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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
While recognizing that the 2020 presidential race has not been called yet, Democratic nominee Joe Biden said he expects to win the states of Pennsylvania and other key battleground states.A win in Pennsylvania would give Biden enough Electoral College votes to win the presidential election and become president-elect. Biden led the state of Pennsylvania by 29,000 votes as of late Friday. Twenty-four hours earlier, Biden trailed in the state, but was bolstered by mail-in voting numbers on Friday.Biden also leads in the states of Arizona, Nevada and Georgia.Meanwhile, President Donald Trump has vowed to fight the vote count in the four aforementioned states.“Joe Biden should not wrongfully claim the office of the President. I could make that claim also. Legal proceedings are just now beginning!” Trump tweeted on Friday.If the results hold, Trump would become the first one-term president since George H.W. Bush who lost in 1992 to Bill Clinton."And look at the national numbers: We’re going to win this race with a clear majority of the nation behind us," Biden said.Biden said that his transition team is not waiting to get to work.“Yesterday, Senator Harris and I held meetings with a group of experts on the public health and economic crises our country is facing,” Biden said. “The pandemic is getting significantly more worrisome all across the country. Daily cases are skyrocketing, and it is now believed that we could see spikes as high as 200,000 cases in a single day.”Biden then addressed the economy.“More than 20 million people are on unemployment. Millions are worried about making rent and putting food on the table,” Biden said. “Our economic plan will put a focus on a path to a strong recovery.”Biden concluded the speech by urging civility in politics as protests across the country continued.“My responsibility as President will be to represent the whole nation. And I want you to know — that I will work as hard for those who voted against me as for those who voted for me,” Biden said. 2024
WEST PORTSMOUTH, Ohio - In Ohio, a dad turned an awkward silence into a beautiful moment when he belted out the national anthem at a high school basketball game after the sound system failed.The moment captured on video took place before the Waverly Tigers were to take on the Portsmouth West Senators Friday night.According to CNN, the pregame rituals started as usual, with everyone standing before playing the national anthem, but then, silence.The sound system was experiencing technical difficulties.That's when Trenton Brown began to belt out "The Star-Spangled Banner" at the encouragement of his wife, with no musical backup or a microphone.After he was done singing, Brown sat down and started eating his popcorn, CNN reported.Johnny Futhey, another parent who was at the game, captured the moment and posted it on his Facebook page, where it quickly went viral.Futhey said the performance brought tears to people's eyes.Brown told CNN that he's been singing most of his life but has never performed the national anthem solo. 1042
WINTER PARK, Fla. (AP) — Police say a man punched and kicked a 70-year-old man who'd asked him to practice social distancing inside a central Florida gas station. An arrest report says 24-year-old Rovester Ingram wasn't wearing a mask so the older man asked him to back away on Sept. 8. The man then paid for his items and left the store. Police say Ingram followed him outside and began punching and kicking him. The man went back inside. But Ingram followed him and dragged him back out. Police confirmed the incident through witnesses and surveillance video. They arrested Ingram. 591
WEST PALM BEACH, Florida — A Delta Airlines flight from Detroit, Michigan to West Palm Beach, Florida has landed safely after blowing a tire.Delta flight 1930 departed Detroit Metro Airport at 8:30 a.m. and landed at Palm Beach International Airport just after 11 a.m. Eastern.An airport spokesperson told WXYZ in Detroit that crews responded to a level two alert, which indicated a mechanical malfunction of some kind.Video shows the plane taxied safely to the gate where it was surrounded by emergency vehicles.No one was injured. It's not clear how many people were on the plane. 595