Recalled supplemental shakes were distributed to hospitals and long-term care facilities nationwide, federal officials say.

The frozen shakes were served at hospitals and long-term care facilities, sickening 38 people and resulting in 11 deaths in 21 states, according to the FDA.

Nutritional milkshakes served in long-term care facilities were recalled Saturday after being linked to 12 deaths and dozens of hospitalizations, according to the CDC.