Post Pandemic Litigation For Skilled Care And Assisted Living Facilities has already begun. Find out what facilities should do to protect themselves.
High county case rates and larger facility size are tied to COVID-19 outbreaks in skilled nursing facilities, according to a study from a leading operator.
Investigators from Genesis HealthCare, Brown University and Florida Atlantic University reviewed county, state and facility data from late April and early May. The study sample included 341 Genesis skilled nursing facilities in 25 states, along with more than 3,000 non-Genesis operators. Among Genesis facilities, 64 had implemented universal testing of all residents.
Researchers analyzed facility outbreaks, and (in the Genesis facilities only) the number of confirmed cases, fatalities and the effect of universal testing on case counts.
They found that higher facility bed count and COVID-19 prevalence in the surrounding county were the “most significant and consistent” predictors of large outbreaks and mortality rates among residents. In contrast, there was no consistent link between the likelihood of an outbreak and an operation’s Five-Star Quality Rating or infection control citations.
The results confirm the need for diagnostic testing access in high-risk areas, the investigators said. Federal resources should be allocated to locations where testing capacity remains limited, they added.
As the pandemic sweeps the nation, providers accelerate their telehealth plans.
The coronavirus pandemic has exposed many uncomfortable truths about serving seniors.
The worst isn’t that long-term care providers are prioritized way behind hospitals in funding and all around perception. No, the most brutal truth is that ageism is thoroughly soaked into the collective U.S. mind.
Personal protective equipment (PPE) has been essential to protecting healthcare workers from the novel coronavirus, but it presents its own set of challenges to their health, notably skin damage associated with prolonged use of PPE.
Find out what you can do to avoid skin damage at https://www.medscape.com/viewarticle/929590#vp_1
Around the country, nursing homes trying to protect their residents from the coronavirus eagerly await boxes of masks, eyewear and gowns promised by the federal government. But all too often the packages deliver disappointment — if they arrive at all.
AHCA/NCAL President & CEO Mark Parkinson provides an update on the Association’s efforts to tell the story of their residents and caregivers who have been battling COVID-19.
Titled “Keeping People Connected: Innovative Methods Using an Infection Prevention & Control Mindset,” it can be found at:
Today, CMS provided recommendations [cl.exct.net] on a nursing home phased reopening for states. The recommendations cover the following items:
- Recommendations for testing residents and staff
- Dedicated space for cohorting residents with COVID-19
- Criteria for relaxing certain restrictions and mitigating the risk of resurgence
- Visitation and service considerations
- Restoration of survey activities
The guidance encourages state leaders to collaborate with the state survey agency and local health departments to decide how these criteria should be implemented. Given the critical importance in limiting COVID-19 exposure in nursing homes, CMS recommends that decisions on relaxing restrictions be made with careful review of the following facility-level, community, and state factors:
- Baseline test of all residents, weekly testing of all staff, practicing social distancing, and universal source control for residents and visitors (e.g., face coverings)
- Status of COVID-19 cases in the local community
- Status of COVID-19 cases in nursing homes
- Adequate staffing
- Access to adequate personal protective equipment (PPE)
- Local hospital capacity
CMS released a new toolkit [cl.exct.net] intended to serve as a catalog of resources dedicated to addressing the specific challenges facing nursing homes as they combat COVID-19.
CMS says the toolkit provides resources and direction for quality improvement assistance and can help in the creation and implementation of strategies and interventions intended to manage and prevent the spread of COVID-19 within nursing homes. The toolkit outlines best practices for a variety of subjects ranging from infection control to workforce and staffing. It also provides contact information for organizations who stand ready to assist with the unique challenges posed by caring for individuals in long-term care settings.