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| Coronavirus cases at local nursing homes pass 2,000; families seek transparency | Coronavirus cases at local nursing homes pass 2,000; families seek transparency |
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| There are at least 255 nursing homes in the District, Maryland and Virginia with coronavirus cases as of Thursday, nearly double the number on April 11. According to data provided by officials, more than 2,000 residents and staff at these long-term-care facilities have been infected. | There are at least 255 nursing homes in the District, Maryland and Virginia with coronavirus cases as of Thursday, nearly double the number on April 11. According to data provided by officials, more than 2,000 residents and staff at these long-term-care facilities have been infected. |
| Fifty-seven residents at the 92-bed Regency Care of Silver Spring have tested positive for covid-19, the disease caused by the novel coronavirus, a spokeswoman for the Montgomery County Health Department said, and nine have died. Twenty-eight staff members also contracted the virus. | Fifty-seven residents at the 92-bed Regency Care of Silver Spring have tested positive for covid-19, the disease caused by the novel coronavirus, a spokeswoman for the Montgomery County Health Department said, and nine have died. Twenty-eight staff members also contracted the virus. |
| In Fairfax County, 29 nursing facilities have confirmed coronavirus cases, according to an email from the county health department obtained by The Washington Post. In Prince George’s County, 308 residents and employees at 18 nursing homes have tested positive and 34 have died. | In Fairfax County, 29 nursing facilities have confirmed coronavirus cases, according to an email from the county health department obtained by The Washington Post. In Prince George’s County, 308 residents and employees at 18 nursing homes have tested positive and 34 have died. |
| And in the District, 13 nursing homes have reported 199 infections and 15 fatalities. | And in the District, 13 nursing homes have reported 199 infections and 15 fatalities. |
| “We are beginning to see some of the cases cluster around our long-term-care facilities and our immediate-care facilities,” D.C. Health Director LaQuandra Nesbitt said Thursday. | “We are beginning to see some of the cases cluster around our long-term-care facilities and our immediate-care facilities,” D.C. Health Director LaQuandra Nesbitt said Thursday. |
| Officials across the region have promised to ramp up testing at facilities and take every possible precaution. But in the meantime, many relatives of residents say they remain in the dark about cases and fatalities where their loved ones live. | Officials across the region have promised to ramp up testing at facilities and take every possible precaution. But in the meantime, many relatives of residents say they remain in the dark about cases and fatalities where their loved ones live. |
| Sign up for our Coronavirus Updates newsletter to track the outbreak. All stories linked in the newsletter are free to access. | Sign up for our Coronavirus Updates newsletter to track the outbreak. All stories linked in the newsletter are free to access. |
| The District last week began publishing information about infections at facilities. But Maryland and Virginia refuse to do so, citing patient privacy. They defer to local health departments and individual facilities, which may or may not tell relatives of patients — or the public — when outbreaks occur. | The District last week began publishing information about infections at facilities. But Maryland and Virginia refuse to do so, citing patient privacy. They defer to local health departments and individual facilities, which may or may not tell relatives of patients — or the public — when outbreaks occur. |
| Patients’ families say the lack of comprehensive information makes it difficult to decide how to care for loved ones and can compound their grief when relatives die. Advocates warn that a lack of transparency may allow outbreaks to go undetected and shield facilities that respond poorly to the crisis. | Patients’ families say the lack of comprehensive information makes it difficult to decide how to care for loved ones and can compound their grief when relatives die. Advocates warn that a lack of transparency may allow outbreaks to go undetected and shield facilities that respond poorly to the crisis. |
| “It is frustrating. There’s no other word to describe it,” said Montgomery County Council member Evan Glass (D-At Large), a member of the Health and Human Services Committee and a former CNN journalist. | “It is frustrating. There’s no other word to describe it,” said Montgomery County Council member Evan Glass (D-At Large), a member of the Health and Human Services Committee and a former CNN journalist. |
| “It’s a delicate balancing act,” he said, referring to privacy concerns. “We’re in a health crisis and need to figure out how to share information in a timely way.” | “It’s a delicate balancing act,” he said, referring to privacy concerns. “We’re in a health crisis and need to figure out how to share information in a timely way.” |
| The federal government on Sunday issued guidelines requiring nursing homes to update patients’ families on covid-19 cases regularly. But enforcement details have not been announced. | The federal government on Sunday issued guidelines requiring nursing homes to update patients’ families on covid-19 cases regularly. But enforcement details have not been announced. |
| While Maryland and Virginia say they will not start publishing lists of nursing homes with covid-19 cases, a spokeswoman for the federal Centers for Medicare & Medicaid Services, which regulates care facilities, said the agency will soon release weekly data that includes the names of nursing homes with known outbreaks. | While Maryland and Virginia say they will not start publishing lists of nursing homes with covid-19 cases, a spokeswoman for the federal Centers for Medicare & Medicaid Services, which regulates care facilities, said the agency will soon release weekly data that includes the names of nursing homes with known outbreaks. |
| Nationally, at least 1 in 10 nursing homes have covid-19 cases | Nationally, at least 1 in 10 nursing homes have covid-19 cases |
| Herman Taylor, a former Maryland state delegate, said he was told April 15 that his sister, a resident at Regency Care of Silver Spring, tested positive for the virus. As of Thursday, he had not received any updates on her condition. | Herman Taylor, a former Maryland state delegate, said he was told April 15 that his sister, a resident at Regency Care of Silver Spring, tested positive for the virus. As of Thursday, he had not received any updates on her condition. |
| All of Taylor’s calls to the facility have gone unanswered, he said, and Regency employees refuse to tell him how many residents have been infected or whether any have died. | All of Taylor’s calls to the facility have gone unanswered, he said, and Regency employees refuse to tell him how many residents have been infected or whether any have died. |
| “It’s the worst thing you can imagine,” he said. | “It’s the worst thing you can imagine,” he said. |
| Regency did not respond to calls or emails seeking comment. The nursing home has an overall rating of two out of five stars from Medicare, and a one-star rating based on recent health inspections. The report from its most recent health inspection included multiple accounts of staff shortages, including instances in which there were just two or three nurses left in charge of nearly 60 patients. | Regency did not respond to calls or emails seeking comment. The nursing home has an overall rating of two out of five stars from Medicare, and a one-star rating based on recent health inspections. The report from its most recent health inspection included multiple accounts of staff shortages, including instances in which there were just two or three nurses left in charge of nearly 60 patients. |
| “They’ve mistreated patients and their families for a long time, and the government’s done nothing,” Taylor said. “Now’s their chance.” | “They’ve mistreated patients and their families for a long time, and the government’s done nothing,” Taylor said. “Now’s their chance.” |
| Raman Tuli, a geriatric doctor based in Montgomery, said Monday that at least 11 of her patients at Rockville Nursing Home have tested positive for the virus, and three have died. Total numbers for the facility are higher, she added. | Raman Tuli, a geriatric doctor based in Montgomery, said Monday that at least 11 of her patients at Rockville Nursing Home have tested positive for the virus, and three have died. Total numbers for the facility are higher, she added. |
| The facility’s website says in a statement dated April 16 that seven residents have tested positive, but it does not mention any fatalities. A receptionist at the nursing home told a reporter that no one was available to provide official numbers and hung up. The facility’s medical director, Thomas Joseph, declined to comment. | The facility’s website says in a statement dated April 16 that seven residents have tested positive, but it does not mention any fatalities. A receptionist at the nursing home told a reporter that no one was available to provide official numbers and hung up. The facility’s medical director, Thomas Joseph, declined to comment. |
| “I just want a picture of things, to know what it was like for my brother,” said Jan Hirschfeld. Her brother, Steve Joltin, moved into Rockville Nursing Home in November and died on April 11, one day after testing positive for covid-19. She said staff members have refused to say how many others at the facility are sick or have died. | “I just want a picture of things, to know what it was like for my brother,” said Jan Hirschfeld. Her brother, Steve Joltin, moved into Rockville Nursing Home in November and died on April 11, one day after testing positive for covid-19. She said staff members have refused to say how many others at the facility are sick or have died. |
| “It’s just so difficult to understand,” Hirschfeld said. “We want to know how many people were affected by this.” | “It’s just so difficult to understand,” Hirschfeld said. “We want to know how many people were affected by this.” |
| Inside Maryland’s worst nursing-home outbreak of covid-19 | Inside Maryland’s worst nursing-home outbreak of covid-19 |
| Employees at eight other facilities in Montgomery with known cases of covid-19 either did not respond to calls seeking information on the cases or hung up when the virus was mentioned. | Employees at eight other facilities in Montgomery with known cases of covid-19 either did not respond to calls seeking information on the cases or hung up when the virus was mentioned. |
| In its recent memo, the Centers for Medicare & Medicaid Services stated that facilities must report positive cases to the Centers for Disease Control and Prevention, in addition to local and state health authorities. They must also inform residents and their representatives within 12 hours of an initial confirmation of covid-19 and update them once a week or each time there is an additional confirmed case of the virus among residents and staff. | In its recent memo, the Centers for Medicare & Medicaid Services stated that facilities must report positive cases to the Centers for Disease Control and Prevention, in addition to local and state health authorities. They must also inform residents and their representatives within 12 hours of an initial confirmation of covid-19 and update them once a week or each time there is an additional confirmed case of the virus among residents and staff. |
| Facilities that fail to do so will face penalties that the federal agency will release “in the coming days,” a spokeswoman said. | Facilities that fail to do so will face penalties that the federal agency will release “in the coming days,” a spokeswoman said. |
| Nesbitt, the D.C. health officer, said the city has told all facilities to comply with the updated federal requirements. Clinicians who violate regulations can have their licenses revoked, she added, and providers who fail to comply may have their Medicare or Medicaid funding rescinded. | Nesbitt, the D.C. health officer, said the city has told all facilities to comply with the updated federal requirements. Clinicians who violate regulations can have their licenses revoked, she added, and providers who fail to comply may have their Medicare or Medicaid funding rescinded. |
| In Maryland and Virginia, nursing homes must report cases to local and state authorities but are not obliged to release information to relatives of other residents or the general public. | In Maryland and Virginia, nursing homes must report cases to local and state authorities but are not obliged to release information to relatives of other residents or the general public. |
| Maryland recommends that facilities “coordinate” communication to the public with state and local authorities. Montgomery County Health Officer Travis Gayles said the county also has encouraged nursing homes to disclose cases to other residents of the facility and their representatives. | Maryland recommends that facilities “coordinate” communication to the public with state and local authorities. Montgomery County Health Officer Travis Gayles said the county also has encouraged nursing homes to disclose cases to other residents of the facility and their representatives. |
| Gayles said that although a majority of long-term-care facilities “have been very forthcoming,” the county is asking its “action teams” of county nurses to help communicate with patients and their representatives, in addition to assisting facilities with medical response, contact tracing and other logistics. | Gayles said that although a majority of long-term-care facilities “have been very forthcoming,” the county is asking its “action teams” of county nurses to help communicate with patients and their representatives, in addition to assisting facilities with medical response, contact tracing and other logistics. |
| Hundreds of nursing homes with covid-19 cases had violated infection-control rules recently | Hundreds of nursing homes with covid-19 cases had violated infection-control rules recently |
| “The hope is that through this process, we can improve care and service delivery, but also improve reporting,” said Montgomery County Council member Gabe Albornoz (D-At Large), who chairs the Health and Human Services Committee. | “The hope is that through this process, we can improve care and service delivery, but also improve reporting,” said Montgomery County Council member Gabe Albornoz (D-At Large), who chairs the Health and Human Services Committee. |
| The Virginia health commissioner announced this week that long-term-care facilities can share information on coronavirus patients with other providers, including the identities of specific patients. This shift in policy was intended to protect nursing home employees, who often work at multiple facilities, an agency spokeswoman said. | The Virginia health commissioner announced this week that long-term-care facilities can share information on coronavirus patients with other providers, including the identities of specific patients. This shift in policy was intended to protect nursing home employees, who often work at multiple facilities, an agency spokeswoman said. |
| On Wednesday, the Fairfax County Health Department emailed the directors of the county’s long-term-care facilities a list of 29 sites that have confirmed cases of covid-19. Facility directors will receive an updated list three times a week, the email said. | On Wednesday, the Fairfax County Health Department emailed the directors of the county’s long-term-care facilities a list of 29 sites that have confirmed cases of covid-19. Facility directors will receive an updated list three times a week, the email said. |
| Charlie Gischlar, spokesman for the Maryland Department of Health, said disclosing which long-term care facilities have infections “serves no public health purpose and could lead to the identification of specific persons who have tested positive for the disease.” | Charlie Gischlar, spokesman for the Maryland Department of Health, said disclosing which long-term care facilities have infections “serves no public health purpose and could lead to the identification of specific persons who have tested positive for the disease.” |
| Asked about the new federal reporting requirement, Gischlar said, “MDH follows Maryland law.” | Asked about the new federal reporting requirement, Gischlar said, “MDH follows Maryland law.” |
| Coronavirus takes root in D.C.-area elderly care facilities, as they scramble for PPE and available workers | Coronavirus takes root in D.C.-area elderly care facilities, as they scramble for PPE and available workers |
| Dozens of cases, and 10 deaths. Inside Maryland’s worst coronavirus outbreak. | Dozens of cases, and 10 deaths. Inside Maryland’s worst coronavirus outbreak. |
| Group homes for disabled adults grapple with the spread of coronavirus | Group homes for disabled adults grapple with the spread of coronavirus |
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