A review of scientific research by leading academic experts in the field found that community spread was the primary driver of COVID-19 outbreaks in long term care facilities. The review examined 36 different studies, and the final analysis was published in the Journal of the American Geriatrics Society. The paper supports prior findings that showed that the size and location of a facility were the strongest and most consistent predictors of COVID-19 outcomes, especially if the facility was located in an area with high COVID-19 rates.The study concluded that if communities had been better able to control the spread of ...