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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

White House physician Ronny Jackson will not return to his role as President Donald Trump's personal physician, Politico reports, citing two senior administration officials.The move comes after Jackson, a Navy rear admiral, withdrew his nomination for secretary of veterans affairs following a string of allegations that included he loosely handled prescription pain medications, was intoxicated during an overseas trip, and created a toxic work environment. Jackson has denied the allegations.The White House did not immediately respond to CNN's request for comment. 575

West Virginia is a red state, and not just in presidential politics.Just take a look at the "School Closings - At a Glance" map put out by the state Department of Education on its website.The map -- which sports different colors for delayed opens, early dismissals and closings -- is a solid red (for closings) since all 680 public schools in the state's 55 counties are closed because of the ongoing teachers' strike there.West Virginia employs nearly 20,000 classroom teachers in its public schools and has more than 277,000 students enrolled.Teachers hit the picket lines last week, demanding higher wages and better benefits. In 2016, West Virginia ranked 48th in the nation for average teacher salary, according to the National Education Association.Gov. Jim Justice signed legislation Wednesday giving teachers a pay raise, but educators said it wasn't enough and it didn't address other areas of concern like insurance and health care costs, so they went on strike. 990

Where and how Americans work has forever changed because of COVID-19. If you have the type of job that can be done remotely, you can do it wherever you can find internet.Some are taking the opportunity to work from new and exotic locations. As we all approach the fall, parents are realizing that kids can learn from anywhere too.When the pandemic hit, and everyone went remote, David Wells and his girlfriend hatched a plan. It was time to leave Brooklyn.“It’s a wonderful place, that said it’s an urban metropolis and we are people who love to be outside and Idaho is a different type of location that offers various outdoor activities that are important to us,” Wells said.So, they left. After all, all they really need is an internet connection.“The traditional work day has totally changed with our present situation and it’s taken some time to get used to it,” Wells said. “The ability to work remote and see new parts of the country and it makes you happier and ultimately a more productive employee.”Now, they fish, horseback ride, explore and hike. They've even taken up archery.“We’ve hiked in the Tetons, we’ve horseback with a number of outfitters, we’ve taken day trips to other cities like Ashton in St. Anthony. We saw the dunes in St. Anthony,” Wells said.All while keeping their day jobs.“They understand as long as you’re present and you have internet access that you’re able to do whatever it is you need to do, whether you’re in an office or remote,” Wells said.Property managers say it's a trend they're seeing a lot of.“The 30-day rental used to be more of a unicorn than it is now,” Danessa Itaya, president of Property Management Inc., said.PMI has 260 franchises across the United States.“We hear from our franchisees that they’re getting these 2-3 month rentals, but they’re asking for upgrading internet so I can work remotely (and) how easy can I access the grocery store and the beach,” Itaya said.San Antonio, Texas, Austin, Texas, Naples, Florida, and Idaho are destination hot spots.“Driggs, Idaho, is a feeder into Yellowstone, into Jackson Hole, Wyoming, and they’re regularly looking at 1-3 month rentals. You don’t usually get that, especially in Driggs, Idaho,” Itaya said.Now, as fall approaches, the other inquiry is about school, and internet bandwidth to support both distance learning and remote employees.“They need high-speed internet which is not common,” Itaya said. “You don’t normally get that request from a vacation rental. They need reliable internet and they need cleaning services and laundry services so they’re looking for longer stays.”Proof that people are finding the coronavirus quarantine as an opportunity to do something you would otherwise never do.Wells and his girlfriend are planning on making it a tradition. 2783

With 20 electoral votes at stake, all eyes will be on Pennsylvania on Election Day. However, officials warn that counting the ballots could take days.In Bucks County, a heavily populated suburban county near Philadelphia has a population of about 628,000 people. In 2016, Hillary Clinton won the county by a narrow lead with a few thousand votes. This time around, both presidential campaigns have been courting the suburban vote, and the suburban Philadelphia counties are considered critical. Polls across the state closed at 8 p.m. EST, and now the more than 2 million mail-in ballots the state has received can now be counted. “We sent out about 200,000 ballots, which is 10 times more than we did four years ago, and we've gotten back somewhere in the area 160,000,” said Bob Harvie, Bucks County, Pennsylvania Board of Elections Chairman. “We still have mail coming in obviously today that we can accept. We had U.P.S. dropping off some ballots. We've got drop boxes that will be emptied at 8, and those will be brought here, and we don't know how much will be in those.” In Pennsylvania, more than 2 million mail-in ballots have been returned so far. The state doesn’t have a lot of experience dealing with large amounts of mail-in ballots, unlike places like Colorado, Washing, and even Florida and Arizona, where ballots have been counted as they come in. However, in Bucks County, officials didn’t begin counting ballots until after the polls closed, and a handful of Pennsylvania counties won’t start counting until tomorrow. “It's been a big challenge. It has been, you know, primarily because we were not even able toopen the envelopes until today. And there's a security envelope. So, that's two envelopes you need to open. You need to be able to make sure that everything is on there, their name, their address, the date,” said Diane Marseglia, Bucks County Board of Elections. “So, you're checking for a lot of things all at the same time and then you're pulling it out, and then, you're going to start to gather them for a vote. That's a lot of time.”If the presidential race hinges on Pennsylvania, it’s possible we won’t know who won the presidency for days.E.W. Scripps national correspondent Maya Rodriguez is in the Keystone State, bringing you the latest on Election Day. 2302

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