At least 274 people in Colorado have died from complications of the novel coronavirus, while outbreaks at nursing homes continue to rise, state health officials announced Saturday.

Nearly 6,900 people have tested positive for COVID-19, the highly infectious respiratory illness caused by the virus, while hospitalizations increased to 1,376. Health officials have reiterated that a lack of mass testing means the number of true cases in the state is likely four to 10 times higher. More than 34,800 people have been tested, including nearly 2,500 individuals Friday.

Officials also confirmed 67 outbreaks at residential and non-hospital residential and non-hospital health care facilities, with as many as eight deaths at one Aurora facility prompting a state investigation.

The state health department announces new totals daily of coronavirus deaths and confirmed cases based on what’s reported up from Colorado’s counties; though the deaths and positive test results may be announced on a particular day, they may have occurred any time in the past and are just now being reported to the state. Saturday’s reported deaths were 24 more than on Friday.