COVID-19 Shows Gaps in Controls at Nursing Homes

, and live in a group setting. Once they’re infected, these older adults are more likely to be hospitalized, admitted to an intensive care unit, and die, according to the CDC.Relatives should be concerned about infection control procedures at nursing homes. The Centers for Medicare and Medicaid Services started a 3-week round of targeted infection control inspections at long-term care facilities nationwide in late March.

A recent analysis of federal records by Kaiser Health News found that 9,697 nursing homes, or 63%, were cited for one or more infection control problems in the past two regular inspection periods, which go as far back as 2016 for some facilities. The analysis also found that staffing levels matter because there were more violations in homes with fewer nurses and aides than at facilities with higher staffing levels.

But people without symptoms may also be spreading the virus. The CDC now estimates that up to 25% of people with COVID-19 don’t have symptoms. A study of skilled nursing facility residents infected with COVID-19 from a health care worker showed that half were asymptomatic or pre-symptomatic when contact tracing evaluation and testing were done.

Although the New Jewish Home admits COVID-19 patients discharged from hospitals in the recovery phase of the illness, other nursing homes in New York have refused to admit patients unless they test negative. The Centers for Medicare and Medicaid Services waived requirements for nursing home participants last week so they can use areas normally reserved for activities or dining to isolate and care for COVID-19 patients.

Patients will come from hospitals and skilled nursing facilities, and the average stay is expected to be 12 days, she says. “The goal is to reduce long-term care residents’ exposure to the coronavirus and to support our hospitals’ efforts to free up capacity for the expected surge of new patients.”

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