Business & Tech

The Cost Of Testing Arizona Nursing Homes For Coronavirus

Thousands of nursing home residents have died of COVID-19, but regular testing may be unsustainable without additional funding.

The cost to test all U.S. nursing home residents and staff for coronavirus once adds up to a staggering $440 million, a new report says.
The cost to test all U.S. nursing home residents and staff for coronavirus once adds up to a staggering $440 million, a new report says. (iStock / Getty Images Plus)

Residents of nursing homes in Arizona are among those most at risk for contracting the new coronavirus, but keeping them safe comes with a price — and that price is likely too high to pay without help from the U.S. government, a new report says.

There are 146 nursing homes in Arizona and more than 15,400 nationwide, according to the report by the American Health Care Association and the National Center for Assisted Living. While the Centers for Disease Control and Prevention recommends testing nursing home residents and staff at least once per week, the cost of a single test for every resident and staff adds up to a staggering $440 million.

With more than 1.3 million residents and 1.6 million staff nationwide, nursing homes would require $1 billion each month to ensure adequate testing. This does not include the cost to test residents and staff at assisted living and other long-term care facilities.

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That’s too high a cost to ask nursing homes to shoulder, according to Mark Parkinson, president and CEO of American Health Care Association and National Center of Assisted Living.

In response, the groups have asked the U.S. Department of Health and Human Services to provide $10 billion in emergency relief to fund additional testing and staffing.

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“For months now, we have been advocating for expanded and priority testing in nursing homes to protect our residents and caregivers, but this is a significant undertaking and cost for nursing homes to shoulder on their own,” Parkinson said.

Here’s a look at the breakdown of nursing home testing costs in Arizona:

  • Number of nursing homes: 146
  • Number of residents: 11,965
  • Number of staff: 16,180
  • Total number of tests required: 28,145
  • Cost of one round of testing: $4,221,750

According to the CDC, older adults and especially those who have severe underlying medical conditions such as heart or lung disease or diabetes are at higher risk for developing more-serious complications from COVID-19, the disease caused by the new coronavirus.

As of Wednesday, more than 30,000 residents of nursing homes and long-term care facilities in 35 states have died due to COVID-19-related illnesses, according to the Kaiser Family Foundation. A total of 152,118 cases have been reported at those facilities.

Eight out of 10 U.S. deaths have been in adults age 65 and older, the CDC says.

In Arizona, the total number of deaths among nursing home residents is still being reported.

Nursing homes are particularly susceptible to virus infections for a variety of reasons, according to AARP. Among those reasons are:

  • Shortages of coronavirus tests.
  • Shortages of or lack of access to personal protective equipment such as masks and gowns.
  • Frequent physical contact between residents and staff.
  • Understaffing.
  • Employees who work in multiple facilities, increasing chances for exposure.
  • Chronic problems with infection control that predate coronavirus.
  • Residents sharing rooms.
  • Transfers of residents from hospitals and other settings.

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