Outbreaks of COVID-19 in nursing homes are not the result of inattentiveness or a shortcoming in facilities, according to Stephen Hanse, president and chief executive officer of the New York State Health Facilities Association and the New York State Center for Assisted Living. “The very nature of long-term care is a high-touch environment where social distancing is not an option. Staff are helping residents with bathing, dressing, eating, and other personal daily needs,” he said.