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Nursing homes and long-term care facilities need more personal protective equipment (PPE) than they did at the start of the pandemic.“If a home doesn't have at least a week's worth, that's a problem. It's regarded as a critical shortage and the reason why is because if you have an outbreak, you can start chewing through your existing supplies like that,” said Teresa Murray, a consumer watchdog at the U.S. Public Interest Research Group (U.S. PIRG).The group looked at data from facilities sent to the Centers for Medicare and Medicaid. They found one in five were dangerously low on one or more items, like gloves and hand sanitizer. Almost half didn't have a one-week supply of at least one type of PPE.“And they say that it's not unusual at all for nurses to use masks for like five days,” said Murray. “If they even have gowns, they're reusing them.”U.S. PIRG says these facilities couldn't compete with demand for supply.The Medical Supply Transparency and Delivery Act, which is sitting in Congress, would help stabilize prices. And the Defense Production Act could be used to increase U.S. production of PPE.“And not only does it affect the residents that are in that home. It affects the workers who, guess what, they go home, they go home to their families,” said Rowan. “They go home, to their grocery stores and to their churches. And their kids go to school. And so, this is, I mean, it's no surprise that this is why we're seeing some of these community outbreaks because of one case that starts in a nursing home.”When the Centers for Medicare and Medicaid said the data was accurate, U.S. PIRG says they were referred to FEMA for a solution plan. FEMA has not responded yet. 1700

Oceanside’s Flying Pig restaurant had a wait for tables last Friday.On the surface, that sounds like a dream scenario.But owner Roddy Browning says sales just didn't match the demand.“Our capacity is just cut so much, there's just no room for that heavyweight labor when you don't have the capacity,” he said.It's because of social distancing restrictions.Browning recently reopened The Flying Pig and his Vista restaurant - Town Hall Public House - with seating cut in about half.He's working his way back after having to layoff much of his staff when Coronavirus restrictions first took effect. In all Browning had about 60 employees at his two restaurants before COVID.Now, he's hired about 25.He says challenges go beyond the finances.Browning says he and other restaurant owners are having trouble filling jobs in the back of the house.And there have been isolated incidents where people have refused requests to wear masks - taking their money elsewhere.Browning says he wants people to understand why masks are required.As for surviving, Browning says he'll just have to make it work. 1099

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

ORLANDO, Fla. – Friday, the nation remembers one of the deadliest mass shootings in United States history.June 12 is the fourth anniversary of the Pulse nightclub massacre in Orlando, Florida.On that day in 2016, Omar Mateen opened fire inside of the LGBT club, killing a total of 49 people. More than 50 others were injured.Police shot and killed Mateen during the events of that night.In honor of the shooting victims, Gov. Ron DeSantis has ordered all flags in the state to be flown at half-staff on Friday.The Orlando community also plans to hold a tribute and a remembrance ceremony virtually, due to the ongoing coronavirus pandemic.During prior anniversaries, the community has gathered outside the club to remember the victims. This year, the area around the business was closed to public, but survivors, family members of victims and first responders are being allowed to visit. 895

On the same day the City of West Hollywood voted to ask for President Donald Trump's Walk of Fame star to be removed, the person who'd most recently vandalized it was charged.The resolution to request the removal of Trump's star's was unanimously adopted by the West Hollywood City Council but is not legally binding as the city has no jurisdiction over the Hollywood Walk of Fame.Mayor John Duran said the vote was symbolic. 433