nursing homes

Gov. Andy Beshear announced that coronavirus restrictions will be loosened at some long-term care facilities in Kentucky this weekend.

The new guidance applies to assisted living, personal care homes and independent living communities. Indoor visitation, communal dining and group activities will continue for people who have completed the vaccination process starting Saturday. But it doesn’t apply to Medicare-certified facilities, such as skilled nursing facilities.

“What this means is once someone is better protected from this disease, we want them to be able to see their loved ones,” Beshear said. “Again, this doesn’t apply to the highest-level of care facilities yet.”

The Bingocize program based at Western Kentucky University has been awarded a federal grant of $504,000 to expand into 60 additional Certified Nursing Facilities in Tennessee.

The program that's a combination of exercise and bingo, and focuses on balance, fall prevention, range of motion, and mobility for older adults, is already in 40 nursing homes in the Volunteer State.

Bingocize was created by WKU Associate Professor of Exercise Science Jason Crandall and is based at the Center for Applied Science in Health and Aging, or CASHA, in Bowling Green.

The new grant brings the total federal funding to more than $1 million to expand the project, with a goal of having it in 100 nursing homes in Tennessee.

As businesses open back up across Kentucky this week, Lake Cumberland District Health Department Executive Director Shawn Crabtree is reminding residents of the Bluegrass State to to keep taking safety precautions related to COVID-19. 

“I have had several people ask me questions this week about issues of safety. Like is it safe to go out? Is it safe to go to a restaurant? Is it safe to go back to church? Nothing is absolutely safe," said Crabree in his weekly COVID-19 update on May 20. "It’s all a matter of reducing your risk.”

State and local health officials continue to encourage Kentuckians to reduce the risk of contracting or spreading the virus by social distancing, wearing a mask and avoiding large groups, even with the easing of restrictions. Individuals who are most vulnerable, including those over 60, or with underlying health conditions, are urged to continue to remain safe at home as much as possible.

As coronavirus infections and deaths continue to mount at Kentucky nursing homes, the state has announced plans to combat the spread of disease in these facilities.

During Saturday evening’s briefing, Gov. Andy Beshear said there were 40 more long-term care facility residents and six more staff members who have tested positive for the virus. Three more residents have died, bringing the total to 46 deaths from these facilities.

For Eric Friedlander, the acting secretary of the Cabinet for Health and Family Services, one of those deaths was personal. He said one of the people who died was a friend of his parents; he grew up with the family.

“This is a beautiful, wonderful person that we lost,” Friedlander said Saturday. “It’s personal, and it should be personal to us all. This is something none of us can wish away.”

Nursing homes and their residents are vulnerable to serious harm as the coronavirus spreads, and federal data show that infection control has been a problem at nursing homes across Kentucky.

Kentucky nursing homes have the third highest rate of serious deficiencies per facility in the country, according to a ProPublica analysis of Centers for Medicare and Medicaid Services data. And the virus can have major impact even at nursing homes with strong safety records: At least 19 people have died and at least 70 staff members have displayed coronavirus symptoms in connection with an outbreak at the Life Care Center in Kirkland, Washington.

An Owensboro facility is among six Kentucky nursing homes named in a federal report as having poor safety records. 

A report shared this week with the Senate Special Committee on Aging named 400 nursing homes across the nation with a 'persistent record of poor care.'  The Courier-Journal reports that the facilities had previously not been identified publicly.

Among them is the Twin Rivers Nursing and Rehabilitation Center in Owensboro.  Since 2017, it’s been designated as a “Special Focus” facility, which investigators frequently monitor to resolve violations.  Without improvements, the facility can have Medicare and Medicaid funding revoked.

Sherry Cooke’s brother, Dennis, died during stint in a nursing home in Louisville. Years ago, Dennis fell from a ladder and sustained serious brain injuries. He was only in his 40s, and spent the next several years bouncing from one nursing home to another.

Cooke, who lives in Pewee Valley, said she kept her brother company and checked on him practically every day. Despite her vigilance, she said he starved to death within seven months of entering a nursing home.

“Time after time I went in and the tube feeding was not running,” said Cooke, who is now a nursing home reform advocate.

Making sure her brother was getting proper care from the nursing home staff was a constant battle, Cooke said. She said she sometimes saw Dennis’ feeding tubes tied in knots and his body covered in bed sores.

She kept records of his time there and eventually took some final pictures of him right before he died. Her brother had entered the nursing home at a healthy weight and died an emaciated man. Dennis—who was 5-foot-7 –died weighing 106 pounds.