 A Times Union review of 10 nursing homes with the largest or deadliest coronavirus outbreaks in the Capital Region found many have struggled to maintain adequate staffing and infection control over the years. While much attention has been paid in recent weeks to a state directive that may have helped fuel the coronavirus crisis in New Yorks nursing homes, advocates contend that longstanding issues at these facilities namely, chronic short staffing and infection control lapses undoubtedly played a role as well. 