The Impact of Hurricane Maria on Puerto Rico's Long-Term Care Settings.

In September 2017, Hurricane Maria struck Puerto Rico, devastating the island for years to come. Puerto Rico has a rapidly aging population and does not have the long-term care (LTC) infrastructure of the United States mainland. This research describes experiences of individuals working in, residing in, and providing disaster response to LTC settings in Puerto Rico during and after Hurricane Maria. From January to March 2019, N = 20 in-person interviews were conducted with nursing home staff in three Puerto Rican nursing homes; in-home caregivers; and individuals providing disaster response. Thematic analysis revealed many challenges in the weeks and months after Maria, including navigating residents' health issues, supporting staff and caregivers, communication difficulties, and accessing necessary resources. Participants shared a general distrust of local and federal government and disappointment in government response. Adequate disaster preparedness played a significant role in navigating Maria. Participants shared lessons learned and suggestions to better prepare for future disasters.