Inclusion Criteria:  All residents of the nursing home facility, (M/F) 65 years or above, who have recently tested positive through Ohio's PARRT Program are eligible Resident must submit weekly nasal swab sample per nursing home COVID testing guidelines Clinical suspicion of a new episode of acute respiratory tract infection. Laboratory confirmed SARS-CoV-2 infection by either a laboratory test, PCR or any other commercial or public health test  Exclusion Criteria:  Nursing home residents that are not taking part regularly in weekly screening for SARS-COV-2 or residents that test negative through Ohio's PARRT program cannot be included as part of study analyses Residents on hospice, residents currently intubated, residents with scheduled transfer to another nursing home facility will not be included in study analyses