NC health officials identify locations of outbreaks, reversing stance on patient privacy
Posted April 27, 2020 12:36 p.m. EDT
Updated April 28, 2020 1:00 p.m. EDT
Raleigh, N.C. — Under pressure from advocacy groups and media organizations, North Carolina health officials released details for the first time Monday on the locations of dozens of nursing homes and other group living facilities with coronavirus outbreaks across the state.
The move marks a significant policy reversal for the Department of Health and Human Services, which for weeks has maintained that identifying facilities with outbreaks would reveal confidential health information for particular patients.
As of Monday, DHHS reported more than 2,500 cases of COVID-19 and more than 150 deaths from the disease in so-called congregate living settings, which include nursing homes, prisons and residential care facilities. Infections in those settings account for more than one-quarter of the state's total cases and more than half of all deaths.
DHHS data on the outbreaks shows The Citadel, a nursing home in Salisbury, has the largest number of COVID-19 cases so far at 144. The facility has also seen 10 deaths from the disease.
But with less than half as many confirmed cases, Louisburg Healthcare and Rehab Center in Franklin County has seen 14 deaths, the most in the state.
Search the data: Outbreaks in congregate settings
|Pine Forest Rest home||Northampton||residential care facility||27||1|
|Verra Springs at Heritage Greens||Guilford||residential care facility||5||0|
|Cherry Springs Village||Henderson||residential care facility||53||7|
|Spring Arbor of Albemarle||Stanly||residential care facility||6||3|
|Brookdale Berkeley Blvd||Wayne||residential care facility||5||0|
|Brookdale Country Day||Wayne||residential care facility||3||1|
|The Social at Cotswold||Mecklenburg||residential care facility||23||3|
|Residential Services Inc||Orange||residential care facility||9||0|
|Forsynthia Group Home||Mecklenburg||residential care facility||3||0|
|Woodridge Assisted Living Facility||Union||residential care facility||27||2|
|The Laurels in the Village, Pineville||Mecklenburg||residential care facility||2||0|
|Shelburne Place||Mecklenburg||residential care facility||15||0|
|Elmcroft of Harrisburg||Cabarrus||residential care facility||2||0|
|Charlotte Square||Mecklenburg||residential care facility||11||0|
|Suburban Guardianship Concord||Cabarrus||residential care facility||2||0|
|ResCare Group Home - Men||Rutherford||residential care facility||6||0|
|Canyon Hills Treatment Facility||Hoke||residential care facility||13||0|
|Tabor Commons||Columbus||residential care facility||4||0|
|Spring Arbor of Kinston||Lenoir||residential care facility||4||0|
|Brian Center Health & Rehab/Hendersonville||Henderson||nursing home||30||4|
|Pruitt Health-Carolina Point||Orange||nursing home||108||11|
|Grace Heights Health and Rehab||Burke||nursing home||59||6|
|Durham VA Community Living Center||Durham||nursing home||3||0|
|Pavilion Health Center at Brightmore||Mecklenburg||nursing home||26||3|
|Pinehurst HealthCare & Rehab||Moore||nursing home||65||3|
|Springbrook Nursing and Rehab||Johnston||nursing home||65||7|
|Liberty Commons Nursing & Rehabilitation Center of Columbus County||Columbus||nursing home||12||1|
|Cleveland Pines||Cleveland||nursing home||12||1|
|The Laurels Of Chatham||Chatham||nursing home||67||5|
|Signature HealthCARE||Orange||nursing home||52||2|
|Louisburg Healthcare and Rehab Center||Franklin||nursing home||62||14|
|Five Oaks Manor Rehab||Cabarrus||nursing home||74||6|
|The Citadel at Salisbury||Rowan||nursing home||144||10|
|Huntersville Oaks||Mecklenburg||nursing home||2||0|
|Village Care of King||Stokes||nursing home||2||0|
|Monroe Rehab Center||Union||nursing home||35||3|
|LongLeaf Neuro-Medical Treatment Center||Wilson||nursing home||30||1|
|Mount Olive Center||Wayne||nursing home||31||4|
|Village Green Health & Rehab||Cumberland||nursing home||20||2|
|Alston Brook||Davidson||nursing home||41||2|
|NC State Veterans Home - Salisbury||Rowan||nursing home||16||3|
|Wellington Rehab and Healthcare||Wake||nursing home||49||6|
|Peak Resources-Outer Banks||Dare||nursing home||6||1|
|Hunter Woods Nursing & Rehab||Mecklenburg||nursing home||4||0|
|Carrington Place, Matthews||Mecklenburg||nursing home||18||1|
|Durham Nursing & Rehabilitation Center||Durham||nursing home||95||7|
|Premier Living & Rehab Center||Columbus||nursing home||22||3|
|Autumn Care - Cornelius||Mecklenburg||nursing home||53||10|
|Treyburn Rehab & Nursing||Durham||nursing home||33||3|
|Sunnybrook Rehabilitation Center||Wake||nursing home||26||1|
|The Lodge at Mills River||Henderson||nursing home||2||0|
|Rich Square Nursing and Rehabilitation||Northampton||nursing home||4||1|
|The Laurels of Hendersonville||Henderson||nursing home||24||0|
|Three Rivers Health & Rehabilitation||Bertie||nursing home||3||0|
|Autumn Care - Statesville||Iredell||nursing home||2||0|
|White Oak Manor Tryon||Polk||nursing home||2||0|
|Clapps Nursing Center||Guilford||nursing home||6||0|
|Universal Health Lillington||Harnett||nursing home||42||1|
|Autumn Care - Saluda||Polk||nursing home||2||0|
|Pelican Health Henderson||Vance||nursing home||10||1|
|Liberty Commons Salisbury||Rowan||nursing home||2||0|
|Hillcrest Convalescent Center||Durham||nursing home||2||1|
|Camden Health & Rehab||Guilford||nursing home||6||0|
|Autumn Care - Drexel||Burke||nursing home||5||1|
|Autumn Care - Marshville||Union||nursing home||2||0|
|NC State Veterans Home - Kinston||Lenoir||nursing home||4||1|
|Rivers Correctional Institution||Hertford||correctional facility||24||0|
|Durham County Detention Center||Durham||correctional facility||4||0|
|Atrium Rehabilitation Northeast||Cabarrus||other||12||1|
|Rudd Strawberry Farm||Guilford||other||8||0|
|Salvation Army Homeless Shelter||Cabarrus||other||2||0|
North Carolina joins a handful of other states, including Georgia, California, Ohio, Illinois and New York, that disclose at least partial details about the locations of deaths and cases in nursing homes and other group facilities.
The state’s reversal came days after a letter from AARP urging Gov. Roy Cooper to release the information in the interest of public health.
It also followed discussions between attorneys for DHHS and a 20-member media coalition, which last week threatened to file a public records lawsuit over the issue. The coalition, which includes WRAL News, The News & Observer and several national media organizations, argued that releasing the names of the facilities – and not personally identifying information about patients – would not violate federal or state confidentiality rules.
"We cannot express in words the exigency of this matter as our clients stand in the shoes of North Carolinians statewide who need this critical information – especially in light of the governor’s forecast of a plan to begin a phased approach to return to normal life," attorneys Amanda Martin and Mike Tadych wrote.
After conversations between media coalition lawyers, as well as attorneys for DHHS, the Governor’s Office and Attorney General Josh Stein, state officials say they’ll use a “public health exception” at their discretion to allow release of the information. DHHS plans to update the figures twice a week through its existing COVID-19 data portal.
Reporters from a collaborative of six North Carolina newsrooms asked DHHS for the names of nursing homes and other congregate care facilities with outbreaks three weeks ago, and news organizations have repeatedly questioned the state’s position on disclosure at daily briefings with Cooper and DHHS Secretary Dr. Mandy Cohen.
At one such press conference April 14, Cohen said the department decided to “strike the right balance” between the privacy of the facilities and public health interests by not releasing details on the locations of outbreaks.
Changing advice to counties on disclosure
Although the state didn’t provide the information prior to Monday, some county health departments did.
The result, as the collaborative reported last week, was a patchwork of disclosure that varied from county to county, leaving the public in the dark about the identities of more than a half-dozen nursing homes with outbreaks of the deadly virus.
Cohen acknowledged as much in a press briefing Monday.
"We saw a patchwork quilt of information released across the state," Cohen said. "We hope this will be helpful going forward."
But that inconsistency appears likely to change as well.
DHHS’ planned release of outbreak locations follows new guidance the agency issued to county health departments by email Sunday night.
Mark Benson, assistant DHHS secretary for public health, noted in the email that the agency had so far advised counties not to provide details of COVID-19 outbreaks at nursing homes but that DHHS was changing its advice, effective immediately.
“But the unique characteristics of this pandemic (e.g., national public health emergency declaration, evidence of widespread/statewide community transmission, need for extensive community mitigation measures, etc.) suggest that a one-time modification is warranted to the long-standing practice of not releasing facility-specific details in outbreaks,” Benson said.
Previously, both DHHS and many county health departments had said releasing the information would be a violation of the law.
However, in his email to counties with the new guidance, Benson said releasing the information would actually comply with the law.
“Doing so is in alignment with GS 130A-143(4) and allows us to achieve standardized reporting regarding COVID-19 outbreaks in congregate living settings at both the state and county level,” he said.
This story was jointly reported and edited by Kate Martin and Frank Taylor, of Carolina Public Press; Gavin Off, of The Charlotte Observer; Lucille Sherman and Jordan Schrader, of The News & Observer; Nick Ochsner, of WBTV; Emily Featherston, of WECT; and Tyler Dukes of WRAL.