Overlooked and Undercounted: The Growing Impact of COVID-19 on Assisted Living Facilities

Sarah True, Nancy Ochieng, Juliette Cubanski Follow @jcubanski on Twitter , Priya Chidambaram, and Tricia Neuman Follow @tricia_neuman on Twitter
Published: Sep 01, 2020

While COVID-19 outbreaks and deaths in nursing homes have received a fair amount of attention, assisted living facilities (ALFs), which are home to over 800,000 mostly frail, elderly residents, have been largely overlooked. Unlike nursing homes, assisted living facilities are not federally regulated, leaving states to decide whether or not to publicly report data or to impose restrictions to protect residents. This analysis examines the impact of COVID-19 on assisted living facilities as well as changes over time, using state-level data on COVID-19 cases and deaths reported in early June 2020, and again in early August. These counts are a subset of the state-level COVID-19 cases and deaths in all long-term care facilities, including nursing homes, as reported in other KFF analyses.



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