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One year ago, a nursing home in Kirkland, Washington, became an early battleground for the U.S. coronavirus outbreak. The disease has since decimated nursing home populations – more than one-third of the COVID-19-related deaths in the U.S. have been nursing home residents and staff. Virtually unnoticed is what has followed: In some nursing homes, a shift has occurred in the type of residents who live there, and COVID-19 is one of the reasons. As older residents die from the pandemic and as more families choose to keep elderly relatives at home, some of these facilities are accepting more younger patients, including some with drug addictions and mental illness. Some patients have schizophrenia. Some have psychosis. This change in clientele can have a dramatic impact on the daily functioning of nursing homes, a change that administrators and staff may be unprepared to handle.

District of columbiaUnited statesJason redmondNational health care associationNational centerDepartment of housingLife care centerNational alliance on mental illnessAssisted livingNational allianceMental illnessUrban developmentCovid 19Corona virusLong term careNursing homes