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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

Whether you hate tootsie rolls or licorice, the truth is we've all received Halloween candy we don't like. But this year, Reese's is coming to the rescue with their very own candy exchange machine."Reese's Halloween Candy Converter Machine" was first released to the public on Sunday, October 28, during a Halloween parade in Tarrytown, New York.The machine allows people to trade in the candy they don't want for Reese's Peanut Butter Cups.But why is Reese's helping us with our candy struggles this year?Well, according to a recent survey commissioned by Reese's, 90% of Americans say that they have traded, or wish they could have traded, their unwanted candy on Halloween, Anna Lingeris, a spokeswoman for Reese's distributor Hershey, told CNN. 756

West Virginia lawmakers reached a deal Tuesday that gives a 5% pay raise to all state employees, including striking teachers and school staff.The deal is intended to end a teachers' strike that has canceled nine consecutive school days across the state. Teachers' union representative Christine Campbell told CNN she anticipates school will back in session Wednesday if the bill is passes.Both the House of Delegates and Senate unanimously approved the bill later Tuesday, and it is expected to be signed by Gov. Jim Justice.  539

White House looking at stricter travel banThe Trump administration is considering a new travel ban to replace its original executive order, which has had its legality questioned and is up for a Supreme Court hearing next month, White House national security adviser H.R. McMaster said Sunday.READ MORE  315

WILMINGTON, Del. (AP) — Bernie Sanders held an in-person campaign for the first time since the start of the coronavirus pandemic in March, heading to the battleground states of New Hampshire and Michigan to promote Joe Biden and soothe any lingering tensions between the Democratic Party's progressive and centrist wings. WATCH RECAP: On Saturday, the Vermont senator held a socially distanced, outdoor rally Saturday in Lebanon, New Hampshire which was capped to keep crowds from growing too large. Sanders spoke about a range of topics, from the economy to the pandemic. Sanders said that there are some who think the government has to make a choice between having a strong economy and protecting the American people coronavirus. He said the truth of the matter is that America won't have a strong economy if the virus continues to surge. "We will never have a strong economy if people are afraid to go to work, afraid to go to school, afraid to shop, afraid to have dinner at a restaurant, or afraid to do all of the things that we normally do," Sanders said. "We will never have a strong economy unless we get this pandemic under control."As of Saturday afternoon, more than 209,000 people in the U.S. have died from the virus, according to Johns Hopkins.When speaking about the economy, Sanders said the working class is in "more desperation today than at any time since the great depression of the 1930's."Sanders added that during the pandemic, nearly 60% of Latino families and 55% of African-American families have either experienced a job loss or a pay cut, while the billionaires of our country have profited."In the last number of months, 640 three billionaires -- that's not a lot of people -- have seen their wealth go up by 5 billion," Sanders said. "Let me say that again. While 30 million Americans have lost their jobs, while 12 million Americans have lost their health insurance, while 29 million Americans do not have enough food to eat, while 40 million of our people face eviction, 643 billionaires increased their wealth by 0, that's billion over the last six months alone."On Monday, Sanders will host a drive-in rally in Macomb County, Michigan — a Detroit suburb that voted Republican in 2016 and was instrumental in clinching the White House for President Donald Trump. 2313

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