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NY Attorney General report finds nursing-home COVID-19 deaths undercounted by as much as 50%

Attorney General Letitia James released a report on nursing homes' pandemic response finding that DOH's published nursing-home death data undercounted resident deaths — partly by excluding residents who died after transfer to hospitals — by approximately 50 percent in a 62-facility sample. It also found infection-control lapses, higher fatality rates at low-staffed facilities, and stated that government guidance requiring admission of COVID-19 patients 'may have' increased risk in some facilities and obscured the data needed to assess that risk. The office announced ongoing investigations of more than 20 facilities.

Primary quotes

Other
nursing home resident deaths appear to be undercounted by DOH by approximately 50 percent

NY Attorney General report/press release

Linked sources

Attorney General James Releases Report on Nursing Homes' Response to COVID-19 (NY AG)
Tier 1 · other · Jan. 28, 2021; ~50% undercount finding
Nursing Home Response to COVID-19 Pandemic (NY AG report PDF, revised Jan. 30, 2021)
Tier 1 · report · Full report; states admission guidance 'may have' increased risk

Related contentions

Did admission directives seed COVID-19 into nursing homes — and was the toll obscured?

Unresolved. The 50% undercount is confirmed by the NY AG, but the directive's causal share of nursing-home deaths was never adjudicated — the AG said only that it 'may have' increased risk, and DOJ declined CRIPA investigations in 2021; later data analyses (staffing levels, staff transmission) are cited by both sides without consensus.