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Fiore has received two awards for his work in new media from the National Cartoonists Society (2001, 2002), and in 2006 received The James Madison Freedom of Information Award from The Society of Professional Journalists.","avatar":"https://secure.gravatar.com/avatar/fc4e2a612b15b67bad0c6f0e1db4ca9b?s=600&d=blank&r=g","twitter":"MarkFiore","facebook":null,"instagram":"https://www.instagram.com/markfiore/?hl=en","linkedin":null,"sites":[{"site":"arts","roles":["contributor"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["editor"]},{"site":"science","roles":["editor"]}],"headData":{"title":"Mark Fiore | KQED","description":"KQED News Cartoonist","ogImgSrc":"https://secure.gravatar.com/avatar/fc4e2a612b15b67bad0c6f0e1db4ca9b?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/fc4e2a612b15b67bad0c6f0e1db4ca9b?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/markfiore"},"dkatayama":{"type":"authors","id":"7240","meta":{"index":"authors_1591205172","id":"7240","found":true},"name":"Devin Katayama","firstName":"Devin","lastName":"Katayama","slug":"dkatayama","email":"dkatayama@kqed.org","display_author_email":true,"staff_mastheads":["news"],"title":"Editor of Talent and Development","bio":"Devin Katayama is former Editor of Talent and Development for KQED. He supported our internship program and on-call staff by looking for equitable opportunities to improve the newsroom.\r\n\r\nHe previously hosted The Bay and American Suburb podcasts from KQED News. Prior to returning to the Bay Area in 2015, Devin was the education reporter for WFPL in Louisville and worked as a producer with radio stations in Chicago and Portland, OR. His work has appeared on NPR’s \u003cem>Morning Edition, All Things Considered, The Takeaway\u003c/em> and \u003cem>Here and Now.\u003c/em>\r\n\r\nDevin earned his MA in Journalism from Columbia College Chicago, where he was a Follett Fellow and the recipient of the 2011 Studs Terkel Community Media Workshop Scholarship for his story on Chicago's homeless youth. He won WBUR's 2014 Daniel Schorr award and a regional RTNDA Edward R. Murrow Award for his documentary \"At Risk\" that looked at issues facing some of Louisville's students. Devin has also received numerous local awards from the Associated Press and the Society of Professional Journalists.","avatar":"https://secure.gravatar.com/avatar/d0d2978a31002fb2de107921a8e18405?s=600&d=blank&r=g","twitter":"RadioDevin","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["editor"]},{"site":"news","roles":["author"]},{"site":"stateofhealth","roles":["author"]},{"site":"forum","roles":["editor"]},{"site":"perspectives","roles":["editor"]}],"headData":{"title":"Devin Katayama | KQED","description":"Editor of Talent and Development","ogImgSrc":"https://secure.gravatar.com/avatar/d0d2978a31002fb2de107921a8e18405?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/d0d2978a31002fb2de107921a8e18405?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/dkatayama"},"ecruzguevarra":{"type":"authors","id":"8654","meta":{"index":"authors_1591205172","id":"8654","found":true},"name":"Ericka Cruz Guevarra","firstName":"Ericka","lastName":"Cruz Guevarra","slug":"ecruzguevarra","email":"ecruzguevarra@kqed.org","display_author_email":true,"staff_mastheads":["news"],"title":"Producer, The Bay Podcast","bio":"Ericka Cruz Guevarra is host of \u003ca href=\"https://www.kqed.org/podcasts/thebay\">\u003cem>The Bay\u003c/em>\u003c/a> podcast at KQED. Before host, she was the show’s producer. Her work in that capacity includes a three-part reported series on policing in Vallejo, which won a 2020 excellence in journalism award from the Society of Professional Journalists. Ericka has worked as a breaking news reporter at Oregon Public Broadcasting, helped produce the Code Switch podcast, and was KQED’s inaugural Raul Ramirez Diversity Fund intern. She’s also an alumna of NPR’s Next Generation Radio program. Send her an email if you have strong feelings about whether Fairfield and Suisun City are the Bay.","avatar":"https://secure.gravatar.com/avatar/25e5ab8d3d53fad2dcc7bb2b5c506b1a?s=600&d=blank&r=g","twitter":"NotoriousECG","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["subscriber"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["subscriber"]},{"site":"stateofhealth","roles":["subscriber"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["subscriber"]}],"headData":{"title":"Ericka Cruz Guevarra | KQED","description":"Producer, The Bay Podcast","ogImgSrc":"https://secure.gravatar.com/avatar/25e5ab8d3d53fad2dcc7bb2b5c506b1a?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/25e5ab8d3d53fad2dcc7bb2b5c506b1a?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/ecruzguevarra"},"mpeterson":{"type":"authors","id":"11223","meta":{"index":"authors_1591205172","id":"11223","found":true},"name":"Molly Peterson","firstName":"Molly","lastName":"Peterson","slug":"mpeterson","email":"mpeterson@kqed.org","display_author_email":false,"staff_mastheads":[],"title":null,"bio":"Molly Peterson reports for KQED science and news on climate change, catastrophe and risk. Previously she was environment correspondent at Southern California Public Radio. Her work has also appeared at The New York Times, The Guardian, on NPR, at High Country News, on Code Switch, and other national outlets. She has been honored with awards from Public Radio News Directors Incorporated, Investigative Reporters and Editors, the Society for Professional Journalists, the Los Angeles Press Club, and RTNDA Edward R. Murrow awards, among others.","avatar":"https://secure.gravatar.com/avatar/7908e2807131f776cc8165c649530b05?s=600&d=blank&r=g","twitter":"Mollydacious","facebook":null,"instagram":"https://www.instagram.com/radiomolly/","linkedin":null,"sites":[{"site":"news","roles":["subscriber"]},{"site":"futureofyou","roles":["editor"]},{"site":"science","roles":["editor"]}],"headData":{"title":"Molly Peterson | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/7908e2807131f776cc8165c649530b05?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/7908e2807131f776cc8165c649530b05?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/mpeterson"},"amontecillo":{"type":"authors","id":"11649","meta":{"index":"authors_1591205172","id":"11649","found":true},"name":"Alan Montecillo","firstName":"Alan","lastName":"Montecillo","slug":"amontecillo","email":"amontecillo@kqed.org","display_author_email":false,"staff_mastheads":["news"],"title":"KQED Contributor","bio":"Alan Montecillo is editor of \u003cem>\u003ca href=\"http://kqed.org/thebay\">The Bay\u003c/a>, \u003c/em>a local news and storytelling podcast from KQED. He's worked as a senior talk show producer for WILL in Champaign-Urbana, Illinois, and was the founding producer and editor of \u003cem>Racist Sandwich\u003c/em>, a podcast about food, race, class, and gender. He is a Filipino-American from Hong Kong and a graduate of Reed College in Portland, Oregon.","avatar":"https://secure.gravatar.com/avatar/d5e4e7a76481969ccba76f4e2b5ccabc?s=600&d=blank&r=g","twitter":"alanmontecillo","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"","roles":["editor"]},{"site":"news","roles":["editor"]}],"headData":{"title":"Alan Montecillo | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/d5e4e7a76481969ccba76f4e2b5ccabc?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/d5e4e7a76481969ccba76f4e2b5ccabc?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/amontecillo"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"news","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11902542":{"type":"posts","id":"news_11902542","meta":{"index":"posts_1591205157","site":"news","id":"11902542","score":null,"sort":[1643119202000]},"guestAuthors":[],"slug":"covid-positive-employees-at-some-california-nursing-homes-continue-to-work-amid-critical-staffing-shortages","title":"COVID-Positive Employees at Some California Nursing Homes Continue to Work Amid Critical Staffing Shortages","publishDate":1643119202,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>Four days after Celine started working as a nursing assistant in the COVID-19 unit at a Placerville nursing home, she tested positive for the virus. She was fatigued and weak and had a dry cough — but she kept working. She said she has worked 13 days in the last two weeks, frequently taking care of more than a dozen patients at a time or working a double shift when asked.\u003c/p>\n\u003cp>“I’d have to sit down at least 10 minutes because I just get tired, and I’m still tired honestly,” said Celine, who works at the Pines at Placerville Healthcare Center, and asked not to be fully identified because she fears losing her job.\u003c/p>\n\u003cp>Severe worker shortages — worsened by the omicron surge — have forced some of California’s long-term care facilities to rely on COVID-positive staff for patient care. \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/SNFsCOVID_19.aspx\">According to state data\u003c/a>, 11,500 long-term care center workers, or roughly 8% of the workforce, are now infected with COVID. That's 48 times as many as were infected at the beginning of December, \u003ca href=\"https://calmatters.org/health/coronavirus/2021/12/first-us-omicron-infection-san-francisco/\">when omicron emerged\u003c/a>, even though 93% of them are fully vaccinated.[pullquote align=\"right\" size=\"medium\" citation=\"Claire Enright, workforce specialist, California Association of Health Facilities\"]'I've been a nurse in long-term care for over 25 years, and there's never been a time where we haven't had a 'help wanted' sign out in some form.'[/pullquote]The California Department of Public Health earlier this month quietly issued controversial \u003ca href=\"https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/AFL-21-08.aspx\">emergency guidelines\u003c/a> allowing infected health care employees with no symptoms to continue working. And at facilities with the most severe staffing shortages, symptomatic staff are allowed to work with COVID patients.\u003c/p>\n\u003cp>Since the latest omicron-fueled surge, Celine said she’s actually worked more overtime and cared for more patients than usual, despite having the virus.\u003c/p>\n\u003cp>“There really wasn’t a lot of staff at the beginning to work the COVID unit, so that’s why I continue to work,” she said. “It’s really hard to get staff in the building because a lot of people are afraid. If [workers] did not feel well enough, they didn’t force anybody to work.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So many workers are sick that the company installed a portable toilet in the parking lot for them to use away from the nursing home residents. Water pumped in for handwashing freezes at night, and some colleagues go home or to a nearby McDonald's to use the restroom, she said.\u003c/p>\n\u003cp>The Pines at Placerville did not respond to multiple requests for comment.\u003c/p>\n\u003cp>At the Grant Cuesta Sub-Acute and Rehabilitation Center in Mountain View, a certified nursing assistant, who also did not want to be identified to protect her job, said she was asked to return to work five days after contracting COVID-19. State and federal health guidelines have sanctioned five-day quarantines or shorter at facilities with critical staffing shortages, but her lingering cough and body aches convinced her to refuse.\u003c/p>\n\u003cp>Now, three weeks later, she is back at work, surrounded by colleagues who tell her they too are COVID-19-positive, she said.\u003c/p>\n\u003cp>“It’s been like one co-worker after another, after another, everyone getting sick,” she said.\u003c/p>\n\u003cp>Nine residents also have the virus, and the facility has set up an isolation ward.\u003c/p>\n\u003cp>“No matter how much you protect yourself, we’re still eating in the same dining room,” she said, noting that workers who test positive are required to wear N95 masks. “You know, we’re still sharing the same restroom. So what’s the whole point? It’s almost like they don’t care about us getting sick.”\u003c/p>\n\u003cp>Grant Cuesta also did not respond to multiple requests for comment.\u003c/p>\n\u003cp>California’s \u003ca href=\"https://www.cahf.org/About/Consumer-Help/Facts-and-Statistics\">1,200 residential care and skilled nursing facilities\u003c/a>, home to more than 400,000 people, have been the \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/when-will-nursing-homes-reopen-to-visitors-state-officials-wont-say/\">epicenter of COVID-19 outbreaks\u003c/a> since the beginning of the pandemic.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://flo.uri.sh/visualisation/8490678/embed#?secret=bun2dGyF2l\" width=\"800\" height=\"500\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>While vaccination and testing requirements have helped bring those numbers down, the omicron surge is now hampering facilities’ ability to prevent the spread of the virus among residents, who are often elderly and medically vulnerable.\u003c/p>\n\u003cp>“For me, I think this wave was a shocker only because it swept through boosted and vaccinated people,” said Christina Lockyer-White, a certified nursing assistant at Kingston Healthcare Center in Bakersfield.\u003c/p>\n\u003cp>Staff members there are required to wear full protective equipment including face shields, gowns, gloves and N95 masks throughout the facility, but several have tested positive regardless, Lockyer-White said.\u003c/p>\n\u003cp>“We didn’t think we’d be in this position, and here we are,” Lockyer-White said. “It’s like reliving a nightmare.”\u003c/p>\n\u003ch3>'Help wanted': Long-term shortage of workers\u003c/h3>\n\u003cp>Workplace shortages have plagued nursing homes and memory-care and assisted-living centers for years, driven by an aging population, stagnant wages and dwindling training programs.\u003c/p>\n\u003cp>“I’ve been a nurse in long-term care for over 25 years, and there’s never been a time where we haven’t had a ‘help wanted’ sign out in some form,” said Claire Enright, workforce specialist at the California Association of Health Facilities, which represents skilled nursing facilities.\u003c/p>\n\u003cp>“Five to six years ago, there were over 600 training programs for [certified nursing assistants] in the state. We’re down to around 300,” she said.\u003c/p>\n\u003cp>[aside label=\"Related Coverage\" tag=\"nursing-homes\"]Skilled nursing facilities provide 24-hour medical care for sick residents who require constant monitoring or rehabilitation. Other long-term care facilities, such as assisted-living and memory-care centers, as well as some retirement homes, are for residents who need help with some daily activities.\u003c/p>\n\u003cp>Even before the pandemic, most long-term care facilities struggled to hire enough staff, like certified nursing assistants and registered nurses, who often work very demanding jobs for minimal pay. But the last two years have stretched many of these facilities to their breaking points. Nationwide, hundreds of thousands of long-term care workers have left their jobs, more than in any other health care sector, according to the American Health Care Association/National Center for Assisted Living.\u003c/p>\n\u003cp>Staff shortages also are directly affecting capacity at these facilities. Before the pandemic, most nursing homes in California operated at about 88% capacity. Now that’s down to 70% to 75%, Enright said.\u003c/p>\n\u003cp>Enright said the association has heard of some long-term care facilities relying on COVID-19-positive employees during this surge, but she said there’s no way of telling how many of them are actually caring for patients.\u003c/p>\n\u003ch3>\u003cstrong>Staff shortages vs. sick workers\u003c/strong>\u003c/h3>\n\u003cp>Omicron has been a nightmare for families of residents, too.\u003c/p>\n\u003cp>Two weeks ago, Miriam Raftery’s 91-year-old mother, Mary, contracted COVID-19 in her La Mesa memory-care facility. She’s now in an isolation room by herself, and Raftery said she isn’t allowed to visit her.\u003c/p>\n\u003cp>“It is scary. They say dry cough, but who knows. At 91, she’s very frail. It’s frightening,” Raftery said.\u003c/p>\n\u003cfigure id=\"attachment_11902549\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/012122-Nursing-Home-Worker-Shortage-COVID-CM-01-e1643068091709.jpeg\">\u003cimg class=\"size-full wp-image-11902549\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/012122-Nursing-Home-Worker-Shortage-COVID-CM-01-e1643068091709.jpeg\" alt=\"An elderly with glasses and a purple sweater sits at a table.\" width=\"400\" height=\"533\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Miriam Raftery’s 91-year-old mother, Mary, lives in a long-term memory-care facility near San Diego and contracted COVID-19 in mid-January during the height of the omicron surge. \u003ccite>(Courtesy of Miriam Raftery)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>What frightens Raftery even more, however, is Mary being left alone in isolation. During last winter’s surge, most long-term care facilities implemented strict lockdown measures.\u003c/p>\n\u003cp>“When she was in that first place, she would just cry. They’d let me have window visits. She couldn’t really hear me very well, but she would just cry and plead with me to take her home. She didn’t understand what was happening,” Raftery said.\u003c/p>\n\u003cp>Now, with her mom confined to an isolation room, Raftery is concerned she will get depressed again or, worse, injure herself.\u003c/p>\n\u003cp>Mary has dementia and is considered a high-fall risk — she forgets that she can’t walk unassisted, Raftery said, who grew so concerned about her falling that she hired a private caregiver to sit with her for eight hours a day.\u003c/p>\n\u003cp>“I felt like I had no choice,” Raftery said. “It’s costing me $5,500 to do this for her, but given her history of serious falls and winding up in hospital multiple times from falling out of bed at these other places, you know, when she was left unattended during the day.”\u003c/p>\n\u003cp>Raftery said Mary already has experienced the consequences of understaffed facilities. She’s been in four homes in the San Diego area since February, moving each time Raftery discovered possible signs of neglect. When Raftery questioned those facilities about why no one was monitoring her mother, she said she was told there wasn’t enough staff to do so.\u003c/p>\n\u003cp>“The facilities she’s been in, they were all losing people because certain people didn’t want to get vaccinated or they were just fed up,” Raftery said.\u003c/p>\n\u003cp>Families and advocates say staffing shortages caused by the omicron wave are a catch-22: Sick workers risk spreading the disease to elderly and vulnerable residents, but understaffing leads to neglect and inadequate care.\u003c/p>\n\u003cp>“I get why [the state health department] has opened the doors to asymptomatic workers, but it’s still highly transmissible, whether we’re asymptomatic or not, whether we’re vaccinated or not, right? So it’s a scary proposition,” said Maitely Weismann, co-founder of the Essential Caregivers Coalition.[pullquote align=\"right\" size=\"medium\" citation=\"Angela Trivonovich, daughter of nursing home resident\"]'If people feel good and they come in positive, I don't know if that's going to spread it any more than it does already. And I think the residents need all the care they can get. They're desperate.'[/pullquote]Weismann’s 79-year-old mother, Celia, lives in a Los Angeles-area assisted-living facility, where there was an outbreak last year — which she narrowly avoided because of an unrelated hospital stay. Now she’s worried her mom will catch COVID this time around.\u003c/p>\n\u003cp>Even though her mother is vaccinated and boosted, Weismann said she hears about people with similar conditions and disabilities dying from the disease.\u003c/p>\n\u003cp>The state health department has come under fire for insufficient oversight of nursing homes, with some families alleging their loved ones died of COVID-19 after sick staff were forced to work.\u003c/p>\n\u003cp>But for some, having reliable, COVID-positive staff available to care for their relatives is better than no one at all.\u003c/p>\n\u003cp>“Personally, if someone’s positive and comes in, I’m OK with that because I would rather my mom have the care that she needs than have her be neglected,” said San Diego resident Angela Trivonovich. “I’ve seen the results of neglect and not a lot of care in a nursing home. I would rather her not get severe diaper rash. I’d rather her not get a bed sore.”\u003c/p>\n\u003cp>Trivonovich said she was just notified that 22 workers have tested positive in the last two weeks at the facility where her 84-year-old mother lives.\u003c/p>\n\u003cp>“If people feel good and they come in positive, I don’t know if that’s going to spread it any more than it does already. And I think the residents need all the care they can get,” she said. “They’re desperate.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>CalMatters reporter Alejandro Lazo contributed to this report.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"About 11,500 long-term care center workers in California are now sick with COVID, and a significant number are continuing to work.","status":"publish","parent":0,"modified":1643217000,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://flo.uri.sh/visualisation/8490678/embed#"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":47,"wordCount":1994},"headData":{"title":"COVID-Positive Employees at Some California Nursing Homes Continue to Work Amid Critical Staffing Shortages | KQED","description":"About 11,500 long-term care center workers in California are now sick with COVID, and a significant number are continuing to work.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11902542 https://ww2.kqed.org/news/?p=11902542","disqusUrl":"https://ww2.kqed.org/news/2022/01/25/covid-positive-employees-at-some-california-nursing-homes-continue-to-work-amid-critical-staffing-shortages/","disqusTitle":"COVID-Positive Employees at Some California Nursing Homes Continue to Work Amid Critical Staffing Shortages","source":"CalMatters","sourceUrl":"https://calmatters.org/","nprByline":"\u003ca href=\"https://calmatters.org/author/kristen-hwang/\">Kristen Hwang\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","path":"/news/11902542/covid-positive-employees-at-some-california-nursing-homes-continue-to-work-amid-critical-staffing-shortages","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Four days after Celine started working as a nursing assistant in the COVID-19 unit at a Placerville nursing home, she tested positive for the virus. She was fatigued and weak and had a dry cough — but she kept working. She said she has worked 13 days in the last two weeks, frequently taking care of more than a dozen patients at a time or working a double shift when asked.\u003c/p>\n\u003cp>“I’d have to sit down at least 10 minutes because I just get tired, and I’m still tired honestly,” said Celine, who works at the Pines at Placerville Healthcare Center, and asked not to be fully identified because she fears losing her job.\u003c/p>\n\u003cp>Severe worker shortages — worsened by the omicron surge — have forced some of California’s long-term care facilities to rely on COVID-positive staff for patient care. \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/SNFsCOVID_19.aspx\">According to state data\u003c/a>, 11,500 long-term care center workers, or roughly 8% of the workforce, are now infected with COVID. That's 48 times as many as were infected at the beginning of December, \u003ca href=\"https://calmatters.org/health/coronavirus/2021/12/first-us-omicron-infection-san-francisco/\">when omicron emerged\u003c/a>, even though 93% of them are fully vaccinated.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'I've been a nurse in long-term care for over 25 years, and there's never been a time where we haven't had a 'help wanted' sign out in some form.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Claire Enright, workforce specialist, California Association of Health Facilities","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The California Department of Public Health earlier this month quietly issued controversial \u003ca href=\"https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/AFL-21-08.aspx\">emergency guidelines\u003c/a> allowing infected health care employees with no symptoms to continue working. And at facilities with the most severe staffing shortages, symptomatic staff are allowed to work with COVID patients.\u003c/p>\n\u003cp>Since the latest omicron-fueled surge, Celine said she’s actually worked more overtime and cared for more patients than usual, despite having the virus.\u003c/p>\n\u003cp>“There really wasn’t a lot of staff at the beginning to work the COVID unit, so that’s why I continue to work,” she said. “It’s really hard to get staff in the building because a lot of people are afraid. If [workers] did not feel well enough, they didn’t force anybody to work.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So many workers are sick that the company installed a portable toilet in the parking lot for them to use away from the nursing home residents. Water pumped in for handwashing freezes at night, and some colleagues go home or to a nearby McDonald's to use the restroom, she said.\u003c/p>\n\u003cp>The Pines at Placerville did not respond to multiple requests for comment.\u003c/p>\n\u003cp>At the Grant Cuesta Sub-Acute and Rehabilitation Center in Mountain View, a certified nursing assistant, who also did not want to be identified to protect her job, said she was asked to return to work five days after contracting COVID-19. State and federal health guidelines have sanctioned five-day quarantines or shorter at facilities with critical staffing shortages, but her lingering cough and body aches convinced her to refuse.\u003c/p>\n\u003cp>Now, three weeks later, she is back at work, surrounded by colleagues who tell her they too are COVID-19-positive, she said.\u003c/p>\n\u003cp>“It’s been like one co-worker after another, after another, everyone getting sick,” she said.\u003c/p>\n\u003cp>Nine residents also have the virus, and the facility has set up an isolation ward.\u003c/p>\n\u003cp>“No matter how much you protect yourself, we’re still eating in the same dining room,” she said, noting that workers who test positive are required to wear N95 masks. “You know, we’re still sharing the same restroom. So what’s the whole point? It’s almost like they don’t care about us getting sick.”\u003c/p>\n\u003cp>Grant Cuesta also did not respond to multiple requests for comment.\u003c/p>\n\u003cp>California’s \u003ca href=\"https://www.cahf.org/About/Consumer-Help/Facts-and-Statistics\">1,200 residential care and skilled nursing facilities\u003c/a>, home to more than 400,000 people, have been the \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/when-will-nursing-homes-reopen-to-visitors-state-officials-wont-say/\">epicenter of COVID-19 outbreaks\u003c/a> since the beginning of the pandemic.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://flo.uri.sh/visualisation/8490678/embed#?secret=bun2dGyF2l\" width=\"800\" height=\"500\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>While vaccination and testing requirements have helped bring those numbers down, the omicron surge is now hampering facilities’ ability to prevent the spread of the virus among residents, who are often elderly and medically vulnerable.\u003c/p>\n\u003cp>“For me, I think this wave was a shocker only because it swept through boosted and vaccinated people,” said Christina Lockyer-White, a certified nursing assistant at Kingston Healthcare Center in Bakersfield.\u003c/p>\n\u003cp>Staff members there are required to wear full protective equipment including face shields, gowns, gloves and N95 masks throughout the facility, but several have tested positive regardless, Lockyer-White said.\u003c/p>\n\u003cp>“We didn’t think we’d be in this position, and here we are,” Lockyer-White said. “It’s like reliving a nightmare.”\u003c/p>\n\u003ch3>'Help wanted': Long-term shortage of workers\u003c/h3>\n\u003cp>Workplace shortages have plagued nursing homes and memory-care and assisted-living centers for years, driven by an aging population, stagnant wages and dwindling training programs.\u003c/p>\n\u003cp>“I’ve been a nurse in long-term care for over 25 years, and there’s never been a time where we haven’t had a ‘help wanted’ sign out in some form,” said Claire Enright, workforce specialist at the California Association of Health Facilities, which represents skilled nursing facilities.\u003c/p>\n\u003cp>“Five to six years ago, there were over 600 training programs for [certified nursing assistants] in the state. We’re down to around 300,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Coverage ","tag":"nursing-homes"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Skilled nursing facilities provide 24-hour medical care for sick residents who require constant monitoring or rehabilitation. Other long-term care facilities, such as assisted-living and memory-care centers, as well as some retirement homes, are for residents who need help with some daily activities.\u003c/p>\n\u003cp>Even before the pandemic, most long-term care facilities struggled to hire enough staff, like certified nursing assistants and registered nurses, who often work very demanding jobs for minimal pay. But the last two years have stretched many of these facilities to their breaking points. Nationwide, hundreds of thousands of long-term care workers have left their jobs, more than in any other health care sector, according to the American Health Care Association/National Center for Assisted Living.\u003c/p>\n\u003cp>Staff shortages also are directly affecting capacity at these facilities. Before the pandemic, most nursing homes in California operated at about 88% capacity. Now that’s down to 70% to 75%, Enright said.\u003c/p>\n\u003cp>Enright said the association has heard of some long-term care facilities relying on COVID-19-positive employees during this surge, but she said there’s no way of telling how many of them are actually caring for patients.\u003c/p>\n\u003ch3>\u003cstrong>Staff shortages vs. sick workers\u003c/strong>\u003c/h3>\n\u003cp>Omicron has been a nightmare for families of residents, too.\u003c/p>\n\u003cp>Two weeks ago, Miriam Raftery’s 91-year-old mother, Mary, contracted COVID-19 in her La Mesa memory-care facility. She’s now in an isolation room by herself, and Raftery said she isn’t allowed to visit her.\u003c/p>\n\u003cp>“It is scary. They say dry cough, but who knows. At 91, she’s very frail. It’s frightening,” Raftery said.\u003c/p>\n\u003cfigure id=\"attachment_11902549\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/012122-Nursing-Home-Worker-Shortage-COVID-CM-01-e1643068091709.jpeg\">\u003cimg class=\"size-full wp-image-11902549\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/012122-Nursing-Home-Worker-Shortage-COVID-CM-01-e1643068091709.jpeg\" alt=\"An elderly with glasses and a purple sweater sits at a table.\" width=\"400\" height=\"533\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Miriam Raftery’s 91-year-old mother, Mary, lives in a long-term memory-care facility near San Diego and contracted COVID-19 in mid-January during the height of the omicron surge. \u003ccite>(Courtesy of Miriam Raftery)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>What frightens Raftery even more, however, is Mary being left alone in isolation. During last winter’s surge, most long-term care facilities implemented strict lockdown measures.\u003c/p>\n\u003cp>“When she was in that first place, she would just cry. They’d let me have window visits. She couldn’t really hear me very well, but she would just cry and plead with me to take her home. She didn’t understand what was happening,” Raftery said.\u003c/p>\n\u003cp>Now, with her mom confined to an isolation room, Raftery is concerned she will get depressed again or, worse, injure herself.\u003c/p>\n\u003cp>Mary has dementia and is considered a high-fall risk — she forgets that she can’t walk unassisted, Raftery said, who grew so concerned about her falling that she hired a private caregiver to sit with her for eight hours a day.\u003c/p>\n\u003cp>“I felt like I had no choice,” Raftery said. “It’s costing me $5,500 to do this for her, but given her history of serious falls and winding up in hospital multiple times from falling out of bed at these other places, you know, when she was left unattended during the day.”\u003c/p>\n\u003cp>Raftery said Mary already has experienced the consequences of understaffed facilities. She’s been in four homes in the San Diego area since February, moving each time Raftery discovered possible signs of neglect. When Raftery questioned those facilities about why no one was monitoring her mother, she said she was told there wasn’t enough staff to do so.\u003c/p>\n\u003cp>“The facilities she’s been in, they were all losing people because certain people didn’t want to get vaccinated or they were just fed up,” Raftery said.\u003c/p>\n\u003cp>Families and advocates say staffing shortages caused by the omicron wave are a catch-22: Sick workers risk spreading the disease to elderly and vulnerable residents, but understaffing leads to neglect and inadequate care.\u003c/p>\n\u003cp>“I get why [the state health department] has opened the doors to asymptomatic workers, but it’s still highly transmissible, whether we’re asymptomatic or not, whether we’re vaccinated or not, right? So it’s a scary proposition,” said Maitely Weismann, co-founder of the Essential Caregivers Coalition.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'If people feel good and they come in positive, I don't know if that's going to spread it any more than it does already. And I think the residents need all the care they can get. They're desperate.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Angela Trivonovich, daughter of nursing home resident","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Weismann’s 79-year-old mother, Celia, lives in a Los Angeles-area assisted-living facility, where there was an outbreak last year — which she narrowly avoided because of an unrelated hospital stay. Now she’s worried her mom will catch COVID this time around.\u003c/p>\n\u003cp>Even though her mother is vaccinated and boosted, Weismann said she hears about people with similar conditions and disabilities dying from the disease.\u003c/p>\n\u003cp>The state health department has come under fire for insufficient oversight of nursing homes, with some families alleging their loved ones died of COVID-19 after sick staff were forced to work.\u003c/p>\n\u003cp>But for some, having reliable, COVID-positive staff available to care for their relatives is better than no one at all.\u003c/p>\n\u003cp>“Personally, if someone’s positive and comes in, I’m OK with that because I would rather my mom have the care that she needs than have her be neglected,” said San Diego resident Angela Trivonovich. “I’ve seen the results of neglect and not a lot of care in a nursing home. I would rather her not get severe diaper rash. I’d rather her not get a bed sore.”\u003c/p>\n\u003cp>Trivonovich said she was just notified that 22 workers have tested positive in the last two weeks at the facility where her 84-year-old mother lives.\u003c/p>\n\u003cp>“If people feel good and they come in positive, I don’t know if that’s going to spread it any more than it does already. And I think the residents need all the care they can get,” she said. “They’re desperate.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>CalMatters reporter Alejandro Lazo contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11902542/covid-positive-employees-at-some-california-nursing-homes-continue-to-work-amid-critical-staffing-shortages","authors":["byline_news_11902542"],"categories":["news_457","news_8"],"tags":["news_27350","news_27504","news_27626","news_2813","news_30305"],"featImg":"news_11902545","label":"source_news_11902542"},"news_11881770":{"type":"posts","id":"news_11881770","meta":{"index":"posts_1591205157","site":"news","id":"11881770","score":null,"sort":[1626812557000]},"guestAuthors":[],"slug":"california-court-rules-nursing-home-employees-can-deadname-transgender-seniors","title":"California Court Rules Nursing Home Employees Can Deadname Transgender Seniors","publishDate":1626812557,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>LGBTQ rights advocates said Monday that they will seek to challenge an appeals court decision tossing out part of a California law designed to protect older LGBTQ residents in nursing homes.\u003c/p>\n\u003cp>The \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB219\">2017 law\u003c/a> is intended to protect against discrimination or mistreatment based on residents' sexual orientation or gender identity.\u003c/p>\n\u003cp>The Third District Court of Appeal overturned the part of the law barring employees of long-term care facilities from willfully and repeatedly using anything other than residents' preferred names and pronouns. \u003c/p>\n\u003cp>In other words, it was illegal for employees to intentionally misgender trans residents by using the names and pronouns they were assigned at birth, a practice known as deadnaming.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"State Sen. Scott Wiener, D-San Francisco\"]'Deliberately misgendering a transgender person isn’t just a matter of opinion ... Rather, it’s straight up harassment. And, it erases an individual’s fundamental humanity.'[/pullquote]The ban on deadnaming violates employees' rights to free speech, the court ruled Friday.\u003c/p>\n\u003cp>\"The law compels long-term care facility staff to alter the message they would prefer to convey,\" the court reasoned, adding that the ban \"burdens speech more than is required\" to reach the state's objective of eliminating discrimination, including harassment on the basis of sex.\u003c/p>\n\u003cp>Referring to residents other than by their preferred gender \"may be disrespectful, discourteous, and insulting,\" Associate Justice Elena Duarte wrote on behalf of the three-judge panel. But it can also be a way \"to express an ideological disagreement with another person's expressed gender identity.\" \u003c/p>\n\u003cp>\"The pronoun provision at issue here tests the limits of the government's authority to restrict pure speech that, while potentially offensive or harassing to the listener, does not necessarily create a hostile environment,\" she wrote, adding italics to \"potentially\" and \"necessarily.\" \u003c/p>\n\u003cp>State Sen. Scott Wiener, D-San Francisco, who carried the law, said deliberately deadnaming someone is actually an act of erasing that person's humanity. \u003c/p>\n\u003cp>“The Court’s decision is disconnected from the reality facing transgender people,\" Wiener said in a statement. \"Deliberately misgendering a transgender person isn’t just a matter of opinion, and it’s not simply ‘disrespectful, discourteous, or insulting.’ Rather, it’s straight up harassment. And, it erases an individual’s fundamental humanity, particularly one as vulnerable as a trans senior in a nursing home.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Rick Chavez Zbur, executive director of Equality California, which bills itself as the nation's largest statewide LGBTQ+ civil rights organization, said using the wrong name and pronoun is \"a hateful act that denies someone their dignity and truth\" and can cause depression and even suicides.\u003c/p>\n\u003cp>Both said they will fight the ruling, without being specific on what that would mean. \u003c/p>\n\u003cp>That is a decision for the state attorney general's office, which defended the law in court, said Equality California spokesman Joshua Stickney.\u003c/p>\n\u003cp>[aside label='Related Coverage' tag='transgender']The attorney general's office said it is reviewing the decision and considering its next steps.\u003c/p>\n\u003cp>The appeals court upheld a second challenged portion of the law prohibiting facilities or employees from assigning rooms based on anything other than a transgender resident's gender identity. A Sacramento County judge had previously thrown out both parts of the lawsuit.\u003c/p>\n\u003cp>The law was challenged by Taking Offense, described in the decision as an \"unincorporated association which includes at least one California citizen and taxpayer who has paid taxes to the state within the last year.\" \u003c/p>\n\u003cp>The plaintiff's attorney, David Llewellyn Jr., did not respond to telephone and email messages.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from The Associated Press's Don Thompson and KQED's David Marks.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"The court overturned a ban on nursing home employees willfully using anything other than residents' preferred names and pronouns. The decision is 'disconnected from the reality facing transgender people,' said state Sen. Scott Wiener, D-San Francisco.","status":"publish","parent":0,"modified":1626819016,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":615},"headData":{"title":"California Court Rules Nursing Home Employees Can Deadname Transgender Seniors | KQED","description":"The court overturned a ban on nursing home employees willfully using anything other than residents' preferred names and pronouns. The decision is 'disconnected from the reality facing transgender people,' said state Sen. Scott Wiener, D-San Francisco.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11881770 https://ww2.kqed.org/news/?p=11881770","disqusUrl":"https://ww2.kqed.org/news/2021/07/20/california-court-rules-nursing-home-employees-can-deadname-transgender-seniors/","disqusTitle":"California Court Rules Nursing Home Employees Can Deadname Transgender Seniors","path":"/news/11881770/california-court-rules-nursing-home-employees-can-deadname-transgender-seniors","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>LGBTQ rights advocates said Monday that they will seek to challenge an appeals court decision tossing out part of a California law designed to protect older LGBTQ residents in nursing homes.\u003c/p>\n\u003cp>The \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB219\">2017 law\u003c/a> is intended to protect against discrimination or mistreatment based on residents' sexual orientation or gender identity.\u003c/p>\n\u003cp>The Third District Court of Appeal overturned the part of the law barring employees of long-term care facilities from willfully and repeatedly using anything other than residents' preferred names and pronouns. \u003c/p>\n\u003cp>In other words, it was illegal for employees to intentionally misgender trans residents by using the names and pronouns they were assigned at birth, a practice known as deadnaming.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Deliberately misgendering a transgender person isn’t just a matter of opinion ... Rather, it’s straight up harassment. And, it erases an individual’s fundamental humanity.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"State Sen. Scott Wiener, D-San Francisco","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The ban on deadnaming violates employees' rights to free speech, the court ruled Friday.\u003c/p>\n\u003cp>\"The law compels long-term care facility staff to alter the message they would prefer to convey,\" the court reasoned, adding that the ban \"burdens speech more than is required\" to reach the state's objective of eliminating discrimination, including harassment on the basis of sex.\u003c/p>\n\u003cp>Referring to residents other than by their preferred gender \"may be disrespectful, discourteous, and insulting,\" Associate Justice Elena Duarte wrote on behalf of the three-judge panel. But it can also be a way \"to express an ideological disagreement with another person's expressed gender identity.\" \u003c/p>\n\u003cp>\"The pronoun provision at issue here tests the limits of the government's authority to restrict pure speech that, while potentially offensive or harassing to the listener, does not necessarily create a hostile environment,\" she wrote, adding italics to \"potentially\" and \"necessarily.\" \u003c/p>\n\u003cp>State Sen. Scott Wiener, D-San Francisco, who carried the law, said deliberately deadnaming someone is actually an act of erasing that person's humanity. \u003c/p>\n\u003cp>“The Court’s decision is disconnected from the reality facing transgender people,\" Wiener said in a statement. \"Deliberately misgendering a transgender person isn’t just a matter of opinion, and it’s not simply ‘disrespectful, discourteous, or insulting.’ Rather, it’s straight up harassment. And, it erases an individual’s fundamental humanity, particularly one as vulnerable as a trans senior in a nursing home.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Rick Chavez Zbur, executive director of Equality California, which bills itself as the nation's largest statewide LGBTQ+ civil rights organization, said using the wrong name and pronoun is \"a hateful act that denies someone their dignity and truth\" and can cause depression and even suicides.\u003c/p>\n\u003cp>Both said they will fight the ruling, without being specific on what that would mean. \u003c/p>\n\u003cp>That is a decision for the state attorney general's office, which defended the law in court, said Equality California spokesman Joshua Stickney.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Coverage ","tag":"transgender"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The attorney general's office said it is reviewing the decision and considering its next steps.\u003c/p>\n\u003cp>The appeals court upheld a second challenged portion of the law prohibiting facilities or employees from assigning rooms based on anything other than a transgender resident's gender identity. A Sacramento County judge had previously thrown out both parts of the lawsuit.\u003c/p>\n\u003cp>The law was challenged by Taking Offense, described in the decision as an \"unincorporated association which includes at least one California citizen and taxpayer who has paid taxes to the state within the last year.\" \u003c/p>\n\u003cp>The plaintiff's attorney, David Llewellyn Jr., did not respond to telephone and email messages.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from The Associated Press's Don Thompson and KQED's David Marks.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11881770/california-court-rules-nursing-home-employees-can-deadname-transgender-seniors","authors":["237"],"categories":["news_457","news_6188","news_8"],"tags":["news_18538","news_82","news_20004","news_2813","news_17968","news_1217","news_2081","news_2486","news_29386"],"featImg":"news_11881787","label":"news"},"news_11872511":{"type":"posts","id":"news_11872511","meta":{"index":"posts_1591205157","site":"news","id":"11872511","score":null,"sort":[1620423012000]},"guestAuthors":[],"slug":"immediate-jeopardy-death-and-neglect-in-california-nursing-homes","title":"Immediate Jeopardy: Death and Neglect in California Nursing Homes","publishDate":1620423012,"format":"audio","headTitle":"The California Report Magazine | KQED News","labelTerm":{"term":26731,"site":"news"},"content":"\u003cp style=\"padding-left: 40px\">\u003cem>\u003ca href=\"http://itunes.apple.com/us/podcast/the-california-report-magazine/id1314750545?mt=2\" target=\"_blank\" rel=\"noopener noreferrer\">Listen to this and more in-depth storytelling by subscribing to The California Report Magazine podcast.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Families put their loved ones in nursing homes because they think they’ll receive better care. They assume someone will keep an eye out. But that’s not always true.\u003c/p>\n\u003cp>Conditions were bad in some California nursing homes even before COVID. When the pandemic hit, things got much worse. More than 9,000 nursing home residents in the state have died from COVID-19. Some facilities didn’t even take basic precautions.\u003c/p>\n\u003cp>The missteps, even the deaths come as no surprise to advocates for nursing home reform. But as KPCC investigative reporters Elly Yu and Aaron Mendelson discovered, the state also knows these nursing homes are failing patients, and lets them stay in business. You can listen to the half-hour audio documentary by hitting the play button above, and read their full reporting \u003ca href=\"https://laist.com/death-and-neglect-troubled-california-nursing-home-chain\">here. \u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"A CA nursing home chain has been cited dozens of times for serious breaches in patient safety. ","status":"publish","parent":0,"modified":1620422139,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":5,"wordCount":157},"headData":{"title":"Immediate Jeopardy: Death and Neglect in California Nursing Homes | KQED","description":"A CA nursing home chain has been cited dozens of times for serious breaches in patient safety. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11872511 https://ww2.kqed.org/news/?p=11872511","disqusUrl":"https://ww2.kqed.org/news/2021/05/07/immediate-jeopardy-death-and-neglect-in-california-nursing-homes/","disqusTitle":"Immediate Jeopardy: Death and Neglect in California Nursing Homes","sourceUrl":"https://www.kqed.org/californiareportmagazine","audioUrl":"https://www.podtrac.com/pts/redirect.mp3/traffic.megaphone.fm/KQINC1879630521.mp3","path":"/news/11872511/immediate-jeopardy-death-and-neglect-in-california-nursing-homes","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp style=\"padding-left: 40px\">\u003cem>\u003ca href=\"http://itunes.apple.com/us/podcast/the-california-report-magazine/id1314750545?mt=2\" target=\"_blank\" rel=\"noopener noreferrer\">Listen to this and more in-depth storytelling by subscribing to The California Report Magazine podcast.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Families put their loved ones in nursing homes because they think they’ll receive better care. They assume someone will keep an eye out. But that’s not always true.\u003c/p>\n\u003cp>Conditions were bad in some California nursing homes even before COVID. When the pandemic hit, things got much worse. More than 9,000 nursing home residents in the state have died from COVID-19. Some facilities didn’t even take basic precautions.\u003c/p>\n\u003cp>The missteps, even the deaths come as no surprise to advocates for nursing home reform. But as KPCC investigative reporters Elly Yu and Aaron Mendelson discovered, the state also knows these nursing homes are failing patients, and lets them stay in business. You can listen to the half-hour audio documentary by hitting the play button above, and read their full reporting \u003ca href=\"https://laist.com/death-and-neglect-troubled-california-nursing-home-chain\">here. \u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11872511/immediate-jeopardy-death-and-neglect-in-california-nursing-homes","authors":["236"],"programs":["news_72","news_26731"],"categories":["news_21291"],"tags":["news_27504","news_22072","news_20277","news_28428","news_2813"],"featImg":"news_11872527","label":"news_26731"},"news_11869869":{"type":"posts","id":"news_11869869","meta":{"index":"posts_1591205157","site":"news","id":"11869869","score":null,"sort":[1618603651000]},"guestAuthors":[],"slug":"people-are-dying-as-we-wait-bid-to-tighten-california-nursing-home-oversight-sputters","title":"‘People Are Dying as We Wait’: Bid to Tighten California Nursing Home Oversight Sputters","publishDate":1618603651,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>An effort to fix problems with the oversight of California’s nursing homes has stalled, sparking fears that the bill is doomed — and prompting elder-care advocates to warn that even a delay jeopardizes residents’ safety.\u003c/p>\n\u003cp>“I’m incredibly frustrated,” said Democratic Assemblymember Al Muratsuchi of Los Angeles, author of \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1502\" target=\"_blank\" rel=\"noreferrer noopener\">Assembly Bill 1502\u003c/a>. “The pandemic has clearly exposed the horrible conditions of so many of our nursing homes.\u003c/p>\n\u003cp>“People are dying as we wait. ... We cannot sit around with a broken state oversight system while our most vulnerable residents continue to live in these nursing homes.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Assemblymember Al Muratsuchi, D-Los Angeles\"]'People are dying as we wait. ... We cannot sit around with a broken state oversight system while our most vulnerable residents continue to live in these nursing homes.'[/pullquote]\u003c/p>\n\u003cp>A recent \u003ca href=\"https://calmatters.org/projects/california-oversight-nursing-homes/\">CalMatters investigation\u003c/a> spotlighted an opaque licensing process for California’s nursing homes, plagued by indecision, delays and misleading information. For instance, the investigation found that the California Department of Public Health has allowed the state’s largest nursing home owner, Shlomo Rechnitz, to operate facilities for years through a web of companies while license applications for his facilities languish in “pending” status.\u003c/p>\n\u003cp>That story “blew the lid off of my thinking,” said Assemblymember Jim Wood, a Santa Rosa Democrat who chairs the Assembly Health Committee — and helps decide which health legislation in that house will live or die. “I didn’t realize to the extent that it was happening.”\u003c/p>\n\u003cp>Nonetheless, his committee declined to hear the bill, which would forbid the use of management agreements to “circumvent state licensure requirements” and would require owners and operators to get approval from CDPH before acquiring, operating or managing a nursing home. Instead, the committee turned Muratsuchi’s proposal into a two-year bill that won’t be heard before next January.\u003c/p>\n\u003cp>Advocates had expected the bill to face opposition from the nursing home industry, which has deep ties to influential players at the Capitol. The \u003ca href=\"https://www.cahf.org/Resources/Media-Center/Press-Releases/CAHF-Names-New-CEO-President\" target=\"_blank\" rel=\"noreferrer noopener\">CEO of the nursing home industry group\u003c/a>, Craig Cornett, was a top aide to two former state Senate leaders and four former Assembly speakers before joining the California Association of Health Facilities in 2017. He’s known for having masterful knowledge of the state government bureaucracy and is included on \u003ca href=\"https://capitolweekly.net/craig-cornett-capitol-weeklys-top-100/\" target=\"_blank\" rel=\"noreferrer noopener\">a list\u003c/a> of the most influential people around the Capitol. \u003c/p>\n\u003cp>Cornett’s industry group employs \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Firms/Detail.aspx?id=1147785&session=2021\" target=\"_blank\" rel=\"noreferrer noopener\">a lobbying firm\u003c/a> that counts Assembly Speaker Anthony Rendon’s cousin, \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Lobbyists/Detail.aspx?id=1398339&session=2021\" target=\"_blank\" rel=\"noreferrer noopener\">Edward Rendon\u003c/a>, as one of its lobbyists. Edward Rendon is also \u003ca href=\"https://www.capitoladvocacy.com/edward-rendon/\" target=\"_blank\" rel=\"noreferrer noopener\">a partner\u003c/a> at a consulting firm called Spiker Rendon that was paid $45,000 last year by Cornett's organization, according to its \u003ca href=\"https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=2549822&amendid=0\" target=\"_blank\" rel=\"noreferrer noopener\">lobbying reports\u003c/a>.\u003c/p>\n\u003cp>The California Association of Health Facilities has donated more than $1.6 million to California campaigns in the past decade, according to filings with the \u003ca href=\"https://cal-access.sos.ca.gov/\" target=\"_blank\" rel=\"noreferrer noopener\">California secretary of state\u003c/a>.\u003c/p>\n\u003cp>And Rockport Healthcare Services, the administrative services company for many nursing homes, employs the lobbying firm of \u003ca href=\"https://calmatters.org/politics/2018/12/jason-kinney-gavin-newsom-california-governor-transition/\">Jason Kinney\u003c/a>, whose \u003ca href=\"https://calmatters.org/politics/2020/11/newsom-dinner-california-medical-lobby-french-laundry-pandemic/\">French Laundry birthday bash last November\u003c/a> was attended by Gov. Gavin Newsom.\u003c/p>\n\u003cp>The Newsom administration also hasn’t taken a position on the bill, although that is not unusual at this stage.\u003c/p>\n\u003cp>Wood insists that delaying Muratsuchi’s bill will not lead to its death, saying he is deeply committed to solving the state’s nursing home licensing problems “once and for all.”\u003c/p>\n\u003cp>Dr. Mark Ghaly, secretary of California Health and Human Services Agency, which oversees CDPH, declined to answer questions for this story or for CalMatters’ investigation into the department’s licensing practices. Newsom also declined to be interviewed for either story.\u003c/p>\n\u003cp>However, the \u003ca href=\"https://laist.com/latest/post/20210412/Solorzano-Renew-Newsom-Contribution-Nursing-Home-LAist-Investigation\">governor recently agreed to donate $10,000 to charity\u003c/a> after an \u003ca href=\"https://laist.com/special-reports/nursing-homes-renew.php\">investigation by LAist\u003c/a> showed that he had received a political contribution in that amount from ReNew Health Consulting Services, which is affiliated with a troubled nursing home chain. LAist, affiliated with KPCC in Los Angeles, and CalMatters are part of a collaboration of California’s nonprofit newsrooms to investigate the state’s supervision of nursing homes.\u003c/p>\n\u003cp>Wood’s communications director, Cathy Mudge, told CalMatters this week that the Newsom administration had not pressured his committee to stall the bill.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"nursing-homes\"]Wood said he is so committed to fixing these issues that he plans to take the uncharacteristic step of putting his name on it as a joint author next year. He has long been an ally of nursing home oversight, calling for \u003ca href=\"https://www.documentcloud.org/documents/20447178-ca-state-auditor-2018-report-skilled-nursing-facilities-absent-effective-oversight-substandard-quality-of-care-has-continued-2017-109\" target=\"_blank\" rel=\"noreferrer noopener\">a May 2018 audit\u003c/a> that said licensing lapses by CDPH increased the probability that residents might not receive adequate care. He has also authored previous bills to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB275\" target=\"_blank\" rel=\"noreferrer noopener\">protect nursing home residents\u003c/a> and \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB1953\" target=\"_blank\" rel=\"noreferrer noopener\">improve transparency\u003c/a> in the licensing process.\u003c/p>\n\u003cp>“I don’t want you to walk away with the impression that I’m stalling this, because I’m not,” Wood said. “I just want it to be right and I want it to be meaningful and I want to use this process to change the way we put this industry together.”\u003c/p>\n\u003cp>Before the bill is heard in January, Wood said he believes staff and outside consultants will need to invest a huge amount of time to gather data and communicate with various state agencies about complex issues. He also wants to work to get CDPH and the Newsom administration on board as “active partners.” He said he worries about the department’s bandwidth during the pandemic, and said his committee has also been inundated with 165 health-related bills.\u003c/p>\n\u003cp>The state’s licensing and oversight problem “really falls on the backs of CDPH for the most part,” he said.\u003c/p>\n\u003cp>“My hope is that, in the interim, as we move forward and do our work on this, that we get feedback from CDPH, that we get cooperation from them on how we can make this process work better,” he said. “I hope we’re not going to see a situation where they circle the wagons and lock the doors and really don’t work with us.”\u003c/p>\n\u003cp>“We need more time,” he said. “I hate that, quite frankly. I really do.”\u003c/p>\n\u003cp>Top officials at the department, including its director, \u003ca href=\"https://www.cdph.ca.gov/Pages/Meet-the-Director.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Dr. Tomás Aragón\u003c/a>, have refused CalMatters’ requests to be interviewed about the licensing situation. In an email Thursday, an unnamed spokesperson said the department does not comment on proposed legislation.\u003c/p>\n\u003cp>The spokesperson told CalMatters the department had initiated a regulatory package related to the change-of-ownership licensing process, but that the effort has been “placed on a temporary hold due to staff redirections associated with COVID response.”\u003c/p>\n\u003cp>Proponents of the bill say it is strong as it is, and that it can help resolve urgent problems.\u003c/p>\n\u003cp>“I don’t think the problem’s complicated,” said Tony Chicotel, a staff attorney for \u003ca href=\"http://www.canhr.org/\" target=\"_blank\" rel=\"noreferrer noopener\">California Advocates for Nursing Home Reform\u003c/a>, which sponsored Muratsuchi’s bill. “People are running facilities without licenses. That shouldn’t happen for years and years and years. It shouldn’t happen for another year.”\u003c/p>\n\u003cp>“We should all agree that’s not good and work out something to attend to it now. I think we owe that to the residents who have suffered so horribly this year,” he said.\u003c/p>\n\u003cp>Chicotel said he worries, from past experience, that the bill’s chance of becoming law “was diminished when it was postponed.” He also believes it buys CDPH more time to not take action on the issue.\u003c/p>\n\u003cp>“They’re pretty comfortable doing nothing, but now they have an excuse,” he said. “You blink and another year’s gone by.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Tony Chicotel, staff attorney with California Advocates for Nursing Home Reform\"]'People are running facilities without licenses. That shouldn’t happen for years and years and years. It shouldn’t happen for another year.'[/pullquote]Chicotel said past bills to improve nursing home oversight have often been vetoed or significantly watered down. This includes a 2019 bill authored by Democratic Assemblymember Wendy Carrillo of Los Angeles, that initially \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200AB1695\" target=\"_blank\" rel=\"noreferrer noopener\">proposed to streamline ownership reviews\u003c/a>.\u003c/p>\n\u003cp>Chicotel said his organization initially supported the bill, but vigorously opposed it after it was amended to allow new owners to receive provisional licenses by default if CDPH missed a deadline.\u003c/p>\n\u003cp>“It went from a bill that could have been great to a bill that would have been devastatingly bad,” he said.\u003c/p>\n\u003cp>The bill ended up passing with proposed alterations to the change-of-ownership licensing process removed.\u003c/p>\n\u003cp>Chicotel said something similar happened in 2015 with a measure that would have \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201520160AB927\" target=\"_blank\" rel=\"noreferrer noopener\">prevented nursing home operators\u003c/a> from acquiring more facilities under certain circumstances. Chicotel’s group initially sponsored the bill, but ended up opposing it after amendments were made. So did its author, Democratic Assemblymember Kevin McCarty of Sacramento, who pulled the bill.\u003c/p>\n\u003cp>Another hurdle to changing the law: opposition from the nursing home industry.\u003c/p>\n\u003cp>In a previous interview with CalMatters, Deborah Pacyna, a spokesperson for the \u003ca href=\"https://www.cahf.org/\" target=\"_blank\" rel=\"noreferrer noopener\">California Association of Health Facilities\u003c/a>, which represents most of the state’s 1,100 nursing homes, described the state’s change-of-ownership licensing process as “broken.” The organization had not yet officially weighed in on Muratsuchi’s bill, but she said it probably would have opposed the bill unless it was amended.\u003c/p>\n\u003cp>She said a recent California Court of Appeal \u003ca href=\"https://www.documentcloud.org/documents/20616280-canhr-v-aragon\" target=\"_blank\" rel=\"noreferrer noopener\">ruling\u003c/a> determined that state approval of unlicensed interim nursing home managers to operate nursing homes does not violate state or federal law.\u003c/p>\n\u003cp>[ad fullwidth]“It just shows to us that if the trial lawyers can’t win in court, they’re going to go to the Legislature,” she said.\u003c/p>\n\u003cp>She commended Wood’s decision to wait a year before attempting to alter the state’s licensing system.\u003c/p>\n\u003cp>“We really appreciate the reasoned approach, looking at all this from a big picture standpoint, instead of just striking out,” she said.\u003c/p>\n\u003cp>Wood anticipates pushback on licensing reform from “players in this industry who don’t want the scrutiny and don’t want their business models upset.”\u003c/p>\n\u003cp>“This bill is about government oversight and fixing our own house,” he said. “But I guarantee you that this will be a challenge.”\u003c/p>\n\u003cp>\u003cem>CalMatters political reporter Laurel Rosenhall contributed to this story.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Lawmakers say they’ll take no action this year on a bill requiring nursing home owners and operators to get state approval before they acquire, operate or manage a nursing home.\r\n\r\n","status":"publish","parent":0,"modified":1618610628,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":44,"wordCount":1824},"headData":{"title":"‘People Are Dying as We Wait’: Bid to Tighten California Nursing Home Oversight Sputters | KQED","description":"Lawmakers say they’ll take no action this year on a bill requiring nursing home owners and operators to get state approval before they acquire, operate or manage a nursing home.\r\n\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11869869 https://ww2.kqed.org/news/?p=11869869","disqusUrl":"https://ww2.kqed.org/news/2021/04/16/people-are-dying-as-we-wait-bid-to-tighten-california-nursing-home-oversight-sputters/","disqusTitle":"‘People Are Dying as We Wait’: Bid to Tighten California Nursing Home Oversight Sputters","source":"CalMatters","sourceUrl":"https://calmatters.org/","nprByline":"\u003ca href=\"https://calmatters.org/author/jocelyn-wiener/\">Jocelyn Wiener\u003c/a>","path":"/news/11869869/people-are-dying-as-we-wait-bid-to-tighten-california-nursing-home-oversight-sputters","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>An effort to fix problems with the oversight of California’s nursing homes has stalled, sparking fears that the bill is doomed — and prompting elder-care advocates to warn that even a delay jeopardizes residents’ safety.\u003c/p>\n\u003cp>“I’m incredibly frustrated,” said Democratic Assemblymember Al Muratsuchi of Los Angeles, author of \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1502\" target=\"_blank\" rel=\"noreferrer noopener\">Assembly Bill 1502\u003c/a>. “The pandemic has clearly exposed the horrible conditions of so many of our nursing homes.\u003c/p>\n\u003cp>“People are dying as we wait. ... We cannot sit around with a broken state oversight system while our most vulnerable residents continue to live in these nursing homes.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'People are dying as we wait. ... We cannot sit around with a broken state oversight system while our most vulnerable residents continue to live in these nursing homes.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Assemblymember Al Muratsuchi, D-Los Angeles","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A recent \u003ca href=\"https://calmatters.org/projects/california-oversight-nursing-homes/\">CalMatters investigation\u003c/a> spotlighted an opaque licensing process for California’s nursing homes, plagued by indecision, delays and misleading information. For instance, the investigation found that the California Department of Public Health has allowed the state’s largest nursing home owner, Shlomo Rechnitz, to operate facilities for years through a web of companies while license applications for his facilities languish in “pending” status.\u003c/p>\n\u003cp>That story “blew the lid off of my thinking,” said Assemblymember Jim Wood, a Santa Rosa Democrat who chairs the Assembly Health Committee — and helps decide which health legislation in that house will live or die. “I didn’t realize to the extent that it was happening.”\u003c/p>\n\u003cp>Nonetheless, his committee declined to hear the bill, which would forbid the use of management agreements to “circumvent state licensure requirements” and would require owners and operators to get approval from CDPH before acquiring, operating or managing a nursing home. Instead, the committee turned Muratsuchi’s proposal into a two-year bill that won’t be heard before next January.\u003c/p>\n\u003cp>Advocates had expected the bill to face opposition from the nursing home industry, which has deep ties to influential players at the Capitol. The \u003ca href=\"https://www.cahf.org/Resources/Media-Center/Press-Releases/CAHF-Names-New-CEO-President\" target=\"_blank\" rel=\"noreferrer noopener\">CEO of the nursing home industry group\u003c/a>, Craig Cornett, was a top aide to two former state Senate leaders and four former Assembly speakers before joining the California Association of Health Facilities in 2017. He’s known for having masterful knowledge of the state government bureaucracy and is included on \u003ca href=\"https://capitolweekly.net/craig-cornett-capitol-weeklys-top-100/\" target=\"_blank\" rel=\"noreferrer noopener\">a list\u003c/a> of the most influential people around the Capitol. \u003c/p>\n\u003cp>Cornett’s industry group employs \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Firms/Detail.aspx?id=1147785&session=2021\" target=\"_blank\" rel=\"noreferrer noopener\">a lobbying firm\u003c/a> that counts Assembly Speaker Anthony Rendon’s cousin, \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Lobbyists/Detail.aspx?id=1398339&session=2021\" target=\"_blank\" rel=\"noreferrer noopener\">Edward Rendon\u003c/a>, as one of its lobbyists. Edward Rendon is also \u003ca href=\"https://www.capitoladvocacy.com/edward-rendon/\" target=\"_blank\" rel=\"noreferrer noopener\">a partner\u003c/a> at a consulting firm called Spiker Rendon that was paid $45,000 last year by Cornett's organization, according to its \u003ca href=\"https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=2549822&amendid=0\" target=\"_blank\" rel=\"noreferrer noopener\">lobbying reports\u003c/a>.\u003c/p>\n\u003cp>The California Association of Health Facilities has donated more than $1.6 million to California campaigns in the past decade, according to filings with the \u003ca href=\"https://cal-access.sos.ca.gov/\" target=\"_blank\" rel=\"noreferrer noopener\">California secretary of state\u003c/a>.\u003c/p>\n\u003cp>And Rockport Healthcare Services, the administrative services company for many nursing homes, employs the lobbying firm of \u003ca href=\"https://calmatters.org/politics/2018/12/jason-kinney-gavin-newsom-california-governor-transition/\">Jason Kinney\u003c/a>, whose \u003ca href=\"https://calmatters.org/politics/2020/11/newsom-dinner-california-medical-lobby-french-laundry-pandemic/\">French Laundry birthday bash last November\u003c/a> was attended by Gov. Gavin Newsom.\u003c/p>\n\u003cp>The Newsom administration also hasn’t taken a position on the bill, although that is not unusual at this stage.\u003c/p>\n\u003cp>Wood insists that delaying Muratsuchi’s bill will not lead to its death, saying he is deeply committed to solving the state’s nursing home licensing problems “once and for all.”\u003c/p>\n\u003cp>Dr. Mark Ghaly, secretary of California Health and Human Services Agency, which oversees CDPH, declined to answer questions for this story or for CalMatters’ investigation into the department’s licensing practices. Newsom also declined to be interviewed for either story.\u003c/p>\n\u003cp>However, the \u003ca href=\"https://laist.com/latest/post/20210412/Solorzano-Renew-Newsom-Contribution-Nursing-Home-LAist-Investigation\">governor recently agreed to donate $10,000 to charity\u003c/a> after an \u003ca href=\"https://laist.com/special-reports/nursing-homes-renew.php\">investigation by LAist\u003c/a> showed that he had received a political contribution in that amount from ReNew Health Consulting Services, which is affiliated with a troubled nursing home chain. LAist, affiliated with KPCC in Los Angeles, and CalMatters are part of a collaboration of California’s nonprofit newsrooms to investigate the state’s supervision of nursing homes.\u003c/p>\n\u003cp>Wood’s communications director, Cathy Mudge, told CalMatters this week that the Newsom administration had not pressured his committee to stall the bill.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"related coverage ","tag":"nursing-homes"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Wood said he is so committed to fixing these issues that he plans to take the uncharacteristic step of putting his name on it as a joint author next year. He has long been an ally of nursing home oversight, calling for \u003ca href=\"https://www.documentcloud.org/documents/20447178-ca-state-auditor-2018-report-skilled-nursing-facilities-absent-effective-oversight-substandard-quality-of-care-has-continued-2017-109\" target=\"_blank\" rel=\"noreferrer noopener\">a May 2018 audit\u003c/a> that said licensing lapses by CDPH increased the probability that residents might not receive adequate care. He has also authored previous bills to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB275\" target=\"_blank\" rel=\"noreferrer noopener\">protect nursing home residents\u003c/a> and \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB1953\" target=\"_blank\" rel=\"noreferrer noopener\">improve transparency\u003c/a> in the licensing process.\u003c/p>\n\u003cp>“I don’t want you to walk away with the impression that I’m stalling this, because I’m not,” Wood said. “I just want it to be right and I want it to be meaningful and I want to use this process to change the way we put this industry together.”\u003c/p>\n\u003cp>Before the bill is heard in January, Wood said he believes staff and outside consultants will need to invest a huge amount of time to gather data and communicate with various state agencies about complex issues. He also wants to work to get CDPH and the Newsom administration on board as “active partners.” He said he worries about the department’s bandwidth during the pandemic, and said his committee has also been inundated with 165 health-related bills.\u003c/p>\n\u003cp>The state’s licensing and oversight problem “really falls on the backs of CDPH for the most part,” he said.\u003c/p>\n\u003cp>“My hope is that, in the interim, as we move forward and do our work on this, that we get feedback from CDPH, that we get cooperation from them on how we can make this process work better,” he said. “I hope we’re not going to see a situation where they circle the wagons and lock the doors and really don’t work with us.”\u003c/p>\n\u003cp>“We need more time,” he said. “I hate that, quite frankly. I really do.”\u003c/p>\n\u003cp>Top officials at the department, including its director, \u003ca href=\"https://www.cdph.ca.gov/Pages/Meet-the-Director.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Dr. Tomás Aragón\u003c/a>, have refused CalMatters’ requests to be interviewed about the licensing situation. In an email Thursday, an unnamed spokesperson said the department does not comment on proposed legislation.\u003c/p>\n\u003cp>The spokesperson told CalMatters the department had initiated a regulatory package related to the change-of-ownership licensing process, but that the effort has been “placed on a temporary hold due to staff redirections associated with COVID response.”\u003c/p>\n\u003cp>Proponents of the bill say it is strong as it is, and that it can help resolve urgent problems.\u003c/p>\n\u003cp>“I don’t think the problem’s complicated,” said Tony Chicotel, a staff attorney for \u003ca href=\"http://www.canhr.org/\" target=\"_blank\" rel=\"noreferrer noopener\">California Advocates for Nursing Home Reform\u003c/a>, which sponsored Muratsuchi’s bill. “People are running facilities without licenses. That shouldn’t happen for years and years and years. It shouldn’t happen for another year.”\u003c/p>\n\u003cp>“We should all agree that’s not good and work out something to attend to it now. I think we owe that to the residents who have suffered so horribly this year,” he said.\u003c/p>\n\u003cp>Chicotel said he worries, from past experience, that the bill’s chance of becoming law “was diminished when it was postponed.” He also believes it buys CDPH more time to not take action on the issue.\u003c/p>\n\u003cp>“They’re pretty comfortable doing nothing, but now they have an excuse,” he said. “You blink and another year’s gone by.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'People are running facilities without licenses. That shouldn’t happen for years and years and years. It shouldn’t happen for another year.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Tony Chicotel, staff attorney with California Advocates for Nursing Home Reform","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Chicotel said past bills to improve nursing home oversight have often been vetoed or significantly watered down. This includes a 2019 bill authored by Democratic Assemblymember Wendy Carrillo of Los Angeles, that initially \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200AB1695\" target=\"_blank\" rel=\"noreferrer noopener\">proposed to streamline ownership reviews\u003c/a>.\u003c/p>\n\u003cp>Chicotel said his organization initially supported the bill, but vigorously opposed it after it was amended to allow new owners to receive provisional licenses by default if CDPH missed a deadline.\u003c/p>\n\u003cp>“It went from a bill that could have been great to a bill that would have been devastatingly bad,” he said.\u003c/p>\n\u003cp>The bill ended up passing with proposed alterations to the change-of-ownership licensing process removed.\u003c/p>\n\u003cp>Chicotel said something similar happened in 2015 with a measure that would have \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201520160AB927\" target=\"_blank\" rel=\"noreferrer noopener\">prevented nursing home operators\u003c/a> from acquiring more facilities under certain circumstances. Chicotel’s group initially sponsored the bill, but ended up opposing it after amendments were made. So did its author, Democratic Assemblymember Kevin McCarty of Sacramento, who pulled the bill.\u003c/p>\n\u003cp>Another hurdle to changing the law: opposition from the nursing home industry.\u003c/p>\n\u003cp>In a previous interview with CalMatters, Deborah Pacyna, a spokesperson for the \u003ca href=\"https://www.cahf.org/\" target=\"_blank\" rel=\"noreferrer noopener\">California Association of Health Facilities\u003c/a>, which represents most of the state’s 1,100 nursing homes, described the state’s change-of-ownership licensing process as “broken.” The organization had not yet officially weighed in on Muratsuchi’s bill, but she said it probably would have opposed the bill unless it was amended.\u003c/p>\n\u003cp>She said a recent California Court of Appeal \u003ca href=\"https://www.documentcloud.org/documents/20616280-canhr-v-aragon\" target=\"_blank\" rel=\"noreferrer noopener\">ruling\u003c/a> determined that state approval of unlicensed interim nursing home managers to operate nursing homes does not violate state or federal law.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“It just shows to us that if the trial lawyers can’t win in court, they’re going to go to the Legislature,” she said.\u003c/p>\n\u003cp>She commended Wood’s decision to wait a year before attempting to alter the state’s licensing system.\u003c/p>\n\u003cp>“We really appreciate the reasoned approach, looking at all this from a big picture standpoint, instead of just striking out,” she said.\u003c/p>\n\u003cp>Wood anticipates pushback on licensing reform from “players in this industry who don’t want the scrutiny and don’t want their business models upset.”\u003c/p>\n\u003cp>“This bill is about government oversight and fixing our own house,” he said. “But I guarantee you that this will be a challenge.”\u003c/p>\n\u003cp>\u003cem>CalMatters political reporter Laurel Rosenhall contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11869869/people-are-dying-as-we-wait-bid-to-tighten-california-nursing-home-oversight-sputters","authors":["byline_news_11869869"],"categories":["news_457","news_8"],"tags":["news_2704","news_18543","news_2813","news_2081"],"featImg":"news_11869876","label":"source_news_11869869"},"news_11869659":{"type":"posts","id":"news_11869659","meta":{"index":"posts_1591205157","site":"news","id":"11869659","score":null,"sort":[1618567203000]},"guestAuthors":[],"slug":"nursing-home-residents-are-finally-starting-to-see-their-loved-ones","title":"Nursing Home Residents Are Finally Starting to See Their Loved Ones","publishDate":1618567203,"format":"audio","headTitle":"Nursing Home Residents Are Finally Starting to See Their Loved Ones | KQED","labelTerm":{},"content":"\u003cp>About 9,000 nursing home residents in California have died of COVID-19. At the height of the winter surge, more than 80 residents were dying every day.\u003c/p>\n\u003cp>But now, thanks to the COVID-19 vaccines, there are now fewer than 20 confirmed cases daily. And now, many families are reuniting with loved ones after more than a year apart.\u003c/p>\n\u003cp>\u003cstrong>Guest\u003c/strong>: Barbara Feder Ostrov, contributing writer for CalMatters\u003c/p>\n\u003cp>Episode transcript \u003ca href=\"https://bit.ly/3wY0LhK\">here\u003c/a>.\u003c/p>\n\u003cp>\u003ci>Subscribe to \u003c/i>\u003ca href=\"https://www.kqed.org/news/tag/the-bay\">\u003ci>The Bay\u003c/i>\u003c/a>\u003ci> to hear more local Bay Area stories like this one. New episodes are released Monday, Wednesday and Friday at 3 a.m. Find The Bay on \u003c/i>\u003ca href=\"https://podcasts.apple.com/us/podcast/the-bay/id1350043452?mt=2\">\u003ci>Apple Podcasts\u003c/i>\u003c/a>\u003ci>, \u003c/i>\u003ca href=\"https://open.spotify.com/show/4BIKBKIujizLHlIlBNaAqQ\">\u003ci>Spotify\u003c/i>\u003c/a>\u003ci>, \u003c/i>\u003ca href=\"https://www.stitcher.com/podcast/kqed/the-bay\">\u003ci>Stitcher\u003c/i>\u003c/a>\u003ci>, NPR One or via \u003c/i>\u003ca href=\"https://www.amazon.com/KQED-The-Bay-Flash-Briefing/dp/B07H6YYV23\">\u003ci>Alexa\u003c/i>\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1700693006,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":7,"wordCount":112},"headData":{"title":"Nursing Home Residents Are Finally Starting to See Their Loved Ones | KQED","description":"About 9,000 nursing home residents in California have died of COVID-19. At the height of the winter surge, more than 80 residents were dying every day. But now, thanks to the COVID-19 vaccines, there are now fewer than 20 confirmed cases daily. And now, many families are reuniting with loved ones after more than a","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"source":"The Bay","sourceUrl":"https://www.kqed.org/podcasts/thebay","audioUrl":"https://www.podtrac.com/pts/redirect.mp3/traffic.megaphone.fm/KQINC4933505825.mp3?updated=1618527096","path":"/news/11869659/nursing-home-residents-are-finally-starting-to-see-their-loved-ones","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>About 9,000 nursing home residents in California have died of COVID-19. At the height of the winter surge, more than 80 residents were dying every day.\u003c/p>\n\u003cp>But now, thanks to the COVID-19 vaccines, there are now fewer than 20 confirmed cases daily. And now, many families are reuniting with loved ones after more than a year apart.\u003c/p>\n\u003cp>\u003cstrong>Guest\u003c/strong>: Barbara Feder Ostrov, contributing writer for CalMatters\u003c/p>\n\u003cp>Episode transcript \u003ca href=\"https://bit.ly/3wY0LhK\">here\u003c/a>.\u003c/p>\n\u003cp>\u003ci>Subscribe to \u003c/i>\u003ca href=\"https://www.kqed.org/news/tag/the-bay\">\u003ci>The Bay\u003c/i>\u003c/a>\u003ci> to hear more local Bay Area stories like this one. New episodes are released Monday, Wednesday and Friday at 3 a.m. Find The Bay on \u003c/i>\u003ca href=\"https://podcasts.apple.com/us/podcast/the-bay/id1350043452?mt=2\">\u003ci>Apple Podcasts\u003c/i>\u003c/a>\u003ci>, \u003c/i>\u003ca href=\"https://open.spotify.com/show/4BIKBKIujizLHlIlBNaAqQ\">\u003ci>Spotify\u003c/i>\u003c/a>\u003ci>, \u003c/i>\u003ca href=\"https://www.stitcher.com/podcast/kqed/the-bay\">\u003ci>Stitcher\u003c/i>\u003c/a>\u003ci>, NPR One or via \u003c/i>\u003ca href=\"https://www.amazon.com/KQED-The-Bay-Flash-Briefing/dp/B07H6YYV23\">\u003ci>Alexa\u003c/i>\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11869659/nursing-home-residents-are-finally-starting-to-see-their-loved-ones","authors":["7240","8654","11649"],"programs":["news_28779"],"categories":["news_8","news_33520"],"tags":["news_683","news_2813","news_2081","news_22598"],"featImg":"news_11869667","label":"source_news_11869659"},"news_11862330":{"type":"posts","id":"news_11862330","meta":{"index":"posts_1591205157","site":"news","id":"11862330","score":null,"sort":[1614382299000]},"guestAuthors":[],"slug":"the-unfolding-masterpiece","title":"The Unfolding Masterpiece","publishDate":1614382299,"format":"standard","headTitle":"Mark Fiore: Drawn to the Bay | KQED News","labelTerm":{"term":18515,"site":"news"},"content":"\u003cp>Cases of COVID-19 in \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11860534/bay-area-celebrates-big-drop-in-long-term-care-cases-as-vaccine-success-cited\">long-term care facilities\u003c/a> have dropped dramatically since vaccines were introduced.\u003c/p>\n\u003cp>If you have questions about the coronavirus vaccine, \u003ca href=\"http://bit.ly/fiorevaccineanswers\">KQED has answers\u003c/a>.\u003c/p>\n\u003cp>While extremist anti-vaxxers have been railing against vaccines, it looks like vaccines have been \u003ca href=\"https://www.nytimes.com/interactive/2021/02/25/us/nursing-home-covid-vaccine.html\">busy saving lives\u003c/a> of the most vulnerable.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Cases of COVID-19 in long-term care facilities have dropped dramatically since vaccines were introduced. If you have questions about the coronavirus vaccine, KQED has answers. ","status":"publish","parent":0,"modified":1614389784,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":5,"wordCount":51},"headData":{"title":"The Unfolding Masterpiece | KQED","description":"Cases of COVID-19 in long-term care facilities have dropped dramatically since vaccines were introduced. If you have questions about the coronavirus vaccine, KQED has answers. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11862330 https://ww2.kqed.org/news/?p=11862330","disqusUrl":"https://ww2.kqed.org/news/2021/02/26/the-unfolding-masterpiece/","disqusTitle":"The Unfolding Masterpiece","path":"/news/11862330/the-unfolding-masterpiece","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Cases of COVID-19 in \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11860534/bay-area-celebrates-big-drop-in-long-term-care-cases-as-vaccine-success-cited\">long-term care facilities\u003c/a> have dropped dramatically since vaccines were introduced.\u003c/p>\n\u003cp>If you have questions about the coronavirus vaccine, \u003ca href=\"http://bit.ly/fiorevaccineanswers\">KQED has answers\u003c/a>.\u003c/p>\n\u003cp>While extremist anti-vaxxers have been railing against vaccines, it looks like vaccines have been \u003ca href=\"https://www.nytimes.com/interactive/2021/02/25/us/nursing-home-covid-vaccine.html\">busy saving lives\u003c/a> of the most vulnerable.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11862330/the-unfolding-masterpiece","authors":["3236"],"series":["news_18515"],"categories":["news_457"],"tags":["news_29121","news_29120","news_27350","news_28801","news_27504","news_29207","news_20949","news_2813","news_27660","news_981"],"featImg":"news_11862337","label":"news_18515"},"news_11849641":{"type":"posts","id":"news_11849641","meta":{"index":"posts_1591205157","site":"news","id":"11849641","score":null,"sort":[1607108115000]},"guestAuthors":[],"slug":"surging-coronavirus-more-dangerous-for-nursing-homes-with-black-latino-residents","title":"Surging Coronavirus More Dangerous for Nursing Homes With Black, Latino Residents","publishDate":1607108115,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>\u003ca href=\"https://www.kqed.org/news/11850234/creciente-covid-19-podria-afectar-mas-a-hogares-para-adultos-mayores-con-residentes-afroamericanos-y-latinos\">\u003cem>Leer en espa\u003cspan style=\"font-weight: 400\">ñol\u003c/span>\u003c/em>\u003c/a>\u003c/p>\n\u003cp>As the coronavirus surges again, it is especially dangerous for people in nursing homes caring for more Black and Latino residents, according to a new analysis from the California Health Care Foundation.\u003c/p>\n\u003cp>Researchers found that skilled nursing facilities with a greater share of Black and Latino residents had higher rates of COVID-19 cases and deaths — and that disparity is growing.\u003c/p>\n\u003cp>“We asked [our] advisory group, how do you explain this disparity?” said Dr. Bruce Spurlock, executive director of \u003ca href=\"https://calhospitalcompare.org/about/\">Cal Hospital Compare\u003c/a>, and a study co-author. “And nobody really knows. And that's kind of the part that we really need to figure out.”\u003c/p>\n\u003cp>\u003cb>A Shift Over Time\u003c/b>\u003c/p>\n\u003cp>Skilled nursing facilities have borne much of the weight of the pandemic. More than one quarter of reported COVID-related deaths in California have happened in nursing homes, even though their residents make up less than half a percent of the state’s population.\u003c/p>\n\u003cfigure id=\"attachment_11849674\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut.jpg\">\u003cimg class=\"size-medium wp-image-11849674\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-800x581.jpg\" alt=\"Costell Akrie holds a small baby in his room.\" width=\"800\" height=\"581\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-800x581.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-1020x741.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-160x116.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-1536x1115.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Costell Akrie died after contracting coronavirus in corporate-owned Gateway Care and Rehabilitation Center in Alameda County. A new study has found that staffing levels worsened outbreaks in facilities like his. \u003ccite>(Courtesy of John Burris Law Offices)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Beyond demographics, the new study analyzed state and federal data about ownership status, size, type of patient, staffing levels and geography to identify factors associated with the hardest-hit nursing homes.\u003c/p>\n\u003cp>And those factors changed as the pandemic wore on. Back in May, “you could tell that the larger the facility, the for-profit facilities, were doing worse than the smaller and nonprofit facilities,” Spurlock said.\u003c/p>\n\u003cp>By late summer, he said, facilities struggling to control the virus were in counties with high COVID-19 rates.\u003c/p>\n\u003cp>“Age, gender, race and ethnicity were a much bigger predictor of who was doing worse in the August time frame,” Spurlock said.\u003c/p>\n\u003cp>Nursing home residents over 85, and men, have been more vulnerable to the virus throughout California. And while Latinos account for about \u003ca href=\"https://covid19.ca.gov/state-dashboard/\">60% of California’s positive coronavirus tests\u003c/a>, they represent less than 40% of the state’s population. But across the state, COVID-positive tests for Blacks have been a disproportionately small part of the total.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe title=\"Nursing Homes With More Latino Residents Have More COVID-19 Cases\" aria-label=\"Interactive line chart\" id=\"datawrapper-chart-3Mtcb\" src=\"https://datawrapper.dwcdn.net/3Mtcb/8/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"400\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003cbr>\n[datawrapper]\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe title=\"Nursing Homes With More Black Residents Have More COVID-19 Cases\" aria-label=\"Interactive line chart\" id=\"datawrapper-chart-HxpFR\" src=\"https://datawrapper.dwcdn.net/HxpFR/3/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"400\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003cbr>\n[datawrapper]\u003c/p>\n\u003cp>\u003cb>Lower Risk in Bay Area Nursing Homes\u003c/b>\u003c/p>\n\u003cp>All together, the research suggests a story of how the coronavirus has moved through skilled nursing facilities statewide. That story is slightly different in the Bay Area.\u003c/p>\n\u003cp>Outbreaks the region experienced during late spring and summer tracks with the study’s overall conclusions about nursing homes. Windsor Vallejo, a Contra Costa County care home operated by a limited liability corporation, saw 100 cases of the coronavirus in May. A month earlier, corporate-owned Gateway Care and Rehabilitation Center in Hayward saw \u003ca href=\"https://www.kqed.org/science/1962559/state-lists-dont-reveal-all-the-senior-care-homes-with-covid-19-outbreaks\">at least 65 cases\u003c/a> of COVID-19. Complaints from family members have so far prompted a lawsuit and an investigation by the Alameda County district attorney.\u003c/p>\n\u003cp>But Bay Area nursing homes have fewer Latino residents than the rest of the state. The region’s nursing homes are generally smaller than the state average, and fewer are run by corporations for profit. About a third of Marin County nursing homes are nonprofit, for example.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe title=\"Percent of Investor-owned and Non-profit Nursing Homes \" aria-label=\"chart\" id=\"datawrapper-chart-5Bj0h\" src=\"https://datawrapper.dwcdn.net/5Bj0h/3/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"400\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003cbr>\n[datawrapper]\u003c/p>\n\u003cp>“The report is great. My response to it is 'duh,’ ” said Scott Akrie, whose father Costell tested positive for coronavirus while at Gateway and died within weeks. Akrie, who is suing Gateway, points out that the facility has been repeatedly cited by state regulators and sued, so far with little consequence. “Just because these people are elderly, they are not forgotten souls that can be taken for granted.”\u003c/p>\n\u003cp>County by county, as the coronavirus surges, health officers are now are modifying orders related to long-term care homes. In Santa Clara County, \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/mandatory-directives-long-care-facilities.aspx\">the latest guidelines\u003c/a> keep visitors to care home residents outside as much as possible, and require visitors present a negative test within 72 hours of a socially distanced visit indoors.\u003c/p>\n\u003cp>In Alameda County, where the Centers for Disease Control and Prevention reports the case rate per capita has risen 24% in the last week, seven nursing homes report COVID-19 outbreaks as of Dec. 2. Nine facilities currently report outbreaks in Santa Clara County, where the case rate has risen more than 50% in the last week.\u003c/p>\n\u003cp>[ad fullwidth]\u003cbr>\n\u003cb>Some Recommendations Easier Than Others\u003c/b>\u003c/p>\n\u003cp>Researchers make several recommendations to stanch the spread of the virus in nursing homes. Some are tactical; actions that could be taken immediately, like asking the Department of Public Health to enforce testing and training requirements week after week. Some are more complex: The authors suggest that the Department of Health Care Services should demand more financial transparency from all related entities controlling nursing homes, which would require amending law and regulation.\u003c/p>\n\u003cp>[aside postID=\"news_11849594,news_11813696,science_1968093\" label=\"More Coronavirus Coverage\"]The California Department of Public Health says it has used predictive analysis to identify facilities that seem to be headed for trouble, and follows up with facilities in outbreak to address urgent needs. In a statement, CDPH says it has prioritized mitigation and infection control, as well as the investigation of complaints and incidents that nursing homes themselves report, over routine inspections and enforcement.\u003c/p>\n\u003cp>Nursing homes with higher levels of staffing have fared better throughout the pandemic, but staffing levels remain “a very controversial area,” according to Spurlock. Federal and state rules set minimum hour requirements for nurses, assistants and other staffers at skilled nursing facilities. In the Bay Area, patient advocates allege that understaffing has contributed to outbreaks, especially in Alameda County.\u003c/p>\n\u003cp>In a statement, the California Association of Health Facilities calls staffing a “critical” problem for the nursing homes it represents, pointing out that when a worker tests positive and must quarantine, other workers must often work double shifts.\u003c/p>\n\u003cp>“It’s incredibly difficult to find staff right now and require them to work in a dangerous environment,” said California Association of Health Facilities spokeswoman Deborah Pacyna.\u003c/p>\n\u003cp>Researchers recommend that regulators require facilities to meet the staffing standards they’re supposed to. They also suggest designating family members as “essential workers” as the pandemic continues. Doing that would permit relatives into facilities, which could boost care and minimize isolation and anxiety in a time of crisis.\u003c/p>\n\u003cp>[pullquote align=\"right\" citation=\"Scott Akrie\"]\"Just because these people are elderly, they are not forgotten souls that can be taken for granted.\"[/pullquote]The authors also put forward a more involved proposal to restructure the state’s low-income health subsidy, to boost nursing home salaries and staffing even further than it does now. Such a move would prompt debate and require litigation.\u003c/p>\n\u003cp>“Any suggestion that staff levels should be increased needs to be coupled with additional state reimbursement for wages,” said Pacyna.\u003c/p>\n\u003cp>“With staffing, we know the changes to make” that would help, said Spurlock. “With health equity, we still are unsure about what actions that we need to take to reduce the disparity.”\u003c/p>\n\u003cp>Among the researchers’ health equity-related recommendations is that vaccines should be directed toward skilled nursing facilities most at-risk, which right now means facilities with higher numbers of Black and Latino residents.\u003c/p>\n\u003cp>As of now, federal and state guidelines prioritize vaccines for health care workers on the front lines most at risk of contracting COVID-19. California counties are still developing their specific plans for distributing vaccines that are sure to be in short supply. And Spurlock acknowledges that this recommendation is a controversial one. But he says that the evidence points toward a need for change, and for multiple, large-scale solutions being enacted simultaneously.\u003c/p>\n\u003cp>“The pandemic has really ripped open some vulnerabilities in a population that's extremely dangerous, that something like this can go through very rapidly and ravage people that are near and dear to our hearts,” Spurlock said. “I don't think we're going back.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Researchers tell the story of how COVID-19 moved through care homes with data. What they've found also suggests ways to protect people better. ","status":"publish","parent":0,"modified":1607543093,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://datawrapper.dwcdn.net/3Mtcb/8/","https://datawrapper.dwcdn.net/HxpFR/3/","https://datawrapper.dwcdn.net/5Bj0h/3/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1338},"headData":{"title":"Surging Coronavirus More Dangerous for Nursing Homes With Black, Latino Residents | KQED","description":"Researchers tell the story of how COVID-19 moved through care homes with data. What they've found also suggests ways to protect people better. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11849641 https://ww2.kqed.org/news/?p=11849641","disqusUrl":"https://ww2.kqed.org/news/2020/12/04/surging-coronavirus-more-dangerous-for-nursing-homes-with-black-latino-residents/","disqusTitle":"Surging Coronavirus More Dangerous for Nursing Homes With Black, Latino Residents","audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-41c5-bcaf-aaef00f5a073/f3186572-452f-4dd6-9997-ac8401396e04/audio.mp3","path":"/news/11849641/surging-coronavirus-more-dangerous-for-nursing-homes-with-black-latino-residents","audioDuration":415000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11850234/creciente-covid-19-podria-afectar-mas-a-hogares-para-adultos-mayores-con-residentes-afroamericanos-y-latinos\">\u003cem>Leer en espa\u003cspan style=\"font-weight: 400\">ñol\u003c/span>\u003c/em>\u003c/a>\u003c/p>\n\u003cp>As the coronavirus surges again, it is especially dangerous for people in nursing homes caring for more Black and Latino residents, according to a new analysis from the California Health Care Foundation.\u003c/p>\n\u003cp>Researchers found that skilled nursing facilities with a greater share of Black and Latino residents had higher rates of COVID-19 cases and deaths — and that disparity is growing.\u003c/p>\n\u003cp>“We asked [our] advisory group, how do you explain this disparity?” said Dr. Bruce Spurlock, executive director of \u003ca href=\"https://calhospitalcompare.org/about/\">Cal Hospital Compare\u003c/a>, and a study co-author. “And nobody really knows. And that's kind of the part that we really need to figure out.”\u003c/p>\n\u003cp>\u003cb>A Shift Over Time\u003c/b>\u003c/p>\n\u003cp>Skilled nursing facilities have borne much of the weight of the pandemic. More than one quarter of reported COVID-related deaths in California have happened in nursing homes, even though their residents make up less than half a percent of the state’s population.\u003c/p>\n\u003cfigure id=\"attachment_11849674\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut.jpg\">\u003cimg class=\"size-medium wp-image-11849674\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-800x581.jpg\" alt=\"Costell Akrie holds a small baby in his room.\" width=\"800\" height=\"581\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-800x581.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-1020x741.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-160x116.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut-1536x1115.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/RS42756_RS42754_alt_1003-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Costell Akrie died after contracting coronavirus in corporate-owned Gateway Care and Rehabilitation Center in Alameda County. A new study has found that staffing levels worsened outbreaks in facilities like his. \u003ccite>(Courtesy of John Burris Law Offices)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Beyond demographics, the new study analyzed state and federal data about ownership status, size, type of patient, staffing levels and geography to identify factors associated with the hardest-hit nursing homes.\u003c/p>\n\u003cp>And those factors changed as the pandemic wore on. Back in May, “you could tell that the larger the facility, the for-profit facilities, were doing worse than the smaller and nonprofit facilities,” Spurlock said.\u003c/p>\n\u003cp>By late summer, he said, facilities struggling to control the virus were in counties with high COVID-19 rates.\u003c/p>\n\u003cp>“Age, gender, race and ethnicity were a much bigger predictor of who was doing worse in the August time frame,” Spurlock said.\u003c/p>\n\u003cp>Nursing home residents over 85, and men, have been more vulnerable to the virus throughout California. And while Latinos account for about \u003ca href=\"https://covid19.ca.gov/state-dashboard/\">60% of California’s positive coronavirus tests\u003c/a>, they represent less than 40% of the state’s population. But across the state, COVID-positive tests for Blacks have been a disproportionately small part of the total.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe title=\"Nursing Homes With More Latino Residents Have More COVID-19 Cases\" aria-label=\"Interactive line chart\" id=\"datawrapper-chart-3Mtcb\" src=\"https://datawrapper.dwcdn.net/3Mtcb/8/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"400\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003cbr>\n\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"datawrapper","attributes":{"named":{"label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe title=\"Nursing Homes With More Black Residents Have More COVID-19 Cases\" aria-label=\"Interactive line chart\" id=\"datawrapper-chart-HxpFR\" src=\"https://datawrapper.dwcdn.net/HxpFR/3/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"400\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003cbr>\n\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"datawrapper","attributes":{"named":{"label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cb>Lower Risk in Bay Area Nursing Homes\u003c/b>\u003c/p>\n\u003cp>All together, the research suggests a story of how the coronavirus has moved through skilled nursing facilities statewide. That story is slightly different in the Bay Area.\u003c/p>\n\u003cp>Outbreaks the region experienced during late spring and summer tracks with the study’s overall conclusions about nursing homes. Windsor Vallejo, a Contra Costa County care home operated by a limited liability corporation, saw 100 cases of the coronavirus in May. A month earlier, corporate-owned Gateway Care and Rehabilitation Center in Hayward saw \u003ca href=\"https://www.kqed.org/science/1962559/state-lists-dont-reveal-all-the-senior-care-homes-with-covid-19-outbreaks\">at least 65 cases\u003c/a> of COVID-19. Complaints from family members have so far prompted a lawsuit and an investigation by the Alameda County district attorney.\u003c/p>\n\u003cp>But Bay Area nursing homes have fewer Latino residents than the rest of the state. The region’s nursing homes are generally smaller than the state average, and fewer are run by corporations for profit. About a third of Marin County nursing homes are nonprofit, for example.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe title=\"Percent of Investor-owned and Non-profit Nursing Homes \" aria-label=\"chart\" id=\"datawrapper-chart-5Bj0h\" src=\"https://datawrapper.dwcdn.net/5Bj0h/3/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"400\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003cbr>\n\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"datawrapper","attributes":{"named":{"label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The report is great. My response to it is 'duh,’ ” said Scott Akrie, whose father Costell tested positive for coronavirus while at Gateway and died within weeks. Akrie, who is suing Gateway, points out that the facility has been repeatedly cited by state regulators and sued, so far with little consequence. “Just because these people are elderly, they are not forgotten souls that can be taken for granted.”\u003c/p>\n\u003cp>County by county, as the coronavirus surges, health officers are now are modifying orders related to long-term care homes. In Santa Clara County, \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/mandatory-directives-long-care-facilities.aspx\">the latest guidelines\u003c/a> keep visitors to care home residents outside as much as possible, and require visitors present a negative test within 72 hours of a socially distanced visit indoors.\u003c/p>\n\u003cp>In Alameda County, where the Centers for Disease Control and Prevention reports the case rate per capita has risen 24% in the last week, seven nursing homes report COVID-19 outbreaks as of Dec. 2. Nine facilities currently report outbreaks in Santa Clara County, where the case rate has risen more than 50% in the last week.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\n\u003cb>Some Recommendations Easier Than Others\u003c/b>\u003c/p>\n\u003cp>Researchers make several recommendations to stanch the spread of the virus in nursing homes. Some are tactical; actions that could be taken immediately, like asking the Department of Public Health to enforce testing and training requirements week after week. Some are more complex: The authors suggest that the Department of Health Care Services should demand more financial transparency from all related entities controlling nursing homes, which would require amending law and regulation.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11849594,news_11813696,science_1968093","label":"More Coronavirus Coverage "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The California Department of Public Health says it has used predictive analysis to identify facilities that seem to be headed for trouble, and follows up with facilities in outbreak to address urgent needs. In a statement, CDPH says it has prioritized mitigation and infection control, as well as the investigation of complaints and incidents that nursing homes themselves report, over routine inspections and enforcement.\u003c/p>\n\u003cp>Nursing homes with higher levels of staffing have fared better throughout the pandemic, but staffing levels remain “a very controversial area,” according to Spurlock. Federal and state rules set minimum hour requirements for nurses, assistants and other staffers at skilled nursing facilities. In the Bay Area, patient advocates allege that understaffing has contributed to outbreaks, especially in Alameda County.\u003c/p>\n\u003cp>In a statement, the California Association of Health Facilities calls staffing a “critical” problem for the nursing homes it represents, pointing out that when a worker tests positive and must quarantine, other workers must often work double shifts.\u003c/p>\n\u003cp>“It’s incredibly difficult to find staff right now and require them to work in a dangerous environment,” said California Association of Health Facilities spokeswoman Deborah Pacyna.\u003c/p>\n\u003cp>Researchers recommend that regulators require facilities to meet the staffing standards they’re supposed to. They also suggest designating family members as “essential workers” as the pandemic continues. Doing that would permit relatives into facilities, which could boost care and minimize isolation and anxiety in a time of crisis.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"\"Just because these people are elderly, they are not forgotten souls that can be taken for granted.\"","name":"pullquote","attributes":{"named":{"align":"right","citation":"Scott Akrie","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The authors also put forward a more involved proposal to restructure the state’s low-income health subsidy, to boost nursing home salaries and staffing even further than it does now. Such a move would prompt debate and require litigation.\u003c/p>\n\u003cp>“Any suggestion that staff levels should be increased needs to be coupled with additional state reimbursement for wages,” said Pacyna.\u003c/p>\n\u003cp>“With staffing, we know the changes to make” that would help, said Spurlock. “With health equity, we still are unsure about what actions that we need to take to reduce the disparity.”\u003c/p>\n\u003cp>Among the researchers’ health equity-related recommendations is that vaccines should be directed toward skilled nursing facilities most at-risk, which right now means facilities with higher numbers of Black and Latino residents.\u003c/p>\n\u003cp>As of now, federal and state guidelines prioritize vaccines for health care workers on the front lines most at risk of contracting COVID-19. California counties are still developing their specific plans for distributing vaccines that are sure to be in short supply. And Spurlock acknowledges that this recommendation is a controversial one. But he says that the evidence points toward a need for change, and for multiple, large-scale solutions being enacted simultaneously.\u003c/p>\n\u003cp>“The pandemic has really ripped open some vulnerabilities in a population that's extremely dangerous, that something like this can go through very rapidly and ravage people that are near and dear to our hearts,” Spurlock said. “I don't think we're going back.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11849641/surging-coronavirus-more-dangerous-for-nursing-homes-with-black-latino-residents","authors":["11223","199"],"categories":["news_457","news_8","news_356"],"tags":["news_28884","news_28488","news_27350","news_27504","news_28882","news_2813"],"featImg":"news_11849642","label":"news"},"news_11812417":{"type":"posts","id":"news_11812417","meta":{"index":"posts_1591205157","site":"news","id":"11812417","score":null,"sort":[1586955607000]},"guestAuthors":[],"slug":"will-california-nursing-homes-be-forced-to-accept-covid-19-patients","title":"Will California Nursing Homes Be Forced to Accept COVID-19 Patients?","publishDate":1586955607,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{},"content":"\u003cp>Dr. Noah Marco might never have known that he’d unwittingly admitted a \u003ca href=\"https://calmatters.org/health/2020/04/california-hotel-rooms-coronavirus-health-care-workers-covid-19/\">COVID-19\u003c/a> patient into his Los Angeles area nursing home last month if his nursing director wasn’t friends with her counterpart at another nursing home nearby.\u003c/p>\n\u003cp>The elderly man had been transferred to the Los Angeles Jewish Home, where Marco is chief medical officer, from another nursing home just before it experienced \u003ca href=\"https://www.latimes.com/socal/burbank-leader/news/story/2020-03-30/2-residents-of-alameda-care-center-die-from-covid-19\">a severe coronavirus outbreak\u003c/a> that infected 17 and killed two residents.\u003c/p>\n\u003cp>Marco had isolated the man as he began showing symptoms, and tested him right after his nursing director received an apologetic call from her counterpart at the stricken home. The man’s \u003ca href=\"https://www.facebook.com/LosAngelesJewishHome/?__tn__=kC-R&eid=ARAyQ3PATa5zgGkEnTT-sXsnNQ33Q8nm1LVY1u8vrCUlzKo0SkEtfshjDlFmo-J0xKq-nGbV1AV2wNta&hc_ref=ARTSyOfr-oYHlEdkIDCHV6TgLYKHs62o5hfqYeToyuMH02-QcrCnTO2xxAYY0L1oRIQ&fref=nf&__xts__%5b0%5d=68.ARDhfIg4P8pjTzlDOQ_X-McpT8OCygOx_IhzTx0y33qq6685BsOMfCQILWJofNPUvbKn-pjekOQUUMkPE1yOzP8wUS_zbDL6KOIySmDit80v101hGFAhCQI78V5xljqxltBAmh5JIdGEepWb1Yq7nkae2NEbJkj00alEkuFsFZx3RB1_T6adXnsmELXOGgyT156MSbZcwS6edPbzBiq4w9XrBTH-KU-f28fLXLbUgYaH0nDDwyX3ZLH7Y-4eGzji-58tJtGwKlB-oX46MvhtjmUpUIrH2eTTJ0lsbfeclkNLypYSrvODnsFG7sp2BzmbLqxLwVD5izQzXw84cT5H\">positive\u003c/a> results arrived from a commercial lab days later — an hour or two, Marco said, before he died.\u003c/p>\n\u003cp>“They sent him to us not knowing he had COVID,” Marco said. “We found out only because of a happenstance relationship between two nurses in two different buildings.” [ad fullwidth]\u003c/p>\n\u003cp>In California and nationwide, some skilled nursing facilities have gone well beyond the measures recommended by the U.S. Centers for Disease Control and Prevention (CDC) earlier in the pandemic — including closing communal dining rooms and banning outside visitors — to protect their elderly or disabled patients who are at most risk of dying if infected with the novel coronavirus.\u003c/p>\n\u003cp>They’re checking residents, and sometimes workers, for fever each day. Setting up special units for dialysis patients who need to leave the nursing home regularly for care. Requiring new residents to isolate in separate areas for 14 days. In some cases, nursing homes are requiring COVID-19 tests of new patients or returning residents before they can be readmitted, all the while worrying about \u003ca href=\"https://www.propublica.org/article/coronavirus-tests-are-being-fast-tracked-by-the-fda-but-its-unclear-how-accurate-they-are\">false negative results that have been reported\u003c/a> in some tests. Some homes are refusing new patients altogether.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" tag=\"nursing-homes\"]\u003c/p>\n\u003cp>Headline-grabbing outbreaks at nursing homes in Riverside and Orinda underscore how quickly the coronavirus can spread through facilities and just how quickly it can fell patients and staff.\u003c/p>\n\u003cp>In Riverside, 83 patients \u003ca href=\"https://www.pe.com/2020/04/08/riverside-skilled-nursing-facility-with-39-coronavirus-cases-evacuated/\">were evacuated\u003c/a> Wednesday from Magnolia Rehabilitation and Nursing Center in the middle of its outbreak there because so many employees failed to show up for work. One COVID-positive certified nursing assistant, not among the no-shows, \u003ca href=\"https://www.pe.com/2020/04/13/woman-20-who-worked-at-riverside-nursing-home-with-outbreak-dies-from-coronavirus/\">has died\u003c/a>, a relative said Monday. Contra Costa County health officials asked the state to take over management of the Orinda Care Center after nearly a third of its staff members \u003ca href=\"https://www.nbcbayarea.com/news/local/east-bay/county-seeks-state-takeover-of-orinda-nursing-home-with-past-safety-violations/2270654/\">fell ill\u003c/a> along with 27 patients, two of whom died.\u003c/p>\n\u003cp>An estimated 1,266 patients or staff in California’s 1,244 skilled nursing facilities have been infected to date, Gov. Gavin Newsom said Friday in an \u003ca href=\"https://www.facebook.com/CAgovernor/videos/665608347538933/\">online press conference\u003c/a>. California public health officials are monitoring 191 nursing homes with infected patients or staff.\u003c/p>\n\u003cp>But in trying to secure their facilities against viral intrusion, some nursing homes may run afoul of state public health officials, who have said that to free up hospital beds, skilled nursing facilities \u003ca href=\"https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/AFL-20-33.aspx\">may be required\u003c/a> to accept recovering COVID-19 patients — even if they’re still infectious.\u003c/p>\n\u003cp>After an outcry from the nursing home industry, the controversial requirement was loosened so that nursing homes may refuse to accept these patients if the facilities lack adequate protective gear for workers or other ways to prevent transmission.\u003c/p>\n\u003cp>“Nursing homes are NOT the right place for the virus patients,” nursing home resident Dorothea Lack, an 81-year-old retired psychotherapist with chronic obstructive pulmonary disease, wrote in an email to CalMatters. “They are like incubators. These helpless, fragile patients should not be exposed to this virulent disease! Just because they are old and helpless is not an excuse for risking their lives, without their knowledge or consent.”\u003c/p>\n\u003cp>[pullquote size='medium' align='left' citation=\"Dorothea Lack, Nursing Home Resident\"]'Nursing homes are NOT the right place for the virus patients. They are like incubators.'[/pullquote]\u003c/p>\n\u003cp>Still, the moral equation is grave: save hospital beds for the sickest COVID-19 patients or endanger the elderly, who are most at risk of dying if infected?\u003c/p>\n\u003cp>Los Angeles County’s public health director last week even \u003ca href=\"https://www.latimes.com/california/story/2020-04-07/coronavirus-nursing-homes-residents-remove-la-county\">advised families\u003c/a> to consider pulling their loved ones out of nursing homes. It would be “perfectly appropriate,” said Dr. Barbara Ferrer.\u003c/p>\n\u003cp>But many families cannot properly care for their elderly relatives, some of whom may have severe dementia or chronic medical conditions that require daily nursing care.\u003c/p>\n\u003cp>The federal government does \u003ca href=\"https://www.nbcnews.com/news/us-news/more-2-200-coronavirus-deaths-nursing-homes-federal-government-isn-n1181026\">not track\u003c/a> nursing home deaths specifically. The Centers for Medicare and Medicaid Services has suggested nursing homes should dedicate “if possible” a wing or unit for patients transferred from hospitals. Its only \u003ca href=\"https://www.cms.gov/files/document/qso-20-14-nh-revised.pdf\">guidance\u003c/a> for nursing homes accepting patients from hospitals during the pandemic is that they should admit anyone they’d normally admit to their facility as long as they can follow CDC guidelines to prevent infection.\u003c/p>\n\u003cp>Without more specific federal direction, states are making up their own rules about what role skilled nursing facilities must play in housing recovering COVID-19 patients.\u003c/p>\n\u003cp>New York is requiring nursing homes \u003ca href=\"https://www.justiceinaging.org/wp-content/uploads/2020/04/Nursing-Facilities-and-Assisted-Living-During-the-COVID-19-Outbreak-4.3.20.pdf\">to accept patients\u003c/a> at the request of public health officials, no exceptions. Louisiana takes the opposite approach, \u003ca href=\"https://www.justiceinaging.org/wp-content/uploads/2020/04/Nursing-Facilities-and-Assisted-Living-During-the-COVID-19-Outbreak-4.3.20.pdf\">prohibiting nursing homes\u003c/a> from accepting hospital patients who have tested positive for COVID-19 or have a pending test, or who have respiratory symptoms.\u003c/p>\n\u003cfigure id=\"attachment_11812420\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-11812420\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/NURSING-HOMES-photo-2-1.jpg\" alt=\"\" width=\"1920\" height=\"1283\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/NURSING-HOMES-photo-2-1.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/NURSING-HOMES-photo-2-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/NURSING-HOMES-photo-2-1-800x535.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/NURSING-HOMES-photo-2-1-1020x682.jpg 1020w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Noah S. Marco, Jewish Home Chief Medical Officer, at the Grancell Village Campus in Reseda, Calif. \u003ccite>(Nancy Pastor/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the Los Angeles Jewish Home, Dr. Noah Marco said he simply will refuse any COVID-19 patients from hospitals.\u003c/p>\n\u003cp>“I’m not taking in a COVID-positive patient for the sole purpose of emptying one hospital bed. In two weeks, I’m sending them back 20 new patients,” he said. “No facilities have the kind of personal protective equipment they need. We don’t have isolation gowns, we’re out. We’d ordered as many as we can and we used them. You know what we’re using? We are using patient hospital gowns for our caregivers.”\u003c/p>\n\u003cp>The only approach that makes sense, Marco and other nursing home doctors say, is to use other facilities for recovering patients that don’t already have vulnerable seniors living there. “This is these people’s home and you cannot bring a COVID-positive person into a senior’s home, everyone would agree with that,” Marco said.\u003c/p>\n\u003cp>To date, California’s Public Health Department has not required any nursing homes to accept COVID-positive patients to free up hospital beds, but those orders — if they come — are likely to originate from county health departments. Some nursing homes are trying to prepare for this worst-case scenario, including the Campus for Jewish Living in San Francisco, which has prepared a separate wing where COVID-patients from hospitals could recover, the San Francisco Chronicle \u003ca href=\"https://www.sfchronicle.com/politics/article/Ordered-by-the-state-SF-nursing-home-prepares-to-15185950.php\">reported\u003c/a>.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation=\"Dr. Noah Marco, Chief Medical Officer of Los Angeles Jewish Home\"]'I’m not taking in a COVID-positive patient for the sole purpose of emptying one hospital bed. In two weeks, I’m sending them back 20 new patients.'[/pullquote]\u003c/p>\n\u003cp>Nursing home officials may find some relief in \u003ca href=\"https://www.gov.ca.gov/2020/04/10/governor-newsom-outlines-steps-to-protect-residents-and-employees-of-california-nursing-home-residential-care-facilities/\">plans announced Friday\u003c/a> by Gov. Newsom to deploy what he called “SWAT teams” of infectious disease experts to assist nursing homes experiencing large outbreaks, and 600 public health nurses more generally to help homes improve infection control. The state also will provide $500 stipends to as many as 50,000 nursing home workers, a consequence of a Facebook donation of up to $25 million. Officials also plan to offer \u003ca href=\"https://calmatters.org/health/2020/04/california-hotel-rooms-coronavirus-health-care-workers-covid-19/\">free or heavily discounted hotel rooms to infected or exposed nursing home workers\u003c/a> who don’t need to be hospitalized.\u003c/p>\n\u003cp>Newsom also said that more non-COVID-19 patients could be treated and recover on the hospital ship Mercy, docked at the Port of Los Angeles to reduce the burden on overloaded hospitals. He added that the state has identified seven additional, as yet undisclosed, sites outside of nursing homes where patients could recover. That could take the pressure off some nursing homes.\u003c/p>\n\u003cp>“This state has a disproportionate number of aging individuals and we have a unique responsibility to take care of them,” he said.\u003c/p>\n\u003cp>Since then, however, at least three sailors on the Mercy have \u003ca href=\"https://www.sandiegouniontribune.com/news/military/story/2020-04-10/2-more-hospital-ship-mercy-sailors-test-positive-for-covid-19\">tested positive\u003c/a> for COVID-19, possibly upending Newsom’s plans. They are isolated and recovering off the ship.\u003c/p>\n\u003cp>\u003cem>CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Some nursing homes may run afoul of California officials, who say they may be required to accept recovering, but still infectious, COVID-19 patients.","status":"publish","parent":0,"modified":1586975664,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1480},"headData":{"title":"Will California Nursing Homes Be Forced to Accept COVID-19 Patients? | KQED","description":"Some nursing homes may run afoul of California officials, who say they may be required to accept recovering, but still infectious, COVID-19 patients.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11812417 https://ww2.kqed.org/news/?p=11812417","disqusUrl":"https://ww2.kqed.org/news/2020/04/15/will-california-nursing-homes-be-forced-to-accept-covid-19-patients/","disqusTitle":"Will California Nursing Homes Be Forced to Accept COVID-19 Patients?","source":"CalMatters","sourceUrl":"https://calmatters.org/health/2020/04/nursing-homes-california-covid-19-patients-coronavirus-newsom/","nprByline":"Barbara Feder Ostrov","path":"/news/11812417/will-california-nursing-homes-be-forced-to-accept-covid-19-patients","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dr. Noah Marco might never have known that he’d unwittingly admitted a \u003ca href=\"https://calmatters.org/health/2020/04/california-hotel-rooms-coronavirus-health-care-workers-covid-19/\">COVID-19\u003c/a> patient into his Los Angeles area nursing home last month if his nursing director wasn’t friends with her counterpart at another nursing home nearby.\u003c/p>\n\u003cp>The elderly man had been transferred to the Los Angeles Jewish Home, where Marco is chief medical officer, from another nursing home just before it experienced \u003ca href=\"https://www.latimes.com/socal/burbank-leader/news/story/2020-03-30/2-residents-of-alameda-care-center-die-from-covid-19\">a severe coronavirus outbreak\u003c/a> that infected 17 and killed two residents.\u003c/p>\n\u003cp>Marco had isolated the man as he began showing symptoms, and tested him right after his nursing director received an apologetic call from her counterpart at the stricken home. The man’s \u003ca href=\"https://www.facebook.com/LosAngelesJewishHome/?__tn__=kC-R&eid=ARAyQ3PATa5zgGkEnTT-sXsnNQ33Q8nm1LVY1u8vrCUlzKo0SkEtfshjDlFmo-J0xKq-nGbV1AV2wNta&hc_ref=ARTSyOfr-oYHlEdkIDCHV6TgLYKHs62o5hfqYeToyuMH02-QcrCnTO2xxAYY0L1oRIQ&fref=nf&__xts__%5b0%5d=68.ARDhfIg4P8pjTzlDOQ_X-McpT8OCygOx_IhzTx0y33qq6685BsOMfCQILWJofNPUvbKn-pjekOQUUMkPE1yOzP8wUS_zbDL6KOIySmDit80v101hGFAhCQI78V5xljqxltBAmh5JIdGEepWb1Yq7nkae2NEbJkj00alEkuFsFZx3RB1_T6adXnsmELXOGgyT156MSbZcwS6edPbzBiq4w9XrBTH-KU-f28fLXLbUgYaH0nDDwyX3ZLH7Y-4eGzji-58tJtGwKlB-oX46MvhtjmUpUIrH2eTTJ0lsbfeclkNLypYSrvODnsFG7sp2BzmbLqxLwVD5izQzXw84cT5H\">positive\u003c/a> results arrived from a commercial lab days later — an hour or two, Marco said, before he died.\u003c/p>\n\u003cp>“They sent him to us not knowing he had COVID,” Marco said. “We found out only because of a happenstance relationship between two nurses in two different buildings.” \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In California and nationwide, some skilled nursing facilities have gone well beyond the measures recommended by the U.S. Centers for Disease Control and Prevention (CDC) earlier in the pandemic — including closing communal dining rooms and banning outside visitors — to protect their elderly or disabled patients who are at most risk of dying if infected with the novel coronavirus.\u003c/p>\n\u003cp>They’re checking residents, and sometimes workers, for fever each day. Setting up special units for dialysis patients who need to leave the nursing home regularly for care. Requiring new residents to isolate in separate areas for 14 days. In some cases, nursing homes are requiring COVID-19 tests of new patients or returning residents before they can be readmitted, all the while worrying about \u003ca href=\"https://www.propublica.org/article/coronavirus-tests-are-being-fast-tracked-by-the-fda-but-its-unclear-how-accurate-they-are\">false negative results that have been reported\u003c/a> in some tests. Some homes are refusing new patients altogether.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","tag":"nursing-homes"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Headline-grabbing outbreaks at nursing homes in Riverside and Orinda underscore how quickly the coronavirus can spread through facilities and just how quickly it can fell patients and staff.\u003c/p>\n\u003cp>In Riverside, 83 patients \u003ca href=\"https://www.pe.com/2020/04/08/riverside-skilled-nursing-facility-with-39-coronavirus-cases-evacuated/\">were evacuated\u003c/a> Wednesday from Magnolia Rehabilitation and Nursing Center in the middle of its outbreak there because so many employees failed to show up for work. One COVID-positive certified nursing assistant, not among the no-shows, \u003ca href=\"https://www.pe.com/2020/04/13/woman-20-who-worked-at-riverside-nursing-home-with-outbreak-dies-from-coronavirus/\">has died\u003c/a>, a relative said Monday. Contra Costa County health officials asked the state to take over management of the Orinda Care Center after nearly a third of its staff members \u003ca href=\"https://www.nbcbayarea.com/news/local/east-bay/county-seeks-state-takeover-of-orinda-nursing-home-with-past-safety-violations/2270654/\">fell ill\u003c/a> along with 27 patients, two of whom died.\u003c/p>\n\u003cp>An estimated 1,266 patients or staff in California’s 1,244 skilled nursing facilities have been infected to date, Gov. Gavin Newsom said Friday in an \u003ca href=\"https://www.facebook.com/CAgovernor/videos/665608347538933/\">online press conference\u003c/a>. California public health officials are monitoring 191 nursing homes with infected patients or staff.\u003c/p>\n\u003cp>But in trying to secure their facilities against viral intrusion, some nursing homes may run afoul of state public health officials, who have said that to free up hospital beds, skilled nursing facilities \u003ca href=\"https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/AFL-20-33.aspx\">may be required\u003c/a> to accept recovering COVID-19 patients — even if they’re still infectious.\u003c/p>\n\u003cp>After an outcry from the nursing home industry, the controversial requirement was loosened so that nursing homes may refuse to accept these patients if the facilities lack adequate protective gear for workers or other ways to prevent transmission.\u003c/p>\n\u003cp>“Nursing homes are NOT the right place for the virus patients,” nursing home resident Dorothea Lack, an 81-year-old retired psychotherapist with chronic obstructive pulmonary disease, wrote in an email to CalMatters. “They are like incubators. These helpless, fragile patients should not be exposed to this virulent disease! Just because they are old and helpless is not an excuse for risking their lives, without their knowledge or consent.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Nursing homes are NOT the right place for the virus patients. They are like incubators.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"left","citation":"Dorothea Lack, Nursing Home Resident","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Still, the moral equation is grave: save hospital beds for the sickest COVID-19 patients or endanger the elderly, who are most at risk of dying if infected?\u003c/p>\n\u003cp>Los Angeles County’s public health director last week even \u003ca href=\"https://www.latimes.com/california/story/2020-04-07/coronavirus-nursing-homes-residents-remove-la-county\">advised families\u003c/a> to consider pulling their loved ones out of nursing homes. It would be “perfectly appropriate,” said Dr. Barbara Ferrer.\u003c/p>\n\u003cp>But many families cannot properly care for their elderly relatives, some of whom may have severe dementia or chronic medical conditions that require daily nursing care.\u003c/p>\n\u003cp>The federal government does \u003ca href=\"https://www.nbcnews.com/news/us-news/more-2-200-coronavirus-deaths-nursing-homes-federal-government-isn-n1181026\">not track\u003c/a> nursing home deaths specifically. The Centers for Medicare and Medicaid Services has suggested nursing homes should dedicate “if possible” a wing or unit for patients transferred from hospitals. Its only \u003ca href=\"https://www.cms.gov/files/document/qso-20-14-nh-revised.pdf\">guidance\u003c/a> for nursing homes accepting patients from hospitals during the pandemic is that they should admit anyone they’d normally admit to their facility as long as they can follow CDC guidelines to prevent infection.\u003c/p>\n\u003cp>Without more specific federal direction, states are making up their own rules about what role skilled nursing facilities must play in housing recovering COVID-19 patients.\u003c/p>\n\u003cp>New York is requiring nursing homes \u003ca href=\"https://www.justiceinaging.org/wp-content/uploads/2020/04/Nursing-Facilities-and-Assisted-Living-During-the-COVID-19-Outbreak-4.3.20.pdf\">to accept patients\u003c/a> at the request of public health officials, no exceptions. Louisiana takes the opposite approach, \u003ca href=\"https://www.justiceinaging.org/wp-content/uploads/2020/04/Nursing-Facilities-and-Assisted-Living-During-the-COVID-19-Outbreak-4.3.20.pdf\">prohibiting nursing homes\u003c/a> from accepting hospital patients who have tested positive for COVID-19 or have a pending test, or who have respiratory symptoms.\u003c/p>\n\u003cfigure id=\"attachment_11812420\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-11812420\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/NURSING-HOMES-photo-2-1.jpg\" alt=\"\" width=\"1920\" height=\"1283\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/NURSING-HOMES-photo-2-1.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/NURSING-HOMES-photo-2-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/NURSING-HOMES-photo-2-1-800x535.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/NURSING-HOMES-photo-2-1-1020x682.jpg 1020w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Noah S. Marco, Jewish Home Chief Medical Officer, at the Grancell Village Campus in Reseda, Calif. \u003ccite>(Nancy Pastor/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the Los Angeles Jewish Home, Dr. Noah Marco said he simply will refuse any COVID-19 patients from hospitals.\u003c/p>\n\u003cp>“I’m not taking in a COVID-positive patient for the sole purpose of emptying one hospital bed. In two weeks, I’m sending them back 20 new patients,” he said. “No facilities have the kind of personal protective equipment they need. We don’t have isolation gowns, we’re out. We’d ordered as many as we can and we used them. You know what we’re using? We are using patient hospital gowns for our caregivers.”\u003c/p>\n\u003cp>The only approach that makes sense, Marco and other nursing home doctors say, is to use other facilities for recovering patients that don’t already have vulnerable seniors living there. “This is these people’s home and you cannot bring a COVID-positive person into a senior’s home, everyone would agree with that,” Marco said.\u003c/p>\n\u003cp>To date, California’s Public Health Department has not required any nursing homes to accept COVID-positive patients to free up hospital beds, but those orders — if they come — are likely to originate from county health departments. Some nursing homes are trying to prepare for this worst-case scenario, including the Campus for Jewish Living in San Francisco, which has prepared a separate wing where COVID-patients from hospitals could recover, the San Francisco Chronicle \u003ca href=\"https://www.sfchronicle.com/politics/article/Ordered-by-the-state-SF-nursing-home-prepares-to-15185950.php\">reported\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'I’m not taking in a COVID-positive patient for the sole purpose of emptying one hospital bed. In two weeks, I’m sending them back 20 new patients.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Dr. Noah Marco, Chief Medical Officer of Los Angeles Jewish Home","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nursing home officials may find some relief in \u003ca href=\"https://www.gov.ca.gov/2020/04/10/governor-newsom-outlines-steps-to-protect-residents-and-employees-of-california-nursing-home-residential-care-facilities/\">plans announced Friday\u003c/a> by Gov. Newsom to deploy what he called “SWAT teams” of infectious disease experts to assist nursing homes experiencing large outbreaks, and 600 public health nurses more generally to help homes improve infection control. The state also will provide $500 stipends to as many as 50,000 nursing home workers, a consequence of a Facebook donation of up to $25 million. Officials also plan to offer \u003ca href=\"https://calmatters.org/health/2020/04/california-hotel-rooms-coronavirus-health-care-workers-covid-19/\">free or heavily discounted hotel rooms to infected or exposed nursing home workers\u003c/a> who don’t need to be hospitalized.\u003c/p>\n\u003cp>Newsom also said that more non-COVID-19 patients could be treated and recover on the hospital ship Mercy, docked at the Port of Los Angeles to reduce the burden on overloaded hospitals. He added that the state has identified seven additional, as yet undisclosed, sites outside of nursing homes where patients could recover. That could take the pressure off some nursing homes.\u003c/p>\n\u003cp>“This state has a disproportionate number of aging individuals and we have a unique responsibility to take care of them,” he said.\u003c/p>\n\u003cp>Since then, however, at least three sailors on the Mercy have \u003ca href=\"https://www.sandiegouniontribune.com/news/military/story/2020-04-10/2-more-hospital-ship-mercy-sailors-test-positive-for-covid-19\">tested positive\u003c/a> for COVID-19, possibly upending Newsom’s plans. They are isolated and recovering off the ship.\u003c/p>\n\u003cp>\u003cem>CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11812417/will-california-nursing-homes-be-forced-to-accept-covid-19-patients","authors":["byline_news_11812417"],"programs":["news_72"],"categories":["news_8"],"tags":["news_26042","news_23099","news_27350","news_27504","news_25015","news_2813"],"featImg":"news_11812421","label":"source_news_11812417"},"news_11806699":{"type":"posts","id":"news_11806699","meta":{"index":"posts_1591205157","site":"news","id":"11806699","score":null,"sort":[1584142712000]},"guestAuthors":[],"slug":"how-well-does-your-nursing-home-fight-infections-look-it-up-here","title":"How Well Does Your Nursing Home Fight Infections? Look It Up Here","publishDate":1584142712,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>With nursing home residents at particular risk in the coronavirus pandemic, residents and their families and friends can discover which of the nation’s 15,000 facilities have been cited for infection-control violations in recent years through a Kaiser Health News lookup tool published March 12, 2020.\u003c/p>\n\u003cp>More nursing homes have been \u003ca href=\"https://khn.org/news/coronavirus-preparedness-infection-control-lapses-at-top-rated-nursing-homes/\">faulted for failing\u003c/a> to follow practices designed to prevent and control infections — such as staffers washing their hands before and after helping each resident and wearing gowns and masks around contagious patients — than for any other type of error. Such lapses have become matters of heightened concern with the spread of the coronavirus this spring, especially as the virus is a bigger threat to the elderly and those with underlying health conditions.\u003c/p>\n\u003cp>Despite their frequency, these citations rarely are reflected in the overall star rating Medicare assigns each facility on its \u003ca href=\"https://www.medicare.gov/nursinghomecompare/search.html?\">Nursing Home Compare\u003c/a> website. Even among nursing homes crowned with the maximum government rating of five stars for overall quality, nearly half have been cited for an infection-control lapse.\u003c/p>\n\u003cp>Health inspectors visit nursing homes every nine to 15 months for comprehensive evaluations. \u003ca href=\"https://khn.org/news/look-up-check-out-infection-records-of-15000-u-s-nursing-homes/\">The KHN tool\u003c/a> draws from a database of health inspection records during the past two regular survey cycles, which go as far back as 2016 for some facilities. The data also includes inspections initiated by complaints as well as those prompted by a problem a nursing home identifies.\u003c/p>\n\u003cp>The tool shows how often health inspectors have cited each nursing home for violating infection-control rules. It also shows the level of the most serious violation and the date it occurred.\u003c/p>\n\u003cdiv id=\"viz1584141303902\" class=\"tableauPlaceholder\" style=\"margin-left: auto;margin-right: auto;width: 8em\">\u003ca href=\"https://embeds.kff.org/protected-iframe/685d3ce039573da008e7f1bd4366c8e6\">\u003cimg alt=\" \" src=\"https://public.tableau.com/static/images/Pi/PinpointingInfectionRiskBySite/statedata/1_rss.png\" style=\"border: none\">\u003c/a> \u003c/div>\n\u003cp> var divElement = document.getElementById('viz1584141303902'); var vizElement = divElement.getElementsByTagName('object')[0]; if ( divElement.offsetWidth > 800 ) { vizElement.style.minWidth='1000px';vizElement.style.maxWidth='100%';vizElement.style.minHeight='1350px';vizElement.style.maxHeight=(divElement.offsetWidth*0.75)+'px';} else if ( divElement.offsetWidth > 500 ) { vizElement.style.minWidth='1000px';vizElement.style.maxWidth='100%';vizElement.style.minHeight='1350px';vizElement.style.maxHeight=(divElement.offsetWidth*0.75)+'px';} else { vizElement.style.minWidth='1000px';vizElement.style.maxWidth='100%';vizElement.style.minHeight='1350px';vizElement.style.maxHeight=(divElement.offsetWidth*1.77)+'px';} var scriptElement = document.createElement('script'); scriptElement.src = 'https://public.tableau.com/javascripts/api/viz_v1.js'; vizElement.parentNode.insertBefore(scriptElement, vizElement); \u003c/p>\n\u003cp>Infections are a persistent challenge for skilled nursing facilities. As many as 3.8 million occur in homes each year, killing nearly 388,000 residents. Bacteria and viruses can spread through urinary catheters used by immobile patients and attack patients through soft tissues exposed as bedsores or wounds. Influenza and a serious infection caused by a bacteria known as MRSA (methicillin-resistant Staphylococcus aureus) can also spread from casual contact among residents and visitors. The infection threats have grown more serious with the spread of bacteria such as MRSA that are resistant to antibiotics.\u003c/p>\n\u003cp>The Centers for Medicare & Medicaid Services \u003ca href=\"https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R173SOMA.pdf\">requires\u003c/a> all nursing homes that accept government insurance payments such as Medicaid and Medicare to have a written plan to prevent and control infections. Each home must have a surveillance system to identify possible communicable diseases and contain them before they spread to other people in the facility and lay out the steps to report contagions to the authorities.\u003c/p>\n\u003cp>The program must instruct workers on all the precautions they should take to avoid contracting and transmitting diseases, such as \u003ca href=\"https://www.cdc.gov/handhygiene/providers/index.html\">washing hands\u003c/a>, disinfecting equipment and distributing linens and cleaning laundry in a hygienic manner.\u003c/p>\n\u003cp>The program also explains when employees must wear \u003ca href=\"https://www.cdc.gov/hai/containment/PPE-Nursing-Homes.html\">protective equipment\u003c/a>, such as gowns, masks and gloves, and tells them exactly how to don and remove the equipment. It must also describe when a potentially contagious resident should be isolated and how long that should last.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>When inspectors visit a nursing home, either for a regular survey or in response to a complaint, they issue a deficiency if they see the nursing home not following its infection-control program. They also categorize its seriousness into one of these four levels, which the KHN tool identifies:\u003c/p>\n\u003cp>\u003cstrong>Level 4: Immediate Jeopardy\u003c/strong>, the most serious violation, is typically assigned when there is evidence that the home’s faulty practice is putting residents at continued risk. That could include actions such as staff failing to sanitize equipment used on multiple residents. Nursing homes must remedy the problem at once, unlike lesser citations, for which they generally have 10 days to provide regulators with their plan to correct the violations.\u003c/p>\n\u003cp>\u003cstrong>Level 3: Actual Harm\u003c/strong> is usually assigned, as its name suggests, when a failure to follow proper procedures led to a resident contracting an infection or sustaining another tangible injury. An actual harm deficiency might be issued, for instance, if a nursing home overlooked or failed to treat a case of scabies on a resident and it spread to other residents, causing severely itchy rashes.\u003c/p>\n\u003cp>[aside label='Coronavirus Coverage' tag='coronavirus']\u003c/p>\n\u003cp>Only about 1% of deficiencies are categorized as immediate jeopardy or actual harm. Both levels can incur federal or state fines or other financial punishments, such as Medicare refusing to pay for new admissions for a set number of days. On rare occasions, a nursing home can be banned from Medicare and Medicaid.\u003c/p>\n\u003cp>\u003cstrong>Level 2: Potential for Harm\u003c/strong>, the most common citation level, is issued when no resident was hurt but a deficient practice might lead to a greater-than-minimal injury. Inspectors might use this if they observed staff members not washing their hands properly or allowing linens or wound care supplies to touch potentially contaminated surfaces, such as a resident’s bed.\u003c/p>\n\u003cp>\u003cstrong>Level 1: Potential for Minimum Harm,\u003c/strong> the mildest violation level, refers to a deviation from safety rules that did not lead to a patient’s injury and carried the potential for minimal harm, at most. It can be issued against a nursing home that failed to review its infection-control and prevention plan at least once a year, for instance.\u003c/p>\n\u003cp>Nursing home inspection reports can be found on \u003ca href=\"https://www.medicare.gov/nursinghomecompare/search.html?\">Nursing Home Compare\u003c/a>. After you locate a home, select the “Health Inspections” tab and then click on the link near the bottom to view all details on health inspections, complaints and facility-reported issues.\u003c/p>\n\u003cp>\u003cimg src=\"https://ssl.google-analytics.com/collect?v=1&t=event&ec=Republish&tid=UA-53070700-2&z=1584137248401&cid=4b8f8adc-a9ca-4370-89a2-c556ce2204d1&ea=https%3A%2F%2Fkhn.org%2Fnews%2Fhow-well-does-your-nursing-home-fight-infections-look-it-up-here%2F&el=How%20Well%20Does%20Your%20Nursing%20Home%20Fight%20Infections%3F%20Look%20It%20Up%20Here\">\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"With nursing home residents at particular risk in the coronavirus pandemic, residents and their families can find which of the nation’s 15,000 facilities have been cited for infection-control violations with this new tool.","status":"publish","parent":0,"modified":1587580864,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":1022},"headData":{"title":"How Well Does Your Nursing Home Fight Infections? Look It Up Here | KQED","description":"With nursing home residents at particular risk in the coronavirus pandemic, residents and their families can find which of the nation’s 15,000 facilities have been cited for infection-control violations with this new tool.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11806699 https://ww2.kqed.org/news/?p=11806699","disqusUrl":"https://ww2.kqed.org/news/2020/03/13/how-well-does-your-nursing-home-fight-infections-look-it-up-here/","disqusTitle":"How Well Does Your Nursing Home Fight Infections? Look It Up Here","source":"Kaiser Health News","sourceUrl":"https://khn.org/","nprByline":"\u003ca href=\"https://khn.org/news/author/jordan-rau/\">Jordan Rau\u003c/a> and \u003ca href=\"https://khn.org/news/author/elizabeth-lucas/\">Elizabeth Lucas\u003c/a>","templateType":"standard","featuredImageType":"standard","path":"/news/11806699/how-well-does-your-nursing-home-fight-infections-look-it-up-here","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>With nursing home residents at particular risk in the coronavirus pandemic, residents and their families and friends can discover which of the nation’s 15,000 facilities have been cited for infection-control violations in recent years through a Kaiser Health News lookup tool published March 12, 2020.\u003c/p>\n\u003cp>More nursing homes have been \u003ca href=\"https://khn.org/news/coronavirus-preparedness-infection-control-lapses-at-top-rated-nursing-homes/\">faulted for failing\u003c/a> to follow practices designed to prevent and control infections — such as staffers washing their hands before and after helping each resident and wearing gowns and masks around contagious patients — than for any other type of error. Such lapses have become matters of heightened concern with the spread of the coronavirus this spring, especially as the virus is a bigger threat to the elderly and those with underlying health conditions.\u003c/p>\n\u003cp>Despite their frequency, these citations rarely are reflected in the overall star rating Medicare assigns each facility on its \u003ca href=\"https://www.medicare.gov/nursinghomecompare/search.html?\">Nursing Home Compare\u003c/a> website. Even among nursing homes crowned with the maximum government rating of five stars for overall quality, nearly half have been cited for an infection-control lapse.\u003c/p>\n\u003cp>Health inspectors visit nursing homes every nine to 15 months for comprehensive evaluations. \u003ca href=\"https://khn.org/news/look-up-check-out-infection-records-of-15000-u-s-nursing-homes/\">The KHN tool\u003c/a> draws from a database of health inspection records during the past two regular survey cycles, which go as far back as 2016 for some facilities. The data also includes inspections initiated by complaints as well as those prompted by a problem a nursing home identifies.\u003c/p>\n\u003cp>The tool shows how often health inspectors have cited each nursing home for violating infection-control rules. It also shows the level of the most serious violation and the date it occurred.\u003c/p>\n\u003cdiv id=\"viz1584141303902\" class=\"tableauPlaceholder\" style=\"margin-left: auto;margin-right: auto;width: 8em\">\u003ca href=\"https://embeds.kff.org/protected-iframe/685d3ce039573da008e7f1bd4366c8e6\">\u003cimg alt=\" \" src=\"https://public.tableau.com/static/images/Pi/PinpointingInfectionRiskBySite/statedata/1_rss.png\" style=\"border: none\">\u003c/a> \u003c/div>\n\u003cp> var divElement = document.getElementById('viz1584141303902'); var vizElement = divElement.getElementsByTagName('object')[0]; if ( divElement.offsetWidth > 800 ) { vizElement.style.minWidth='1000px';vizElement.style.maxWidth='100%';vizElement.style.minHeight='1350px';vizElement.style.maxHeight=(divElement.offsetWidth*0.75)+'px';} else if ( divElement.offsetWidth > 500 ) { vizElement.style.minWidth='1000px';vizElement.style.maxWidth='100%';vizElement.style.minHeight='1350px';vizElement.style.maxHeight=(divElement.offsetWidth*0.75)+'px';} else { vizElement.style.minWidth='1000px';vizElement.style.maxWidth='100%';vizElement.style.minHeight='1350px';vizElement.style.maxHeight=(divElement.offsetWidth*1.77)+'px';} var scriptElement = document.createElement('script'); scriptElement.src = 'https://public.tableau.com/javascripts/api/viz_v1.js'; vizElement.parentNode.insertBefore(scriptElement, vizElement); \u003c/p>\n\u003cp>Infections are a persistent challenge for skilled nursing facilities. As many as 3.8 million occur in homes each year, killing nearly 388,000 residents. Bacteria and viruses can spread through urinary catheters used by immobile patients and attack patients through soft tissues exposed as bedsores or wounds. Influenza and a serious infection caused by a bacteria known as MRSA (methicillin-resistant Staphylococcus aureus) can also spread from casual contact among residents and visitors. The infection threats have grown more serious with the spread of bacteria such as MRSA that are resistant to antibiotics.\u003c/p>\n\u003cp>The Centers for Medicare & Medicaid Services \u003ca href=\"https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R173SOMA.pdf\">requires\u003c/a> all nursing homes that accept government insurance payments such as Medicaid and Medicare to have a written plan to prevent and control infections. Each home must have a surveillance system to identify possible communicable diseases and contain them before they spread to other people in the facility and lay out the steps to report contagions to the authorities.\u003c/p>\n\u003cp>The program must instruct workers on all the precautions they should take to avoid contracting and transmitting diseases, such as \u003ca href=\"https://www.cdc.gov/handhygiene/providers/index.html\">washing hands\u003c/a>, disinfecting equipment and distributing linens and cleaning laundry in a hygienic manner.\u003c/p>\n\u003cp>The program also explains when employees must wear \u003ca href=\"https://www.cdc.gov/hai/containment/PPE-Nursing-Homes.html\">protective equipment\u003c/a>, such as gowns, masks and gloves, and tells them exactly how to don and remove the equipment. It must also describe when a potentially contagious resident should be isolated and how long that should last.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When inspectors visit a nursing home, either for a regular survey or in response to a complaint, they issue a deficiency if they see the nursing home not following its infection-control program. They also categorize its seriousness into one of these four levels, which the KHN tool identifies:\u003c/p>\n\u003cp>\u003cstrong>Level 4: Immediate Jeopardy\u003c/strong>, the most serious violation, is typically assigned when there is evidence that the home’s faulty practice is putting residents at continued risk. That could include actions such as staff failing to sanitize equipment used on multiple residents. Nursing homes must remedy the problem at once, unlike lesser citations, for which they generally have 10 days to provide regulators with their plan to correct the violations.\u003c/p>\n\u003cp>\u003cstrong>Level 3: Actual Harm\u003c/strong> is usually assigned, as its name suggests, when a failure to follow proper procedures led to a resident contracting an infection or sustaining another tangible injury. An actual harm deficiency might be issued, for instance, if a nursing home overlooked or failed to treat a case of scabies on a resident and it spread to other residents, causing severely itchy rashes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Coronavirus Coverage ","tag":"coronavirus"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Only about 1% of deficiencies are categorized as immediate jeopardy or actual harm. Both levels can incur federal or state fines or other financial punishments, such as Medicare refusing to pay for new admissions for a set number of days. On rare occasions, a nursing home can be banned from Medicare and Medicaid.\u003c/p>\n\u003cp>\u003cstrong>Level 2: Potential for Harm\u003c/strong>, the most common citation level, is issued when no resident was hurt but a deficient practice might lead to a greater-than-minimal injury. Inspectors might use this if they observed staff members not washing their hands properly or allowing linens or wound care supplies to touch potentially contaminated surfaces, such as a resident’s bed.\u003c/p>\n\u003cp>\u003cstrong>Level 1: Potential for Minimum Harm,\u003c/strong> the mildest violation level, refers to a deviation from safety rules that did not lead to a patient’s injury and carried the potential for minimal harm, at most. It can be issued against a nursing home that failed to review its infection-control and prevention plan at least once a year, for instance.\u003c/p>\n\u003cp>Nursing home inspection reports can be found on \u003ca href=\"https://www.medicare.gov/nursinghomecompare/search.html?\">Nursing Home Compare\u003c/a>. After you locate a home, select the “Health Inspections” tab and then click on the link near the bottom to view all details on health inspections, complaints and facility-reported issues.\u003c/p>\n\u003cp>\u003cimg src=\"https://ssl.google-analytics.com/collect?v=1&t=event&ec=Republish&tid=UA-53070700-2&z=1584137248401&cid=4b8f8adc-a9ca-4370-89a2-c556ce2204d1&ea=https%3A%2F%2Fkhn.org%2Fnews%2Fhow-well-does-your-nursing-home-fight-infections-look-it-up-here%2F&el=How%20Well%20Does%20Your%20Nursing%20Home%20Fight%20Infections%3F%20Look%20It%20Up%20Here\">\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11806699/how-well-does-your-nursing-home-fight-infections-look-it-up-here","authors":["byline_news_11806699"],"categories":["news_457","news_8","news_356"],"tags":["news_18538","news_27350","news_27504","news_2813","news_27808"],"featImg":"news_11806716","label":"source_news_11806699"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. 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