Worldwide there are no official statistics on mortality in nursing homes (NH) during the pandemic. In 2020, deaths among NH residents in Europe accounted for 37–66 % of all COVID-19-related deaths [1]. Mortality among NH residents affected by COVID-19 increased with older age, male sex, physical and cognitive impairment, end-stage renal disease, immunocompromised status, and diabetes [2,3]. Nonetheless, data on causes of mortality among NH residents are sparse and incomplete. Our analyses focused on the Veneto Region, northeastern Italy, heavily affected during the early phases of the pandemic.