... The organizational factors that consistently emerged and were supported by a substantial body of evidence with relation to outbreak include staffing levels [26,28,34,48,56,59,70,72,76,79,80,82,84,91,92,94,97,99,106,113], star/subset domains ratings [59,63,69,71,74,76,79,82,83,88,89,94,99,106,111,113], LTCFs with a higher proportion of racial and ethnic minorities [67,70,73,77,81,83,84,89,94,95,99,101,105,106,109], type of ownership (for-profit facilities) [6,24,26,30,37,57,63,72,79,82,84,89,97,113], LTCFs with higher Medicaid-insured residents [71][72][73]91,94,95,97], presence of infected staff [36,42,47,54,56,89,113], quality performance [31,34,43,71,106], and chain membership status [21,30,70,97]. Table S5 contains details about the organizational factors associated with COVID-19 outbreaks in LTCFs. ...