Key Questions About the Impact of Coronavirus on Long-Term Care Facilities Over Time

Table 1: Long-Term Care Coronavirus Cases and Deaths Per 100,000 Residents As of August 20th, 2020
State Long-Term Care Cases Per 100,000
US and State Residents
Long-Term Care Deaths Per 100,000
US and State Residents
US TOTAL 128 cases per 100,000 US residents
(35 states)
23 cases per 100,000 US residents
(36 states)
Alabama 148 per 100,00 State Residents N/A
Arkansas 42 N/A
California 118 12 per 100,000 State Residents
Colorado 88 13
Connecticut 287 91
Delaware 127 37
District of Columbia 147 24
Florida N/A 19
Georgia 170 19
Idaho 105 10
Illinois 208 34
Indiana 148 27
Iowa N/A 17
Kansas 57 7
Kentucky 112 12
Louisiana 319 42
Maryland 244 35
Massachusetts 356 82
Michigan 123 21
Minnesota 74 23
Mississippi 154 31
Nevada 78 7
New Jersey 425 79
New York N/A 34
North Carolina 103 12
North Dakota N/A 9
Ohio 138 22
Oklahoma 73 7
Oregon 43 5
Pennsylvania 194 40
Rhode Island 280 76
South Carolina 127 18
Tennessee 74 6
Texas 118 11
Utah 66 5
Vermont 38 N/A
Virginia 105 15
Washington 82 13
Wisconsin 28 7
NOTES: All state data is “per 100,000 State Residents”. See methods for more details on how these values were calculated. State population data is from 2019 US Census Bureau Estimates.
Table 2: Average New LTC Cases and Deaths Per Week Per 100,000 Residents, By Month
State Average New Cases Per Week Per 100,000
US and State Residents
Average New Deaths Per Week Per 100,000
US and State Residents
April May June July August April May June July August
US TOTAL 16.6
(24 states)
10.0
(31 states)
4.1
(35 states)
5.2
(35 states)
6.0
(34 states)
3.2
(20 states)
2.3
(31 states)
0.8
(36 states)
0.6
(36 states)
0.8
(35 states)
Alabama 5.7 7.3 7.3 8.4 9.6
Arkansas 1.3 1.4 2.7 4.3
California 8.8 7.1 3.6 8.7 7.9 0.8 0.5 0.7 0.5
Colorado 9.7 6.2 1.6 1.1 1.2 1.1 1.0 0.4 0.2 0.1
Connecticut 52.8 22.9 2.9 1.8 0.8 12.3 9.1 1.7 0.8 0.1
Delaware 7.7 13.7 6.0 1.0 1.5 2.4 3.0 2.3 0.9 0.1
District of Columbia 9.4 16.8 4.3 1.9 1.6 4.0 3.4 0.3 0.2
Florida 0.8 0.8 0.7 1.0 2.1
Georgia 12.0 7.5 4.4 9.4 11.4 1.1 1.1 0.5 0.8 1.3
Idaho 2.1 9.1 14.8 0.1 0.7 1.2
Illinois 22.5 17.8 7.9 4.0 4.0 3.1 3.3 1.4 0.6 0.5
Indiana 8.6 3.7 15.1 2.8 2.0 0.8 1.7 0.9
Iowa 1.2 0.7 0.7 0.8
Kansas 1.6 2.0 2.3 4.8 0.3 0.4 0.2 0.3
Kentucky 4.5 5.1 5.3 8.4 0.5 0.7 0.5 0.3
Louisiana 15.5 15.5 8.1 18.1 23.0 3.1 2.2 1.1 1.1 3.0
Maryland 16.9 11.2 5.0 4.9 2.9 2.2 0.5 0.3
Massachusetts 57.7 29.3 6.1 2.4 3.0 11.3 7.2 2.5 1.2 1.0
Michigan 1.9 1.8 3.0 0.2 0.4 0.3
Minnesota 5.2 7.3 2.3 0.9 2.9 2.1 1.1 0.4 0.5
Mississippi 8.0 8.3 5.8 7.1 11.7 0.9 2.1 1.0 1.6 2.3
Nevada 8.0 3.2 2.0 4.3 5.7 0.3 0.5 0.2 0.2 0.5
New Jersey 72.5 35.8 7.0 3.2 0.6 13.5 6.6 1.4 0.8 1.0
New York 0.8 2.7 0.3 0.2 0.1
North Carolina 4.7 4.3 3.5 5.1 10.0 0.7 0.7 0.5 0.3 1.0
North Dakota 0.2 0.3 0.3
Ohio 19.0 9.6 4.1 6.2 7.6 1.6 0.9 0.7 0.7
Oklahoma 5.2 3.3 1.5 3.3 5.4 0.5 0.5 0.1 0.2 0.4
Oregon 2.3 2.5 3.7 0.3 0.2 0.3
Pennsylvania 19.5 14.9 5.8 4.1 4.0 4.2 3.3 2.0 0.6 0.6
Rhode Island 36.9 24.4 5.3 1.2 2.6 2.9 8.3 3.6 0.7 0.2
South Carolina 5.0 5.8 2.8 9.7 12.0 0.6 0.7 0.5 1.4 1.9
Tennessee 2.7 1.9 0.9 3.7 13.5 0.2 0.3 0.1 0.1 0.9
Texas 1.4 2.0 16.1 9.9 0.2 0.2 0.9 1.3
Utah 2.1 3.6 5.9 3.8 0.2 0.2 0.5 0.4
Vermont 0.6 5.2 2.2 0.7
Virginia 4.9 8.6 5.3 3.3 3.8 0.4 1.7 0.8 0.3 0.4
Washington 2.5 2.5 3.8 0.4 0.3 0.6
Wisconsin 2.6 1.9 1.1 0.7 1.2 0.5 0.3 0.1 0.2
NOTES: National values are per 100,000 US residents. State values are per 100,000 state residents. Data is current as of August 20th, 2020. See methods for more details on how these values were calculated. State population data is from 2019 US Census Bureau Estimates.
Table 3: Variations in State Reporting of Long-Term Care Facility Cases and Deaths Related to COVID-19
State What is reported? Who is included in counts? What types of long-term care facilities are included? How often is/was data updated? Additional State Data Notes
Alabama Cases Residents and Staff Long-term care facilities Daily
Arkansas Cases and Deaths Residents Nursing Homes Daily Stopped updating number of cases at the end of July. Now only reports share of cases in nursing homes. Started reporting number of deaths in nursing homes at the beginning of August. Deaths are not included in this analysis due to short time period of availability.
California Cases and Deaths Residents and Staff Nursing Homes, Residential Care Facilities for the Elderly, and Adult Residential Facilities (ARF) Daily 4/23-5/14: Includes resident/staff cases/deaths in nursing homes
5/19: Drop in cases from 9908 to 9869 because of exclusion of staff cases. Added other types of LTCF cases and deaths.
5/25-present: Includes staff & other LTCFs.
Colorado Cases and Deaths Residents and Staff Nursing Homes and Assisted Living Facilities Weekly
Connecticut Cases and Deaths Residents and Staff Nursing Homes and Assisted Living Facilities Weekly 4/16: Cases and deaths in nursing home residents
4/29: Added cases in assisted living facilities
5/13: Added deaths in assisted living facilities
7/14: Includes cumulative staff cases and deaths since 6/17 in NH and 7/1 in ALFs.
7/21: Drop in cases from 10,166 to 10,137
8/11: Number of facilities with outbreaks drops from 307 to 306
Delaware Cases and Deaths Residents Long-term care facilities Daily Latest data on Staff cases/deaths is from June 26th – 461 staff cases and 1 staff death. Not included in counts due to inconsistent reporting of staff data.
7/3: Drop in cases from 1,164 to 1,154
7/10: Drop in deaths from 335 to 334 due to exclusion of resident who was found to be member of independent living facility
District of Columbia Cases and Deaths Residents and Staff Long-term care facilities Daily 6/9: Drop in deaths from 165 to 157
8/20: Drop in cases from 1055 to 1034
Previously, data was updated daily reports via spreadsheet. In recent weeks, data is updated more irregularly.
Florida Deaths Residents and Staff Long-term care facilities Daily Only active cases are reported, so cumulative cases cannot be trended.
Georgia Cases and Deaths Residents and Staff Nursing homes, Assisted Living Communities and Personal Care Homes Daily
Idaho Cases and Deaths Residents and Staff Nursing Home, Assisted Living Facility, or Intermediate Care Facility Weekly
Illinois Cases and Deaths Residents and Staff Long-term care facilities Weekly
Indiana Cases and Deaths Residents and Staff Long-term care facilities Daily 4/26 – 7/19: Cases and deaths in residents in long-term care facilities from 4/26-7/19
7/26 – present: Staff cases and deaths added to counts
Iowa Deaths Residents and Staff Long-term care facilities Daily Only active cases are reported, so cumulative cases cannot be trended.
Kansas Cases and Deaths Residents and Staff Long-term care facilities Previously reported data in summary PDF; now reports data as part of Cluster Summary dashboard
Kentucky Cases and Deaths Residents and Staff Long-term care facilities Daily
Louisiana Cases and Deaths Residents and Staff Long-term care facilities Weekly 3/29 – 5/10: nursing home resident cases/deaths
5/18: staff cases added to counts
LA also reports Adult Residential Care cases/deaths, but those are not reported consistently, so they are not included in this analysis to make trended data more reliable
Maryland Cases and Deaths Residents and Staff Long-term care facilities Weekly
Massachusetts Cases and Deaths Residents and Staff Long-term care facilities Daily
Michigan Cases and Deaths Residents and Staff Long-term care facilities Daily Active cases only reported up till 6/14
Deaths data fluctuates due to data reconciliation.
Minnesota Cases and Deaths Residents and Staff Long-term care facilities Daily
Mississippi Cases and Deaths Residents and Staff Long-term care facilities Daily
Nevada Cases and Deaths Residents and Staff Long-term care facilities Daily
New Jersey Cases and Deaths Residents and Staff Long-term care facilities Daily
New York Deaths Residents and Staff Long-term care facilities Daily Deaths that occurred outside of facility are not counted. This excludes hospital deaths.
North Carolina Cases and Deaths Residents and Staff Long-term care facilities Multiple times per week
North Dakota Deaths Residents and Staff Long-term care facilities Daily Only active cases are reported, so cumulative cases cannot be trended.
Ohio Cases and Deaths Residents and Staff Long-term care facilities Weekly 369 deaths reported prior to April 15th
Oklahoma Cases and Deaths Residents and Staff Long-term care facilities Daily
Oregon Cases and Deaths Residents and Staff Care facilities, Senior living communities, and Congregate Living Settings Weekly Active cases, deaths, and outbreaks were reported until 6/21
Pennsylvania Cases and Deaths Residents and Staff Nursing Homes and Personal Care Homes Daily
Rhode Island Cases and Deaths Residents and Staff Long-term care facilities Weekly
South Carolina Cases and Deaths Residents and Staff Long-term care facilities Multiple times per week
Tennessee Cases and Deaths Residents and Staff Long-term care facilities 6/12: cases and deaths drop from 1325 to 1055 and 155 to 132
7/29: Aggregated & corrected data is reported, accounting for hike in cases & deaths
Texas Cases and Deaths Residents and Staff Nursing Homes and Assisted Living Facilities Daily Staff cases are as of August 6th.
Utah Cases and Deaths Residents and Staff Long-term care facilities Daily
Vermont Cases Residents and Staff Long-term care facilities Weekly 7/22: Cases drop from 407 to 405
7/29: Vermont began reporting congregate care/living settings separately from other outbreaks accounting for large drop in reported cases
Virginia Cases and Deaths Residents and Staff Long-term care facilities Daily
Washington Cases and Deaths Residents and Staff Nursing Homes, Assisted Living Facilities, Adult Family Home Weekly 7/12: Deaths drop from 820 to 815
Wisconsin Cases and Deaths Residents and Staff Nursing Homes and Assisted Living Facilities Daily
SOURCE: KFF analysis of available state reports, press releases, press conferences, official state data from news reports, and The COVID Tracking Project
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