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When the Trump administration required nursing homes to report their COVID-19 cases, it also promised to make the data available to residents, families and the public in a user-friendly way.But some facilities that have had coronavirus cases and deaths turn up as having none on Medicare’s COVID-19 nursing home website. Those data may be incomplete because the reporting requirements don’t reach back to the start of the pandemic. Numbers don’t necessarily portray the full picture.“The biggest thing that needs to be taken away ... is in its current form, it is really leaving consumers in the dark,” Sam Brooks, project manager for Consumer Voice, said of Medicare’s data website. Consumer Voice is a national advocacy group for improved quality in long-term care.Nursing homes are only required to provide the government with data on coronavirus cases and deaths among residents and staff as of May 8, or more than two months after the first outbreak in a U.S. facility was reported. Nursing homes have the option of full disclosure, but not all have taken it, and there is no penalty for withholding older data that may reflect poorly.The missing information from early in the pandemic leads to some puzzling results on the website.For example, a nursing home that had one of the first major reported outbreaks in the country — Life Care Center of Kirkland, Washington — shows no confirmed COVID cases and no deaths on the CMS data page.A spokesman for Life Care Centers of America, a major chain, said the company is providing the information the government requested.“We are reporting what CMS is asking us to report to them,” said Tim Killian. “We are not evading them in any way.“The Kirkland facility is now COVID-free and it has been for some time,” Killian added. The data showing no cases “is a snapshot of what is currently in the facility.”The company said its cumulative count shows 100 residents tested positive, and 34 died. “You can ask us directly and we’ll give you the exact numbers,” said Killian.But consumer advocate Brooks said that information should be on the CMS site.As it stands, the site “doesn’t tell the whole picture,” he said. “You are not going to be able to look at a home and make an informed decision.”The federal Centers for Medicare and Medicaid Services, which sets standards for nursing homes, said protecting nursing home residents is a top priority, and “transparency and information sharing has proven to be one of the keys to the battle against this pandemic.”But CMS said it lacked the legal authority to require nursing homes to disclose COVID information from before the effective date of its reporting rule in May.On Capitol Hill, there is pressure for more information.Sen. Chuck Grassley, R-Iowa, recently introduced legislation that would require nursing homes to report coronavirus cases and deaths going back to Jan. 1, a push that has bipartisan support.The estimated 1.4 million people living in some 15,500 nursing homes represent a tiny share of the U.S. population, but they have borne a disproportionate share of coronavirus deaths. Nursing homes are only now starting to emerge from a national lockdown that took effect in mid-March.According to the latest CMS figures, more than 33,000 nursing home residents have died in the pandemic. A running tally by The Associated Press, which also includes other long-term care facilities and staff as well as residents, shows more than 55,000 deaths.Depending on the total count, that translates from about one-fourth of the deaths to more than 40%, strikingly high proportions in either case.Coronavirus data for nursing homes do not appear directly on Medicare’s NursingHomeCompare website, the main portal for consumers trying to research a facility on behalf of a family member or friend. Instead, a link takes users to a different COVID-19 site that features statistics and a national nursing home locator map.Finding information on individual nursing homes via the data website can be confusing.If users type in a ZIP code or the name of a nursing home, the website’s locator map will display some small red dots near a larger marker icon, which also has a big dot in the middle.Instructions say click on one of the dots. But which one?The data is under the small red dots, not the larger locator, which instinctively draws the user’s eye.“I would click on the big dot,” said policy attorney Toby Edelman of the Center for Medicare Advocacy, which represents enrollees. “Why would I look for this thing that I can barely see?”CMS said it has received no reports related to search problems although more than 100,000 individuals accessed the site in June.The agency says it will continue to evaluate the usability of the website to ensure it meets consumer needs. 4782

With coronavirus cases surging in Florida, President Donald Trump said Tuesday that he’s “flexible” on the size of the Republican National Convention in Jacksonville.The president spoke as a growing number of Senate Republicans said they’d skip the event, and even as the White House tried to tamp down nationwide concern about the virus’s spread.Asked in an interview Tuesday whether he’d want to limit the gathering if the state’s coronavirus cases continue to rise, Trump replied that the decision “really depends on the timing.”“We’re always looking at different things,” Trump said during an interview on Gray Television’s “Full Court Press with Greta Van Susteren.”“When we signed a few weeks ago, it looked good,” the president continued. “And now, all of a sudden, it’s spiking up a little bit. And that’s going to go down. It really depends on the timing. Look, we’re very flexible.”There were about 452 new reported cases per 100,000 people in Florida over the past two weeks, which ranks second to Arizona in the U.S. for new cases per capita.He spoke as Republican lawmakers increasingly expressed concern about the gathering. Republican Sens. Chuck Grassley of Iowa, 86, and Lamar Alexander of Tennessee, 80, were among those saying they would stay away from the event. The virus takes a high toll on older people.Grassley was explicit about the reason for skipping the convention for the first time in his 40 years in public office.“I’m not going to go, and I’m not going to go because of the virus situation,” he said on a conference call Monday with Iowa reporters.Alexander, who is retiring after this year, was more subtle.In a statement released by his office Tuesday, he acknowledged that choices must be made and that fewer people gathered for the event is desirable. Alexander did not mention Trump, the pandemic or the fact that health experts say the virus is more transmissible among people in close proximity for prolonged periods.“Sen. Alexander is an honorary chair of the Tennessee Trump campaign, but he will not be attending the convention because he believes the delegate spots should be reserved for those who have not had that privilege before as he has had,” the statement said.About a dozen states are reporting worrying spikes of cases. The White House is trying to tamp down the nationwide concern despite more than 2.9 million confirmed COVID-19 cases and more than 130,000 deaths.Trump has falsely declared that 99% of cases of COVID-19 are harmless, a claim that is not supported by science.Florida is one of the nation’s hardest-hit states, and hospitals are warning they’re in danger of being overwhelmed. Florida’s COVID-19 positive test rate is 18.7%, making it second only to Arizona among states where coronavirus infections are surging. According to public health experts, a rate of 10% or more indicates the virus is spreading in communities.The rate is a snapshot of current conditions, and measures like social distancing, wearing masks, avoiding crowded indoor locations and frequent hand-washing can bring it down.Florida reached a grim milestone over the weekend, with health officials reporting that more than 200,000 people have tested positive for the coronavirus since the start of the outbreak.The highest number of confirmed cases in one day came Saturday, when more than 11,400 cases were reported in the state. More than 3,700 people have died.The convention is scheduled to begin Aug. 24. Officials in Jacksonville, Florida, began requiring face masks in public a week ago.“If you want to have a convention, and I think we should have a convention, I think you should do whatever you can to make it as safe as possible, so that would be with face masks and social distancing,” Grassley said.Grassley said he plans to continue his tour of all of Iowa’s counties, visiting 29 counties during the current two-week break. He and his staff will wear masks, but he doesn’t plan on requiring it for Iowans who come to see him.“There’s no way a United States senator can force anybody in Iowa to wear a mask,” he said. “It’s going to be up to the individuals and I would say that there’s generally a rule that if you’re 6 feet apart, you don’t have to wear a mask, but I think doing both makes common sense and I’m going to encourage people to do both.”___Associated Press writers David Pitt in West Des Moines, Iowa, and Ricardo Alonso-Zaldivar in Washington contributed to this report.___Follow Kellman at http://www.twitter.com/APLaurieKellman 4509

When you think of police officers, you may think of the badge or the local precinct may come to mind, but a lasso?“You got to have a lasso in a small town,” Sgt. Jace Peterson said with a laugh.Sgt. Peterson says it is an item he never leaves home without. Home is Nephi, Utah and it has been most of his life.“Oh, I was a good kid who got in very little trouble,” Peterson said.Nephi is a "blink and you miss it" stop along Interstate-15 between Salt Lake City and Las Vegas.Sgt. Peterson is just one of 10 full-time officers.“I just patrol all the corners of town, backstreets and the main thoroughfares,” he said.A disorderly conduct call sometimes comes in the form of a farm animal.“We’ve had cows and goats,” Peterson said. “I mean you name it and they run loose around here.”Sgt. Peterson knows he is just one call away from a surprise class reunion.“It makes it entertaining when you stop somebody you know or you’re on a call with somebody you went to high school with,” he said.Life moves at a slower pace in these parts. It is a stark contrast from what officers in major cities across the country are dealing with.“The rioting and the protest,” Sgt. Peterson said slowly shaking his head. “I mean, it starts to wear on you a little bit and know that other officers aren’t as lucky as we are.”The Nephi Chief of Police echoes those sentiments.“You know, the great thing is I had the big city policing experience when I was young,” said Chief Mike Morgan. “When I was young, I could get out and do the things that needed to get done and I was able to learn; that experience brought me here.”Like Peterson, Chief Morgan has come home.“There’s no place like home,” Chief Morgan said with a chuckle.The move from big city life means big changes.“There are no protests at all down here,” Chief Morgan said.The department is prepared for the day some of the bigger city issues may creep into town.“We’ve got all the equipment I could ever ask for and it’s such a great community,” Sgt. Peterson said.Even a worldwide pandemic is not affecting the small-town police force much.“I mean, we know it’s there and we know it’s just one bad day away, but until then, we’re just going to sort of enjoy it,” Sgt. Peterson said. 2231

Whether kids learn at school or at home this fall, Nick Rose wants them to learn and practice music. That's Rose’s goal behind his Band In A Box program.Rose has been distributing hundreds of plain brown boxes with the gift of music inside. It's a spinoff from his Band In A Bus program.“We believe it’s like giving away a box of joy,” said Rose.With more and more questions about what classes and extracurriculars will look like as the coronavirus pandemic continues, Band In A Bus is changing its approach to hand out recorders and drum sticks to as many kids as possible.“The least we can do in these trying times is help kids feel some type of happiness and excitement every day,” Rose said. "That’s kind of why we’re trying to pilot this program.”Band In A Bus says budget cuts due to the coronavirus are forcing some schools to cut back music programs even more, which makes these free boxes even more important for kids.“The worst thing that we can do to a kid is strip them of this creative outlet,” Rose said. “As a growing young person, the most valuable thing is learning who you are and your tone of voice.”The Band in a Box program has enough money to help about 500 kids, but it is raising more money to try to impact as many families as possible.“That’s the experience that every kid can kind of relate to – that excitement, that fun,” Rose said. “You could see their smiles as they were drumming. It’s such a powerful emotion.”You can donate to Band In A Box at GoFundMe.com.WCPO's Josh Bazan first reported this story. 1543

White House aides drafted a fulsome statement for President Donald Trump on the death of Sen. John McCain, but it was never sent out, a person familiar with the matter confirmed to CNN.Several staff members believed the official White House statement, which went through an internal approval process, would be released at the time of the Arizona Republican's death, which occurred on Saturday. But as the President spent Sunday at his Virginia golf course, the statement never went out, the source said.White House aides did not make plans for a televised statement on McCain's passing, which would have been routine under similar circumstances in other recent presidencies.The Washington Post reported Sunday that Trump went against the advice of senior aides to issue an official White House statement praising McCain for his heroism and decades of service, telling aides he instead wanted to post a brief tweet.Trump's tweet Saturday night did not mention his military or Senate service or include any praise for the late Arizona Republican. 1052