Westmeath Residential and Nursing Care Home.
HAMILTON, Bermuda--The island’s largest care home for seniors is struggling with severe financial challenges due to stringent coronavirus COVID-19 regulations, The Royal Gazette revealed.
Westmeath Residential and Nursing Home, a private facility on Pitts Bay Road, has 50 elderly residents and the island would have a long-term care “crisis” on its hands if it closed, according to a source close to the matter. Westmeath is not the only private seniors’ home struggling financially – the source claimed they were all in “very, very serious trouble” – but it has the most residents with complex nursing needs, and it is struggling to afford its operational costs.
It is understood to have virtually exhausted its reserves of more than $1 million and to be having difficulty in paying staff and maintaining the building. The source, who did not want to be named, said: “It took a $610,000 loss in 2020.” The source said places might be found for about 20 of the residents at other care homes if Westmeath closed, but the remainder had nursing needs that could not be met at any other private facility.
“Can the hospital manage that?” the source asked. Government confirmed on Sunday that it was aware of the crisis and how it stemmed from the pandemic but stopped short of pledging specific aid. Health department guidance has meant that care homes with COVID-19 cases can only be declared outbreak free when there have been no positive tests for 28 days after the last positive test was received. The guidance is understood to have changed very recently to 14 days.
No new residents can be admitted during an outbreak, so when beds become free they are not being filled, resulting in a monthly loss of tens of thousands of dollars in income in Westmeath’s case. Its day-care programme, which used to bring in more than $100,000 in revenue a year, has also not been able to run since early 2020 because of the pandemic.
At the same time, many permanent staff have been unable to work because of either having COVID-19 or being a close contact, so relief staff must be brought in and paid. Recently, two staff members had to do jury duty simultaneously, so Westmeath had to pay to cover them too.
Westmeath’s resident population is almost 100 per cent vaccinated, but the number of staff to have been vaccinated is not known. The home has been repeatedly deemed by health officials as being in “outbreak” mode and now has nine empty beds.
It was finally deemed outbreak-free a few days ago, which will enable it to start admitting new residents. The source said that would help. “There are people who want to come into Westmeath,” they said. “But it will take some time to admit those people – it does not happen in a day.”
The Royal Gazette understands the board of trustees has discussed the situation with Minister of Social Development and Seniors Tinée Furbert. In a statement on Sunday, Furbert told The Royal Gazette: “Government is fully examining the financial state of nursing homes that have expressed financially challenging times throughout COVID-19. Some nursing homes have expressed the need for relief, and we have been in discussions with them to make every attempt to assist where we can to keep our nursing homes open.”
She added: “The lingering effects of the pandemic have compounded nursing homes’ financial difficulties. Nursing homes’ limited capacity to fundraise throughout COVID-19 has also affected their funding. Now, with the country’s relaxation of restrictions, fundraising plans and efforts should also be a part of the nursing homes’ uplift.”
Government’s statement noted that most care homes are no longer in the outbreak restrictions category but emphasised the need to balance the costs and challenges of the restrictions against “the need to protect this group at the highest risk of poor outcomes from COVID-19”.
Furbert added: “There is work to be done to fully examine a sustainable future for long-term care which involves all of us, as we all will be seniors, God willing. Our people need to prepare as much as possible to reduce costs associated with living longer. We must determine the appropriate levels of subsidy for seniors who live longer and are experiencing complex health needs. We are committed to delving into this fundamental issue over the next couple of months towards progress for improvements.
“It is important to note nursing homes globally are experiencing difficulties and closures due to the pandemic. Family members are choosing to keep seniors at home for care for many different reasons, and they have that choice as well.”
The news comes after Westmeath and three other homes were gifted $50,000 each for medical supplies by the Lady Cubitt Compassionate Association (LCCA) because of how hard the pandemic had hit them. An LCCA press release described how the “sustained impact of it has resulted in significant losses of income and increased expenses for” Westmeath, Packwood Home, Matilda Smith-Williams Seniors Residence and Lorraine Rest Home.
The donation was welcomed by Westmeath, which is itself a registered charity, but the source said it was funds for operational costs that were desperately needed. Government pledged in the Bermuda Health Strategy in 2017 to “implement strategies to meet the long-term healthcare needs of seniors and persons with chronic illnesses and physical, cognitive and mental disabilities to better provide for the needs of vulnerable populations and manage costs.”
A Bermuda Hospitals Board (BHB) spokeswoman said the board was “aware of the impact the pandemic has had” and would “continue to work closely with all our partners as we work through the challenges”. She said: “Although we operate separately, we all recognise we are part of the same system and what happens to each of us impacts us all.” The spokeswoman said losing any nursing home placements would make it difficult not just for long-term care, but for the entire social and healthcare system.
“It impacts BHB’s ability to discharge seniors who are medically fit,” she added. “A lack of available beds in the community for people ready for discharge leads to fewer available beds in the hospital, causing delays in emergency and impacting available beds for surgeries.”
Westmeath’s Executive Director April Augustus declined to comment. ~ The Royal Gazette ~
