Rates of COVID-19 Among Residents and Staff Members in Nursing Homes — United States, May 25–November 22, 2020

Details

• Personal Author:
  Bagchi, Suparna ; Mak, Josephine ; Li, Qunna ; Sheriff, Edward ; Mungai, Elisabeth ; Anttila, Angela ; Soe, Minn Minn ; Edwards, Jonathan R. ; Benin, Andrea L. ; Pollock, Daniel A. ; Shulman, Evan ; Ling, Shari ; Moody-Williams, Jean ; Fleisher, Lee A. ; Srinivasan, Arjun ; Bell, Jeneita M.
• Corporate Authors:
  CDC COVID-19 Response Team. ; Centers for Medicare & Medicaid Services (U.S.)Learning Resources Group.
• Description:
  What is already known about this topic? In the United States, COVID-19 among older adults living in nursing homes is associated with higher rates of severe illness and death.
  
  What is added by this report? Rates of COVID-19 among nursing home residents and staff members increased during June and July 2020, and again in November. Trends in reported COVID-19 cases among nursing home residents and staff members were similar to Trends in incidence of COVID-19 in surrounding communities.
  
  What are the implications for public health practice? Increases in community rates might be associated with increases in nursing home COVID-19 incidence, and nursing home mitigation strategies need to include a comprehensive plan to monitor local SARS-CoV-2 Transmission and minimize high-risk exposures within facilities.
  
  During the beginning of the coronaVirus disease 2019 (COVID-19) pandemic, nursing homes were identified as congregate settings at high risk for outbreaks of COVID-19 (1,2). Their residents also are at higher risk than the general population for morbidity and Mortality associated with infection with SARS-CoV-2, the Virus that causes COVID-19, in light of the association of severe outcomes with older age and certain underlying medical conditions (1,3). CDC’s National Healthcare Safety Network (NHSN) launched nationwide, facility-level COVID-19 nursing home Surveillance on April 26, 2020. A federal mandate issued by the Centers for Medicare & Medicaid Services (CMS), required nursing homes to commence enrollment and routine reporting of COVID-19 cases among residents and staff members by May 25, 2020. This report uses the NHSN nursing home COVID-19 data reported during May 25–November 22, 2020, to describe COVID-19 rates among nursing home residents and staff members and compares these with rates in surrounding communities by corresponding U.S. Department of Health and Human Services (HHS) region.* COVID-19 cases among nursing home residents increased during June and July 2020, reaching 11.5 cases per 1,000 resident-weeks (calculated as the total number of occupied beds on the day that weekly data were reported) (week of July 26). By mid-September, rates had declined to 6.3 per 1,000 resident-weeks (week of September 13) before increasing again, reaching 23.2 cases per 1,000 resident-weeks by late November (week of November 22). COVID-19 cases among nursing home staff members also increased during June and July (week of July 26 = 10.9 cases per 1,000 resident-weeks) before declining during August–September (week of September 13 = 6.3 per 1,000 resident-weeks); rates increased by late November (week of November 22 = 21.3 cases per 1,000 resident-weeks). Rates of COVID-19 in the surrounding communities followed similar Trends. Increases in community rates might be associated with increases in nursing home COVID-19 incidence, and nursing home mitigation strategies need to include a comprehensive plan to monitor local SARS-CoV-2 Transmission and minimize high-risk exposures within facilities.
  
  Suggested citation for this article: Bagchi S, Mak J, Li Q, et al. Rates of COVID-19 Among Residents and Staff Members in Nursing Homes — United States, May 25–November 22, 2020. MMWR Morb Mortal Wkly Rep. ePub: 8 January 2021.
  
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  mm7002e2-H.pdf
  
  
• Subjects:
  Aged Aged, 80 And Over Chronic Disease CoronaVirus Infections COVID-19 Fatal Outcome Female Humans Infection Control Long-Term Care Male Middle Aged Pneumonia, Viral Residential Facilities Risk Factors Skilled Nursing Facilities Young Adult

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• Source:
  MMWR: Morbidity and Mortality Weekly Report 2021; v. 70 Early Release
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Document Type:
  Journal Article
• Genre:
  Guidance
• Pages in Document:
  5 pdf pages
• Volume:
  70
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:19970cd75ed234650c47125cbf9ae153e9ebf9a5d726600d1aa80922e1e671aaf5c62f3039492d9e94afd7db879cd15bf2c9d92734ed6a643422addec47060be
• Download URL:
  https://stacks.cdc.gov/view/cdc/100155/cdc_100155_DS1.pdf
• File Type:
  [PDF - 172.92 KB ]