Both companies will expand to facilities in other states next week. The vaccine rollout at long-term care facilities is one of the early steps of a national effort aimed at reaching the most at-risk Americans and then the general public. It's a speedier start for the companies, which expected to begin vaccinations next week. Health-care workers, including those who work in emergency rooms and intensive care units, began to get Covid vaccinations on Monday. Nursing homes and assisted living facilities have been put at the top of the priority list, too, because they are home to older and sicker Americans who have been particularly hard-hit by the coronavirus.