We testified on findings from our CARES Act reports related to the pandemic’s disproportionate impact on nursing home residents. We discussed challenges that have persisted throughout the pandemic, such as staff shortages. Nursing home staff also report exhaustion and burnout. Some challenges have shown signs of improving over time, such as the availability of personal protective equipment (PPE). Recently, new challenges for nursing homes have also emerged—such as vaccinating staff. While the Department of Health and Human Services has taken steps to address COVID-19 in nursing homes, several of our recommendations haven’t been implemented.