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

A nationwide recall has been issued for frozen nutritional shakes linked to a deadly listeria outbreak, according to the Food and Drug Administration. The shakes were sold to hospitals and long-term care institutions, including nursing homes.

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.