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Coronavirus disease 2019 can cause significant mortality in the elderly in long-term care facilities (LTCF). We describe 4 LTCF outbreaks where mass testing identified a high proportion of asymptomatic infections (4%–41% in healthcare workers and 20%–75% in residents), indicating that symptom-based screening alone is insufficient for monitoring for COVID-19 transmission.

Lessons From Mass-Testing for Coronavirus Disease 2019 in Long-Term Care Facilities for the Elderly in San Francisco