Kelly Womochil, an aide at Enterprise Estates Nursing Center in Enterprise, Kan., tries on a poncho that the Federal Emergency Management Agency is sending to nursing homes to protect against the coronavirus. Pamela Black hide caption
Kelly Womochil, an aide at Enterprise Estates Nursing Center in Enterprise, Kan., tries on a poncho that the Federal Emergency Management Agency is sending to nursing homes to protect against the coronavirus.
Across the United States, nursing homes trying to protect their residents from the coronavirus eagerly await boxes of masks, eyewear and gowns promised by the federal government. But all too often the packages deliver disappointment if they arrive at all.
Some contain flimsy surgical masks or cloth face coverings that are explicitly not intended for medical use. Others are missing items or have far less than the full week's worth of protective equipment the government promised to send. Instead of proper medical gowns, many packages hold large blue plastic ponchos.
"It's like putting a trash bag on," said Pamela Black, the administrator of Enterprise Estates Nursing Center in Enterprise, Kan. "There's no real place for your hands to come out."
As nursing homes remain the pandemic's epicenter, the federal government is failing to ensure these facilities have all the personal protective equipment, or PPE, needed to prevent the spread of the virus, according to interviews with administrators and federal data.
Cloth masks and ponchos
Despite President Trump's pledge on April 30 to "deploy every resource and power that we have" to protect older Americans, a fifth of the nation's nursing homes 3,213 out of more than 15,000 reported during the last two weeks of May that they had less than a week's supply of masks, gowns, gloves, eye protectors or hand sanitizer, according to federal records. Of those, 946 reported they have had at least one confirmed COVID infection since the pandemic began.
"The federal government's failure to nationalize the supply chain and take control of it contributed to the deaths in nursing homes," said Scott LaRue, president and CEO of ArchCare, the health care system of the Roman Catholic Archdiocese of New York, which operates five nursing homes.
Widespread equipment shortages continue in some places as the virus rages lethally through nursing homes and other long-term care facilities. More than 217,000 short-term patients and long-term residents in nursing homes have contracted COVID-19, and 43,000 have died.
Some homes still have not received the first of two batches of supplies the Federal Emergency Management Agency said it would ship in May. Instead, some got only cloth masks that the Department of Health and Human Services commissioned through a contract with HanesBrands, the apparel company known for its underwear. An HHS webpage says the masks are not intended for caring for contagious patients but can be given to workers for their commutes or to residents when they leave their rooms.
As homes keep scrounging for supplies in a chaotic market with jacked-up prices and continued scarcity, 653 skilled nursing facilities informed the government they had completely run out of one or more types of protective supplies at some point in the last two weeks of May, according to records released last week by the Centers for Medicare & Medicaid Services, or CMS.
"The federal government has got to step up," said Lori Smetanka, executive director of the National Consumer Voice for Quality Long-Term Care, an advocacy group based in Washington, D.C. "We're now what? three months into this pandemic, and these facilities still don't have enough PPE to protect themselves and their residents?"
A "relentless commitment"
In April, Trump pledged his administration "will never waver in its relentless commitment to America's seniors." But FEMA's shipments of masks, gloves, gowns and eye protection have had a more modest goal: "to serve as a bridge between other PPE shipments."
In written comments, FEMA defended the quality of the poncho gowns but said that because of complaints, the contractor was creating a "short instructional video about proper use of the gowns" to share with homes. FEMA officials said that, as of June 4, the agency had shipped packages to 11,287 nursing homes, starting at "the soonest possible date in the COVID-19 global supply chain climate."
Yet 67 of the Good Samaritan Society's 147 nursing homes have not received a FEMA shipment, including homes that are fighting the biggest outbreaks in Sioux Falls, S.D.; Greeley, Colo.; and Omaha, Neb., according to Nate Schema, the Good Samaritan Society's vice president of operations. "We have not received a shipment in our six or seven hot spots," he said.
The supplies that did arrive tended to be in one size only, he said, and "the quality wasn't quite up to the same level we've been receiving" through the society's affiliation with Sanford Health, a large hospital and physician system.
The society has enough equipment, but small nursing home groups and independent homes are still struggling, particularly with obtaining N95 masks, which filter out tiny particles of the virus and are considered the best way to protect both nursing home employees and residents from transmitting it.
The CMS records show 711 nursing homes reported having run out of N95 masks, and 1,963 said they had less than a week's worth. But FEMA is not shipping any N95 masks, and nursing homes are having trouble obtaining them from other sources. Instead, the agency is sending surgical masks, but more than 1,000 homes have less than a week's supply of those.
Messiah Lifeways at Messiah Village in Mechanicsburg, Pa., received a FEMA shipment this week that had face shields and gloves, but only three days' worth of surgical masks and "very low, low-grade quality" gowns that lacked sleeves, said Katie Andreano, a Messiah communications specialist.
Only two of ArchCare's five nursing homes have received any FEMA shipments, even though it is based in New York City, the site of the nation's biggest outbreak. The equipment for those two homes lasted less than a week. LaRue tried to procure equipment from abroad, but all of the potential suppliers turned out to be fraudulent. He said ArchCare has had to rely on sporadic supplies from the state and city emergency management offices.
"As we sit here today, I'm still not able to get more than a few days' supply of N95 masks, and I still struggle to a certain extent with gowns," LaRue said. "That doesn't make you sleep at night, because you're not sure when the next delivery comes."
In addition to the supplies, the administration has dedicated $5 billion to nursing homes out of $175 billion in provider relief funds appropriated by Congress. Hospitals are getting much more. Administrators said money doesn't solve the broken private supply chains, where the availability of personal protective equipment is spotty and the equipment is vastly overpriced.
"Too often, the only signs of FEMA's much-hyped promise of PPE are scattershot delivery with varying amounts of ragtag supplies," said Katie Smith Sloan, president and CEO of LeadingAge, an association of nonprofit nursing homes and other service agencies for older people.
The cloth masks from HHS have been particularly perplexing to nursing home administrators, given the caveats that accompanied them. The instructions for the masks said they could be washed up to 15 times, according to Sondra Norder, president and CEO of St. Paul Elder Services in Kaukauna, Wis.
"I don't know how we would possibly track how many times each mask has been washed," she said. The instructions also said the masks should not be washed with disinfectants, bleach or chemicals, which is how Norder said nursing homes clean their laundry.
Norder said she laundered about 100 masks and they shrank. "The ones that have been washed are tiny, and I certainly wouldn't want to put something on someone's face that hasn't been laundered," she said. "All my colleagues [at other nursing homes] received the same thing and were also baffled by it, wondering, 'How are we going to use these?' "
Kaiser Health News is a nonprofit, editorially independent program of the Kaiser Family Foundation, and is not affiliated with Kaiser Permanente. KHN senior correspondent Christina Jewett contributed to this report.
Original post:
US Nursing Homes Run Low On PPE As COVID-19 Deaths There Soar : Shots - Health News - NPR
- Coronavirus Scam Alert: Watch Out For These Risky COVID-19 Websites And Emails - Forbes [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- COVID19: Broome County Executive expected to sign executive orders on virus - WBNG-TV [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Houston-based company ready to test COVID-19 'vaccine candidate,' but doesn't have the funds - KHOU.com [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- COVID19 Mesa County Public Health [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Coronavirus Disease 2019 (COVID-19) | SCDHEC [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Coronavirus disease 2019 - Wikipedia [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Hackers are jumping on the COVID-19 pandemic to spread malware - TechCrunch [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- COVID-19 can last a few days on surfaces, according to new experiment findings - ABC News [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- The Guardian view on the UKs Covid-19 response: confused and hesitant - The Guardian [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- The COVID-19 Coronavirus Pandemic Highlights The Importance Of Scientific Expertise - Forbes [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- WHO Expert: Aggressive Action Against Coronavirus Cuts Down On Spread : Goats and Soda - NPR [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- 2 new cases of COVID-19 at Chicago schools - WGN TV Chicago [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Will Gargling with Salt Water or Vinegar 'Eliminate' the COVID-19 Coronavirus? - Snopes.com [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Worried about dying from COVID-19? You might be a millennial | TheHill - The Hill [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Startups developing tech to combat COVID-19 urged to apply for fast-track EU funding - TechCrunch [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Why do dozens of diseases wax and wane with the seasonsand will COVID-19? - Science Magazine [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- WHO, UN Foundation and partners launch first-of-its-kind COVID-19 Solidarity Response Fund - World Health Organization [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Covid-19: PM to address nation tonight - New Straits Times [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- COVID-19: Where every sport lies after mass disruption - RTE.ie [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- COVID-19: Facts, myths and hypotheses | TheHill - The Hill [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Hong Kong Has Largely Survived COVID-19. Can New York and The US Do It Too? - BuzzFeed News [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- UPDATE: Case of COVID-19 confirmed in Wilson County - WITN [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Is This Train Car Carrying 'COVID-19'? - Snopes.com [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Coronavirus pandemic: facts, updates and what to do about COVID-19 - The Verge [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- DHS: 34 people test positive for COVID-19 in Wisconsin - WBAY [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- COVID-19 by the numbers; plus key resources to help you stay informed - Berkeleyside [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- The Covid-19 puzzles that scientists are still trying to answer - The Guardian [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- What's the COVID-19 end game? - The San Diego Union-Tribune [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- The Covid-19 coronavirus is not the flu. Its worse. - Vox.com [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Phones Could Track the Spread of Covid-19. Is It a Good Idea? - WIRED [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- NIH Reports First Known Employee with COVID-19 Infection - National Institutes of Health [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Newborn tests positive for COVID-19 in London - Livescience.com [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Covid-19: Malaysia's pandemic action plan activated for the coronavirus - The Star Online [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- How Bad Will The COVID-19 Coronavirus Epidemic Get In The U.S.? Health Experts Weigh In - Forbes [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Can People Who Recover from COVID-19 Become Reinfected? - Snopes.com [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- THE LATEST: 41 test positive for COVID-19 in the state - WFSB [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Twelve new cases of COVID-19 announced in Illinois; bringing total to 105 - KWQC-TV6 [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Eagle County outlines shift for COVID-19 testing, Vail Health shifts operations - Vail Daily News [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- 7th positive COVID-19 case announced in Hawaii, all cases related to travel - KHON2 [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Canada tightens borders over coronavirus will it curb COVID-19s spread? - Global News [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- As health care workers prepare for COVID-19, medical students pitch in on the homefront - Minnesota Public Radio News [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Coronavirus First positive case of COVID-19 confirmed in Geauga County Kaylyn Hlavaty 7:58 AM - News 5 Cleveland [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- 2nd presumptive case of COVID 19 reported in Bell County - KWTX [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- New confirmed cases of COVID-19 in Wisconsin - WKOW [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Hawaii National Guard ready to step in against spread of COVID-19 - KHON2 [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Alberta orders all classes cancelled, daycares closed as COVID-19 cases rise to 56 in the province - Global News [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Has Italy Stopped Treating the Elderly in the COVID-19 Pandemic? - Snopes.com [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Coronavirus testing: Information on COVID-19 tests according to state health departments - NBCNews.com [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Working from home because of COVID-19? Here are 10 ways to spend your time - Science Magazine [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Two positive COVID-19 cases announced in Fairbanks, bringing Alaska's confirmed total to 3 - Anchorage Daily News [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- 8 more positive cases of COVID-19 brings Michigan total to 33 - FOX 2 Detroit [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- COVID-19: Who Is Infectious? - Forbes [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- The Guardian view on the latest Covid-19 steps: a recipe for isolation - The Guardian [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Government publishes updated COVID-19 industry guidance - GOV.UK [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- NIH clinical trial of investigational vaccine for COVID-19 begins - National Institutes of Health [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Expanding Colorado's COVID-19 Testing Capacity Proves Frustrating to Polis, Doctors And The Public - Colorado Public Radio [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Microsoft Bing launches interactive COVID-19 map to provide pandemic news - The Verge [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Coronavirus tips: How to slow the spread of COVID-19 with hand-washing, social distance - USA TODAY [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- See Which Countries are Flattening their COVID-19 Curve - Visual Capitalist [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- With launch of COVID-19 data hub, the White House issues a call to action for AI researchers - TechCrunch [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- COVID-19 - Cabinet for Health and Family Services [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Coronavirus Disease 2019 (COVID-19) | AustinTexas.gov [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- First COVID-19 case in Waterbury is confirmed - Waterbury Republican American [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Covid-19 reveals the alarming truth that many children cant wash their hands at school - The Guardian [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Statement on COVID-19 Panel Discussion Notes That Were Attributed to UCSF - UCSF News Services [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Covid-19 coronavirus testing in the US has been absurdly sluggish. That puts us at risk. - Vox.com [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Regal is closing all theaters until further notice over COVID-19 fears - TechCrunch [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Amazon limiting shipments to certain types of products due to COVID-19 pandemic - TechCrunch [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Coralville company to produce millions of kits to test for COVID-19 - KCRG [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Number of COVID-19 cases in Erie County rises to 11, new case confirmed in Wyoming County - WIVB.com - News 4 [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Coronavirus tips and symptoms: What everyone should know about getting the new coronavirus - Vox.com [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Tech giants are getting creative to manage the COVID-19 crisis - The Verge [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- COVID-19: Mental health in the age of coronavirus - UN News [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- White House provides an update on COVID-19 testing in the U.S., says theres been a dramatic ramp - TechCrunch [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Covid-19: How long does the coronavirus last on surfaces? - BBC News [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Hospital in Boston will be converted into Covid-19 treatment center - STAT [Last Updated On: March 18th, 2020] [Originally Added On: March 18th, 2020]
- 78 cases of COVID-19 confirmed in Tennessee - NewsChannel5.com [Last Updated On: March 18th, 2020] [Originally Added On: March 18th, 2020]
- COVID 19: Tennessee confirmed cases reaches 52, Dept of Health releases age ranges of those infected - Clarksville Now [Last Updated On: March 18th, 2020] [Originally Added On: March 18th, 2020]
- Housing associations under pressure to offer Covid-19 rent holidays - The Guardian [Last Updated On: March 18th, 2020] [Originally Added On: March 18th, 2020]
- Sacramento woman dead from COVID-19 attended church with others who have virus - KCRA Sacramento [Last Updated On: March 18th, 2020] [Originally Added On: March 18th, 2020]