Nursing Home COVID Cases Spike to Record High, With Midwest Accounting for Nearly Half

WASHINGTON, D.C. — The American Health Care Association and National Center for Assisted Living (AHCA/NCAL), a Washington, D.C.-based organization representing more than 14,000 nursing homes and assisted living communities across the country, has released a report showing new COVID cases in nursing homes in the U.S. have now reached a record number of weekly new cases.

Recent data released by Johns Hopkins University and the Centers for Medicare & Medicaid Services (CMS) show that with the recent spike in new COVID cases in the general U.S. population, weekly nursing home cases are also on the rise. According to Johns Hopkins, weekly new COVID cases in the general U.S. population rose by 140 percent the week of Nov. 1, and the country now sits at more than 12 million people who have been infected. A correlating uptick in new cases in nursing homes occurred when cases in the surrounding community started rising back in mid-September.

Click here to view larger. Source: AHCA/NCAL

“Our worst fears have come true as COVID runs rampant among the general population, and long-term care facilities are powerless to fully prevent it from entering due to its asymptomatic and pre-symptomatic spread,” says Mark Parkinson, president and CEO of AHCA/NCAL. “Our healthcare heroes are doing everything they can to prevent it from spreading further, but this level of COVID nationwide puts serious strain on our workforce, supplies and testing capacity. If everybody would wear a mask and social distance to reduce the level of COVID in the community, we know we would dramatically reduce these rates in long-term care facilities.”

During the first week of November, nearly half (47 percent) of new COVID cases in nursing homes were from Midwest states with major spikes in community spread in the upper parts of the region. As a result, the Midwest region saw a 200 percent increase in weekly COVID cases in nursing homes since mid-September.

After seven weeks of declining cases in nursing homes through mid-September, nursing home cases began to increase as nearly all 50 states have started to see rising levels of COVID cases. New weekly cases in nursing homes grew by 73 percent nationwide between mid-September and the week of Nov. 1.

The report also showed COVID-related deaths in nursing homes have risen slightly. Nursing home residents are typically older adults with multiple chronic conditions, making them most vulnerable to COVID-19. Residents of long-term care facilities account for only 8 percent of the nation’s cases, yet 40 percent of its deaths. While mortality rates have decreased compared to the spring due to a better understanding of the virus, better treatments and government resources to help reduce spread, industry leaders remain deeply concerned that the rising number of new COVID cases in facilities will ultimately lead to an increasing number of deaths.

“We are especially concerned that this situation will only get worse with Thanksgiving just around the corner,” says Parkinson. “The public must realize that their actions not only endanger our nation’s most vulnerable, but also trigger government lockdowns of facilities, keeping these residents from their loved ones. This is detrimental to their health, well-being and happiness. We urge everyone to do their part to slow the spread immediately and exercise caution when celebrating Thanksgiving.”

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