Document Type

Research Brief


University of Montana Rural Institute

Publication Date



Community Health and Preventive Medicine | Public Health


This report provides an analysis of data to better understand where cases and deaths are rising in nursing homes as of August 8 2021. We hope this analysis can help support local community planning and networking among rural partners to improve outcomes.

  • COVID-19 cases among residents and staff are on the rise in nursing homes with the steepest increases in urban areas and in the South and Midwest.
  • Disabled people are disproportionately overrepresented in the resident populations of unsafe congregate settings, such as nursing homes.
  • Vaccination rates across both residents and staff in nursing homes have stagnated.
  • Policy priorities should be set by people with disabilities and disability-led organizations to promote community-based efforts such as transition and relocation from unsafe congregate settings into the community.


health and wellness, rural, disability


© 2021 RTC:Rural

Granting Agency

National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR)


The contents of this fact sheet were developed under a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant number 90RTCP0002-01-00). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents do not necessarily represent the policy of NIDILRR, ACL, or HHS, and you should not assume endorsement by the Federal Government.

Project Number