This paper finds nursing home residents comprise 57% of all COVID-19 deaths in Spain, 53% in Italy, and 45% in France.

https://ltccovid.org/wp-content/uploads/2020/04/Mortality-associated-with-COVID-12-April-3.pdf">https://ltccovid.org/wp-conten...
Same paper also quotes a U.S. study finding factors leading to nursing home outbreaks.

Protect the vulnerable!
As of 4/14 (most recent posted) New York State had 3060 COVID-19 deaths of nursing home residents, about 28% of of state death total through that date.
Massachusetts reports 530 COVID-19 deaths of nursing home residents, 47.8% of the state& #39;s total reported 1108 deaths.
Pennsylvania reports 365 COVID-19 deaths of nursing home residents, 51.6% of the state& #39;s total reported 707 deaths.
Tremendously helpful from KFF. Compilation of all state data that has been released. https://twitter.com/preetabread/status/1253434597779451905">https://twitter.com/preetabre...
Pennsylvania revised their death count up considerably today, mostly nursing home deaths.

They now report 2,195 deaths total, including 1,428 nursing home deaths. Nursing homes account for 65% of all Pa deaths.

Deaths are backdated. Pa still post peak. https://www.health.pa.gov/topics/disease/coronavirus/Pages/Cases.aspx">https://www.health.pa.gov/topics/di...
https://twitter.com/Suntimes/status/1256577007422451714">https://twitter.com/Suntimes/...
338 of Minnesota& #39;s 419 deaths are residents of nursing homes. 80.7%
#death1">https://www.health.state.mn.us/diseases/coronavirus/situation.html #death1">https://www.health.state.mn.us/diseases/...
I want to quote some of @anish_koka& #39;s horrifying tale for some insight into what went wrong in Philadelphia, and likely many other places.
"As one of the medical caretakers at a nursing home, I thought it was obvious that patients who became infected needed to be rapidly removed from the nursing home... What I found was a local Department Of Health (DOH) that was laser-focused on keeping patients at nursing homes."
"Philadelphia hospitals had been emptied waiting for a New York-style surge that never came. But at this point the nursing homes unfortunately had started to see their first infections probably seeded from the nursing home staff."
"We looked for help. We asked the DOH to allow us to test everyone at the nursing home in order to effectively cluster everyone with COVID in one unit. They refused because the guidelines didn’t recommend this for those that were asymptomatic."
"We asked to utilize a large room to cohort patients with COVID. Nursing home administration and the DOH said this wasn’t possible."
"I spoke to a nice hospitalist at another large health system who was very receptive to the idea of boarding COVID positive patients from the nursing home in the half-empty hospital to avoid the entire nursing home eventually being infected...
...An email chain followed to get permission from administrative units. Absolutely not was the answer."
"I was told the more fruitful endeavor was to discuss advance directives with the residents. Did they really want to be resuscitated if they got too sick? And if they didn’t want to be resuscitated did they really want to go to the hospital?"
New Jersey COVID death are now over 50% nursing home. As of today, 7,910 total deaths with 4,010 among nursing home residents. #live-updates">https://covid19.nj.gov/ #live-updates ">https://covid19.nj.gov/...
New York& #39;s updated report shows 4,968 nursing home deaths as of May 3. That& #39;s 25% of all deaths. Expect more revisions.

https://www.health.ny.gov/statistics/diseases/covid-19/fatalities_nursing_home_acf.pdf

Compare">https://www.health.ny.gov/statistic... to Pennsylvania 1,646 (67%), Massachusetts 2,428 (59%), and New Jersey 4,010 (51%).
New York
This explains it.

"Exactly how many nursing home residents have died remains uncertain despite the state’s latest disclosure, as the list doesn’t include nursing home residents who were transferred to hospitals before dying." https://www.foxnews.com/us/new-york-1700-undisclosed-coronavirus-deaths-nursing-homes">https://www.foxnews.com/us/new-yo...
Some important perspective. Not sure if this has changed but a study of nursing home deaths from 1992 to 2006 found:

65% died within 1 year of nursing home admission
53% died within 6 months of nursing home admission

https://www.geripal.org/2010/08/length-of-stay-in-nursing-homes-at-end.html">https://www.geripal.org/2010/08/l...
Pennsylvania cleared another big backlog of previously unreported deaths today, taking the state total up to 3012 and the nursing home total up to 2029.
Massachusetts is now at 60% nursing home deaths: 2,520 of 4,212.
New Jersey is right at 50% still: 4,151 of 8,244.
https://twitter.com/Daniilgor/status/1257583471326879744">https://twitter.com/Daniilgor...
Maryland has posted their weekly update.

Nursing home deaths are now 804 of the state& #39;s 1,338 total deaths, which is 60%.

In the past week, they were 288 of 353 total, which is 82%.

Maryland had just 65 non-nursing home COVID deaths in the past week. https://coronavirus.maryland.gov/pages/hcf-resources">https://coronavirus.maryland.gov/pages/hcf...
Virginia now reports 405 nursing home deaths of the state& #39;s total 713 deaths, 57%.

One week ago, they reported just 111 nursing home deaths of 522 total, 21%.

Non-nursing home deaths fell by 103 in the past week. https://public.tableau.com/views/VirginiaCOVID-19Dashboard/VirginiaCOVID-19Dashboard?:embed=yes&:display_count=yes&:showVizHome=no&:toolbar=no">https://public.tableau.com/views/Vir...
To be clear, people didn& #39;t undie. A lot of Virginia deaths not previously identified as nursing home deaths now are so identified.
DC only at 25% nursing homes -- like NY, and unlike everywhere else at 50%+ including Maryland (60%) and Virginia (57%). Seems likely that DC is, like NY, excluding nursing home residents who die at the hospital. https://twitter.com/SegravesNBC4/status/1257397630981865474">https://twitter.com/SegravesN...
Even so, DC reported 15 care home deaths on 4/22 of 127 total deaths (12%). Between 4/22 and 5/4 DC reported 57 nursing home deaths and 131 total deaths (44%).
North Carolina& #39;s newest report (May 5) shows nursing homes and residential care facilities account for 269 of the state& #39;s total 452 deaths, 60%.

In the week from Apr 28 to May 5, 82 of the state& #39;s 110 reported deaths are nursing home/RCF, 75%.

#by-congregate-living">https://www.ncdhhs.gov/divisions/public-health/covid19/covid-19-nc-case-count #by-congregate-living">https://www.ncdhhs.gov/divisions...
For my local friends, added these up and here& #39;s a strange but true fact.

Maryland and Virginia combined reported more nursing homes deaths in the past week (582) than total deaths (544).
Current nursing home death percentages (and rising):

Pennsylvania 67%
Massachusetts 60%
Maryland 60%
North Carolina 60%
Virginia 57%
New Jersey 50%
More via @nosmhnmh, doing yeoman& #39;s work on state sites:
Colorado 58%
Connecticut 55%
Delaware 65%
Florida 38%
Georgia 48%
Indiana 35%
Kentucky 57%
Louisiana 37%
Minnesota 81%
Mississippi 44%
New Hampshire 77%
Oklahoma 43%
Rhode Island 76%
Tennessee 25%
Wisconsin 42%
Ohio only reports nursing home deaths since April 15, which are 499 as of today. Total deaths reported April 15 to May 6 are 1,102. Nursing homes are 45%.
In the past week, New Jersey has reported 1,014 nursing home deaths out of 1,779 total (57%). Raising its overall nursing home death share from 48% to 50%.
In the past week, Pennsylvania has reported 680 nursing home deaths out of 911 total (75%). Raising its overall nursing home death share from 65% to 68%.
In the past week, Massachusetts has reported 671 nursing home deaths out of 1,015 total (66%). Raising its overall nursing home death share from 58% to 60%.
Virginia rises to 59% nursing home. Only 9 non-nursing home deaths yesterday. https://twitter.com/JordanSchachtel/status/1258398990116274177">https://twitter.com/JordanSch...
Pennsylvania reports 247 nursing home deaths today of 310 total (80%). Nursing home deaths now 2,355 of 3,416 (69%) overall. They report just 63 non-nursing home deaths today.
I"ll refer back up thread for how this happened: https://twitter.com/kerpen/status/1257157390954201088">https://twitter.com/kerpen/st...
Is New York similar to the 80% nursing home death share we& #39;re now seeing in Pennsylvania and Maryland? Who knows, they refuse to report. Michigan? Nope, no reporting.
New Jersey reported more nursing homes deaths today (295) than total deaths (252).

Nursing home deaths now 4,556 of 8,801 (52%) overall.
Learn what Tennessee is doing and copy it. Just 60 nursing home deaths total statewide. The model for other states.
If you find an addition or correction please DM so I don& #39;t miss it in my mentions. Thanks.
And if there& #39;s no info for your state call an elected official and demand it!
In the week from 4/29 to 5/6, Connecticut reports 378 nursing home deaths out of 550 total (69%). Raising its overall nursing home death share from 58% to 60%.
https://portal.ct.gov/-/media/Office-of-the-Governor/News/20200507-Nursing-Homes-with-COVID19.pdf?la=en">https://portal.ct.gov/-/media/O...
Florida just posted. They report 622 nursing home deaths now out of 1600. In the last week nursing home deaths were 199 of 332 (60%) raising the overall nursing home share from 33% to 39%.
https://www.floridadisaster.org/globalassets/covid19/dailies/covid-19-data---daily-report-2020-05-07-0956.pdf">https://www.floridadisaster.org/globalass...
Added total nursing home population column to the sheet (2017, most recent I could find. Let me know if you see newer).

Here are the states with the highest % of their nursing home population that died of COVID. Big asterisk on New York.

https://docs.google.com/spreadsheets/d/1ETm51GayRjlnoaRVtUOWfkolEeAQZ-zPhXkCbVe4_ik/edit?usp=sharing">https://docs.google.com/spreadshe...
Looks like NY and NJ lost 10% of their nursing home population.
Interesting observation from @Dougsbriefcase:

"Table B-1 of today& #39;s jobs report shows that nursing homes laid off 113,100 people during April, almost as many as hospitals (134,900)."

Not great.
New Jersey reported 16 non-nursing home COVID deaths today.
Seems like a good time to mention nursing home residents are chronically vitamin D deficient and link up one of my other long threads: https://twitter.com/kerpen/status/1255691974025281536">https://twitter.com/kerpen/st...
Pennsylvania, New Jersey, Massachusetts, and Florida cumulative nursing home deaths vs. total excluding nursing homes. https://docs.google.com/spreadsheets/d/1ETm51GayRjlnoaRVtUOWfkolEeAQZ-zPhXkCbVe4_ik/edit?usp=sharing">https://docs.google.com/spreadshe...
On April 15 Pennsylvania reported 324 nursing home deaths and 323 other deaths. Almost exactly 50%.

From April 15 to May 8, Pennsylvania reported 2,134 nursing home deaths and 835 other deaths. 72%. Total share rose from 50% to 68%.

https://docs.google.com/spreadsheets/d/1ETm51GayRjlnoaRVtUOWfkolEeAQZ-zPhXkCbVe4_ik/edit?usp=sharing">https://docs.google.com/spreadshe...
How did that happen? https://twitter.com/kerpen/status/1257157390954201088">https://twitter.com/kerpen/st...
Worth noting that the lockdown economic crash caused mass layoffs of nursing home personnel. That can& #39;t have helped. https://twitter.com/kerpen/status/1258781706515107841">https://twitter.com/kerpen/st...
On April 21 Massachusetts reported 1,059 nursing home deaths and 902 all other deaths. 54%.

From April 21 to May 8, Massachusetts reported 1,788 nursing home deaths and 963 all other deaths. 65%. Total share rose from 54% to 60%.

https://docs.google.com/spreadsheets/d/1ETm51GayRjlnoaRVtUOWfkolEeAQZ-zPhXkCbVe4_ik/edit?usp=sharing">https://docs.google.com/spreadshe...
Think about that jobs report number. We pursued a policy response (lockdown) that reduced nursing home staffing by 113,000 when we knew that was the most vulnerable population.

And if you opposed lockdown, the hysterical crowd said you wanted to kill seniors.
Pennsylvania has updated. They reported 60 nursing home deaths today, all other deaths just 12. Batch 83%. State total share 68.3%. Since April 15 71.9%.

https://docs.google.com/spreadsheets/d/1ETm51GayRjlnoaRVtUOWfkolEeAQZ-zPhXkCbVe4_ik/edit?usp=sharing">https://docs.google.com/spreadshe...
New Jersey has updated. They reported 134 nursing home deaths today and all other deaths just 30. Batch 81.7%. State total share 52.9%. Since April 17: 62.5%.

https://docs.google.com/spreadsheets/d/1ETm51GayRjlnoaRVtUOWfkolEeAQZ-zPhXkCbVe4_ik/edit?usp=sharing">https://docs.google.com/spreadshe...
Tennessee reported only 1 death today. Not nursing home. They now have a grand total of 242 deaths with just 87 (36%) in nursing homes.
West Virginia also reported 1 death today. Not nursing home. They now have a grand total of 53 COVID deaths, 33 nursing home and 20 not.
Massachusetts has updated. They reported 85 nursing home deaths today, all other deaths 53. Batch 61.6%. State total share 60.4%. Since April 21 64.7%.

https://docs.google.com/spreadsheets/d/1ETm51GayRjlnoaRVtUOWfkolEeAQZ-zPhXkCbVe4_ik/edit?usp=sharing">https://docs.google.com/spreadshe...
Florida May 9 update. They report 33 nursing home deaths, all other deaths just 13. Batch 71.7%. State total now above 40% for the first time at 40.7%. Since April 16 52.9%.
https://docs.google.com/spreadsheets/d/1ETm51GayRjlnoaRVtUOWfkolEeAQZ-zPhXkCbVe4_ik/edit?usp=sharing">https://docs.google.com/spreadshe...
Adding PA/NJ/MA/FL:

On April 21, they had 4,110 nursing home deaths; all other 5,007. 45.1%

From April 21 to May 9 they had 6,853 nursing home deaths; all other 3,389. 66.9%

Today they reported a combined 312 nursing home deaths; all other 108. 74.3%

https://docs.google.com/spreadsheets/d/1ETm51GayRjlnoaRVtUOWfkolEeAQZ-zPhXkCbVe4_ik/edit?usp=sharing">https://docs.google.com/spreadshe...
Arizona does not report nursing home deaths and has just 517 deaths total statewide.

We do have reporting from Maricopa Co (more than half of the state& #39;s population).

Maricopa has 162 nursing home deaths; all other deaths just 76. 68%
https://www.maricopa.gov/DocumentCenter/View/59661/COVID-19-Daily-Data-Report?refer=home-button">https://www.maricopa.gov/DocumentC...
Pennsylvania *had a plan* for nursing homes in mid-March... and still hasn& #39;t implemented it. https://twitter.com/anish_koka/status/1259479353743851521">https://twitter.com/anish_kok...
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