For 2 types of senior living homes facingcoronavirus a striking disparity infederal supportBetween nursing homes and assisted living only one receives federal aid
By Allison Pecorin
While nursing homes and assisted living facilities perform many of thesame functions in service of the nationrsquos aging population -- and both havefelt the ravages of the coronavirus -- they are receiving very differenttreatment from the federal government according to elder care advocates
Only nursing homes have been thrown a lifeline to the tune of nearly $5billion in economic aid and federal disaster shipments of much-neededprotective equipment Assisted living facilities have received no directfederal help
ldquoWhat we need now is to rally around assisted living communities like thecountry is now doing for nursing homesrdquo wrote Mark Parkinson and ScottTittle leaders of the National Center for Assisted Living an organizationthat along with American Health Care Association represents thousandsof non-profit nursing and assisted living homes in a letter to the Trumpadministration earlier this month
The two kinds of elder care are not identical Unlike nursing homes whichtypically cater to seniors with significant medical needs assisted livingfacilities are retirement communities that serve elderly residents with
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varying degrees of independence with some offering graduated care Thereare about 14 million Americans in nursing homes and about 1 million whoreside in assisted living facilities according to advocates
And perhaps most importantly the federal government regulates mostnursing homes but plays no role in overseeing assisted living
Sen Elizabeth Warren D-Mass said during a recent congressional hearingthat she was surprised to discover the federal government was not eventracking the death toll in assisted living settings
ldquoThe reality is this virus doesnrsquot care whether seniors are living in assistedliving facilities or living in nursing homes It can affect them regardlessrdquoWarren said
The federal government recently did begin tracking nursing home deathshowever and data shows that they number more than 30000 --approximately one-fourth of the 120000-plus total US coronavirus deathtoll
But ABC News previous surveys of state-by-state data suggests the numberof deaths in elderly communities to include those from assisted livingfacilities and those that occurred before nursing home federal reportingrequirements came down in May may be significantly higher
MORE In first federal count over 25000 coronavirus deaths in nursing homes
Available state data suggests residents of assisted living have fared betterbut are still seeing a significant toll In Tennessee 133 have died in nursinghomes while 24 have fallen to the virus while in assisted living accordingthe state figures Texas has seen 895 nursing home fatalities and 136 deathsin assisted living
But since the onset of the crisis only nursing homes have benefited from asignificant rush of federal aid advocates say
In May the US Department of Health and Human Services granted $49billion in funding to nursing home facilities None of that funding went toassisted living facilities
ldquoThis funding secured by President Trump will help nursing homes keepthe seniors they care for safe during the COVID-19 pandemicrdquo said HHSSecretary Alex Azar when the funding was announced ldquoThe TrumpAdministration is providing every resource we can from funding anddirect PPE shipments to regulatory flexibility and infection controlconsultations to protect seniors in nursing homes and those who care forthemrdquo
A separate federal effort that was aimed at providing two weeks ofprotective equipment to nursing homes was announced around the sametime In the announcement of this federal effort advocates were toldassisted living facilities would not be included
The discrepancy in aid to these two types of facilities which often providesimilar or identical types of services has left assisted living advocatescalling on the government for a more robust response
Leaders of the National Center for Assisted Living laid out the starkdifferences in a letter to the Federal Emergency Management Agency andthe Department of Health and Human Services earlier this month
ldquoTo date assisted living communities have not received any direct federalfunding [protective gear] or prioritization for testing (outside of someminimal state support)rdquo the letter said ldquoWhile much warranted attentionhas been focused on nursing homes there has been an alarming number ofconfirmed COVID-19 cases in assisted living communities reportedrdquo
LeadingAge an association of nonprofit providers of aging services thatincludes many nursing homes and assisted living communities sent aseparate letter to Congress urging lawmakers to include funds for assistedliving homes in any future coronavirus relief legislation
ldquoWe implore you to take immediate actionrdquo Katie Smith Sloan thePresident and CEO of LeadingAge wrote ldquoOur communities and olderadults cannot wait for further relief
The House of Representatives passed additional coronavirus relieflegislation in May that would allow for additional funding to thesefacilities but the Senate has not yet taken up the legislation
Assisted living facilities have also struggled to access necessary protectiveequipment Even though they are not focused on medical care manyprovide services that put staff in close contact with residents as they assistresidents with daily living tasks
A recent survey of 375 assisted living facilities by the National Centers forAssisted Living found less than half had a two week supply of protectiveequipment on hand Seven out of 10 had reached out to state and localhealth departments asking for additional supplies and nearly half hadbeen forced to seek donations from the public
MORE Nursing homes got masks that probably should have never gone outOfficial
LeadingAge members pressed FEMA officials about much-neededshipments of protective gear during a conference call They said during themeeting Col Brian Kuhn the defense logistics official overseeing theshipments told the group that a different agency the Centers for Medicareand Medicaid Service (CMS) made the decision to ship supplies only to thenationrsquos 15000 nursing homes and not to assisted living facilities
ldquoCMS were the ones that made the decision on where to draw the linerdquoKuhn said
Officials with the agency told ABC News that they have been less engagedwith assisted living because they only regulate nursing homes Nursinghomes have far more residents dependent on Medicaid and as a result rely
more heavily on federal funding and face more federal regulation Assistedliving facilities are generally privately funded and so are typically regulatedby state agencies
In response to an inquiry from ABC News a CMS official said that assistedliving facilities are not regulated at the federal level and are therefore notunder the agencys jurisdiction though the official added that assistedliving facilities have the option to adopt the guidance that the agency hasissued for nursing homes The agency also recommended that ABC Newsreach out to the Department of Health and Human Services but officialsthere did not immediately reply to a request for comment
University of Chicago Professor R Tamara Konetzka who studies nursinghomes and assisted living facilities said that the differences betweennursing and assisted living facilities varies by state Assisted living oftenallows for slightly more separation between residents but still involvesstaff care that has shown to be a potential vector of outbreaks
MORE As nation tries to exhale coronavirus still carrying infection death intonursing homes data show
ldquoTheyrsquore just older populations who probably are very vulnerable to thevirusrdquo Konetzka said
Tune into ABC at 1 pm ET and ABC News Live at 4 pm ET every weekday
for special coverage of the novel coronavirus with the full ABC News team
including the latest news context and analysis
What to know about coronavirusHow it started and how to protect yourself Coronavirus explained
What to do if you have symptoms Coronavirus symptoms
Tracking the spread in the US and worldwide Coronavirus map
Comments (3)
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varying degrees of independence with some offering graduated care Thereare about 14 million Americans in nursing homes and about 1 million whoreside in assisted living facilities according to advocates
And perhaps most importantly the federal government regulates mostnursing homes but plays no role in overseeing assisted living
Sen Elizabeth Warren D-Mass said during a recent congressional hearingthat she was surprised to discover the federal government was not eventracking the death toll in assisted living settings
ldquoThe reality is this virus doesnrsquot care whether seniors are living in assistedliving facilities or living in nursing homes It can affect them regardlessrdquoWarren said
The federal government recently did begin tracking nursing home deathshowever and data shows that they number more than 30000 --approximately one-fourth of the 120000-plus total US coronavirus deathtoll
But ABC News previous surveys of state-by-state data suggests the numberof deaths in elderly communities to include those from assisted livingfacilities and those that occurred before nursing home federal reportingrequirements came down in May may be significantly higher
MORE In first federal count over 25000 coronavirus deaths in nursing homes
Available state data suggests residents of assisted living have fared betterbut are still seeing a significant toll In Tennessee 133 have died in nursinghomes while 24 have fallen to the virus while in assisted living accordingthe state figures Texas has seen 895 nursing home fatalities and 136 deathsin assisted living
But since the onset of the crisis only nursing homes have benefited from asignificant rush of federal aid advocates say
In May the US Department of Health and Human Services granted $49billion in funding to nursing home facilities None of that funding went toassisted living facilities
ldquoThis funding secured by President Trump will help nursing homes keepthe seniors they care for safe during the COVID-19 pandemicrdquo said HHSSecretary Alex Azar when the funding was announced ldquoThe TrumpAdministration is providing every resource we can from funding anddirect PPE shipments to regulatory flexibility and infection controlconsultations to protect seniors in nursing homes and those who care forthemrdquo
A separate federal effort that was aimed at providing two weeks ofprotective equipment to nursing homes was announced around the sametime In the announcement of this federal effort advocates were toldassisted living facilities would not be included
The discrepancy in aid to these two types of facilities which often providesimilar or identical types of services has left assisted living advocatescalling on the government for a more robust response
Leaders of the National Center for Assisted Living laid out the starkdifferences in a letter to the Federal Emergency Management Agency andthe Department of Health and Human Services earlier this month
ldquoTo date assisted living communities have not received any direct federalfunding [protective gear] or prioritization for testing (outside of someminimal state support)rdquo the letter said ldquoWhile much warranted attentionhas been focused on nursing homes there has been an alarming number ofconfirmed COVID-19 cases in assisted living communities reportedrdquo
LeadingAge an association of nonprofit providers of aging services thatincludes many nursing homes and assisted living communities sent aseparate letter to Congress urging lawmakers to include funds for assistedliving homes in any future coronavirus relief legislation
ldquoWe implore you to take immediate actionrdquo Katie Smith Sloan thePresident and CEO of LeadingAge wrote ldquoOur communities and olderadults cannot wait for further relief
The House of Representatives passed additional coronavirus relieflegislation in May that would allow for additional funding to thesefacilities but the Senate has not yet taken up the legislation
Assisted living facilities have also struggled to access necessary protectiveequipment Even though they are not focused on medical care manyprovide services that put staff in close contact with residents as they assistresidents with daily living tasks
A recent survey of 375 assisted living facilities by the National Centers forAssisted Living found less than half had a two week supply of protectiveequipment on hand Seven out of 10 had reached out to state and localhealth departments asking for additional supplies and nearly half hadbeen forced to seek donations from the public
MORE Nursing homes got masks that probably should have never gone outOfficial
LeadingAge members pressed FEMA officials about much-neededshipments of protective gear during a conference call They said during themeeting Col Brian Kuhn the defense logistics official overseeing theshipments told the group that a different agency the Centers for Medicareand Medicaid Service (CMS) made the decision to ship supplies only to thenationrsquos 15000 nursing homes and not to assisted living facilities
ldquoCMS were the ones that made the decision on where to draw the linerdquoKuhn said
Officials with the agency told ABC News that they have been less engagedwith assisted living because they only regulate nursing homes Nursinghomes have far more residents dependent on Medicaid and as a result rely
more heavily on federal funding and face more federal regulation Assistedliving facilities are generally privately funded and so are typically regulatedby state agencies
In response to an inquiry from ABC News a CMS official said that assistedliving facilities are not regulated at the federal level and are therefore notunder the agencys jurisdiction though the official added that assistedliving facilities have the option to adopt the guidance that the agency hasissued for nursing homes The agency also recommended that ABC Newsreach out to the Department of Health and Human Services but officialsthere did not immediately reply to a request for comment
University of Chicago Professor R Tamara Konetzka who studies nursinghomes and assisted living facilities said that the differences betweennursing and assisted living facilities varies by state Assisted living oftenallows for slightly more separation between residents but still involvesstaff care that has shown to be a potential vector of outbreaks
MORE As nation tries to exhale coronavirus still carrying infection death intonursing homes data show
ldquoTheyrsquore just older populations who probably are very vulnerable to thevirusrdquo Konetzka said
Tune into ABC at 1 pm ET and ABC News Live at 4 pm ET every weekday
for special coverage of the novel coronavirus with the full ABC News team
including the latest news context and analysis
What to know about coronavirusHow it started and how to protect yourself Coronavirus explained
What to do if you have symptoms Coronavirus symptoms
Tracking the spread in the US and worldwide Coronavirus map
Comments (3)
Before You Go
$19 - zenniopticalcom | SponsoredCheck Out ZenniregThe Best Place to Buy Eyeglasses
O2 Canada | Sponsored
Senior LivingAssisted Living | Sponsored
NerdWallet | Sponsored
Heres Why This $70 Respirator is Better Than Your Face Mask
These New Assisted Living Apartments Near Louisville Are A Dream ComeTrue Research Senior Assisted Living Louisville
What Will You Do When Youre Debt-Free
ABC News Network Privacy Policy Your CA Privacy Rights Childrens Online Privacy Policy Interest-Based Ads About Nielsen Measurement Terms of UseDo Not Sell My Info Contact Us
Copyright copy 2020 ABC News Internet Ventures All rights reserved
Stuff Answered | Sponsored
Wikibuy | Sponsored
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The Genius Hack Every Home Depot Shopper Should Know
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Mike Pence Breaks With Donald Trump I Strongly Support Paul Ryan
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Cars Under 20k | Search Ads | Sponsored
Luxury Crossovers | Yahoo Search | Sponsored
These Cars Are So Loaded Its Hard to Believe They Cost Under $25K SearchBest Luxury Car Lease Deals
These Cars Are So Stacked That Its Hard To Believe They Cost Under 25K
These Crossovers Will Take Your Breath Away Research 2020 LuxuryCrossover Vehicle Deals
Ultimate Pet Nutrition Nutra Thrive Supplement | Sponsored
Gerber Life Insurance | Sponsored
If Your Dog Eats Grass (Do This Every Day)
Parents Lifelong Insurance Protection for Your Child
Gov Chris Christie Being Vetted as Potential Vice Presidential Pick for Trump
New York teacher allegedly fired over topless selfie threatens to sue school
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Remember Precious Take A Deep Breath Before You See What She LooksLike Now
New Senior Apartments Near Louisville Are A Dream Come True
A Fast Way To Pay Off Up To $10000 In Credit Card Debt
The discrepancy in aid to these two types of facilities which often providesimilar or identical types of services has left assisted living advocatescalling on the government for a more robust response
Leaders of the National Center for Assisted Living laid out the starkdifferences in a letter to the Federal Emergency Management Agency andthe Department of Health and Human Services earlier this month
ldquoTo date assisted living communities have not received any direct federalfunding [protective gear] or prioritization for testing (outside of someminimal state support)rdquo the letter said ldquoWhile much warranted attentionhas been focused on nursing homes there has been an alarming number ofconfirmed COVID-19 cases in assisted living communities reportedrdquo
LeadingAge an association of nonprofit providers of aging services thatincludes many nursing homes and assisted living communities sent aseparate letter to Congress urging lawmakers to include funds for assistedliving homes in any future coronavirus relief legislation
ldquoWe implore you to take immediate actionrdquo Katie Smith Sloan thePresident and CEO of LeadingAge wrote ldquoOur communities and olderadults cannot wait for further relief
The House of Representatives passed additional coronavirus relieflegislation in May that would allow for additional funding to thesefacilities but the Senate has not yet taken up the legislation
Assisted living facilities have also struggled to access necessary protectiveequipment Even though they are not focused on medical care manyprovide services that put staff in close contact with residents as they assistresidents with daily living tasks
A recent survey of 375 assisted living facilities by the National Centers forAssisted Living found less than half had a two week supply of protectiveequipment on hand Seven out of 10 had reached out to state and localhealth departments asking for additional supplies and nearly half hadbeen forced to seek donations from the public
MORE Nursing homes got masks that probably should have never gone outOfficial
LeadingAge members pressed FEMA officials about much-neededshipments of protective gear during a conference call They said during themeeting Col Brian Kuhn the defense logistics official overseeing theshipments told the group that a different agency the Centers for Medicareand Medicaid Service (CMS) made the decision to ship supplies only to thenationrsquos 15000 nursing homes and not to assisted living facilities
ldquoCMS were the ones that made the decision on where to draw the linerdquoKuhn said
Officials with the agency told ABC News that they have been less engagedwith assisted living because they only regulate nursing homes Nursinghomes have far more residents dependent on Medicaid and as a result rely
more heavily on federal funding and face more federal regulation Assistedliving facilities are generally privately funded and so are typically regulatedby state agencies
In response to an inquiry from ABC News a CMS official said that assistedliving facilities are not regulated at the federal level and are therefore notunder the agencys jurisdiction though the official added that assistedliving facilities have the option to adopt the guidance that the agency hasissued for nursing homes The agency also recommended that ABC Newsreach out to the Department of Health and Human Services but officialsthere did not immediately reply to a request for comment
University of Chicago Professor R Tamara Konetzka who studies nursinghomes and assisted living facilities said that the differences betweennursing and assisted living facilities varies by state Assisted living oftenallows for slightly more separation between residents but still involvesstaff care that has shown to be a potential vector of outbreaks
MORE As nation tries to exhale coronavirus still carrying infection death intonursing homes data show
ldquoTheyrsquore just older populations who probably are very vulnerable to thevirusrdquo Konetzka said
Tune into ABC at 1 pm ET and ABC News Live at 4 pm ET every weekday
for special coverage of the novel coronavirus with the full ABC News team
including the latest news context and analysis
What to know about coronavirusHow it started and how to protect yourself Coronavirus explained
What to do if you have symptoms Coronavirus symptoms
Tracking the spread in the US and worldwide Coronavirus map
Comments (3)
Before You Go
$19 - zenniopticalcom | SponsoredCheck Out ZenniregThe Best Place to Buy Eyeglasses
O2 Canada | Sponsored
Senior LivingAssisted Living | Sponsored
NerdWallet | Sponsored
Heres Why This $70 Respirator is Better Than Your Face Mask
These New Assisted Living Apartments Near Louisville Are A Dream ComeTrue Research Senior Assisted Living Louisville
What Will You Do When Youre Debt-Free
ABC News Network Privacy Policy Your CA Privacy Rights Childrens Online Privacy Policy Interest-Based Ads About Nielsen Measurement Terms of UseDo Not Sell My Info Contact Us
Copyright copy 2020 ABC News Internet Ventures All rights reserved
Stuff Answered | Sponsored
Wikibuy | Sponsored
Need A Laptop Here Are The Top Ones
The Genius Hack Every Home Depot Shopper Should Know
Presidential candidate Kamala Harris rushed on stage by animal rights activist
Mike Pence Breaks With Donald Trump I Strongly Support Paul Ryan
Cars | Sponsored
Cars Under 20k | Search Ads | Sponsored
Luxury Crossovers | Yahoo Search | Sponsored
These Cars Are So Loaded Its Hard to Believe They Cost Under $25K SearchBest Luxury Car Lease Deals
These Cars Are So Stacked That Its Hard To Believe They Cost Under 25K
These Crossovers Will Take Your Breath Away Research 2020 LuxuryCrossover Vehicle Deals
Ultimate Pet Nutrition Nutra Thrive Supplement | Sponsored
Gerber Life Insurance | Sponsored
If Your Dog Eats Grass (Do This Every Day)
Parents Lifelong Insurance Protection for Your Child
Gov Chris Christie Being Vetted as Potential Vice Presidential Pick for Trump
New York teacher allegedly fired over topless selfie threatens to sue school
Travel Patriot | Sponsored
Senior Living | Sponsored
NerdWallet | Sponsored
Remember Precious Take A Deep Breath Before You See What She LooksLike Now
New Senior Apartments Near Louisville Are A Dream Come True
A Fast Way To Pay Off Up To $10000 In Credit Card Debt
more heavily on federal funding and face more federal regulation Assistedliving facilities are generally privately funded and so are typically regulatedby state agencies
In response to an inquiry from ABC News a CMS official said that assistedliving facilities are not regulated at the federal level and are therefore notunder the agencys jurisdiction though the official added that assistedliving facilities have the option to adopt the guidance that the agency hasissued for nursing homes The agency also recommended that ABC Newsreach out to the Department of Health and Human Services but officialsthere did not immediately reply to a request for comment
University of Chicago Professor R Tamara Konetzka who studies nursinghomes and assisted living facilities said that the differences betweennursing and assisted living facilities varies by state Assisted living oftenallows for slightly more separation between residents but still involvesstaff care that has shown to be a potential vector of outbreaks
MORE As nation tries to exhale coronavirus still carrying infection death intonursing homes data show
ldquoTheyrsquore just older populations who probably are very vulnerable to thevirusrdquo Konetzka said
Tune into ABC at 1 pm ET and ABC News Live at 4 pm ET every weekday
for special coverage of the novel coronavirus with the full ABC News team
including the latest news context and analysis
What to know about coronavirusHow it started and how to protect yourself Coronavirus explained
What to do if you have symptoms Coronavirus symptoms
Tracking the spread in the US and worldwide Coronavirus map
Comments (3)
Before You Go
$19 - zenniopticalcom | SponsoredCheck Out ZenniregThe Best Place to Buy Eyeglasses
O2 Canada | Sponsored
Senior LivingAssisted Living | Sponsored
NerdWallet | Sponsored
Heres Why This $70 Respirator is Better Than Your Face Mask
These New Assisted Living Apartments Near Louisville Are A Dream ComeTrue Research Senior Assisted Living Louisville
What Will You Do When Youre Debt-Free
ABC News Network Privacy Policy Your CA Privacy Rights Childrens Online Privacy Policy Interest-Based Ads About Nielsen Measurement Terms of UseDo Not Sell My Info Contact Us
Copyright copy 2020 ABC News Internet Ventures All rights reserved
Stuff Answered | Sponsored
Wikibuy | Sponsored
Need A Laptop Here Are The Top Ones
The Genius Hack Every Home Depot Shopper Should Know
Presidential candidate Kamala Harris rushed on stage by animal rights activist
Mike Pence Breaks With Donald Trump I Strongly Support Paul Ryan
Cars | Sponsored
Cars Under 20k | Search Ads | Sponsored
Luxury Crossovers | Yahoo Search | Sponsored
These Cars Are So Loaded Its Hard to Believe They Cost Under $25K SearchBest Luxury Car Lease Deals
These Cars Are So Stacked That Its Hard To Believe They Cost Under 25K
These Crossovers Will Take Your Breath Away Research 2020 LuxuryCrossover Vehicle Deals
Ultimate Pet Nutrition Nutra Thrive Supplement | Sponsored
Gerber Life Insurance | Sponsored
If Your Dog Eats Grass (Do This Every Day)
Parents Lifelong Insurance Protection for Your Child
Gov Chris Christie Being Vetted as Potential Vice Presidential Pick for Trump
New York teacher allegedly fired over topless selfie threatens to sue school
Travel Patriot | Sponsored
Senior Living | Sponsored
NerdWallet | Sponsored
Remember Precious Take A Deep Breath Before You See What She LooksLike Now
New Senior Apartments Near Louisville Are A Dream Come True
A Fast Way To Pay Off Up To $10000 In Credit Card Debt
ABC News Network Privacy Policy Your CA Privacy Rights Childrens Online Privacy Policy Interest-Based Ads About Nielsen Measurement Terms of UseDo Not Sell My Info Contact Us
Copyright copy 2020 ABC News Internet Ventures All rights reserved
Stuff Answered | Sponsored
Wikibuy | Sponsored
Need A Laptop Here Are The Top Ones
The Genius Hack Every Home Depot Shopper Should Know
Presidential candidate Kamala Harris rushed on stage by animal rights activist
Mike Pence Breaks With Donald Trump I Strongly Support Paul Ryan
Cars | Sponsored
Cars Under 20k | Search Ads | Sponsored
Luxury Crossovers | Yahoo Search | Sponsored
These Cars Are So Loaded Its Hard to Believe They Cost Under $25K SearchBest Luxury Car Lease Deals
These Cars Are So Stacked That Its Hard To Believe They Cost Under 25K
These Crossovers Will Take Your Breath Away Research 2020 LuxuryCrossover Vehicle Deals
Ultimate Pet Nutrition Nutra Thrive Supplement | Sponsored
Gerber Life Insurance | Sponsored
If Your Dog Eats Grass (Do This Every Day)
Parents Lifelong Insurance Protection for Your Child
Gov Chris Christie Being Vetted as Potential Vice Presidential Pick for Trump
New York teacher allegedly fired over topless selfie threatens to sue school
Travel Patriot | Sponsored
Senior Living | Sponsored
NerdWallet | Sponsored
Remember Precious Take A Deep Breath Before You See What She LooksLike Now
New Senior Apartments Near Louisville Are A Dream Come True
A Fast Way To Pay Off Up To $10000 In Credit Card Debt