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AP Mar 14, 2020 2 days ago

In this March 12, 2020, photo, Steve Sedlacek, right looks at his father, Chuck Sedlacek, back left, through reflections in the window of his room at Life Care Center in Kirkland, Wash., near Seattle. The facility has been at the center of the coronavirus outbreak in the state, and Sedlacek's brother Scott said that he and his siblings have barely spoken to their father inside the center, who in addition to testing positive for the coronavirus, has blindness, neuropathy, and has difficulty using a phone, saying he is more of an "inmate" than a patient. Residents of assisted living facilities and their loved ones are facing a grim situation as the coronavirus spreads across the country, placing elderly people especially at risk. (AP Photo/Ted S. Warren)

Flowers and other memorials are viewed Friday, March 13, 2020, near a sign at the entrance to the Life Care Center in Kirkland, Wash., near Seattle, which has been at the center of the coronavirus outbreak in the state. Residents of assisted living facilities and their loved ones are facing a grim situation as the coronavirus spreads across the country, placing elderly people especially at risk. (AP Photo/Ted S. Warren)

In this March 12, 2020, photo, Scott Sedlacek poses for a photo while holding a photo of his father, Chuck, outside Life Care Center in Kirkland, Wash., near Seattle. The facility has been at the center of the coronavirus outbreak in the state, and Sedlacek who also has tested positive for the virus said he and his siblings have barely spoken to their father, who in addition to testing positive for the coronavirus, has blindness, neuropathy, and has difficulty using a phone, saying he is more of an "inmate" than a patient. Residents of assisted living facilities and their loved ones are facing a grim situation as the coronavirus spreads across the country, placing elderly people especially at risk. (AP Photo/Ted S. Warren)

A nurse works in the room of Chuck Sedlacek who has tested positive for the COVID-19 coronavirus Friday, March 13, 2020, as seen through the window of his room at Life Care Center in Kirkland, Wash., near Seattle. The facility has been at the center of the coronavirus outbreak in the state, and Sedlacek's son Scott Sedlacek said that he and his siblings have barely spoken to their father inside the center, who in addition to testing positive for the coronavirus, has blindness, neuropathy, and has difficulty using a phone, saying he is more of an "inmate" than a patient. Residents of assisted living facilities and their loved ones are facing a grim situation as the coronavirus spreads across the country, placing elderly people especially at risk. (AP Photo/Ted S. Warren)

In this March 12, 2020 photo, Scott Sedlacek becomes animated as he holds a picture of his father, Chuck, and talks to reporters outside Life Care Center in Kirkland, Wash., near Seattle. The facility has been at the center of the COVID-19 coronavirus outbreak in the state, and Sedlacek who also has tested positive for the virus said he and his siblings have barely spoken to their father who lives inside the center, and in addition to testing positive for the coronavirus, has blindness, neuropathy, and has difficulty using a phone, saying he is more of an "inmate" than a patient. Residents of assisted living facilities and their loved ones are facing a grim situation as the coronavirus spreads across the country, placing elderly people especially at risk. (AP Photo/Ted S. Warren)

In this March 12, 2020, photo, Scott Sedlacek, left, who has tested positive for the COVID-19 coronavirus, listens as Tim Killian, right, a spokesman for Life Care Center in Kirkland, Wash., answers one of Sedlacek's questions during Killian's daily press briefing. Sedlacek's father, Chuck, who also has tested positive, lives in the facility, which has been at the center of the COVID-19 coronavirus outbreak in the state, and Sedlacek said he and his siblings have barely spoken to their father, who has blindness and neuropathy, and difficulty using a phone, saying he is more of an "inmate" than a patient. Residents of assisted living facilities and their loved ones are facing a grim situation as the coronavirus spreads across the country, placing elderly people especially at risk. (AP Photo/Ted S. Warren)

In this March 12, 2020, photo, a person is loaded into an ambulance at Life Care Center in Kirkland, Wash., which has been at the center of the COVID-19 coronavirus outbreak in the state. Residents of assisted living facilities and their loved ones are facing a grim situation as the coronavirus spreads across the country, placing elderly people especially at risk. (AP Photo/Ted S. Warren)

In this March 6, 2020, photo, Su Wilson, left, takes a photo with a worker at Life Care Center in Kirkland, Wash., after handing off flowers to give to her mother, June Liu, who lives at the facility, which has been at the center of the COVID-19 coronavirus outbreak in the state. Residents of assisted living facilities and their loved ones are facing a grim situation as the coronavirus spreads across the country, placing elderly people especially at risk. (AP Photo/Ted S. Warren)

In this March 6, 2020, photo, Su Wilson, front left, smiles after giving a worker at Life Care Center in Kirkland, Wash., flowers to give to her mother, June Liu, who lives at the facility, which has been at the center of the COVID-19 coronavirus outbreak in the state. Residents of assisted living facilities and their loved ones are facing a grim situation as the coronavirus spreads across the country, placing elderly people especially at risk. (AP Photo/Ted S. Warren)

In this March 11, 2020, photo, Scott Sedlacek, right, who has tested positive for the COVID-19 coronavirus, wears a mask as he stands near reporters and listens to a spokesman for Life Care Center in Kirkland, Wash., during a daily press briefing. Sedlacek's father, Chuck, who also has tested positive, lives in the facility, which has been at the center of the COVID-19 coronavirus outbreak in the state, and Sedlacek said he and his siblings have barely spoken to their father, who has blindness and neuropathy, and difficulty using a phone, saying he is more of an "inmate" than a patient. Residents of assisted living facilities and their loved ones are facing a grim situation as the coronavirus spreads across the country, placing elderly people especially at risk. (AP Photo/Ted S. Warren)

A nurse wearing a mask walks past the room of Chuck Sedlacek who has tested positive for the COVID-19 coronavirus Friday, March 13, 2020, as seen through the window of his room at Life Care Center in Kirkland, Wash., near Seattle. The facility has been at the center of the coronavirus outbreak in the state, and Sedlacek's son Scott Sedlacek said that he and his siblings have barely spoken to their father inside the center, who in addition to testing positive for the coronavirus, has blindness, neuropathy, and has difficulty using a phone, saying he is more of an "inmate" than a patient. Residents of assisted living facilities and their loved ones are facing a grim situation as the coronavirus spreads across the country, placing elderly people especially at risk. (AP Photo/Ted S. Warren)

In this March 12, 2020, photo, family members of Chuck Sedlacek, left, look at him through reflections in the window of his room at Life Care Center in Kirkland, Wash., near Seattle. The facility has been at the center of the COVID-19 coronavirus outbreak in the state, and Sedlacek's son Scott said that he and his siblings have barely spoken to their father inside the center, who in addition to testing positive for the coronavirus, has blindness, neuropathy, and has difficulty using a phone, saying he is more of an "inmate" than a patient. Residents of assisted living facilities and their loved ones are facing a grim situation as the coronavirus spreads across the country, placing elderly people especially at risk. (AP Photo/Ted S. Warren)

In this March 11, 2020, photo, Scott Sedlacek, left, who has tested positive for the coronavirus, wears a mask as he stands near reporters and listens to Tim Killian, right, a spokesman for Life Care Center in Kirkland, Wash., during Killian's daily briefing. Sedlacek's father Chuck, who also has tested positive, lives in the facility, which has been at the center of the coronavirus outbreak in the state. Residents of assisted living facilities and their loved ones are facing a grim situation as the coronavirus spreads across the country, placing elderly people especially at risk. (AP Photo/Ted S. Warren)

In this March 12, 2020, photo, Scott Sedlacek becomes animated as talks to reporters outside Life Care Center in Kirkland, Wash., near Seattle. The facility has been at the center of the coronavirus outbreak in the state, and Sedlacek who also has tested positive for the virus said he and his siblings have barely spoken to their father who lives inside the center, and in addition to testing positive for the coronavirus, has blindness, neuropathy, and has difficulty using a phone, saying he is more of an "inmate" than a patient. Residents of assisted living facilities and their loved ones are facing a grim situation as the coronavirus spreads across the country, placing elderly people especially at risk. (AP Photo/Ted S. Warren)

In this March 12, 2020, photo, family members of Chuck Sedlacek wave and greet him through reflections in the window of his room at Life Care Center in Kirkland, Wash., near Seattle. The facility has been at the center of the COVID-19 coronavirus outbreak in the state, and Sedlacek's son Scott said that he and his siblings have barely spoken to their father inside the center, who in addition to testing positive for the coronavirus, has blindness, neuropathy, and has difficulty using a phone, saying he is more of an "inmate" than a patient. Residents of assisted living facilities and their loved ones are facing a grim situation as the coronavirus spreads across the country, placing elderly people especially at risk. (AP Photo/Ted S. Warren)

In this March 12, 2020, photo, Scott Sedlacek poses for a photo while holding a picture of his father, Chuck, outside Life Care Center in Kirkland, Wash., near Seattle. The facility has been at the center of the COVID-19 coronavirus outbreak in the state, and Sedlacek who also has tested positive for the virus said he and his siblings have barely spoken to their father, who in addition to testing positive for the coronavirus, has blindness, neuropathy, and has difficulty using a phone, saying he is more of an "inmate" than a patient. Residents of assisted living facilities and their loved ones are facing a grim situation as the coronavirus spreads across the country, placing elderly people especially at risk. (AP Photo/Ted S. Warren)

In this March 11, 2020, photo, Scott Sedlacek, left, who has tested positive for the coronavirus, wears a mask as he stands with his brother Steve outside the Life Care Center in Kirkland, Wash. Their father Chuck, who also has tested positive, lives in the facility, which has been at the center of the coronavirus outbreak in the state. Residents of assisted living facilities and their loved ones are facing a grim situation as the coronavirus spreads across the country, placing elderly people especially at risk. (AP Photo/Ted S. Warren)

KIRKLAND, Wash. (AP) Desperate to talk to their dad, Scott Sedlacek and his brother, Steve, stood outside his open nursing home window and shouted. They could barely hear his weak replies, but one came through clearly.

I feel like (expletive), the 86-year-old told them.

Chuck Sedlacek arrived at the Life Care Center of Kirkland three weeks ago for physical therapy, just before the suburban nursing home became the epicenter of the nation's worst coronavirus outbreak.

Now he's in worse shape than before.

Hes in isolation after contracting the virus, but his symptoms haven't progressed enough to warrant moving him to a hospital. He came seeking rehab for a broken ankle and banged-up knee after a fall, but he hasn't gotten out of bed in two weeks. Though he previously lived independently in a senior community where he could walk the halls and visit old friends, hes now losing his mobility from lack of exercise.

His five children have hardly spoken with him because his near blindness and neuropathy in his hands make it tough for him to use a phone. And, they say, the overwhelmed Life Care staff has given him just two sponge baths since he arrived.

Hes an inmate as much as he is a patient, said Scott Sedlacek, 64, who also caught the virus. We all love and really care about our dad, and we are absolutely scared. Loneliness kills a lot of people, too. We think this is a license for death.

The Sedlaceks experience is a grim tale of what residents and their loved ones face as the coronavirus spreads around the country and enters other long-term care facilities. While most people recover from the virus and many have mild symptoms, elderly residents are especially at risk.

The virus has been confirmed in at least 11 nursing homes or senior apartments in western Washington. A cluster has also emerged at a veterans home in Lebanon, Oregon, where eight cases were confirmed in recent days.

Nursing homes around the country which are frequently cited for infection control problems are on high alert for coronavirus, boosting their cleaning regimens and clamping down on visitors.

The families of the remaining Life Care residents have reason to be terrified. More than two dozen coronavirus deaths have been linked to the facility, and more than half of those inside have tested positive.

The residents remain in a purgatory. They are mostly restricted to their rooms with no visitors. Roommates or neighbors across the hall have vanished without explanation. Some people are confused about whats going on.

The families, meanwhile, say their anguish has been compounded by mixed messages and a lack of information.

The nurses have told the Sedlaceks they check their fathers temperature every four to eight hours, less often than the two hours promised by administrators. That's troubling, since the virus seems able to cause fevers to spike drastically in a short period. The family has no idea how or when theyll be able to transfer their father out of the center if he recovers from the virus.

Families also question why, long after the outbreak began in China, the U.S. health system was so ill-prepared to test for coronavirus that the facility was still admitting new patients, including Chuck Sedlacek, even after the first resident had been sent to the hospital with flu-like symptoms.

Life Care said there was no reason to think the cornavirus was present until it received news Feb. 29 that a resident had tested positive. Administrators said remaining workers one-third are out with virus symptoms are doing what they can to care for residents.

All I can say is the nurses share your frustration, spokesman Tim Killian told the Sedlaceks when they questioned him during a media availability outside the nursing home this week. We have diminished capability to take care of all the patients in the exact manner they need. ... We do need more help.

The inability to comfort confused parents has been especially painful.

June Lius family used to pick her up several times a week for home-cooked Taiwanese meals and church services. The 93-year-old, who doesnt speak English, has lived at Life Care for two years since a small stroke.

During a flu outbreak there last year, she was able to leave the facility to stay with her daughter, Su Wilson. But now shes stuck at the facility after developing a cough two weeks ago and testing positive for the virus. She doesn't understand why no one is coming to visit her and why she cant go stay with her family.

I think shes very, very depressed, not knowing whats going on, Wilson said. This is sad for a lot of families and for us. The staff are trying to do their best, but are you caring for their mental health, or is it just Isolation! Isolation! Check vitals! IV!?

Wilson has now taken to leaving homemade soup outside the nursing home for staff to bring inside to her mom.

There is hope that outbreaks at other nursing homes might be less severe as they adopt restrictions and learn from Life Cares experience.

For example, at the senior living community where Chuck Sedlacek typically lives, Emerald Heights in Redmond, a staff member at a skilled nursing facility developed symptoms early this month and immediately began staying home before a test confirmed the disease. Eleven residents deemed at risk were quickly isolated and tested; only one was positive.

Meanwhile, though, a resident of the separate independent living community has been confirmed to have the disease and is now in self-isolation.

Despite our advanced planning, were having to run very, very fast to stay ahead of this virus, said Kris Egskov, Aegis Living president, after a resident at Aegis Marymoor in Redmond, Washington, tested positive. We are preparing for the long-haul and accept that this may in fact be an entirely new paradigm in which to protect our residents.

Scott Sedlacek visited his dad four times before Life Care was locked down to visitors on Feb. 29. No one inside was even wearing face masks, he said.

On March 1, the sons joints began to ache. He spent two days trying to get tested for COVID-19, asking doctors as well as public health officials. Even though hed spent time at Life Care, the center of the worst U.S. outbreak, he couldnt obtain a test until after his fever spiked, he had trouble breathing and his wife brought him to a hospital emergency room, which cleared him of the flu and other illnesses.

He felt fine again within 12 hours of being treated with a bronchial nebulizer, and he quarantined himself until last Wednesday, when he cut the period short so he could visit his dad through the hospital window. He wore a yellow face mask as he yelled to him.

This is supposed to be my last day of quarantine, but being with my dad is way more important, Sedlacek said that night. Hes in there and hes lonely. The big thing we wanted to convey to him was, Were here for you, we love you and we want you to get better we just cant be in there with you.

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Johnson reported from Seattle.

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The Associated Press receives support for health and science coverage from the Howard Hughes Medical Institutes Department of Science Education. The AP is solely responsible for all content.

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'He's an inmate': Anguish mounts over virus-hit nursing home - RiverBender.com

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