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Nursing homes are facing a new mandate for COVID-19 testing.Officials at the Centers for Medicare and Medicaid Services (CMS) say if they're not doing it, they'll be fined 0 a day or over ,000 for each instance of noncompliance.The government says nursing homes need to do widespread testing of residents and staff if any resident shows symptoms or tests positive.Nursing homes will also be required to test staff more often, depending on the virus activity in the area.The Trump administration says it is giving facilities .5 billion to help with costs.Nursing homes continue to raise concerns about the cost of this testing and additional expenses like personal protective equipment and additional staffing due to the pandemic.The mandate also comes as their sources of revenue have changed along with the number of residents declining.With the added costs and revenue change, LeadingAge, the association of nonprofit providers of aging services, is hearing from some of its members that they may be forced to close. At least one nursing home in Rhode Island has had to do it already. Others are looking at the possibility of having to consolidate or alter the services provided.Nursing homes get paid through Medicaid, Medicare and private payments. According to a Kaiser Family Foundation analysis of Certification and Survey Provider Enhanced Reports data, nationwide 62 percent is paid through Medicaid, 26 percent is paid through private payments and 12 percent is paid through Medicare.Post-acute care through Medicare is a big revenue source for nursing homes. That means you're coming out of the hospital and need to rehab for a few weeks in a nursing home."With elective surgeries being closed down, there is no steady flow of residents who need that level of care. That's been cut off entirely," said Katie Smith Sloan, President and CEO of LeadingAge.Sloan says they need those elective surgeries to start up again everywhere to fill that gap in revenue lost as a result of the pandemic.The most recent survey from insurance company Genworth Financial finds the national median cost for a private room at a nursing home is more than 0,000 a year.Depending on your financial situation, you may start paying this and then have Medicaid start paying later.Leading Age says they haven't heard from their members that they'll be increasing prices because of the financial challenges they're facing."Nursing homes charge what the market will bear, and I don't think the market can bear much more than that," Sloan said. "I mean 0,000 a year is a lot of money for an individual living in a nursing home. It's a lot of money because it costs a lot to operate a nursing home."LeadingAge looked at nursing home closures right before the pandemic started. It found more than 500 closed since June 2015. Some of these closures were because of low occupancy. Others were because of not getting enough money from Medicaid.This story has been updated to include more information regarding costs facing nursing homes and how nursing home payments work. 3071

OCEANSIDE (KGTV) - Police are searching for the suspect who reportedly shot a man at the Oceanside Transit Center Saturday night. Oceanside Police officers were called to the scene around 7:15 p.m. after receiving reports of a gunshot victim. When officers arrived, they found the victim on the ground suffering a gunshot wound the abdomen. The man was flown to the hospital with non-life threatening injuries. At some point, the victim told police the suspect was staying at the Motel 6 along North Coast Highway. Police searched the hotel room the suspect was reportedly staying in, but the suspect wasn’t found. The shooting doesn't appear to be gang relates, police say. 683

OCEANSIDE, Calif. (KGTV) - Anyone browsing through 101 Marketplace in Oceanside will find an assortment of items for sale on the shelves and show floor.The antique and consignment store opened just two weeks ago amid a business landscape struck by the pandemic. But owner, Roy Cisneros is optimistic about the future."If today is the worst day, tomorrow has got to be better," Cisneros said. Cisneros describes himself as naturally optimistic. That optimism has helped him get to where he is now."We've been homeless for two years, me, my wife, and my kids," Cisneros said. Cisneros, a father of five, says he says it didn't take much to fall into homelessness. "You get behind in rent, that's all it takes, really, and then you are living in hotels."He says they hit rock bottom in 2019 when his wife and his kids had to stay in a shelter."We were like, 'You get in the shelters, I'll sleep in the car, we'll figure this out, we'll save some money that way,'" Cisneros said.At one point, Cisneros worked as many as three jobs at one time to make ends meet and save up just enough."I had saved up a little bit of money from 2019; we purchased a little tiny trailer, we stayed in the trailer for about six months," he said.In August, he discovered that space on 101 S Coast Highway was available and affordable. Cisneros says it was an opportunity he couldn't pass up. Though he heard of businesses struggling and closing because of the pandemic, Roy decided to bet on the days ahead."We took all of our savings, we sold the trailer, we got the store, and we're doing it," he said.Cisneros says he and his family are currently still living in a hotel, but he says that could change very soon."If you keep trying, eventually you'll get there," he said.Roy says they plan to give back to their community. They plan to donate some of their profits to a north county organization that helps the homeless. Cisneros says he will also take donated items to be sold, and the profits from that sale will also be donated. 2018

OCEANSIDE, Calif. (KGTV) - Lifeguards saw a lot more people up and down San Diego's beaches, and with that, a lot more rule breakers."It’s definitely the start of summer, we’ve been pretty busy this weekend," Del Mar Lifeguard Chief Jon Edelbrock said.In Oceanside 10News saw a couple families staked out under umbrellas brought from home, just feet away a man was buried in the sand. All of which is not yet allowed under county orders.Right now you are allowed to exercise on the beach, walk or jog. In the water people can swim, surf, boat and fish. You cannot have gatherings, play sports or sit on the beach.Edelbrock said most of the crowd is following the rules, "probably 80% are coming down with good intentions."That other 20% then has to be contacted by police or lifeguards trying to enforce orders to stop the spread of the coronavirus."Their [lifeguards'] primary function is to facilitate safety out in the ocean to watch the water, watch over our kids and make rescues and do first aide and that kind of thing. Daily we’re making 1,000 extra contacts for people not considering the current rule set," Edelbrock said today's water conditions weren't great, making it more important to keep an eye seaward.In Pacific Beach a neighbor snapped a photo of a woman holding her dog, standing on the closed boardwalk while an officer was writing something. The neighbor said it was a ticket.Friday law enforcement said they would be out Memorial Day weekned enforcing the eased restrictions."It’s doing a disservice for those trying to do the right thing," Edelbrock said it also negatively affects those working to enforce the rules and puts them at risk.Chris Vanos, chief steward of Teamsters 911, said he's seen fights break out when lifeguards encourage people to follow the rules. He said lifeguards also took a lot of verbal abuse at the beginning of the pandemic and easing of restrictions.Edelbrock hopes as more people come to the beach this summer that we all do our part to keep everyone safe."I don’t want this to turn into a larger public health concern," he said. 2094

OCEANSIDE, Calif. (KGTV) - A U.S. Marine Corps truck caught fire on northbound Interstate 5 in Oceanside Friday afternoon, backing up traffic on the busy freeway. Witnesses reported the military vehicle on fire with small explosions about 1 p.m., according to Oceanside Fire Division Chief Pete Lawrence. Two Marines were in the truck when “they heard a loud bang and immediately saw smoke and fire in the rear of the cab,” Lawrence said. The troops escaped without injury. As firefighters arrived, they found the cab of the Oshkosh 10-wheel drive Logistic Vehicle System Replacement well involved in flames with a small fire burning in brush near the Oceanside Blvd. offramp, Lawrence said in a news release. See witness video:Severe fire on a military convoy traveling Northbound on I-5 in Oceanside, CA. @nbcsandiego pic.twitter.com/mWSl2LPqz2— David Hall (@dhall371) September 6, 2019 Three lanes of north I-5 were shut down as crews put out the flames and worked to determine no hazardous materials or live ammunition were on board. The closure also contributed to slow traffic westbound 78 near Oceanside, officials said. The fires in the truck and brush were extinguished within half an hour, Oceanside Fire reported. The truck’s cab was destroyed and the front section of the chassis was damaged with a possible financial impact of 0,000. “The preliminary fire investigation points to a failure of a power take-off unit which severed the hydraulic line,” Lawrence said. “The explosions reported by callers were caused by several large rubber tires exploding in the heat of the fire.” Crews cleaned up the resulting hydraulic fluid spill on the freeway two hours after the incident was reported. 1713

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