It's been a grueling year of COVID-induced loss, loneliness and longing for normalcy in America's nursing homes, where the virus has killed more than 130,000 residents, infected around 650,000, and stripped hundreds of thousands more of their routines, social connections and freedoms. The AARP Nursing Home COVID-19 Dashboard analyzes federally reported data in four-week periods going back to June 1, 2020. Now, thanks to a sharp decline in COVID-19 cases in nursing homes after widespread vaccinations among residents, simple pleasures are returning. "Oh, this was the most lovely surprise,” said Waterson, as Connor crouched down beside her wheelchair to give her a goodbye hug. Reimer thought it might trigger memories for her mother, who has dementia. Many did so on minimum wage and without benefits like sick leave. After 15 minutes, it was time for the great-grandkids to switch places. Guidance for caregivers during the pandemic. The CMS has jurisdiction over the entire health care system. Activities were performed alone. Residents enjoy the return of bingo, a chance to win some nickels. Widespread misinformation on vaccine side effects, particularly on social media, is having a “huge, huge effect,” she added. That is also well above the national average of 25% of all COVID deaths comprising nursing home residents. Beginning in March 2020, when the federal Centers for Medicare & Medicaid Services (CMS) issued its first COVID-19 memorandum, instructing nursing homes to cancel communal dining and all group activities, the Manor's residents were largely confined to their rooms. Looks like you’ve started the questionnaire but didn’t finish. Connor filled his great-grandmother in on his past year and three months: high school classes, another growth spurt, a new girlfriend. Nursing Home Evaluation Checklist Print one checklist for each nursing home you’ll visit and take it with you as you visit. You can also manage your communication preferences by updating your account at anytime. “I can use that for my dinner.”, "Even if we could just go down to the local supermarket,” she said. “I just hoped that [the virus] would finally go or get to where we were able to do everything together. Emily Paulin is a contributing writer who covers nursing homes, health care, and federal and state policy. Note that ombudsman programs are not allowed to Voss didn't have to wear her mask, but hearing her daughter through the wall was difficult. We’ve thrown $21 billion of public funds at nursing homes during this crisis, equal to about $17,000 per resident. AARP has called for the enactment of a 5-point plan to protect nursing home and long-term care facility residents—and save lives—at the federal and state levels: Prioritize regular and ongoing testing and adequate personal protective equipment (PPE) … What Happens to Workers Who Missed Vaccinations? The struggles extend to nursing homes throughout the country, which are home to more than 1.2 million residents. Dana Marie Kennedy stated, “Infection control and adequate staffing have been enduring problems in nursing homes – even before COVID-19 emerged as a top killer of older Arizonan’s. Our leaders must act to stem the loss of life and improve conditions in long-term care facilities. You'll start receiving the latest news, benefits, events, and programs related to AARP's mission to empower people to choose how they live as they age. Nursing Homes: What to Ask. But for some families, masks are obstructing more than smiles. “There's about $12 in here, I reckon,” she said. "OK, honey,” replied Meredith Tolley, the activities director of the 58-bed nonprofit facility in this small city in east Wyoming. Meals were eaten bedside. "Bingo!” yelled Jo Shackelfurd, 88, collecting the two winner's nickels for herself, then a “neighbor nickel” each for the players to her right and left. Staff members at Weston County Manor work hard to keep residents’ spirits up, decorating walls and doors with colorful collages and playing nostalgic ‘60s music over the dining room speakers. “It’s serious business,” said activities director, Meredith Tolley. The staff of the Manor had lost count of how many times Krause, a dementia patient, had asked to leave with her daughter during the pandemic. Still, Cunningham remains optimistic. She pressed the wheels of her walker up against the glass doors that separated her and her daughter, Tammy Harman, who was waiting outside, waving. Last month, a provision passed in the state budget that requires nursing homes to use at least 70% of their total revenues on direct patient care, and of that 70%, almost half, 40%, now needs to be used for staffing. "Life is still far from normal,” said Maureen Cadwell, chief executive officer of Weston County Health Services, which includes the Manor. "I couldn't hold her hand or give her a hug because she wouldn't wear the mask,” said Reimer. In early March, following vaccinations at nearly every nursing home in the country and plummeting infection and death rates, the federal government revised guidance for facilities again, making it easier for residents to see, hug and hold hands with visiting loved ones, even indoors. Visit the AARP state page for information about events, news and resources near you. The dashboard was developed by the AARP Public Policy Institute and the Scripps Gerontology Center at Miami University in Ohio. Isolation and loneliness are associated with a roughly 50 percent increased risk of developing dementia and a nearly fourfold increased risk of death among heart failure patients, according to studies. In the meantime, please feel free The changes followed new federal guidance to nursing homes that made it easier for residents to visit with their loved ones after a year of pandemic-inspired lockdowns. Continued mask mandates make family reunions and socialization tricky. "Individuals in health care facilities, particularly nursing homes, are generally more susceptible to severe infection from COVID-19,” a CMS spokesperson told AARP, “and therefore more caution is often warranted.” Reimer hopes those rules loosen up soon. Resident Norma Reman paints her pig, “Porky”, in a group ceramics class. The provider’s terms, conditions and policies apply. When Connie Reimer heard she was now allowed to sit next to her 99-year-old mother, Doris “Dode” Voss, during their visits at the Manor, she asked the staff to dust off Voss’ family photo album, planning to help her mother flip through the pages. But Voss, confused and panicked by her mask, wouldn't keep it on. Tuesday, the legislature took another step to protect seniors. AARP Bulletin: A Tale of Two Nursing Homes: What 2 Very Different Nursing Homes Learned From Fighting COVID-19. During Voss and Reimer's failed in-person visit, it was Tolley who had to ask the women to move back into the visitation booth, after she pleaded with Voss to put her mask back on multiple times. You are leaving AARP.org and going to the website of our trusted provider. By Cait McVey Florida. Looks like you’ve started the questionnaire but didn’t finish. It was a sunny Sunday morning in April when Frieda Waterson, 95, spotted her granddaughter Keyra Comer and great-grandchildren, Connor, 17, and Kenna, 19, approaching the Manor's entrance. Seven out of 10 fell over. This includes the right of residents and their families to seek legal redress through the courts to hold facilities accountable when residents are harmed, neglected, or abused. Using this data, the AARP Public Policy Institute, in collaboration with the Scripps Gerontology Center at Miami University in Ohio, created the dashboard to provide snapshots of the virus’ infiltration … Posted at 19:34h in General, In The News, Our Employees by admin. Reassured by Tolley's white lie, Krause continued with her game, leaning over her walker, placing her left hand atop the lightweight blue bowling ball and pushing it down the ramp aimed at the pins. Please enable Javascript in your browser and try Check out your member benefits. Please return to AARP.org to learn more about other benefits. “I hate being the bad guy,” she said, “but I have to follow the rules.”. As COVID-19 Cases and Deaths Climb, New AARP Analysis Reveals Michigan Nursing Homes Still Lack Adequate PPE and Staff Facilities must … Isolation still a problem but bowling, bingo are back, Vaccines saved many residents from getting sick, 'While this trend is good, we're not done yet', Could help in battle against a growing problem, More than 170,000 deaths tied to long-term care, The latest on evolving rules, your rights and more, Visits are resuming, but long-term problems persist, Portraits capture their bonds with residents, Personal accounts from residents, families, workers, Residents should be able to hug, hold visitor hands. Ombudsman volunteers make regular visits to nursing homes and can usually provide information about how well theyre organized and run. ", Although the Centers for Disease Control and Prevention (CDC) recently released new guidelines for the general population, giving fully vaccinated people the go-ahead to unmask indoors around other fully vaccinated people, the CMS has not issued the same recommendation to nursing homes. Bowling with friends, holding a family member's hand, a quick jaunt out of the facility — all off limits for most of the last year — are coming back. "That was very frustrating,” Reimer said. People enter nursing homes for a variety of reasons. Lansing, Mich. (WLNS) — Throughout the COVID-19 pandemic, nursing homes have been hit the worst in Michigan. Our leaders must act immediately to stem the loss of life due to coronavirus and improve conditions in America’s long-term care facilities. So a few minutes before 10 a.m. on Easter Sunday, Tolley met Krause at the entrance doors of the Manor, carefully placed the loops of a surgical mask over the oxygen cords that sit behind Krause's ears and asked: “Are you ready, Karen?”. "Thank goodness I'm sitting next to you,” quipped Melva Keever, 89, who hadn't won a game yet, “or I'd be broke.”. AARP Florida State Director Jeff Johnson said in the press release that the new dashboard shows several concerning recent trends in how Florida nursing homes are … “You're all together — kind of,” she said, gesturing with her hands that residents are spaced apart, “and you can have different things to eat.”. “Now, come on, let's get you out of here.” Krause relished the embrace a few moments longer before pushing her walker — a little quicker than usual — toward the parking lot. While stuck in her room during the COVID-19 lockdowns, Alice Cunningham, 79, kept herself busy doing diamond art. A new law designed to safeguard nursing homes against future pandemic outbreaks and other public health emergencies is a good first step in providing vital protection to residents, AARP … AARP is a nonprofit, nonpartisan organization that empowers people to choose how they live as they age. National long-term care organizations have launched education campaigns to encourage workers to get vaccinated, but many Manor staffers remain skeptical. “Open up the discussion … acknowledge that this sucks and we're here and we'll get through it, to try and bring some hope.”. receive communications related to AARP volunteering. Each time a new number appeared, she had to shout it out extra loud so that the residents, who were spaced 6 feet apart, could hear her through her mask. Instead, it continues to list face coverings and masks as a core principle of COVID-19 infection prevention that “should be adhered to at all times. You must be logged in to leave a comment. We’re seeking real solutions. The staff is waiting on community transmission rates to drop and for the federal government to release guidance on the issue. Before COVID-19 lockdowns took hold, when Cunningham was allowed to leave the facility at will, she'd shop and visit the bank herself, venturing to reach her target of 5,000 steps per day. But the Manor identified its first COVID-19 cases of the pandemic shortly afterward. “If you push it hard enough, you'll get a strike,” Whitley says. Less than 1% of America’s population live in nursing homes and other long-term care facilities, but shockingly, over 40% of all COVID-related deaths have occurred there. Address __________________________________________________________. “For a year, we were all they had.”. You can also manage your communication preferences by updating your account at anytime. “She's in decline,” she said of her mother, noting that Voss has lost weight and mobility during the lockdowns. Her work has also appeared in Broadsheet, an Australian lifestyle publication. “But I just feel like it's going to be a very slow transition and possibly even take years to see it where we want to see it.". "Oh, my daughter, my daughter,” said Krause, as she buried her face into Harman's shoulder. AARP blasts bill seeking to protect nursing homes from coronavirus lawsuits The group argues the legislation would deprive families of their rights and erode consumer confidence in … In the next 24 hours, you will receive an email to confirm your subscription to receive emails "There were so many times where burnout was so real,” said Tolley, recalling a day in October when all three members of her activity team were out due to a COVID-19 infection or exposure. The AARP Foundation and the law firm Constance Cannon filed a lawsuit against the Centers for Medicare & Medicaid Services (CMS) and outgoing Department of Health and Human Services (HHS) secretary Alex Azar, alleging that the federal government put nursing home residents’ lives in danger by weakening enforcement of monetary penalties for nursing homes. “There is no substitute for physical contact, such as the warm embrace between a resident and their loved one,” the recommendations said, while noting that precautions, including masks, time limits and number caps, should continue. "And you don't have to eat on paper,” noted Suzanne Steele, an activities aide. Burned-out workers continue to face overloaded schedules in the face of new hurdles, including low vaccine uptake among staff members. Keyra and Connor entered the building first, following the two-guest limit, while Kenna waited outside in the Manor's gazebo. Waterson grasped her great-grandson's arm as they posed for a photo. Afterward, as residents headed back to their rooms, Krause turned to Tolley once again. Exercise often fell by the wayside. And while there is no official tally of how many residents died from the effects of social isolation and loneliness caused by lockdowns — which were meant to protect residents from COVID-carrying visitors — experts predict the toll is high. “I'm smiling under this, I swear,” she said, pointing at her cheetah-print mask. again. to search for ways to make a difference in your community at Once you confirm that subscription, you will regularly “It was just me left … and I cried and cried.”. www.aarp.org/volunteer. In the meantime, please feel free The AARP dashboard shows that Florida had a higher percentage of nursing homes with active cases of COVID-19 positive residents, 47 percent, … Comments: 0, Resident Janice Whitley lines up for her turn to bowl with help from activities aide Suzanne Steele. And as a possible fourth coronavirus surge looms, many worry that the recent liberties granted to nursing homes might be taken away again. by Emily Paulin, AARP, April 27, 2021 Nursing homes are a hotbed for COVID-19 infection. “Oh, I love you, I love you, I love you.”. While the new guidance didn't directly address whether residents should leave a facility, the Manor decided that vaccinations and declining cases were grounds for short, off-premises visits. Use the answers to help you compare facilities. It wasn't until December, when all of the facility's residents and staff had finally been COVID free for two weeks, that the dining room reopened for the first time in nine months, only to be shuttered again three days later when a staff member tested positive. Once you confirm that subscription, you will regularly She hadn't seen them in person in 15 months. The very next day, the Manor announced that each resident would be allowed two 30-minute or one 60-minute indoor visit per week with two guests at a time. And they know how to smile with their eyes above their masks. One of the recent challenges for staff here has been persuading residents to come out of their rooms. One new infection control challenge: staff inoculations. By positioning hundreds of tiny diamond stickers onto different patterns, she created a bunch of mosaic-like prints and bookmarks that she offered to those who helped her out by bringing her perfume and body lotion, or by exchanging her bingo nickels for notes at the bank. But not all residents are embracing the Manor's return to communal life. Sharla Lax, an activities aide at Weston County Manor, sat at the head of the dining room in front of a large television screen that displayed the bingo numbers her laptop was autogenerating. Many families face the same struggle, given that more than a third of nursing home residents have severe cognitive impairment and around another quarter have moderate cognitive impairment, according to a 2015 CMS report. AARP has long fought for the rights of residents in nursing homes and other residential care facilities and to ensure their health, safety, quality of care, and quality of life. Date (s)Visited:_____________. Reimer eventually gave up on conversation and instead played her mother soothing music through her phone for the time they had left. Some may enter for a brief time when they leave the hospital because they need sub-acute care, such as skilled nursing care, medical services, and therapies. The Manor's management team gave residents who were fully vaccinated against COVID-19 permission to leave for a few hours to enjoy an Easter outing with loved ones, without having to quarantine afterward. lonely as a result of all of [the pandemic], CDC data provided to the Center for Public Integrity, COVID outbreak in nursing home traced to unvaccinated worker, Nursing home residents get first hugs in a year, Inside nursing homes: Real stories during coronavirus. And yet the challenges and confusion continue. “The sooner I'm able to be with her, the better.”. For the past year, residents wanting to leave the facility were required to undertake a 14-day quarantine upon return in most circumstances. As of March 15, roughly half of all long-term care workers offered COVID-19 vaccines through a federal program had declined the shots, according to CDC data provided to the Center for Public Integrity. Others, however, need long-term care (LTC). again. According to the AARP, more than 40% of all COVID-related deaths in the state of Missouri were nursing home residents. | Javascript must be enabled to use this site. Resident Frieda Waterson smiles under her mask during a visit with her family. The venture out wasn't worth it. As the president of the residents’ committee, she's already planning the first big outing for Manor residents for when conditions finally allow it. “I miss that,” she said, “being able to do my own thing.”. Increased rates of depression or worsened physical debilities caused by extended isolation during the lockdown are likely driving decreased engagement, said Carla Perissinotto, M.D., associate chief of clinical programs in geriatrics at the University of California San Francisco. The Eldercare Locator can assist in finding the closest Area Agency on Aging (AAA) office and/or the long-term care ombudsmans office. Urge State Lawmakers to Adopt 5-Point Nursing Home Reform Plan What has happened in our nursing homes during the past eleven months is nothing short of a tragedy. AARP Connecticut Applauds Governor Lamont Decision to End Civil Immunity for Nursing Homes AARP Connecticut issued the following comment in response to the February 8, 2021 announcement by Governor Ned Lamont that he will end his Executive Order … WASHINGTON – The latest release of AARP’s Nursing Home COVID-19 Dashboard shows that both cases and deaths in nursing homes fell significantly in the four weeks ending February 14. related to AARP volunteering. "The little ball that started it all — what is it?” she asked. “People in nursing homes are really hurting emotionally— many can’t even see their families,” Johnson said. Nursing homes in the St. Joseph area received a C grade, according to an independent service that ranks care facilities. When outbreaks occurred at homes and infected or exposed staff members were barred from working, it exacerbated staffing shortages. You are leaving AARP.org and going to the website of our trusted provider. Karen Krause (left) and her daughter Tammy Harman (right) embrace after Krause is given permission to leave the Manor for the first time in months. “And we both are vaccinated now, so it'd be nice if we could just have a nice visit without all of this. SHARE. Reman agreed, enthusiastically. Now, despite the new liberties at nursing homes, residents still can't leave the Manor as they please. 09, 2021 PUBLISHED March 9, 2021 @9:51 AM. "Just a small token of my appreciation,” she'd say, as she handed over her masterpiece. You will be asked to register or log in. “And if you don't, well, it might not make it.”. "Be aware of who is lonely as a result of all of [the pandemic] and find out from each person what may help them,” Perissinotto said she tells nursing homes. Attempts to explain why she couldn't only made Krause confused, stressed and sad. AARP has been urging state lawmakers and Gov. To keep seeing each other, Reimer and Voss had to move to one of the facility's visitation booths, which use clear plexiglass dividers to keep residents and visitors separated. Doug Ducey to protect nursing home residents and staff from COVID-19. In mid-September, the CMS — which regulates the nation's 15,000 nursing homes — recognized that “residents may feel socially isolated, leading to increased risk for depression, anxiety, and other expressions of distress,” and revised its guidance to allow for communal activities and visitation under certain conditions. You will be asked to register or log in. She knew that if Krause's daughter were to arrive, COVID-19 restrictions would prevent her from taking her mother off premises. The data comes from information that nursing homes report to the federal Centers for Medicare & Medicaid Services (CMS). She gasped as she looked out the window of the main lobby. Connor Comer shows his great grandmother, Frieda Waterson, a photo of him and his girlfriend. Fill it out as you visit. In the next 24 hours, you will receive an email to confirm your subscription to receive emails “In a lot of ways, we are coming back to ourselves,” said Carol Silver Elliott, the chair of the board for LeadingAge, a national association representing 5,000 nonprofit aging services providers, including Weston County Manor. AARP warned protections would erode rights and give impunity to nursing homes. For many older persons, LTC is pr… Our leaders must act to stem the loss of life and improve conditions in long-term care facilities. 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