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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
What started as a simple gesture of kindness during the lunch hour resulted in more than 900 cars “paying it forward” over the course of over two and a half days at a Minnesota Dairy Queen. Customers in the drive thru continued to pay for the order of the car behind them.According to the Brainerd, Minnesota, Dairy Queen, the chain started around lunch time on December 3. By the end of the first day, 280 cars participated by the close of business.December 4 started with paid forward from the night before, and it went from there. More than 500 cars in the drive thru paid it forward on December 4. The streak continued through December 5."It makes people feel good. Our whole crew was pumped about it, let's keep it going, our fans, we had people come here just because they heard about it and wanted to be a part of it,” store assistant manager Sandra Quam told WCCO. 884

cent.Over seven days, Martin County climbed by 483 cases for 21.5 percent, St. Lucie County rose by 753 for 35.7 percent, Indian River County by 253 for 27.1 percent and Okeechobee County by 104 for 24.6 percent.Mortality rateThe mortality rate, which compares positive cases against deaths, has been trending down in the state.It is 1.6 percent in the state for all deaths and cases, including nonresidents, compared with 4.0 percent in the United States and 4.4 percent worldwide, which passed 571,000 deaths and passed 13 million cases Sunday.Florida has 198 deaths per 1 million people compared with the U.S. average of 416 per million. New York, which represents one-quarter of the deaths in the nation, has 1,666 per million. Worldwide, the figure is 73.3 per million.Age breakdownThe youngest deaths are two 11-year-olds: a boy in Miami-Dade and a girl in Broward, who are the only two in the 5-14 age class.There are 12 deaths in the 15-24 class, including a 20-year-old male and two 22-year-old females from Broward (one was listed Sunday), a 16-year-old girl from Lee, a 17-year-old boy from Pasco County and a 22-year-old woman from Palm Beach County.Twenty-four people from 25 to 34 also have died from the virus.The oldest is a 108-year-old women from Miami-Dade. A total of 1,489 people 85 and older have died in the state from the virus, an increase of 11 in one day.Ninety-two percent of the fatalities are 55 and older and 63 percent 75 and older. A smaller percentage of older people have tested positive – 26 percent age 55 and older and 7 percent 75 and older.At the other end of the age spectrum, there are 4,211 cases of infants to 4 years old, an increase of 176, and 91` were hospitalized, which is an increase of `1 in one day. In all, there were 1,182 cases of children under 1. From ages 5-14, there are 9,026, an increase of 462 with 69 in the hospital at one time, a rise of 2.From the infant to 54 age group, 195,921 of the 266,119 residents have tested positive. But in that group, 301 have died, an increase of 4, for a 0.15 death percentage.From infant to 65, there are 228,733 cases. A total of 699 have died, an increase of 6, for a 0.31 percentage.CitiesWest Palm Beach is in first place among Palm Beach County cities with 5,040, an increase of 311. Lake Worth, which includes the city and county portion, rose 104 to 4,001, followed by Boynton Beach at 1,828 from 1,742, Boca Raton at 2,511, up from 2,336, Delray Beach at 1,376 from 1,284. A total of 397 in the county not designated by a city.Port St. Lucie leads the Treasure Coast with 1,805, an increase of 71, followed by Stuart with 1,354 vs. 1,325.In Indian River County, Fellsmere, which has a population of 5,754, increased by 2 to 249, compared with only 3 on May 31.HospitalizationsA total of 18,271 people in the state have been hospitalized, a rise from 15,895 last Sunday. That means it is a running total and includes people who have been released or died.Long-term careNearly half of the deaths, 2,100, are residents and staff of long-term care. The state increase was 18 and in Palm Beach County it was 3.NationalFlorida's 45 deaths Sunday were second-most in the nation behind 86 in Arizona, which is in 16th place overall.Florida, which is the third-most-populous state, is in ninth place, 106 behind No. 8 Connecticut, which reported no data Sunday.Since the first death was reported on Feb. 29, the nationwide death toll has risen to 137,782, including an increase of 380 Sunday after 731 Saturday.The last time deaths were more than 1,000 was June 9 with 1,105. Johns Hopkins reports 135,190.Cases reached 3,413,995, with an increase of 58,349. Cases passed 70,000 Friday.California had the second-most cases with 8,460 and Texas was third with 8,196.Last Sunday in the U.S., there were 262 more deaths and 45,931 more cases.The one week U.S. death increase was 4,801 at 3.6 percent.New York has the most deaths in the nation with 32,403, including 11 more Sunday after a high of 799 in April. Its percentage share has been decreasing for weeks to 23.5 percent.Among other states in the top 10: No. 2 New Jersey with 11, No. 3 Massachusetts 15, No. 4 Illinois 19, No. 5 California 25, No. 6 Pennsylvania 5, No. 7 Michigan 1 and No. 10 Louisiana 13.No. 14 Georgia added 5 and Washington, which was the original epicenter in the United States, is in 21th place, with no reported deaths for two days in a row but 615 cases.WorldwideThe U.S. represented 9.6 percent of the 3,956 additional deaths Sunday – and 24.1 percent of the world total though its population is only 4.3 percent of the global total. The one week world death increase was 34,449 at 6.4 percent.The additional death toll last Saturday was 5,015.Cases increased by 194,677 after a record 236,918 Friday.Brazil, which is second behind the United States for deaths, reported a world-high 659 deaths after 968 Saturday for a total of 72,151. The record is 1,492 on June 4. Brazil added 25,364 cases after a record 55,209 one week ago Friday. The South American nation has a total of 1,866,176 cases – more than half as many as No. 1 U.S.Mexico reported 276 more deaths late Sunday compared with 539 the day before and high of 1,092 on June 4, to move past Italy by 52 deaths into fourth place with 35,006. In addition, there were 4,482 cases, behind the record 7,280 Thursday.India added 500 deaths after 543 Saturday to rise to 23,187 in eighth place. The Asian nation also reported a record 29,108 cases, beating the record of 27,761 two days ago for a third-place total of 879,466, behind the U.S. and Brazil.Four European nations are in the top 10. The United Kingdom's deaths increased from 43 to 21 for third place with 44,819, which is behind the United States and Brazil. The high was 1,172.Italy, which at one time was the world's epicenter and reached 919 in one day, reported 9 deaths, among the lowest since the pandemic. No. 6 France and No. 7 Spain didn't report any data this weekend.Germany, which at one time was in the top 10 and now is in 13th place, reported no deaths for the first time since the pandemic.Also in the top 10, No. 9 Iran reported 194 after a record 221 Thursday. No. 10 Peru had 188.Russia is in fourth place in the world in cases with 727,162, including an additional 6,615. The nation gained 130 deaths for 11th place.No. 14 Canada added 10 deaths for a total of 8,783 and well as 243 cases.Sweden, which has been doing "herd immunity, reported no data this weekend after 11 deaths Friday for a total of 5,526 in 17th and 163 cases. Neighboring Norway, which had a lockdown, reported no deaths for the third day in a row to stay at 252 as well as 3 more cases.No. 22 China, the original epicenter of the world, hasn’t reported a death since April 26 and added 8 cases Monday.This story originally reported by Allen Cone on WPTV.com. 9951
White House press secretary Sarah Sanders privately berated the White House communications and press staff Friday after a leak the previous day of comments by aide Kelly Sadler about Sen. John McCain, according to several sources familiar with the meeting.In discussing McCain's opposition to CIA nominee Gina Haspel, Sadler,?a special assistant who handles surrogate communications for the White House, said in a private meeting Thursday that it doesn't matter "because he's dying anyway." It was a joke that fell flat, a White House official told CNN. 571
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
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