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Nursing home chain ReNew Health continues to care for hundreds of patients even after the state attempted to crack down. Before and during the pandemic, homes connected to ReNew had safety violations.
The number of Americans 65 and older is expected to nearly double in the next 40 years. Finding a way to provide and pay for the long-term health services they need won't be easy.
Responsible for 34% of the nation鈥檚 covid death toll, nursing homes and long-term care facilities get slammed by their investors and are told to change.
As of Wednesday, the KHN-Guardian project counted 3,607 U.S. health worker deaths in the first year of the pandemic. Today we add 39 profiles, including a hospice chaplain, a nurse who spoke to intubated patients "like they were listening," and a home health aide who couldn't afford to stop working. This is the most comprehensive count in the nation as of April 2021, and our interactive database investigates the question: Did they have to die?
Federal records show a steep decline in staff covid cases since December, when health care workers at thousands of nursing homes began getting their shots. Still, many are reluctant to get vaccinated.
Check out KHN鈥檚 video series 鈥 Behind The Byline: How the Story Got Made. Come along as journalists and producers offer an insider鈥檚 view of health care coverage that does not quit.
Relatives and advocates are calling for federal authorities to relax restrictions in long-term care institutions and grant special status to 鈥渆ssential caregivers鈥 鈥 family members or friends who provide critically important hands-on care 鈥 so they have the opportunity to tend to relatives in need.
The debate begins with the covid death tallies. But the issues go beyond basic numbers.
It鈥檚 becoming increasingly clear that decision-making about the covid vaccine is complicated and multifaceted, which means persuading people to say yes will be, too.
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here鈥檚 a collection of their appearances.
Amid the disorganization and confusion of the vaccine distribution, smaller communities may have an advantage. In some long-term care facilities where vaccination is underway, things are looking up.
Older patients with cancer, dementia or other serious illnesses should check with their doctors, but medical experts recommend the vaccine for most people.
A federal program that sends retail pharmacists into nursing homes to vaccinate residents and workers has been hindered by bureaucratic hurdles and scheduling woes.
The National Academy of Sciences cites journalists鈥 鈥淟ost on the Frontline鈥 project in a push to expand federal tracking of worker fatalities.
At least 2,900 health workers have died since the pandemic began. Many were minorities with the highest levels of patient contact.
After missteps in Washington, each state and county is left to juggle where to send vaccines first and how to get them to each nursing home, hospital local health department and even school.
As the coronavirus surges around the country, workers in nursing homes and assisted living centers are watching cases rise in long-term care facilities with a sense of dread. Many of these workers struggle with grief over the suffering they鈥檝e witnessed.
The Trump administration hailed rapid tests as the way to halt COVID鈥檚 spread in nursing homes. A KHN analysis of federal data shows they鈥檙e not being used, as questions linger about accuracy and best practices.
Frequently employed by staffing agencies based in other states, nurses and other healthcare professionals can find themselves working through crisis without advocates or adequate safety equipment.
An analysis of location data from 30 million smartphones found that facilities across the country that share the most workers also had the most COVID-19 infections. The "Kevin Bacon of nursing homes" in each state 鈥 the one with the most staffers working at other nursing homes 鈥 was likely to have the worst outbreaks of coronavirus contagion.
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