At least 54,000 residents and employees of nursing homes and long-term care facilities have died from the coronavirus, according to a New York Times database, accounting for 43 percent of virus-related deaths in the United States.

Relying on reports from states, counties and individual facilities, as well as some data from the federal government, The Times has tracked 282,000 known coronavirus cases at some 12,000 facilities.

Most of the country’s largest clusters have emerged in nursing homes, prisons and food processing facilities — places where social distancing is difficult or impossible, and in some cases where shutting down because of the pandemic was not an option. While many of the prison and food processing clusters involved more total cases, the country’s deadliest outbreaks have been largely in nursing homes, where older residents with underlying health problems are uniquely vulnerable to the virus.

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