“…The environmental factors frequently associated with mortality include occupancy, levels of crowding [2,25,56,64,93,97,103,116], the larger size of the facility or the number of beds in the LTCF [2,32,33,62,63,65], the location of the LTCF [2,21,24,62,86], higher community or county incidences [60,77,80,103,112], and structural design of the rooms or number of beds in a room [21,25,66,112].…”