evidence: Throughout March and early April, several state, city, and county governments imposed "stay at home" quarantines on their populations to stem the spread of the virus.[80] By March 26, The New York Times data showed the United States to have the highest number of known cases of any country.[81] By March 27, the country had reported over 100,000 cases.[82] On April 2, at President Trump's direction, the Centers for Medicare & Medicaid Services (CMS) and CDC ordered additional preventive guidelines to the long-term care facility industry.[83] On April 11, the U.S. death toll became the highest in the world when the number of deaths reached 20,000, surpassing that of Italy.[84] On April 19, the CMS added new regulations requiring nursing homes to inform residents, their families and representatives, of COVID-19 cases in their facilities.[85] On April 28, the total number of confirmed cases across the country surpassed 1 million.[86]