Trump ordered nursing homes to take & keep Covid patients!!!

https://www.cms.gov/files/document/3-13-2020-nursing-home-guidance-covid-19.pdf

On March 13, 2020, President Trump through the Department of Health & Human Services, issued guidance on how to deal with elderly patients who had Covid-19 or were in hospitals where Covid-19 was present.

These guidelines stated the following:

When should nursing homes consider transferring a resident with suspected or confirmed infection with COVID-19 to a hospital? Nursing homes with residents suspected of having COVID-19 infection should contact their local health department. Residents infected with COVID-19 may vary in severity from lack of symptoms to mild or severe symptoms or fatality. Initially, symptoms may be mild and not require transfer to a hospital as long as the facility can follow the infection prevention and control practices recommended by CDC. Facilities without an airborne infection isolation room (AIIR) are not required to transfer the resident assuming: 1) the resident does not require a higher level of care and 2) the facility can adhere to the rest of the infection prevention and control practices recommended for caring for a resident with COVID-19.

When should a nursing home accept a resident who was diagnosed with COVID-19 from a hospital? A nursing home can accept a resident diagnosed with COVID-19 and still under Transmission Based Precautions for COVID-19 as long as the facility can follow CDC guidance for Transmission-Based Precautions.

Note: Nursing homes should admit any individuals that they would normally admit to their facility, including individuals from hospitals where a case of COVID-19 was/is present.


This means that nursing homes and assisted living facilities could NOT discriminate against elderly patients just cause they had Covid-19 or were in a hospital where Covid-19 was present.

This also means that patients with Covid did not have to be immediately removed from the facility in order to protect the other patients.

 

can =/= shall.

 

Should and Shall, mean the same thing in legalize.

 

No they do not.

 

Yes, they do. I work with legal contracts all the time.

"Should", is obligatory.

 

Isn't that legalese?

 

New York followed federal guidelines.

Fact.

And these guidelines got thousands of people killed

 

LOL. Interns work with them too when they are putting them in a file.

Can is permissive, should is suggestive, and shall is mandatory.

 

The CDC issued guidelines. NY followed these guidelines.

Fact.

 

Did they follow the guidelines?

No.

https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care.html

This is what they did:

THEY PROHIBITED THEM FROM BEING TESTED BEFORE RETURNING SOMEONE WHO HAD BEEN HOSPITALIZED

 

federal guidelines said you cannot ban someone from a nursing home just because they have covid-19

 

Federal guidlines gave an entire website on how to transfer patients with Covid into nursing facilities.

NY followed none of them, and PROHIBITED testing.

That's why that little document I procured for your reading pleasure was deleted by NY from their website.

 

Man, that took some super-stretching to warp it into some kind of dirt. Maybe you didn't notice the multiple references to CDC guidelines to follow? I bet not. that would have been narrative-negative, and thus not relevant.....

 

Wait, they have you doing legal contracts now for the government of NY?

 

yes, my work involves official and legal documents for the City of New York.

sometimes I unfortunately also have to read, understand and interprete legal documents from the State as well. They are a mess. NYC documents are much easier to understand

 

Federal guidelines state patients with covid should not be barred from nursing homes.

Federal guidelines state patients with covid did not need transfer out of nursing homes.

 

I see.

 

Guidance =/= mandate.
Does the Federal gov have jurisdiction to mandate this?

 

Trump says he shut down the country.

if he shut down the country, than his CDC guidelines were also mandates.

 

Another nothing burger of a thread.

 

NY was following Trump's guidance.

buck stops with Trump

 

Thats not an answer.
"If" is a supposition

 

That was the CDC guidance.

 

My hospital has a long-term residential geriatric pavilion. It's the equivalent of a nursing home and is certified as such. Basically it is a nursing home operated by my hospital. We never accepted any patient with Covid-19 directly there. Instead, we moved people around and opened a quarantine wing in the main building. We admitted prospective residents there, and kept them for 14 days and only transferred them to the long-term pavilion after testing on days 1, 14 and 15 were negative. We also created a large active Covid-19 wing for mild and moderate cases (in addition to our ICU for severe cases). We immediately transferred there any patient in the entire hospital who tested positive for Covid-19 (rapid testing followed by PCR confirmation). We only sent them back to the wing of origin or discharged them (for those who didn't die) after recovery and repeated negative tests. Neither the HHS, nor CMS, DoJ or any other regulatory agency gave us any trouble whatsoever about our policies.

Sorry but you are making too much out of this (and you may know that I'm not a Trumper and I've already voted for Biden). Granted, I never worked for an independent nursing home, and I don't necessarily know about what happened there, but words go around and I never heard of any trouble there either. Some of them had outbreaks, but internal. I hear that in New York they did introduce Covid-19 patients into group homes. That's the fault of NY's governor, Andrew Cuomo, not Trump's.

The above is a set of guidelines, not a mandate. If in your system they interpreted this as a mandate, sorry, but that means, they are morons.

I repeatedly criticize Trump's management of the pandemic, but what you are saying is not one of his faults.

 

Don't forget this was March. No one knew what a Covid wing was.
A few weeks later hospitals were at capacity. They could move recovered patients out or refuse new critical ones.