REPORT: COVID Cases in Nursing Homes Surpass Peak Level Back in May

78% of new cases in nursing homes from Sun Belt States

COVID-19; Research and Data


WASHINGTON, D.C. - The American Health Care Association and National Center for Assisted Living (AHCA/NCAL), representing more than 14,000 nursing homes and assisted living communities across the country that provide care to approximately five million people each year, released an updated report today showing the major spike of new COVID cases in nursing homes has now surpassed the peak level back on May 31, according to updated data released from the Centers for Medicare & Medicaid Services (CMS). 

Confirmed covid cases in US Nursing Homes 1.pngThe report shows the increase of COVID cases in U.S. nursing homes is a direct result of the major spikes in the general population of the Sun Belt region with 78 percent of new cases in U.S. nursing homes coming from those states by the end of July. 

According to the report​, COVID-related deaths in nursing homes had declined significantly, but have started to increase again with 69 percent of COVID-related deaths in U.S. nursing homes coming from the Sun Belt. 

In an article in The Washington Post last week, Dr. David Grabowski, professor of Health Care Policy at Harvard Medical School stated, “The strongest predictor of whether or not we’ll see cases in [a particular setting] is community spread. We saw that in the Northeast and now, unfortunately, we’re seeing it in the Sun Belt states.”

“With the recent major spikes of COVID cases in many states across the country, we were very concerned this trend would lead to an increase in cases in nursing homes and unfortunately it has,” stated Mark Parkinson, President and CEO of the American Health Care Association and National Center for Assisted Living. “This is especially troubling since many nursing homes and other long term care facilities are still unable to acquire the personal protective equipment and testing they need to fully combat this virus.” 
Percent of COVID Cases in US Nursing Homes 2.png

While PPE shortages continue to be a major concern for long term care facilities, especially the lack of available N95 masks, the lack of reliable and rapid result testing has been the top concern among nursing home providers.

In the survey AHCA/NCAL conducted back in June, 87 percent of nursing homes said tests for residents and staff was taking two days or longer to obtain results. One out of four nursing homes said it was taking five days or longer.

“What we need – now more than ever – is for our government leaders and lab companies from the private sector to work together to find a solution to prioritize and expedite the processing of tests for nursing home residents and caregivers,” stated Parkinson.                                    

In a recent CNN interview, Parkinson said governors and state public health agencies need to focus on reducing the level of COVID in the general population and ensuring nursing homes obtain the PPE supplies and reliable testing they need. 

“If everybody would wear a mask and encourage their friends and family to wear a mask and social distance, we know we would dramatically reduce these rates. When people are making the conscience decision not to wear a mask, they are making a decision that is resulting in greater community spread and increasing the presence of the virus in long term care facilities resulting in senior deaths,” stated Parkinson. “Every governor needs to make a priority, particularly in states with an exploding number of cases, to make sure every long-term care facility has the N95 mask and testing they need. It’s the only way to bring the case counts down.”

Percent of COVID Related Deaths in Nursing Homes.png
Recently, AHCA/NCAL sent a letter to the National Governors Association (NGA) warning states of imminent outbreaks at nursing homes and assisted living facilities given the major spikes in new cases in several states across the U.S., combined with serious PPE shortages and significant delays​ in getting testing results.

Parkinson is also urging Congress for an additional $100 billion for the U.S. Department of Health and Human Services (HHS) Provider Relief Fund, which is accessible for all health care providers impacted by COVID-19, and that a sizeable portion of the fund be dedicated to helping nursing homes and assisted living communities acquire resources associated with protecting vulnerable residents and staff from the virus, including constant testing, PPE and staff support. Thus far, assisted living communities have not received any assistance from the federal government administering to the novel coronavirus, most pronounced testing, PPE and staffing costs.

“Without adequate funding and resources, the U.S. will end up repeating the same mistakes from several months ago. We need Congress to prioritize our vulnerable seniors and their caregivers in nursing homes and assisted living communities in this upcoming legislation.”

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The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) represents more than 14,000 non-profit and proprietary skilled nursing centers, assisted living communities, sub-acute centers and homes for individuals with intellectual and development disabilities. By delivering solutions for quality care, AHCA/NCAL aims to improve the lives of the nearly 5 million seniors and individuals with disabilities who receive long term or post-acute care in our facilities each year. For more information, please visit or​​