Not all nursing home deaths, locations being disclosed


COLUMBUS, Ohio (AP) — Nursing homes across Ohio have been smacked by the coronavirus, with at least 40
deaths linked to the pandemic. But the overall total isn’t known, and neither are the locations of more
outbreaks because many local health departments won’t say.
The lack of statewide information along with the inability to do widespread testing in nursing homes is
frustrating some operators. They contend that not knowing how pervasive the virus has become within
long-term care facilities is hampering their response.
"We really need to know what are we dealing with here," said Peter Van Runkle, head of the Ohio
Health Care Association, which represents the state’s for-profit nursing homes.
Nursing homes have been locked down for nearly a month since Gov. Mike DeWine banned all visitors to
protect elderly residents who are more vulnerable to the virus. That hasn’t stopped it from spreading to
those facilities where staff members and specialized health care workers are still coming and going.
Outbreaks at two nursing homes in Miami County near Dayton have left 12 dead and dozens more sick, while
another in neighboring Darke County has killed seven nursing home residents. In the Youngstown area, 12
have died from the virus at long-term care facilities.
But many other counties aren’t disclosing any information about their nursing homes. It came as a
surprise earlier this week, Van Runkle said, when state health Director Dr. Amy Acton announced the
virus had been found at 20 nursing homes in Cleveland and Cuyahoga County.
Not knowing where the outbreaks are happening, he said, could allow the virus to spread if a nursing home
happens to hire someone or take in a patient from one of those facilities.
A woman in the Columbus area said her mother was admitted to a nursing home near the end of March without
knowing an employee there had tested positive just days earlier. Ann Mayfield told The Columbus Dispatch
that her mother left the nursing home less than a week later and soon after was diagnosed with the
virus, but it’s not clear where she was infected.
The state is leaving it up to local health agencies to release that type of information and won’t confirm
the names of facilities because it doesn’t want to take the chance of revealing the identity of someone
who tested positive, said Ohio Department of Health spokeswoman Melanie Amato.
In Stark County, where public health officials are monitoring a cluster of cases at a single nursing home
where four patients have died, the policy is to release deaths but not cases.
The other big concern among nursing homes is that testing is being concentrated in hospitals. "We’ve
made it very clear to the state that long-term care ought to get higher priority. Right now, they’re
second in line," Van Runkle said.
The problem, according to the state health department, is that there simply aren’t enough to blanket-test
everyone in a nursing home.
"The bane of my existence is the fact that we can’t do this," Acton said. "We have
everything set up to do it. We have the ability to do mobile units and go to prisons, and go to nursing
homes. We have staff to do it once we have more testing."
Ohio and its county health departments have been getting tests to where they’re needed even though they
seem to be in shorter supply than in other states, said Julie Beckert, a spokeswoman for Toledo-based
HCR ManorCare, which operates skilled nursing facilities across the country.
The state has set up "strike teams" to assist local health departments when there are positive
tests in nursing homes.
"Where we see that a nursing home is struggling because they don’t have enough gear, the very little
bit of gear we have left we’re trying to direct to them," Acton said. "We’ve been able to sort
of squash the hotspots as they occur. Time will tell how well we do in that."
More than 5,500 people in Ohio have tested positive for the virus, and 213 have died, with more than
1,700 hospitalizations as of Thursday, according to the state health department.
Eight Ohio prisons are under full quarantines, with 36 inmates and 58 employees having tested positive.
One prison guard died.
Seewer reported from Toledo.

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