As the COVID-19 pandemic progresses, America’s more than 15,000 nursing homes, 29,000 residential care communities, and 28,900 assisted-living facilities must confront the increased health vulnerabilities of older residents and building designs that exacerbate risk. The highly contagious nature of COVID-19 has forced many facilities to adopt emergency isolation measures, including banning visitors and closing communal spaces. Moving forward, providers are exploring residential alternatives that experiment with smaller “pod style” facilities, integrated support services for low-income seniors, and improved technology that supports aging in place.