Early data from the nursing home vaccination program has shown about 80% uptake of at least one dose among residents, and 40% uptake among staff so far. Staff refusal is a big issue:
This is something that is going to need to be addressed with outreach, education, and in some cases work-related sanctions. The pharmacy partnership program isn't going to be an ongoing vaccination program for these facilities. It will end soon after it does second doses. Newly admitted residents will need ongoing vaccination coverage, especially so if staff maintain their current vaccine refusal levels.
Studies on nursing home infections show it is staff getting infected from the community that drove most of the spread in nursing homes this pandemic, and not necessarily infections among residents who can be reasonably segregated in facilities:
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2768539
Due to the persistent staff shortages in this realm, it is unlikely many facilities will simply be able to fire staff that refuse the vaccines. State and federal government should actively work to encourage uptake.
The long-term prognosis for this staff refusal is likely not to be good without intervention. Low seasonal Flu vaccination among nursing home staff has been an ongoing issue for years, despite the huge benefits involved: