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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

ONTARIO, Calif. (AP) — An infant and her teenage sister found dead at their California home are believed to have been killed by their mother, who left two suicide notes and was unresponsive in a hospital Wednesday, police said.The victims, 4 months and 14 years old, were found Tuesday in Ontario, east of Los Angeles, by their father when he returned home from work.Among the evidence is a "suicide note by the mother indicating that she intended to kill the children and to kill herself," police Sgt. Bill Russell told reporters.No details of the mother's medical condition were released, but Russell said she had been unable to provide a statement.No charges had been filed, and Russell said her name would not be released until investigators speak to her.Details of the suicide notes were not released but Russell said there was "a clear indication of what her intention was.""We do know that the mother was dealing with depression prior to the incident and had dealt with that in the past," he said.How the children were killed was still being determined by the coroner."There was a struggle at the scene which may have played a factor in the deaths," Russell said.The sergeant said the father called police when he discovered the deaths and was cooperative.Asked how the father was handling the situation, Russell said, "It's a difficult time, as you can imagine. It's a horrible tragedy."San Diego Crisis Hotline888-724-7240 1439

OCEANSIDE, Calif. (KGTV) - A man was taken into custody in Oceanside on Monday morning after police say he broke into a short-term rental and sexually assaulted a woman. The sexual assault happened around 4 a.m. on the 800 block of South Pacific Street. According to police, Kwahmell Archer entered the home through an unlocked front door. Oceanside Police said there were 20 people inside the three-story rental when the suspect walked into a closet, got undressed and entered a sleeping woman’s bedroom. The 49-year-old woman woke up and screamed when the man grabbed her, waking up the rest of the house. Police said the suspect then ran back into the closet and was pinned inside by other people inside the house. Police arrived and took the man into custody. 773

Ohio State's board of trustees is debating the fate of football coach Urban Meyer, who could face disciplinary action over his handling of domestic violence allegations against one of his former assistants.The board of trustees held a meeting private Wednesday to discuss a possible punishment against Meyer.Meyer has been accused of turning a blind eye to alleged domestic violence committed by Zach Smith, his wide receivers coach at both Ohio State and Florida. Smith was fired by Ohio State in late July when his ex-wife filed a domestic violence civil protection order.A day after Smith's firing, Meyer told reporters at Big Ten Media Days in Chicago that he was not aware of any allegations against Smith. Reports later indicate that Meyer's wife and wives of other coaches were aware of the allegations against Smith.Meyer then acknowledged in a statement that he misled reporters about his knowledge of Smith's allegations.  950

OCEANSIDE, Calif. (KGTV) — One person is presumed dead after going underwater as rescue personnel tried to save them.Oceanside Fire Department was called to rescue a person in the water near Oceanside Pier just after 3 a.m. Saturday, according to the department. A person was located clinging to a pylon.A rescue swimmer dove into the water to help the person, simultaneously while the person let go of the pylon and went underwater, OFD says.Rescuers continued to search the surrounding waters for the victim but were unable to locate them. Crews suspended searching the area for the individual after several hours Saturday. 633