Nearly 70 residents sickened with the coronavirus have died at a Massachusetts home for aging veterans, as state and federal officials try to figure out what went wrong in the deadliest known outbreak at a long-term care facility in the U.S.
While the death toll at the state-run Holyoke Soldiers’ Home continues to climb, federal officials are investigating whether residents were denied proper medical care and the state’s top prosecutor is deciding whether to bring legal action.
“It’s horrific,” said Edward Lapointe, whose father-in-law lives at the home and had a mild case of the virus. “These guys never had a chance.”
Sixty-eight veteran residents who tested positive for the virus have died, officials said Tuesday, and it’s not known whether another person who died had COVID-19. Another 82 residents and 81 employees have tested positive.
The home’s superintendent, who’s been placed on administrative leave, has defended his response and accused state officials of falsely claiming they were unaware of the scope of the problem there.
The superintendent, Bennett Walsh, said earlier this month state officials knew that the home was in “crisis mode” when it came to staffing shortages and were notified early and often about the contagion at the facility.
Staffing problems that plagued the home for years contributed to the virus spreading like wildfire, said Joan Miller, a nurse at the home.
Because staffing was so tight, workers from one unit were constantly moving to other units to help out — and bringing their germs with them, she said. At one point, a unit was shut down because there wasn’t enough staff to operate it, and those veterans were moved into close quarters in other parts of the building, she said.
“Veterans were on top of each other,” she said. “We didn’t know who was positive and who was negative and then they grouped people together and that really exacerbated it even more,” said Miller, who spoke through a mask during a break from her job at the facility.
“That’s when it really blew up.”
Population at home more than halved
The situation is now “somewhat contained” because there are so few veterans living there, Miller said. There were nearly 230 residents living at the home in late March and only about 100 remained on Monday, the Boston Globe reported.
For most people, the coronavirus causes mild or moderate symptoms, such as fever and cough, that clear up in two to three weeks. For some, especially older adults and the infirm, it can cause more severe illness, including pneumonia.
Beth Lapointe said her father’s roommate tested positive for the virus in March — and later died — but her father was initially denied a test because he didn’t show any symptoms. As the virus spread, family members were kept in the dark about what was going on inside, she said.
“Every day I would ask different people, ‘What’s going on in there?’ And I would never get information.”
Republican Gov. Charlie Baker’s administration has hired an outside attorney to conduct an investigation into the deaths. Massachusetts Attorney General Maura Healey is also investigating to determine “what went wrong at this facility and determine if legal action is warranted.”
And the U.S. attorney’s office in Massachusetts and Department of Justice’s civil rights division are looking into whether the home violated residents’ rights by failing to provide them proper medical care.
The death toll at the home appears to be the largest at a long-term care facility in the United States, experts said.
“It’s also symbolic of how unprepared many nursing facilities have been,” said Dr. Michael Wasserman, president of the California Association of Long Term Care Medicine.
“Geriatricians and experts in long-term care medicine were sounding alarms at the beginning of March and we’ve essentially been ignored by everyone. Federal, state, local government and the nursing home industry,” he said.
No official count
There is no official count of nursing home deaths across the country. The federal government has only recently required the country’s more than 15,000 nursing homes to start reporting numbers of confirmed and presumed deaths and infections, but it is not yet clear when that count will be published.
In the meantime, The Associated Press has been compiling its own tally from state health departments and media reports, finding at least 13,762 deaths from outbreaks in nursing homes and long-term care facilities across the country.
But that is also likely an undercount because only about half the states are reporting nursing home deaths and not all count those who died without ever being tested for COVID-19.
Veterans homes in eastern Pennsylvania and southeastern Louisiana, among others, have seen significant death tolls in their facilities.
In addition, those in Veterans Affairs hospitals have been susceptible to the coronavirus. According to the U.S. Department of Veterans Affairs, there have been nearly 5,000 positive cases and 492 death in those facilities.