Ambulance workers move a man on a stretcher from the Life Care Center in Kirkland into an ambulance on Friday. The facility is the epicenter of the outbreak of the the COVID-19 coronavirus in Washington state. (AP Photo/Ted S. Warren)

Ambulance workers move a man on a stretcher from the Life Care Center in Kirkland into an ambulance on Friday. The facility is the epicenter of the outbreak of the the COVID-19 coronavirus in Washington state. (AP Photo/Ted S. Warren)

‘Germ-fest’ party preceded deadly outbreak in Kirkland

The Life Care Center hosted a Mardi Gras celebration shortly before a worker and patient were diagnosed.

By Bernard Condon and Carla K. Johnson / Associated Press

KIRKLAND — In the days before the Life Care Center nursing home became ground zero for coronavirus deaths in the U.S., there were few signs it was girding against an illness spreading rapidly around the world.

Visitors came in as they always did, sometimes without signing in. Staffers had only recently begun wearing face masks, but the frail residents and those who came to see them were not asked to do so. And organized events went on as planned, including a purple-and-gold-festooned Mardi Gras party last week, where dozens of residents and visitors packed into a common room, passed plates of sausage, rice and king cake, and sang as a Dixieland band played “When the Saints Go Marching In.”

“We were all eating, drinking, singing and clapping to the music,” said Pat McCauley, who was there visiting a friend. “In hindsight, it was a real germ-fest.”

That was just three days before last Saturday’s announcement that a Life Care health care worker in her 40s and a resident in her 70s had been diagnosed with the new virus. The news would be followed over the next few days by the first resident deaths: two men in their 70s, a woman in her 70s and a woman in her 80s.

Of the 14 deaths across the nation as of Friday, at least nine have been linked to the Seattle-area nursing home, along with at least a dozen other infections.

As disease detectives try to solve the mystery of how exactly the coronavirus got inside Life Care, they are also questioning whether the 190-bed home that had been fined before over its handling of infections was as vigilant as it could have been in protecting its vulnerable patients against an outbreak that had already killed thousands in China and around the world.

A team of federal and state regulators planned to visit Life Care on Saturday, a move that could lead to sanctions, including a possible takeover of its management. The team will look at the home’s practices, including infection control.

In an outbreak like this, “it’s not business as usual, so business as usual is not going to be OK,” said Dr. Mark Dworkin, an epidemiologist at the University of Illinois at Chicago School of Public Health. “There needs to be some sort of mobilization within the facility for enhanced adherence to procedures. Infection control and visitors logging in. These things need to be translated out across the country.”

Life Care did not respond to questions from The Associated Press that were sent to an email address set up for news media inquiries. In the week since the outbreak began, the center has issued statements saying it grieves with the families who have lost loved ones. It has also noted that visits have been halted, staffers are being screened and residents with any kind of respiratory illness have been placed in isolation.

Several family members and friends who visited residents at Life Care over the past few weeks told the AP they didn’t notice any unusual precautions, and none said they were asked about their health or if they had visited China or any other countries struck by the virus.

Pat and Bob McCauley, who visited a friend eight times in two weeks before the outbreak, said they noticed some staff members wearing face masks during a visit on Wednesday, Feb. 26, that included the Mardi Gras party but didn’t think much of it. They went to a common room with a half-dozen tables and began singing along with their friend as residents in wheelchairs bunched together to get clear view of the banjo, bass and washboard players.

“As it became more crowded, we helped move patients into seats, move wheelchairs into places between tables, holding doors, adjusting tables and chairs to accommodate wheelchairs,” said Pat McCauley. “We had very close contact with numerous patients.”

Two days later, when the couple arrived for another visit, they realized the reason for the masks. A staff member told them at the door that they would have to wear ones themselves because a “respiratory virus” had spread.

They turned around and went home.

Lori Spencer, whose 81-year-old mother is at Life Care, said she also noticed the masks on a visit that same Wednesday, and how packed the place was.

“The hallways were crowded with people. The place was buzzing,” she said. “All the doors to the rooms were open, and I could see there were multiple people in there. I kept thinking how people were on top of each other.”

Spencer said that firefighters had just visited the place too, and there were student nurses as well.

A union representative for the Kirkland firefighters said Thursday that all firefighters tested so far have come back negative for the coronavirus, but they want more testing.

“We’re cooking together and eating together,” said Evan Hurley. “Trying to actually trace this all back to who’s been exposed is difficult.”

Betsy McCaughey, chair of the nonprofit Committee to Reduce Infection Deaths, said that by the day the Mardi Gras party was held, the nursing home should have been doing more to protect its residents.

“All these nursing facilities hold parties,” she said. “The issue is: Were attendees asked ahead of time, ‘How are you feeling? … Have you traveled to one of the coronavirus hot spots? Has someone in your family traveled to a hot spot? Is there any illness in your family?’”

McCaughey estimates 380,000 nursing homes residents die each year of infections, about half of them preventable. She said federal regulators are largely to blame for not holding nursing homes to the same standards as hospitals. While residents of nursing homes may need more social interaction than hospital patients, “they shouldn’t have to sacrifice their lives for it,” she said.

Exactly how the virus made its way into the nursing home remains a mystery. One theory is that someone who became infected overseas brought it to Washington state and passed it on to others. Ordinarily in nursing homes, bedridden patients have the virus brought to them by visitors or staff members who are sick.

While Life Care generally has a good rating with the federal Centers for Medicare and Medicaid Services, state inspectors last April found infection-control deficiencies following two flu outbreaks that affected 17 residents and staff. Life Care was fined $67,000. A follow-up inspection found that it had corrected the problems.

As of Friday, 69 residents remained at Life Care after 15 were taken to the hospital within the past 24 hours. King County Executive Dow Constantine said the state has offered to help families set up home care if they want to move their loved ones out.

Dr. Stephen C. Morris, a University of Washington School of Medicine public health specialist who was sent into the nursing home to evaluate patients Thursday, said that in the midst of this crisis, the staff there needed help. “They need nurses who are better trained. They need doctors who are better trained,” he said.

Family members said that since the nursing home has been locked down, they have agonized over leaving their loved ones inside and have resorted to communicating with them by tablet computers, cellphones and signs held up at the windows.

Patricia Herrick, whose 89-year-old mother died on Thursday, said it was difficult to know that her mother was caught in the epicenter of the outbreak, in a room so nearby but completely inaccessible.

“Knowing that she was in an environment that is dangerous and not being able to help … it was awful,” she said. She said she wants her mother tested to see if she died of the virus.

Herrick said she noticed some staffers were wearing masks three days before the Mardi Gras party visit, but she didn’t think much of it. She also said she walked right in that day without signing the visitors log. But she thinks the problem lies not with the staff of Life Care but with government health officials.

“Even at the state level, the department of health should have dictated what these facilities should do: No parties. Anyone with respiratory problems goes into isolation,” Herrick said. “This is a wake-up call. There are holes in our system.”

AP photographer Ted Warren in Kirkland contribted to this report.

Talk to us

More in Northwest

FILE - In this May 24, 2019, file photo, teachers and students from Northwest Montessori School in Seattle examine the carcass of a gray whale after it washed up on the coast of Washington's Olympic Peninsula, just north of Kalaloch Campground in Olympic National Park. Researchers say the population of gray whales off the West Coast of the United States has fallen by nearly one-quarter since 2016, resembling a similar die-off two decades ago. In a paper released Tuesday, Jan. 19, 2021, NOAA Fisheries reported that surveys counted about 6,000 fewer migrating whales last winter, 21,000 as compared to 27,000 in 2016. (AP Photo/Gene Johnson, File)
Gray whale population drops by quarter off U.S. West Coast

Scientists believe that the number of whales may have exceeded what the environment can support.

Algae bloom is seen in June 2018 in Budd Inlet, at the southern end of Puget Sound in Thurston County. (Department of Ecology)
Human-caused ‘dead zones’ threaten the health of Puget Sound

Wastewater treatment plants account for about 70% of the excess nutrients.

Navy seeks to conduct SEAL training in Whidbey, Camano parks

The deadline to register to participate in public comment is 5 p.m. on Friday, Jan. 22.

Jill Johnson (left) and Greg Banks
Bill to expand sports betting introduced in state Legislature

A similar proposal failed last year, but supporters say the new effort has bipartisan support.

Initiative promoter Tim Eyman arrives to talk to reporters, Thursday, Oct. 15, 2020, at the Capitol in Olympia, Wash. The Washington Supreme Court on Thursday unanimously struck down Eyman's Initiative 976, a measure that would have steeply discounted the price of car registrations at $30 while gutting transportation budgets across Washington state. (AP Photo/Ted S. Warren)
Judge weighs Eyman’s fate as civil trial draws to a close

The serial initiative promoter is accused of campaign finance violations. His lawyer says he did nothing wrong.

West Point Treatment Plant in Seattle. Photo courtesy of King County
Wastewater spills into Puget Sound, Lake Washington

About 20% of the 10 million gallons of untreated water was sewage, and 80% was stormwater.

U.S. Rep. Suzan DelBene (right), D-Medina, with U.S. Rep. Derek Kilmer, D-Artondale, at the U.S. Capitol in Washington, D.C., on Wednesday for the inauguration of President Joe Biden and Vice President Kamala Harris. (Contributed photo) 20210120
Washingtonians bear witness to ‘democracy moving forward’

In “a moment to breathe and hope,” Snohomish County leaders witnessed the swearing in of President Joe Biden.

Police: Thief berated mom for leaving kid in car he stole

“He actually lectured the mother for leaving the child in the car and threatened to call the police.”

Most Read