurse to watch day in and day out.”

"When COVID broke out around March in these nursing homes, were the nursing facilities prepared, Brooks asks.

"No," says Barajas.

"There are fingers to be pointed at systems that have failed our elders over and over again," she adds.

Margaret Barajas says, this pandemic has revealed the challenges that have existed in long term care facilities for years.

"Everything from facility design and structural limitations to maximize profits. Many homes still have four residents to a room," she explains.

"What were they lacking the most," Brooks asks our undercover nurse.

"I would say the knowledge of what to do. There would be no direction for anybody. You would show up at a facility and the director of nursing or anybody that probably should've been more prepared and have the knowledge really didn't know what to do, didn't know where to start, didn't know where to direct people where to go," she replies.

"What was the biggest complaint you were getting from family members on the outside?"

"That their family members were unfortunately isolated, which was absolutely true."

"Many of them are in rooms with no television, no telephone, no way to connect to the outside world," Barajas adds.

"If you had Dr. Levine in front of you what would you ask of her? Or tell her," asks Brooks.

"That they just did it wrong," the nurse says.

We went to the Department of Health to get some answers.

"What went wrong? Again, I understand it was a pandemic, unpresented times, but what went wrong," asks Brooks.

"How could anyone have truly been prepared for something of this magnitude and duration?" replies Keara Klinepeter with the Pa Department of Health.

Pennsylvania has now surpassed 60,000 resident cases.

"I am hoping that as we now move towards a brighter day with the vaccine on the horizon that we don't miss this opportunity to get better at this and to redesign and to bulldoze where necessary and start afresh," says Barajas.

"I personally was infected with COVID. It wasn't fun. I was pretty sick for a while. Emotionally I will say this has taken a greater toll. Emotionally, mentally, psychologically," she explains.

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Thursday, January 7, 2021

Vaccinations underway at local long term care facilities

by Angela Kerndl


YAKIMA COUNTY -- Nursing homes in the Yakima Valley have begun administering COVID-19 vaccines to residents and staff.

Landmark Care was the first nursing home in the county to administer the vaccines. Nearly all of the residents at Landmark Care have gotten their first doses.

"I'm just going to be happy when all of this is over, and then we can go on with our lives," says 88-year-old resident at Landmark, Freddie Green.

The Yakima Health District says making sure staff and residents at nursing homes and assisted living facilities is an extremely high priority. Lilian Bravo with the health district says she doesn't yet know exact numbers on how many doses have been delivered and administered and to which local long term care centers.

So far at least Prestige Care in Union Gap and Willow Springs in Yakima have begun administering vaccines to residents and staff.

Landmark says 57 of its 62 people who stay here, and 32 staff have gotten their first shot.

"We're actually starting to turn, and I can see an end. That's the most important thing," says Jane Davis, an administrator at Landmark.

Green got his first shot last Tuesday. He and his wife survived COVID-19 after being hospitalized in May with severe symptoms.

"We're recovered, and we're miracles because we were both very bad. They didn't expect us to live," says Green.

He was eager to get that vaccine in his arm.

"I'm just looking forward to when this is over, so that we can all get together, you know congregate," says Green.

Since the pandemic began, the hardest part, he says is having to be on lockdown. March was the last time he got to see his daughters inside.

"Oh it's terrible. The fifth of March was the last time that we got to you know hug them and be with them," says Green.

Davis says she's hoping they'll get to allow visitors back inside the building by the summer, when more of the community has gotten the vaccine.

"We want our families back in our building with our residents," says Davis.

The Yakima Health District today says it will still take some time before everyone in group 1-A receives the vaccine because of the size of our county and the amount of people who work in health care here.

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Monday, December 21, 2020

FEMA sending staff to assist at some New Hampshire long-term care facilities

National Guard also assisting

 
by Jessica Moran

Much-needed help from the federal government, in the form of additional staffing, is set to be delivered to some New Hampshire long-term care facilities this month. 

FEMA is sending 10 United States Public Health nurses and two Health and Human Services support staff to facilities in Hanover, Manchester and Bedford.

Staff from Hanover Terrace said four registered nurses started work on Tuesday and can stay for up to 30 days. Five residents have died from COVID-19 in that facility and more than 60 residents have the virus.

“I have some staff members that have been here without a day off since the outbreak began, and so, this will be a nice break from them to be able to take some well-deserved time off,” said Martha Ilsley, the administrator at Hanover Terrace.

In just over a month, the New Hampshire Veterans Home in Tilton has lost 35 residents to COVID-19. FEMA is extending their help for an additional two weeks through Dec. 28. The National Guard is also assisting at that facility with two nurses and 10 soldiers.

“It has been absolutely phenomenal, really has gotten us over the hump and helped us cover some really critical holes that we have,” Commandant Margaret LaBrecque said.

The New Hampshire Health Care Association said staffing was an issue before the pandemic. In two years, they said there was a net loss of 1,200 licensed nursing assistants.

As for vaccinations, Hanover Terrace said they have received a tentative date of Jan. 17 and the Veterans Home, as of Tuesday afternoon was still waiting to be given their date.

Both facilities are currently working on providing consent forms and educational materials.

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Wednesday, November 25, 2020

AHCA Says Permission for Holiday Visits Still Stands, Despite Recommendation From CMS

Click to Watch Video
By Cait McVey

The Centers for Medicare and Medicaid Services put out new guidance for nursing home residents, recommending they don’t leave their facilities for outside visits.

This recommendation is in direct conflict with the latest guidance from the Agency for Health Care Administration (AHCA), which oversees long-term care facilities (LTCs) in Florida.

Just a few weeks ago, AHCA released clarification for Gov. Ron DeSantis’ most recent LTC visitation order, saying residents must be permitted to leave facilities, including for holiday visits.

Spectrum News reached out to AHCA and was told the agency’s guidance regarding visits still stands, despite the CMS recommendations.

AHCA also provided the following statement:

“While the CMS recommendations encourage nursing home residents to not leave their facility, it acknowledges this will occur and provides guidance for those leaving including social distancing, remaining in small groups, mask use, and other precautions. These recommendations are consistent with information in the AHCA FAQ. The AHCA FAQ also directed facilities to monitor for additional updates. The Agency shared the CMS ​memo with all long-term care facilities as newly released guidance.”  

For more insight, we reached out to family advocate Mary Daniel, who is not only on the Governor’s long-term care task force, but also helped AHCA with its latest guidance.

Cait McVey: “We’re hearing from CMS the exact opposite of what the sate has put out.”

Mary Daniel: “See, I don’t necessarily see it that way.  All of these are recommendations. It’s what they’re saying they would like for us to do. I don’t think that has any bearing on changing anything in the state order.”

Cait McVey: “How important is the word recommend in this case?”

Mary Daniel: “It’s hugely important. This is telling me this is what they’re recommending but it doesn’t tell me this is what I have to do. If we really dig into this and see what it’s saying, it’s telling us the risk, it’s telling us you can do it, but you need to be extremely careful.”

Cait McVey: “What do you have to say to people who are watching the numbers climb here in Florida and feel because this is a vulnerable population, it’s not wise to take them home for the Holidays?”

Mary Daniel: “Why do we believe that staying in a facility with people coming and going, and I’m speaking particularly of the staff, why is that safer than being in my own home with just me? That’s an assumption that I don’t by into that. This can be done safely.  It really can.”

Daniel advises families to already be looking ahead to December and reaching out to facilities now, rather than waiting until the last minute.  She also recommends contacting AHCA directly, should a facility indicate it won’t be following the state order.

Full Article & Source:

Saturday, November 21, 2020

COVID-19: NJ Long-Term Care Residents Who Go Home For Holidays Might Not Get Right Back In

by Jerry DeMarco 

New Jersey Health Commissioner Judith Persichilli Photo Credit: NJSP
New Jersey's health commissioner urged families not to take residents out of long-term care facilities for the holidays -- and warned that they might not get right back in if they do – as the number of COVID-19 cases statewide continue to spike.

Guidelines issued by Health Commissioner Judith Persichilli include a mandatory 14-day quarantine for any long-term care resident, either in their own room or in an observation room, once they return to the facility after a family visit.

For that reason, Persichilli urged the facilities to create a “reservation list,” as well as a waiting list, based on the number of residents who can be quarantined at a time.
 
Administrators were also told to tell families that residents who leave without a reservation or while on a waiting list “may not be guaranteed readmittance to the facility at the end of their visit.”

“We remain concerned about the number of outbreaks we are seeing in long-term care,” Persichilli said, “so we need to be especially vigilant to protect this population.

“Small family gatherings are a significant driver of increasing cases, and bringing your loved ones home could put them at risk,” she added.

Residents of these facilities “are being treated for conditions that make them particularly vulnerable to suffering the most serious complications of COVID-19 infection, including death,” the commissioner wrote in a letter to facility administrators across the state.

“To protect the health of this vulnerable population,” she “strongly recommended” that families not take residents out of the facilities for “holiday celebration events or gatherings.”

Instead, Persichilli recommended “visitation outdoors or possibly indoors in facilities that meet the requirements for indoor visitation.

Long-term care facilities also should “plan to accommodate increased virtual communications for residents,” she said.

The facilities “need to develop a plan for holiday visits and gatherings” that estimate the number of residents who can be placed into a 14-day quarantine from Nov. 25 through Dec. 31, the commissioner added in her “guidance” letter.

They should also “create a reservation process tied to the number of individuals the facility can quarantine on their return,” she wrote. “A waiting list should be created once the reservation list is full.

“However, residents and families should be informed that residents who leave without a reservation or while on a waiting list may not be guaranteed readmittance to the facility at the end of their visit.

“Residents and families must certify that they will follow masking, social distancing and hand hygiene practices, and that they will notify the facility if anyone who attended the holiday gathering tests positive for COVID-19 or exhibits symptoms of COVID-19 within 14 days of the resident’s visit/stay outside the facility,” Persichilli added.

A link to the entire guidance letter is below.

CLICK HERE for: NJ Long-Term Care Holiday Visiting Guidelines

 
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Sunday, October 4, 2020

Texas long-term care facilities reopen to essential caregiver visits

by Irene Cruz

CANYON LAKE, Texas - For the past eight months, Jeanette Christensen of Canyon Lake, Texas has only been able to see her husband Steve through a glass window.

Steve, her husband of 26 years, has a rare form of dementia. He is a disabled Air Force veteran at the Frank M. Tejeda Texas State Veteran's Home in Floresville, where no visitors have been allowed due to the COVID-19 pandemic.

"That keeps him locked in and me locked out," says Jeanette Christensen.

Governor Abbott and the Texas Human Health Services Commission only began allowing outside visits a month ago, a process they called Phase 1.

"They are dying by the same rules that are designed to keep them safe. There's got to be logical compromise," says Christensen.

Christensen says the isolation has been incredibly detrimental to Steve's health. Prior to the pandemic, she was able to take Steve out for a drive and a meal every week. Steve is able to stand, walk, and perform certain tasks. However, due to dementia, he's also prone to confusion, memory impairment and difficulty with personal care.

"I'm seeing a large decline," says Christensen. "They are losing their will to live. What they feel like is that they're not having personal contact with anyone."

It's an issue that has been commonly seen across the state. Tina Hill out of Atlanta, Texas is also struggling. Her father is a double amputee at a nursing home.

"He is just severely depressed," says Hill. "He just had a mental break down. He was crying, saying how much he missed his family. He was just giving up if he couldn't spend time with his family anymore."

Christensen and Hill are both part of a Facebook group called "Texas Caregivers for Compromise - Because Isolation Kills, Too", an advocacy group that has been pushing for visitation changes in long-term care facilities. It is open to the public and has nearly 3,000 members.

Many have also signed a petition these past months to open Texas nursing homes and assisted living centers. It has nearly 24,000 signatures.

In addition, members of the Facebook group have been creating and posting signs in College Station that say "Isolation Kills Too!"

After months of hoping for change, family members are finally now seeing change. Last Friday, Governor Abbott announced long-term care facilities would be opening back up to visitors starting Thursday, September 24, 2020. However, formal guidelines from the Texas Human Health and Services Commission only recently came down this past Wednesday.

The guidelines for nursing facilities differ from those for assisted living facilities. There are a few notable details:

  • Nursing facilities are required to allow visits from two designated essential caregivers per resident. This is voluntary for assisted living facilities.
  • Facilities must be approved by Texas Human Health Services for visitation.
  • Nursing homes are expected to contain any positive cases to an isolated unit.
  • If a nursing facility has COVID-19 positive cases, they are still required to allow essential caregivers in. This is optional for assisted living facilities in this situation.
  • Any residents with COVID-19 are not allowed to have visitors unless they are at the end of their life.
  • All visitors are expected to schedule their visits, must wear PPE, and must show proof of negative testing.

You can find more details from the Texas Health and Human Services Commission here:

 
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