Did New York Undercount Covid-19 Nursing Home Deaths?

Then-Governor Andrew Cuomo repeatedly cited federal data placing New York state 38th or 39th nationally.

Ferdi Ferhat Özsoy   ·   July 31, 2025
| Image: agilemktg1, Flickr; Illustration: NY Focus

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YES.

New York state significantly undercounted Covid-19 nursing home deaths in 2020 by excluding residents who died in hospitals. This reporting practice made the state’s mortality ranking appear lower than it was.

Then-Governor Andrew Cuomo repeatedly cited federal data placing New York state 38th or 39th nationally, including during televised debates in the 2025 mayoral race. However, he referenced data from the Centers for Medicare & Medicaid Services (CMS) that excluded thousands of hospital deaths. Most other states included both in-facility and hospital deaths in their counts, while New York did not.

A 2021 investigation by the New York Attorney General’s Office found the state underreported nursing home deaths by more than 50 percent. The Empire Center for Public Policy, a right-leaning think tank, later confirmed nearly 5,000 additional deaths through a public records request. A 2022 audit by the New York State Comptroller’s Office found the state Department of Health withheld critical data and said its Covid-19 reporting “consistently lacked transparency.”

The full extent of New York’s nursing home deaths did not become public until months later, after independent investigations prompted more accurate reporting.

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Sources:

  • NY Attorney General Report (2021): Link
  • Empire Center: Link
  • NY Comptroller Audit (2022): Link
  • CMS Data Archive: Link
  • AP News (2021): Link

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Ferdi Ferhat Özsoy is a strategic program leader with over a decade of experience building global partnerships, leading fact-checking initiatives, and advancing civic integrity across 80+ countries. He specializes in grantmaking, community building, and mission-driven operations at the intersection of journalism, technology, and… more
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