New report: Maryland lagged behind nation in getting nursing home COVID-19 cases down after mass vaccinations

Media Contacts
Emily Scarr

State Director, Maryland PIRG; Director, Stop Toxic PFAS Campaign, PIRG


Virus still a threat: some homes reported first cases in 2021 after none in 2020

Maryland PIRG Foundation

BALTIMORE — Despite a sharp national drop in coronavirus infections in nursing homes in January, Maryland did not see such a decline until February. As mass vaccinations rolled out across the state and country, new cases dropped between Dec. 20 and Feb. 7 by 53 percent in Maryland, below the national average of 83 percent and one of the worst performances in the nation.

These surprising revelations are among the findings of the third in a series of reports by Maryland PIRG Foundation and Frontier Group, based on analyzing government data about nursing homes and COVID-19.

The analysis also finds that hundreds of U.S. nursing homes that weathered 2020 without any COVID-19 cases have reported new cases since 2021 began. Over the course of the pandemic, the nation’s 15,000 nursing homes have been COVID-19 bellwethers. These new cases are a clear indication that while things are getting better, our society still faces risks from the virus. However, the Centers for Medicare & Medicaid Services this month issued new guidance, relaxing visitation restrictions.

“With more than 8,000 Marylanders dead by now, you would think we would have learned our lesson,” said Maryland PIRG Foundation Director Emily Scarr. “It seems, unfortunately, that our policies and impatience could still be putting lives and communities at risk.”

Our latest analysis points to other areas of concern, including: 

  • More than 600 nursing homes nationwide reported three or more new resident cases during the first week of February, more than a month after mass vaccinations started in nursing homes.
  • In Maryland, 7 homes reported three or more new resident cases during the same week. 
  • More than 7,000 nursing home residents contracted COVID-19 once last year, recovered and then were reinfected between late November and early February.
  • While shortages of masks, gowns and other personal protective equipment have improved, nearly 6 percent of nursing homes in February reported a critical shortage of N95 masks, which experts say are the single best protection against contracting COVID-19.

Undoubtedly, though, the overall situation in nursing homes is improving.

Our analysis found that new cases among nursing home residents soared through the fall, reaching 33,212 nationwide for the week ending Dec. 20, when nursing homes started administering vaccinations. Cases dropped by several thousand in just the first week. By the early February, new cases had plunged to 5,573 — a decline of 83 percent in seven weeks.

The declines were similarly impressive among staff. During the peak week, ending Dec. 13, 28,457 nursing home workers nationwide tested positive for new cases. That dropped to 5,308 — a decrease of 81 percent in seven weeks. 

“This fantastic news validates what everyone was hoping — that the vaccines work. What’s stunning is how quickly cases plummeted after residents received just one shot,” said Scarr.

The report includes research that points to the benefits achieved after the first of two shots for the vaccine brands that require a second dose. It also discusses some of the impact on nursing homes of the new $1.9 trillion American Rescue Plan. 


Maryland PIRG (Public Interest Research Group) Foundation is an independent, non-partisan group that works for consumers and the public interest. Through research, public education and outreach, we serve as counterweights to the influence of powerful interests that threaten our health, safety, and wellbeing.