Over a Dozen NY Nursing Homes Have Had More Than 25 Coronavirus Deaths

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Over a Dozen NY Nursing Homes Have Had More Than 25 Coronavirus Deaths

At least 14 nursing homes in New York City and its suburbs have recorded more than 25 coronavirus-related deaths, according to new data from the state Health Department that shows the virus’s impact on individual facilities, and five had 40 or more.

The homes that have been hit hardest are the Cobble Hill Health Center, a 364-bed nonprofit facility in Brooklyn, which reported 55 deaths, and the Kings Harbor Multicare Center, a for-profit, 720-bed facility in the Bronx, which had 45.

The 10 homes with the most deaths were all in the city.

The data did not include facilities with fewer than five deaths, and it did not include residents who died in hospitals.

Until the state released its partial accounting on Friday, families with relatives in nursing homes had repeatedly been denied information, which was unavailable from official sources and often impossible to get from the homes themselves.

Complaints from family members about a lack of disclosure from homes started in mid-March, when visitors were barred from entering facilities.

New York’s nursing homes, more than those in any other state, have been devastated by the virus. As of Wednesday, 2,690 deaths had been linked to such facilities — an increase of more than 1,200 in just a week. Nearly a quarter of the virus-related deaths in the state involved nursing homes or assisted living facilities.

The newly released data, which the Health Department had said for weeks it would not provide, citing a need to protect residents’ privacy, included just 69 facilities in 13 counties, out of 613 licensed nursing homes in the state.

Asked on Thursday why officials were taking so long to release the data, Gov. Andrew M. Cuomo said nursing homes were “dealing with hellacious situations” — multiple health crises, staff shortages, a lack of protective masks and gowns — that made it difficult for some to file the necessary paperwork on time. Mr. Cuomo said the state would release data on more homes as it became available.

The numbers may not measure the quality of homes’ response to the pandemic, said Dr. David Dosa, a geriatrician at Brown University who studies disaster preparedness and response.

“The perception is that nursing homes aren’t doing a good job when they have five, ten cases,” he said. “The reality might be that they’re the one where it didn’t explode to 30.”

When the final counting is done, he said, “We’re going to find that places with staff employed in a lot of places will turn out to be the hardest hit. An aide works in three places. You maximize the risk of bringing it in.”

Responding to the release of the data, ArchCare, which is affiliated with the Archdiocese of New York and operates four nonprofit homes in New York State, called the focus on deaths misleading. Among ArchCare’s properties is the Mary Manning Walsh Home on Manhattan’s Upper East Side, which, state records show, has had 31 deaths.

“Reducing the battle against coronavirus to a simple tally of lives lost ignores multiple realities and does a tremendous disservice to the thousands of dedicated health care workers who are putting their lives on the line each day,” the agency said in a statement.

In New Jersey, the loss of life has been almost as severe. As of Friday, 1,530 nursing home residents had died of the virus, according to the health commissioner, Judith Persichilli. New Jersey has not released data for individual facilities. In Connecticut, nearly 40 percent of the virus-related fatalities have involved nursing homes, although the state’s death toll is far below New York’s and New Jersey’s.

Advocates for people in nursing homes said the data was a start but not enough, because it did not tell families whether people in homes had the virus, or how widely it had spread. Without that, said Richard Mollot, the executive director of the Long Term Care Community Coalition, “the state is essentially withholding the information necessary to make informed decisions on a personal, as well as community, level.”

That data might have been lifesaving for Ernest Afflitto, who said he was unable to get information about his cousin Dominic Garritanno, a resident of the King David Center for Nursing and Rehabilitation in Brooklyn, for the roughly 10 days before Mr. Garritanno died of the virus on April 3.

“The phone rang and rang,” Mr. Afflitto said.

Matt Stevens contributed reporting.

  • Updated April 11, 2020

    • When will this end?

      This is a difficult question, because a lot depends on how well the virus is contained. A better question might be: “How will we know when to reopen the country?” In an American Enterprise Institute report, Scott Gottlieb, Caitlin Rivers, Mark B. McClellan, Lauren Silvis and Crystal Watson staked out four goal posts for recovery: Hospitals in the state must be able to safely treat all patients requiring hospitalization, without resorting to crisis standards of care; the state needs to be able to at least test everyone who has symptoms; the state is able to conduct monitoring of confirmed cases and contacts; and there must be a sustained reduction in cases for at least 14 days.

    • How can I help?

      The Times Neediest Cases Fund has started a special campaign to help those who have been affected, which accepts donations here. Charity Navigator, which evaluates charities using a numbers-based system, has a running list of nonprofits working in communities affected by the outbreak. You can give blood through the American Red Cross, and World Central Kitchen has stepped in to distribute meals in major cities. More than 30,000 coronavirus-related GoFundMe fund-raisers have started in the past few weeks. (The sheer number of fund-raisers means more of them are likely to fail to meet their goal, though.)

    • What should I do if I feel sick?

      If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.

    • Should I wear a mask?

      The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.

    • How do I get tested?

      If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.

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      No. Clinical trials are underway in the United States, China and Europe. But American officials and pharmaceutical executives have said that a vaccine remains at least 12 to 18 months away.

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      If the family member doesn’t need hospitalization and can be cared for at home, you should help him or her with basic needs and monitor the symptoms, while also keeping as much distance as possible, according to guidelines issued by the C.D.C. If there’s space, the sick family member should stay in a separate room and use a separate bathroom. If masks are available, both the sick person and the caregiver should wear them when the caregiver enters the room. Make sure not to share any dishes or other household items and to regularly clean surfaces like counters, doorknobs, toilets and tables. Don’t forget to wash your hands frequently.

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      Yes, but make sure you keep six feet of distance between you and people who don’t live in your home. Even if you just hang out in a park, rather than go for a jog or a walk, getting some fresh air, and hopefully sunshine, is a good idea.

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      That’s not a good idea. Even if you’re retired, having a balanced portfolio of stocks and bonds so that your money keeps up with inflation, or even grows, makes sense. But retirees may want to think about having enough cash set aside for a year’s worth of living expenses and big payments needed over the next five years.

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