# COVID-19 Supplement to Strategic Approach to Facilitating Evacuation by Health Assessment of Vulnerable Elderly in Nursing Homes II (SAFE HAVEN II)

> **NIH NIH R01** · UNIVERSITY OF SOUTH FLORIDA · 2020 · $409,217

## Abstract

PROJECT SUMMARY/ABSTRACT
Much of the research concerning the effect of disasters on older adults has focused on weather events and
other natural disasters. The COVID-19 emergency provides critical evidence of the need for an all-hazards
approach that includes more robust planning for pandemics. Currently, nursing homes (NHs) and assisted
living communities (ALCs) face a mounting challenge from the COVID-19 virus. The reports of NH deaths
raise the prospect that the 1.3 million NH residents will be among the most severely affected population. The
risk is also believed to be high for ALC residents, where acuity has increased in the past decade. Of critical
concern is the care of residents with Alzheimer's disease and/or related dementias (ADRD), who make up 50%
of NH residents and 41% of ALC residents. Residents living with ADRD are potentially at great risk of harm
from COVID-19 because of difficulty they may have understanding safety precautions (e.g. social distancing)
and the trauma of usual care disruptions. We propose to supplement our current research into the effects of
Hurricanes Harvey (Texas) and Irma (Florida) by examining the effect of and response to the COVID-19
emergency among NHs and ALCs in Florida, with a focus on residents with ADRD. The overall goal of our
current research, SAFE HAVEN II, is to understand more about the effect of hurricanes on older adults in
residential care. It conceptualizes disaster planning within the all-hazards framework. The Centers for
Medicare and Medicaid Services requires all US NHs to develop all-hazards disaster plans that include
preparedness for a pandemic. However, NH and ALC responses to the COVID-19 emergency suggest a great
need for guidance concerning protecting residents and staff, maintaining staff, and managing stress caused by
social distancing requirements and other disruptions. This supplement proposal builds on the parent
application by employing the research infrastructure established for SAFE HAVEN II, including relationships
with NHs and ALCs across Florida. Through this supplement, we propose a mixed methods approach to
survey and interview NH and ALC administrators to better understand the impact of the COVID-19 emergency
on their ADRD residents compared to other residents without ADRD (Aim1), and to define the morbidity and
mortality of NH and ALC residents and how this varies for residents with ADRD vs. those without (Aim 2). Aim
1 results will be used to provide critical initial guidance on protecting residents from COVID-19 and additionally
to generate hypotheses concerning the effect of and response to the virus in long-term care. Quantitative data
collected and analyzed through Aim 2 will be used to test these hypotheses and confirm or refine guidance
from the qualitative analysis. These results, combined with work from the parent project, have the potential to
substantially strengthen the ability of NHs and ALCs to protect and care for their most vulnerable residents.
Res...

## Key facts

- **NIH application ID:** 10170491
- **Project number:** 3R01AG060581-03S1
- **Recipient organization:** UNIVERSITY OF SOUTH FLORIDA
- **Principal Investigator:** Lindsay Peterson
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $409,217
- **Award type:** 3
- **Project period:** 2018-09-01 → 2023-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10170491

## Citation

> US National Institutes of Health, RePORTER application 10170491, COVID-19 Supplement to Strategic Approach to Facilitating Evacuation by Health Assessment of Vulnerable Elderly in Nursing Homes II (SAFE HAVEN II) (3R01AG060581-03S1). Retrieved via AI Analytics 2026-05-27 from https://api.ai-analytics.org/grant/nih/10170491. Licensed CC0.

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