AARP Nursing Home COVID-19 Dashboard
October 14, 2020
More than 84,000* residents and staff of nursing homes and other long-term care facilities have died from COVID-19, representing 40* percent of all coronavirus fatalities in the U.S., according to Kaiser Family Foundation’s most recent analysis released on October 8. Yet federal policymakers have been slow to respond to this crisis, and no state has done a good enough job to stem the loss of life. AARP has called for the enactment of a 5-point plan to protect nursing home and long-term care facility residents—and save lives—at the federal and state levels:
Policymakers have taken some action, such as requiring nursing homes to self-report COVID-19 cases and deaths at the federal level, ordering testing, and providing limited PPE and other resources to nursing homes. But, more must be done. AARP continues to urge elected officials to acknowledge and take action to resolve this national tragedy—and to ensure that public funds provided to nursing homes and other long-term care facilities are used for testing, PPE, staffing, virtual visits, and for the health and safety of residents.
COVID-19 cases across the U.S. are again on the rise, and nursing homes remain a hotbed for the virus. AARP will continue to shine a light on what’s happening in nursing homes so that families have the information they need to make decisions, and lawmakers can be held accountable. For more information, visit aarp.org/nursinghomes.
AARP fought for public reporting of nursing home COVID-19 cases and deaths. Using this data, the AARP Public Policy Institute, in collaboration with the Scripps Gerontology Center at Miami University in Ohio, created the AARP Nursing Home COVID-19 Dashboard to provide four-week snapshots of the virus’ infiltration into nursing homes and impact on nursing home residents and staff, with the goal of identifying specific areas of concern at the national and state levels in a timely manner.
This first dashboard aggregates and analyzes self-reported data from nursing homes available from the Centers for Medicare & Medicaid Services (CMS), covering the timeframe of August 24 to September 20, 2020, and contains 5 key measures. It is specific to nursing homes:
Additional data points providing more information about each category in the dashboard are available online at aarp.org/NursingHomeDashboard. The dashboard will be updated every four weeks to track trends over time and will evolve to include more categories to follow other measures of interest.
The AARP Public Policy Institute will analyze data and report on key findings as the dashboard is reported over time. For the first dashboard, these include:
Since the pandemic started, scant data has been available consistently to help gain a better understanding of the crisis in nursing homes and other long-term care facilities. The country counted mainly on the reporting of news media to glimpse the devastation caused by COVID-19.
Organizations such as Kaiser Family Foundation and the COVID Tracking Project also began collecting and publishing important information from the states. It is important to note that each source collects data differently, so similar information may appear at odds due to how the measures are captured. Specific to nursing homes:
*Kaiser Family Foundation: https://www.kff.org/coronavirus-covid-19/issue-brief/state-data-and-policy-actions-to-address- coronavirus/#long-term-care-cases-deaths
All nursing home data are from the Centers for Medicare and Medicaid Services (CMS) Nursing Home COVID-19 Public File (downloaded on 10/1/2020). These data are self-reported by facilities to Centers for Disease Control and Prevention (CDC) weekly. All five Dashboard measures use this CMS data source.
Several data points in the state fact sheets include general population state data (that is, not limited to nursing homes) as a denominator or stand-alone measure. These data are from the COVID Tracking Project (statewide positivity rate; downloaded 9/25/2020) and USAFacts (total deaths and cases in the state; downloaded 9/25/2020).
Data were analyzed by Scripps Gerontology Center at Miami University in Ohio; additional analysis and preparation of the dashboard by the AARP Public Policy Institute.
CDC has issued detailed instructions to nursing homes for reporting these data:
For the four-week measures, nursing facilities were included only if the facility reported to Centers for Disease Control (CDC) for all four weeks (nationally, 95% of facilities; for states ranging from 85% to 100%). If a nursing facility reported, but had missing data for a specific measure (this is rare), that facility is excluded from the calculation of that measure for the Dashboard.
Aggregate counts of deaths and cases may be an undercount if there are facilities that are not reporting. Percentages or rates might be slightly biased if the average of non-reporting facilities differs significantly from average of reporting facilities.
For the “since 6/1/2020” and “since January” measures, all nursing homes reporting at least one week of data are included. The national response rate is 99% for both measures.
Comparability to Other Data Sources
The first reporting date for the CMS Nursing Home COVID-19 data was May 24, 2020 and includes all cases and deaths since the beginning of the year; however, retroactive reporting is not mandatory and the accuracy of reporting is unknown. Data prior to the first reporting date, including the “since January” counts of resident cases and deaths in the Dashboard, is not reliable. At least at the national level, the CMS data source gives a significant undercount of the number of cases and deaths before June, and results in a lower total count than has been reported by other sources in real time.
Since June, the CMS data are much more reliable and at the national level track well against data reported by the states (comparisons to individual states are difficult because each state categorizes and reports the data differently).
This story is provided by AARP Arizona. Visit the AARP Arizona page for more news, events, and programs affecting retirement, health care, and more.
Wednesday, Nov 25, 2020 at 10:00am US Mountain Time
Saturday, Dec 12, 2020 at 10:00am US Mountain Time
Wednesday, Dec 16, 2020 at 10:00am US Mountain Time
JOIN FOR JUST $16 A YEAR