COVID-19 pandemic is a global threat that is having devastating consequences in congregate settings such as nursing homes and assisted facilities around the world. Several measures have been adapted by the nursing home through the guidance of CMS for protecting the most vulnerable population.

Objective: To study vaccine hesitancy among health care workers who provide direct care in nursing homes and long-term care facilities which cater to the most vulnerable population of the community. 

Nursing homes, neglected for too long by government administrations, have paid a very high tribute to the lack of protective measures and social distancing that COVID-19 has imposed. To date, it has been calculated that almost a fifth of all residents in nursing home in northern Italy have died due to COVID-19, with a mortality of Lombardy nursing homes varying between 10% and 50% of all residents. In some cases, 3-4 guests of a single home died in a single day.