As COVID-19 cases surged this summer fueled by the Delta variant, hospitalizations and deaths among residents in North Carolina long-term care facilities were significantly lower than during the winter surge, as shown in data from the North Carolina Department of Health and Human Services. The decrease in cases and severe illness can be attributed to vaccination for residents and staff of long-term care facilities and to the work done by long-term care providers to implement measures to protect staff and residents from COVID-19.