A new report details the rise in nursing home deaths amid the COVID-19 pandemic.

The report was put together by the inspector general of the Health and Human Services Department. It found that deaths rose 32% in 2020, compared to the year before – or about 170,000 more deaths. Medicare patients were especially vulnerable, with two in five contracting or likely contracting the virus.

The report found that COVID-19 especially impacted minority communities. More than 50% of Black people residing in long-term care facilities reported having the virus, followed by Hispanic and Asian Americans.

Asian Americans saw the highest overall increase in death rates compared to the year before. The report says that this may be because minority patients are clustered in homes located in communities with more severe outbreaks.

New Jersey was one of the states hit the hardest during the pandemic. There were more than 8,000 lab-confirmed deaths of residents and staff members, about one-third of the overall deaths in the state.

According to the New Jersey COVID-19 dashboard, there are 35 long-term care facilities that have active outbreaks, or about 308 cases of COVID-19.

Outbreaks are considered done where there are no probable or confirmed cases after 28 days.