“There’s no mechanism in place for reporting,” said Kim Schilling, the vice president of health services at Friendship Haven, which runs a nursing home in rural Iowa. “We were on the phone yesterday trying to figure this out with the department of public health and it was very overwhelming for them too.”
Katie Smith Sloan, the president of LeadingAge, an association of nonprofit providers of aging services, said the Trump administration’s focus on fines and stringent reporting requirements were the wrong approach to addressing a crisis that was aggravated by federal inaction in the early months of the pandemic.
“For seven months, nursing homes have been saving and protecting lives while dealing with staffing shortages, testing and personal protective equipment challenges and growing unexpected costs,” she said.
David Grabowski, a health care policy expert at Harvard Medical School, described the federal rapid-test program as “a positive step but late in