{"id":146669,"date":"2020-10-26T17:30:31","date_gmt":"2020-10-27T00:30:31","guid":{"rendered":"https:\/\/calmatters.org\/?p=146669"},"modified":"2021-09-28T09:00:35","modified_gmt":"2021-09-28T16:00:35","slug":"state-visitors-nursing-homes","status":"publish","type":"post","link":"https:\/\/calmatters.org\/_ko\/health\/coronavirus\/2020\/10\/state-visitors-nursing-homes\/","title":{"rendered":"State to allow visitors inside nursing homes in most California counties"},"content":{"rendered":"
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\uc694\uc57d\ud574\uc11c<\/strong><\/p>\n\t\t\t\t\n\n\t\t\t\t\n\t\t\t\t

The pandemic had limited loved ones to window or patio visits – if at all – but new guidance lifts restrictions in those 46 counties with better virus control.<\/p>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t\n

Families desperate to visit loved ones in California nursing homes finally may see some relief after state health officials recently released updated guidelines<\/a> allowing indoor visits in 46 counties, with some caveats.<\/p>\n\n\n\n

The long-awaited guidance came after months of pressure from families who say their relatives have suffered without the companionship and, sometimes, the extra caregiving that their frequent visits provide. They have been making do with rare window and outdoor visits and have depended on the homes\u2019 willingness to allow such arrangements.<\/p>\n\n\n\n

\u201cAs much as you want safety from COVID, you don\u2019t want deterioration and death from isolation,\u201d said Melody Taylor Stark of Monrovia, whose 84-year-old husband Bill lives with post-polio syndrome and lung cancer in an Arcadia skilled nursing facility. <\/p>\n\n\n\n

\u201c\u2019Home\u2019 is with my husband and \u2018house\u2019 is where I sleep and shower before I leave. I haven\u2019t been \u2018home\u2019 for a long time.\u201d <\/p>melody taylor stark, family member<\/cite><\/blockquote><\/figure>\n\n\n\n

The guidelines released Friday apply to long-term care facilities, including nursing homes, but not necessarily assisted living or independent living homes. The California Department of Social Services, which regulates assisted and independent living facilities,  generally has deferred to public health visiting guidelines during the pandemic, with some exceptions.<\/p>\n\n\n\n

Indoor visits will now be allowed at nursing homes in the 46 counties currently in California\u2019s red, orange and yellow tiers, which have lower levels of virus transmission than the remaining 12 \u201cpurple\u201d counties<\/a>. Visitors must be screened for fever and COVID-19 symptoms, wear masks and wash hands upon entering the facility. Among other requirements, homes must have had no COVID-19 cases in residents and staff for the past 14 days. But county health officers retain the power to ban indoor visits if they think local conditions are too dangerous. <\/p>\n\n\n\n

The visitation changes were regarded with caution by some advocates. <\/p>\n\n\n\n

“The new guidelines appear to reimpose very restrictive measures in counties with highest prevalence rates under the state\u2019s ‘zone’ system,” said Mike Dark, attorney for California Advocates for Nursing Home Reform, a consumer advocacy group. “The problem is that we are likely looking at many more months of high transmission, and these restrictions themselves will likely result in much suffering and deaths.”<\/p>\n\n\n\n

Dark said the state’s pubic health department “needs to find a better way to balance contagion mitigation and the needs of residents for life-saving visitation.”<\/p>\n\n\n\n

It will be some time before Melody Taylor Stark will be able to see her husband again in person, as his home is Los Angeles County, which remains in the purple tier. But she said she is trying to remain optimistic. The new guidelines could help \u2013 if nursing homes actually abide by them, Stark said. <\/p>\n\n\n\n

\u201cThe words are out there, but what do they mean and who\u2019s enforcing it?\u201d she asked. Stark praised her husband\u2019s nursing home for protecting the residents\u2019 health, but said they needed to do more for their mental health.<\/p>\n\n\n\n

Before the pandemic, she said, she would see her husband twice a day most days, stopping in before her work with a mental health agency and then again for dinner. \u201cYou become part of the community there,\u201d she said. \u201c\u2019Home\u2019 is with my husband and \u2018house\u2019 is where I sleep and shower before I leave. I haven\u2019t been \u2018home\u2019 for a long time.\u201d <\/p>\n\n\n\n

As the nursing home\u2019s lockdown dragged on, Stark said she saw her husband\u2019s \u201coverall health and wellness\u201d decline. His facility, Huntington Drive Health and Rehabilitation Center, only started allowing window visits in August, months after the home\u2019s mid-March lockdown.  In October, the facility began permitting outdoor patio visits \u2013 15 minutes per visit, and only once a month  per visitor. The home\u2019s administrator, Tony Agoncillo, declined comment on Monday.<\/p>\n\n\n\n

\"Bill
Bill Stark, 84, left, a retired dentist living with post-polio syndrome and lung cancer, has only rarely been able to see his wife, Melody Taylor Stark, right, after indoor visits were banned at his skilled nursing facility in Arcadia. Photo courtesy of Melody Taylor Stark <\/figcaption><\/figure><\/div>\n\n\n\n

\u201cMy husband\u2019s a very optimistic person,\u201d said Stark, 65, of Monrovia, but \u201cI\u2019d hear him say, \u2018this is no way to live.\u2019 He would tell her that he makes himself go to sleep in the afternoons \u201csince it passes the time\u201d  <\/p>\n\n\n\n

The new guidelines come at a time when California has been holding the line<\/a> on new COVID-19 infections compared with  an alarming surge of cases across the country. Despite the many precautions skilled nursing homes have taken, residents are still being infected: 48 new infections<\/a> were reported between Oct. 23 and 24, the last data available, and about 703 residents are currently infected, isolated in separate COVID units or hospitalized, according to the California Department of Public Health.<\/p>\n\n\n\n

Since the start of the pandemic, more than 27,000<\/a> California nursing home residents and nearly 21,000 workers have been infected with COVID-19; 4,821 of them have died.<\/p>\n\n\n\n

The California Association of Health Facilities welcomes the new guidance, said Deborah Pacyna, a spokeswoman for the nursing home industry group, in an email. \u201cFamily visits are incredibly important for the health and well-being of residents.\u201d<\/p>\n\n\n\n

But she added, \u201cThe push for indoor visits is a perfect example of why facilities need liability protection,\u201d echoing national industry calls for legal immunity during the pandemic, something California lawmakers seem unlikely to grant<\/a>.<\/p>\n\n\n\n

Facilities will be dependent on strict visitor compliance with safety requirements and distancing or residents and staff will be at risk of infection.<\/p>\n\n\n\n

Other states including New Jersey, Indiana and Florida also recently eased visiting restrictions for nursing homes. Federal health and Medicare officials in September offered guidance<\/a>, which many California families praised for easing restrictions and presented to their local homes to demand change. That made for an awkward situation for California health officials, as the federal guidance is \u201cnot clear, not decisive and tends to leave a lot of wiggle room at a time when we need clarity,\u201d said Dr. Mike Wasserman, immediate past president of the California Association of Long Term Care Medicine. <\/p>\n\n\n\n

Wasserman described California\u2019s new guidelines as \u201ca really good step in the right direction.\u201d <\/p>\n\n\n\n

\u201cWe all wish the federal guidance would follow the science; that hasn\u2019t necessarily been the case,\u201d Wasserman said. \u201cThe state is really trying hard to integrate science into its guidance.\u00a0 Protecting residents at the expense of harming them through isolation is the balance we have to strike.\u201d<\/p>\n\n\n\n

CalMatters COVID-19 coverage, translation and distribution is supported by generous grants from the Penner Family Foundation, Blue Shield of California Foundation, the California Wellness Foundation and the California Health Care Foundation.<\/em><\/p>","protected":false},"excerpt":{"rendered":"

The pandemic had limited loved ones to window or patio visits – if at all – but new guidance lifts restrictions in those 46 counties with better virus control.<\/p>","protected":false},"author":166,"featured_media":146543,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"single-feature.php","format":"standard","meta":{"_acf_changed":false,"_stopmodifiedupdate":false,"_modified_date":"","newspack_ads_suppress_ads":false,"newspack_popups_has_disabled_popups":false,"newspack_sponsor_sponsorship_scope":"","newspack_sponsor_native_byline_display":"inherit","newspack_sponsor_native_category_display":"inherit","newspack_sponsor_underwriter_style":"inherit","newspack_sponsor_underwriter_placement":"inherit","apple_news_api_created_at":"2021-09-28T16:00:33Z","apple_news_api_id":"2174be3e-7351-4047-bd5c-fc9fd5f103b8","apple_news_api_modified_at":"2021-09-28T16:00:42Z","apple_news_api_revision":"AAAAAAAAAAAAAAAAAAAAAA==","apple_news_api_share_url":"https:\/\/apple.news\/AIXS-PnNRQEe9XPyf1fEDuA","apple_news_cover_media_provider":"image","apple_news_coverimage":0,"apple_news_coverimage_caption":"","apple_news_cover_video_id":0,"apple_news_cover_video_url":"","apple_news_cover_embedwebvideo_url":"","apple_news_is_hidden":"","apple_news_is_paid":"","apple_news_is_preview":"","apple_news_is_sponsored":"","apple_news_maturity_rating":"","apple_news_metadata":"\"\"","apple_news_pullquote":"","apple_news_pullquote_position":"","apple_news_slug":"","apple_news_sections":[],"apple_news_suppress_video_url":false,"apple_news_use_image_component":false,"_spanish_translation_id":0,"_is_translation":false,"_newspack_byline_active":false,"_newspack_byline":"","newspack_content_restriction_is_exempt":false,"newspack_featured_image_position":"","newspack_post_subtitle":"","newspack_article_summary_title":"Overview:","newspack_article_summary":"","newspack_hide_updated_date":false,"newspack_show_updated_date":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[28393,9],"tags":[26758,26759,2695,3472],"legislator":[],"bill":[],"newspack_spnsrs_tax":[],"coauthors":[32162],"class_list":["post-146669","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-coronavirus","category-health","tag-coronavirus","tag-covid-19","tag-nursing-homes","tag-seniors","entry"],"acf":[],"apple_news_notices":[],"yoast_head":"\nState to allow visitors inside nursing homes in most counties - 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