A report from the American Health Care Association and National Center for Assisted Living (AHCA/NCAL) reveals new COVID-19 cases are increasing in US nursing homes due to the community spread among the general population.
Recent data released by Johns Hopkins University and the Centers for Medicare & Medicaid Services (CMS) show that with the recent spike in new COVID-19 cases in the general US population, weekly nursing home cases are also on the rise. According to Johns Hopkins University, weekly new COVID-19 cases in the general US population rose by 61% to 391,527 new cases the week of October 18. A correlating uptick in new cases in nursing homes occurred when cases in the surrounding community started rising back in mid-September.
As experts have repeatedly noted, COVID-19 cases in a surrounding community is a top factor in outbreaks in nursing homes. Dr. David Grabowski, professor of Healthcare Policy, Harvard Medical School recently stated, “The strongest predictor of whether or not we’ll see cases in [a particular setting] is community spread.”
“As we feared, the sheer volume of rising cases in communities across the US, combined with the asymptomatic and pre-symptomatic spread of this virus, has unfortunately led to an increase in new COVID cases in nursing homes.” stated Mark Parkinson, President and CEO of AHCA/NCAL. “It is incredibly frustrating as we had made tremendous progress to reduce COVID rates in nursing homes after the spike this summer in Sun Belt states. 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 week of October 18th, 41% 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 120 percent increase in weekly COVID cases in nursing homes since mid-September.
After seven weeks for declining cases in nursing homes through mid-September, nursing home cases began to increase as more than 35 states started to see rising level of COVID cases. New weekly cases in nursing homes grew by 44% nationwide between mid-September and the week of October 18.
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 eight percent of the nation’s cases, yet 40% 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.