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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 many charities in need amid the coronavirus pandemic, Congress approved a program that allows Americans to write off up to 0 in charitable donations without filing an itemized return.The program, which was part of the CARES Act approved by Congress in the spring, is intended for those who take a standardized deduction. According to the IRS, 87% of tax filers take a standardized deduction.The IRS encourages tax payers to go to the “Tax Exempt Organization Search” in order to ensure the donation is eligible for a tax deduction. The IRS also reminds Americans to keep records of donations, such as obtaining a receipt of the contribution.“Our nation’s charities are struggling to help those suffering from COVID-19, and many deserving organizations can use all the help they can get,” said IRS Commissioner Chuck Rettig. “The IRS reminds people there’s a new provision that allows for up to 0 in cash donations to qualifying organizations to be deducted from income. We encourage people to explore this option to help deserving tax-exempt organizations – and the people and causes they serve.”More info can be found here. 1143

With just eight days until election day and despite attempts at parliamentary roadblocks by Democrats, Senate Republicans easily confirmed Judge Amy Coney Barrett to the Supreme Court on Monday.On Sunday afternoon, the Senate voted 51-48 to advance Barrett's confirmation, which opened a final 30 hours of Senate debate. Senate Majority Leader Mitch McConnell directed the Senate to work overnight to complete the process by Monday evening. According to CNN, President Donald Trump is expected to swear-in Barrett at a ceremony at the White House at 9 p.m.Sen. Susan Collins, R-Maine, was the only Republican Senator set to vote against Barrett's confirmation. The final tally was 52-48.Meanwhile, Democrats' repeated attempts to delay the process have proven futile. On Thursday, Democrats on the Senate Judiciary Committee chose to boycott a vote that sent the vote to the Senate floor. And since Senate Republicans changed parliamentary rules to prevent the filibuster of Supreme Court nominees in 2017, Democrats have little recourse to further block Barrett's confirmation.The push to fill the Supreme Court seat vacated by the death of Justice Ruth Bader Ginsburg stands in stark contrast to 2016, when Republicans chose not to hold confirmation hearings for President Barack Obama's nominee to replace Justice Antonin Scalia for more than six months prior to a presidential election, saying that the American people should decide who fills the vacancy.Barrett's confirmation would give conservative judges a 6-3 voting edge on the court, which could significantly shape policies and precedents for a generation. 1626

When adult film star Jessica Drake accused Donald Trump of sexual misconduct a month before the Presidential election, Trump said through a spokesperson that he didn't know the woman and had "no interest in ever knowing her."Less than a week later, a woman named Angel Ryan was listed in a secret settlement agreement negotiated by Trump's personal attorney as having "confidential information" about the then-Republican nominee.The two occurrences may appear unrelated. But there is a connection: Drake, the woman who accused Trump, and Ryan, the woman named in the non-disparagement agreement, are the same person, according to interviews and documents reviewed by CNN.The connection raises new questions about the circumstances surrounding the controversial agreement in which Trump attorney Michael Cohen sought to protect his longtime client and friend.The Wall Street Journal was first to report the news that Cohen paid adult film star Stephanie Clifford 0,000 to keep quiet about an alleged affair with Trump.Earlier this week, Clifford, who performs under the name Stormy Daniels, sued the President in Los Angeles Superior Court seeking to void the agreement, which she attached to her complaint.In a section dealing with "prior disclosures" of "confidential information," the agreement cites four people with whom Clifford had already shared such information.One of them was Angel Ryan.Online records reviewed by CNN show that Ryan obtained a trademark registration for the name Jessica Drake.Gloria Allred, Ryan's attorney, confirmed the link for CNN."Jessica Drake is still my client. She is Angel Ryan and the one whose name is in the settlement agreement," Allred told CNN. She said her client was never contacted about Clifford's settlement agreement.Allred would not comment on Ryan's relationship with Clifford, or the timing of her 2016 disclosure being so close to the drafting of Clifford's agreement.Both Clifford and Ryan worked for Wicked Entertainment and both said they attended a 2006 golf outing in Lake Tahoe, also attended by Trump.Clifford said in this week's court filing that she began "an intimate relationship" with Trump that summer, which continued into 2007.At the press conference in October 2016, Ryan, joined by Allred, said she was subjected to unwanted sexual advances by Trump at the golf tournament. She said he kissed her without asking and offered to pay her for sex.Trump campaign officials denied the allegations and said the candidate did not know his accuser.Six days later, Drake's real name appeared in the agreement related to Clifford.Cohen has publicly acknowledged using his own money to facilitate the payment to Clifford in the weeks before the presidential election. He said Trump had no knowledge that he was planning do so or had done so. He said Trump "vehemently denies" Clifford's allegations.The agreement specified three other people with whom Clifford had shared "confidential information." They are an ex-husband, a business manager, and a photographer.All three either declined comment or could not be reached. 3121

White House senior adviser Jared Kushner's family real estate group obtained business loans after Kushner met with the company heads in his official government capacity, The New York Times reported Wednesday.According to the Times, Kushner met with Joshua Harris, one of the founders of Apollo Global Management, on multiple occasions while advising the Trump administration on infrastructure policy, three people familiar with the meetings said.The topic of a job at the White House was also brought up, though never materialized. In November 2017, Apollo's real estate group lent Kushner Companies 4 million to refinance the mortgage of a Chicago skyscraper. The size of the loan, according to the Times, was triple the size of their average property loan.  775