Nearly One-Third of U.S. Coronavirus Deaths Are Linked to Nursing Homes

32%
of all U.S. deaths
4%
of all U.S. cases

At least 182,000 coronavirus deaths have been reported among residents and employees of nursing homes and other long-term care facilities for older adults in the United States, according to a New York Times database. As of April 28, the virus has infected more than 1,363,000 people at some 32,000 facilities.

Nursing home populations are at a high risk of being infected by — and dying from — the coronavirus, according to the Centers for Disease Control and Prevention. Covid-19, the disease caused by the coronavirus, is known to be particularly lethal to adults in their 60s and older who have underlying health conditions. And it can spread more easily through congregate facilities, where many people live in a confined environment and workers move from room to room.

While 4 percent of the country’s cases have occurred in long-term care facilities, deaths related to Covid-19 in these facilities account for about 32 percent of the country’s pandemic fatalities. Deaths in long-term care facilities accounted for more than a third of all Covid-19 deaths in the United States for much of the pandemic, but this number has declined since the vaccination rollout began.

In 8 states, at least half of deaths are linked to nursing homes.

Share of state’s deaths linked to long-term care facilities

0

25

50

75

100%

Insufficient data

Ala.
13%
Alaska
Ariz.
Ark.
36%
Calif.
21%
Colo.
39%
Conn.
54%
Del.
46%
D.C.
23%
Fla.
32%
Ga.
22%
Hawaii
10%
Idaho
39%
Ill.
43%
Ind.
45%
Iowa
39%
Kan.
38%
Ky.
35%
La.
28%
Maine
48%
Md.
40%
Mass.
51%
Mich.
28%
Minn.
61%
Miss.
27%
Mo.
24%
Mont.
31%
Neb.
45%
Nev.
14%
N.H.
68%
N.J.
32%
N.M.
25%
N.Y.
30%
N.C.
43%
N.D.
59%
Ohio
38%
Okla.
23%
Ore.
52%
Pa.
50%
R.I.
62%
S.C.
20%
S.D.
45%
Tenn.
22%
Texas
21%
Utah
32%
Vt.
17%
Va.
38%
Wash.
48%
W.Va.
33%
Wis.
40%
Wyo.
19%

Cases and deaths in long-term care facilities, by state

Facilities  Cases  Deaths  Share of Covid‑19 Deaths ▼
United States 32,000 1,363,000 182,000 32%
New Hampshire 85 6,228 886 68%
Rhode Island 134 6,865 1,660 62%
Minnesota 892 23,706 4,354 61%
North Dakota 170 9,118 894 59%
Connecticut 347 22,453 4,351 54%
Oregon 656 13,882 1,310 52%
Massachusetts 645 35,139 8,926 51%
Pennsylvania 1,588 85,250 13,089 50%
Maine 115 4,443 376 48%
Washington 2,168 19,989 2,644 48%
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*In New York, the case count is often the same as the death count because the state only reports the number of people who have died but not the number of overall infections.·States with insufficient data to calculate a share of Covid-19 deaths are shaded gray.

The share of deaths linked to long-term care facilities for older adults is even starker at the state level. In 8 states, the number of residents and workers who have died accounts for either half or more than half of all deaths from the virus.

Infected people linked to nursing homes also die at a higher rate than the general population. The median case fatality rate — the number of deaths divided by the number of cases — at facilities with reliable data is 10 percent, significantly higher than the 2 percent case fatality rate nationwide.

Facility fatality rates are much higher than the national average

Number of long-term care facilities by case fatality rate

100facilities 200facilities 300facilities 400facilities 0% 10% 20% 30% 40% 50% 60%
The U.S. case fatality rate is 2%.
The median case fatality rate in long-term care facilities is 10%.
Note: Only facilities with reliable case and death data and at least 50 cases are included.

In the absence of comprehensive data from some states and the federal government, The Times has been assembling its own database of coronavirus cases and deaths at long-term care facilities for older adults. These include nursing homes, assisted-living facilities, memory care facilities, retirement and senior communities and rehabilitation facilities. This tracker will be updated periodically.

Some states, including Colorado, Illinois, Nevada, New Jersey and South Carolina, regularly release cumulative data on cases and deaths at specific facilities. Ohio, Wisconsin and Minnesota, among others, provide some details on the number of cases at specific facilities — but not on deaths. And in New York, where Gov. Andrew M. Cuomo’s administration was accused of covering up thousands of nursing home deaths, state officials do not include staff cases or deaths in their reports. Other states report aggregate totals for their states but provide no information on where the infections or deaths have occurred. Some report very little or nothing at all.

The map and table below showing coronavirus cases at individual nursing homes were last updated as recently as Jan. 12, 2021. Since then, we have continued to update state-level totals for cases and deaths.

There are at least 32,000 long-term care facilities with one or more coronavirus case

States that provide some facility data

States that provide no facility data

Ala.
Alaska
Ariz.
Colo.
Fla.
Ga.
Ind.
Kan.
Maine
Mass.
Minn.
N.J.
N.C.
N.D.
Okla.
Pa.
S.D.
Texas
Wyo.
Conn.
Mo.
W.Va.
Ill.
N.M.
Ark.
Calif.
Del.
D.C.
Hawaii
Iowa
Ky.
Md.
Mich.
Miss.
Mont.
N.H.
N.Y.
Ohio
Ore.
Tenn.
Utah
Va.
Wash.
Wis.
Neb.
S.C.
Idaho
Nev.
Vt.
La.
R.I.

The Times’s numbers are based on official confirmations from states, counties and the facilities themselves, as well as some data provided by the federal government. They include residents and, in cases in which reporting is available, employees of the facilities. Given the wide variability in the type of information available, the totals shown here almost certainly represent an undercount of the true toll.

The New York Times is tracking the coronavirus at nursing homes and long-term care centers. Do you or a family member live or work in one of these facilities? If so, we would like to hear from you.

Here is a list of cases and deaths at long-term care facilities that have had at least 50 cases. We are updating the numbers as we are able to confirm them with state, county and facility officials.

Cases and deaths, by facility

Name  Location  Cases  Deaths ▼
Harris Hill Nursing Facility, LLC Williamsville, N.Y. 107 107
North Ridge Health and Rehab New Hope, Minn. 541 99
Fair Acres Geriatric Center Lima, Pa. 473 96
Hebrew Home of Greater Washington Rockville, Md. 539 83
Paramus Veterans Memorial Home Paramus, N.J. 292 82
Parker Jewish Institute for Health Care & Rehabilitation New York, N.Y. 81 81
Cedarbrook Senior Care and Rehabilitation Allentown, Pa. 401 81
Long Island State Veterans Home Stony Brook, N.Y. 77 77
Conestoga View Nursing and Rehabilitation Lancaster, Pa. 345 77
Father Baker Manor nursing home Orchard Park, N.Y. 74 74
Soldiers Home in Holyoke veterans center and hospital Holyoke, Mass. 161 74
Brighton Rehabilitation & Wellness Center Beaver, Pa. 496 73
Courtyard Nursing Care Center Medford, Mass. 72 72
The Plaza Rehab and Nursing Center New York, N.Y. 71 71
Hialeah Nursing and Rehabiliation Center Hialeah, Fla. 136 71
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*In New York facilities, the case count is often the same as the death count because the state only reports the number of people who have died but not the number of overall infections.

Tracking the Coronavirus