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In Iowa, 15 facilities closed in 2022, 13 of them in rural areas

Many small-town care facilities that remain open are limiting admissions, citing a lack of staff, while a wave of others shutter. That means more patients are marooned in hospitals or placed far away from their families.

Many small-town care facilities that remain open are limiting admissions, citing a lack of staff, while a wave of others shutter.

Many small-town care facilities that remain open are limiting admissions, citing a lack of staff, while a wave of others close their doors.

The pandemic brought billions of extra federal dollars to the long-term care industry, which was inundated with COVID-19 infections and more than 160,000 resident deaths. Many facilities saw business decline amid lockdowns and reports of outbreaks. Staff members faced extra danger and stress. The industry is still feeling the effects.