My understanding is that the health department will be going into LTC facilities and vaccinating both residents and staff.
I've now have > 10 of my multiple sclerosis patients develop Covid-19 and only the oldest was hospitalized x 1 day and all fully recovered (3-4 never had symptoms but spouse or child was positive leading to test). At least being on an immunosuppressive medication does not appear to add risk (interestingly the only patient hospitalized was my only Covid19 case not on an immunosuppressive or modulator).
I agree that vaccines should be given to those at risk of spreading the vaccine, but a main part of the reason for giving the vaccine to senior citizens in nursing homes (and those who interact with them) in the first round is to reduce the pressure on hospitals and intensive care units.
Hospitals across the country are swamped with Covid cases, almost to the point where "routine" emergencies may get short shrift.