Key Points

• COVID-19 had a significant impact on nursing homes in the Pays de la Loire region between March 2020 and 2021, with 69% of nursing homes reporting at least one case of COVID-19 among residents and 51% reporting at least one outbreak.

• The case fatality rate among residents was more than five times higher during COVID-19 outbreaks (15%) than during winters when the influenza A(H3N2) virus was predominant (3%).