The recent CMS report entitled “The Impact of COVID-19 on Medicare Beneficiaries in Nursing” stated: “Nursing home residents account for about 2% of the Medicare population, but about 22% of all COVID-19 cases. Nursing home residents were 14 times more likely to be diagnosed with COVID-19 compared to beneficiaries in the community. It is unclear what impact the lack of widespread testing early in the pandemic may have had on these case rates.”
Across all demographic breakdowns, nursing home beneficiaries had much higher COVID-19 case rates than community beneficiaries. In general, institutional status had a larger impact on case rates than demographic characteristics. Among duals, those in a nursing home were 10 times more likely than those in the community to be diagnosed with COVID-19. Among nursing home beneficiaries, those with ESRD (end-stage renal disease) had higher case rates than the aged or disabled. ESRD beneficiaries in the community had much higher case rates than aged or disabled beneficiaries in the community.
Male and female nursing home beneficiaries had nearly identical risk of being diagnosed with COVID-19. There was little difference in risk of being diagnosed with COVID-19 across all age groups. Hispanic, Black/African American, and Asian beneficiaries in nursing homes had the highest COVID-19 case rates.
Beneficiaries in the nursing home consistently had higher risk of being diagnosed with COVID-19 compared to community beneficiaries. Even when community spread was relatively low, nursing home beneficiaries were at least 11 times more likely to be diagnosed with COVID-19. Institutional status is associated with an increased risk of being diagnosed with COVID-19 much more so than dual status.
Male nursing home beneficiaries had a higher risk of COVID-19 hospitalization than female nursing home beneficiaries. Among residents in the nursing home, those aged 65-74 had the highest risk of a COVID-19 hospitalization compared to other age groups; whereas among beneficiaries in the community, the highest risk of a COVID-19 hospitalization was among those aged 85+, followed by those aged 75-84. Similar to cases, Hispanic, Black/African American, and Asian nursing home beneficiaries had the highest risk of COVID-19 hospitalization.
A larger percentage of beneficiaries who were admitted to the hospital from a nursing home died within 30 days (43%) as compared to community admissions (22%). The 30-day mortality rate increases with age and institutional status in a linear fashion; community beneficiaries under 65 had the lowest mortality rate while nursing home beneficiaries 85+ had the highest mortality rate.
The study period was dates of service between March 1, 2020 and December 31, 2020, with data received as of March 19, 2021.
If you or a loved one suffered injuries (or worse) while a resident of a nursing home in the United States due to an infection acquired in a nursing home such as COVID-19, nursing home neglect, nursing home negligence, nursing home abuse, or nursing home fraud, you should promptly contact a local nursing home claim attorney in your state who may investigate your nursing home claim for you and file a nursing home claim on your behalf, if appropriate.
Visit our website to be connected with medical malpractice lawyers (nursing home claim lawyers) in your U.S. state who may assist you with your nursing home claim, or call us toll-free in the United States at 800-295-3959.
Turn to us when you don’t know where to turn.