summarize“Nursing homes are a congregate living setting, and despite social distancing measures, including no group dining or activities, most nursing homes have a majority of rooms with more than one occupant and shared bathrooms, facilitating transmission of the virus. Care includes “high-touch” activities, like bathing, dressing, and toileting, that do not allow for social distancing. Many residents with dementia and other forms of cognitive impairment will not be able to tolerate wearing a mask or cooperate with social distancing. Staff and clinicians who come in and out of the building, many of whom work in multiple facilities, can be pre-symptomatic or asymptomatically shedding the virus while passing screening questionnaires and temperature recordings”​