Methods: This descriptive study employed convenience sampling and distributed a Qualtrics survey between March 2021 and April 2021. We partnered with Continuing Care Retirement Communities in Northeast Florida to examine the study objective. The survey contained questions on demographics, fear and concerns about the pandemic, and social helping strategies. Data compilations and analyses were performed using JMP Pro 16.1 and SAS 9.4. We analyzed ordinal variables by categorical grouping and performed a decision tree predictive modeling for the following factors: Age Group, Race, Ethnicity, Gender, Education, Children, and Marital Status. In addition, we provide a descriptive analysis of the perception of mental health of direct care workers.

Results: Sixty-three direct care workers completed the survey and were included in the analysis. Race, followed by education and marital status, were predictive characteristics of participants across concern levels about the pandemic, with Asians more concerned compared to White and Black workers. Workers who identified as female, had children, and were older were more likely to express fear about the pandemic. In addition, people who were "Very Concerned" about the pandemic were also more likely to "Actively seek ways to engage" residents; thus concerned may be associated with degree of resident engagement.

Conclusion: Long-term care administrators must seek intentional methods to support the mental well-being of direct care workers. We provide strategies for health administrators to consider, such as family support services, mental health services, and diversity, equity, and inclusion initiatives to support workers.