One year ago, a nursing home in Kirkland, Washington, became an early battleground for the U.S. coronavirus outbreak. The disease has since decimated nursing home populations – more than one-third of the COVID-19-related deaths in the U.S. have been nursing home residents and staff. Virtually unnoticed is what has followed: In some nursing homes, a shift has occurred in the type of residents who live there, and COVID-19 is one of the reasons.