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'Testing Hell': Gift of Devices to Nursing Homes Brings New Problems

- The federal government sent free rapid-test machines to 14,000 facilities. But they have come with unexpected costs, cumbersome reporting rules and questions about accuracy.
- Because the devices come with a modest starter-set of test supplies that only last a few weeks, facilities, many of them buffeted by financial losses from the pandemic, must pay roughly $32 for each additional test. In communities with high rates of infection, a typical nursing home can churn through hundreds of tests a week.
- The machine his company received, made by the medical device manufacturer BD, came with 300 tests but the new rules require Westminster-Canterbury to conduct weekly tests on its 280 nursing employees and residents. BD has said it would be weeks before they could send out additional testing supplies.
- The shortages have forced Mr. Unkle to rely on an outside lab that charges $100 a test, an expense that he estimates will add $875,000 to the $1 million in pandemic-related losses that the nonprofit provider expects this year. Rather than the 15-minute turnaround, the lab results take up to four days to arrive, complicating efforts at infection control.
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