where 17 bodies piled up inside the nursing homeequipment in facebook posts. but it was too late....

1
U(D54G1D)y+#!_!#!?!" When the coronavirus outbreak hit one of the largest and most troubled nursing homes in the Northeast, coughing and feverish residents were segregated into a wing known as South 2. The sick quickly filled the beds there, so an- other wing, West 3, was also turned into a quarantine ward. But the virus kept finding frail and older residents, and one cul- prit became clear: The workers themselves were likely spreading it as they moved between rooms and floors, outfitted with little or no protective equipment. The nursing home, Andover Subacute and Rehabilitation Cen- ter II in Andover, N.J., which has 543 beds, was chronically short of staff and masks, and over the last two years it had received poor grades from federal and state in- spectors. Residents were crowded three to a room, and as the out- break worsened, so did sanitary conditions. Spilled food littered the floors. Workers said they hurriedly made their rounds, dispensing medicine, changing bedsheets, feeding those who could not feed themselves and doing other tasks that brought them into close con- tact with residents. Some workers bought rudi- mentary face shields from a recre- ation supervisor who purchased a box online for $160. By last week, employees were pleading for help from the government and for do- nations of personal protective equipment in Facebook posts. But it was too late. After receiving an anonymous tip last Monday, the police found 17 bodies in bags in a small holding room at the Andover facility. The startling discovery illus- trated the toll that the coronavirus outbreak has taken on the nation’s nursing homes and other congre- gate facilities that house society’s most vulnerable, including older people and those with mental and physical disabilities. By Sunday, at least 70 Andover residents had died and dozens of the 420 remaining residents and staff members had either tested positive for the virus or were sick with fevers, coughs or both, ac- cording to county officials. The coronavirus crisis has killed more than 7,000 people at nursing homes across the country, The New York Times has deter- mined, and has even ravaged fa- cilities with sterling reputations. But it has been especially dev- astating at nursing homes like Andover that have long come un- der criticism for quality of care, in- adequate staffing and question- able business practices. This examination by The Times of what happened at Andover is based on interviews with current and former workers, administra- Inside the Nursing Home Where 17 Bodies Piled Up Troubled Facility in Western New Jersey Struggled Even Before Contagion This article is by Tracey Tully, Bri- an M. Rosenthal, Matthew Gold- stein and Robert Gebeloff. ANDREW SENG FOR THE NEW YORK TIMES Levester Thompson Jr., right, in a photo held by his wife, was one of 1,550 New Yorkers who died of the virus April 6 and 7. Page A16. Lives Lost on 2 Cruel Days Even before the coronavirus, Nina Brajovic wasn’t so sure about her life in New York. As a consultant for Pricewaterhouse- Coopers, she spent most weeks out of town traveling for work. She often wondered whether she could do her same job for cheaper — and more easily — while based in her hometown, Pittsburgh. Over the past month, she has gotten a sneak peek of that life, moving back in with her parents to avoid the wall-to-wall density of New York and working out of her childhood bedroom. She is now sa- voring life’s slowness, eating her father’s soup and watching mov- ies on an L-shaped couch with her mom. “Part of it feels like, why am I even living in New York?” said Ms. Brajovic, 24, who pays $1,860 in rent each month for her share of an apartment with two room- mates in Manhattan. “Why am I always paying all of this rent?” With her lease up for renewal, she is contemplating whether to make the move more permanent. “I have no idea what I am going to do,” said Ms. Brajovic. “But it is a thought in my mind: the poten- tial of not going back.” The pandemic has been particu- larly devastating to America’s big- gest cities, as the virus has found fertile ground in the density that is otherwise prized. And it comes as the country’s major urban centers were already losing their appeal for many Americans, as skyrock- eting rents and changes in the la- bor market have pushed the coun- try’s youngest adults to suburbs and smaller cities often far from the coasts. The country’s three largest metropolitan areas, New York, Los Angeles and Chicago, all lost population in the past several years, according to an analysis by William Frey, a demographer at the Brookings Institution. Even slightly smaller metro areas, like Houston, Washington, D.C., and Miami grew more slowly than be- fore. In all, growth in the country’s major metropolitan areas fell by nearly half over the course of the City Dwellers Weigh Saying Goodbye to All That By SABRINA TAVERNISE and SARAH MERVOSH FROM LEFT: JUAN ARREDONDO FOR THE NEW YORK TIMES; LYNDON FRENCH FOR THE NEW YORK TIMES; LUCY NICHOLSON/REUTERS From left: commuters at Broadway Junction in the Brooklyn borough of New York; Chicago’s downtown; the freeways of Los Angeles. Each city has lost population over the past several years. Crisis Ignites a Desire for Open Spaces, and Cheaper Rents Continued on Page A10 A law firm in Scottsdale, Ariz., tested employees who hoped, with the prick of a finger, to learn if they might be immune. In Laredo, Texas, community leaders se- cured 20,000 of the new tests to gauge how many residents had been infected. In Chicago, a hospi- tal screened firefighters to help determine whether they could safely stay on the job. In recent weeks, the United States has seen the first rollout of blood tests for coronavirus anti- bodies, widely heralded as crucial tools to assess the reach of the pandemic in the United States, re- start the economy and reintegrate society. But for all their promise, the tests intended to signal whether people may have built immunity to the virus — are al- ready raising alarms. Officials fear the effort may prove as problematic as the earli- er launch of diagnostic tests that failed to monitor which Ameri- cans, and how many, had been in- fected or developed the disease the virus causes. Criticized for a tragically slow and rigid oversight of those tests months ago, the fed- eral government is now faulted by public health officials and scien- tists for greenlighting the anti- body tests too quickly and without adequate scrutiny. The Food and Drug Administra- tion has allowed about 90 compa- nies, many based in China, to sell tests that have not gotten govern- ment vetting, saying the pan- FLAWS HINDERING ANTIBODY TESTING Procedure Is Crucial Tool for Reopening U.S. This article is by Steve Eder, Megan Twohey and Apoorva Man- davilli. Continued on Page A11 WASHINGTON — Shortly be- fore midnight on Friday, and just hours after he had taken to Twitter to encourage Americans to “liber- ate” three Democratic-governed states from stay-at-home orders, President Trump reopened his Twitter app and went on another brief tear. He retweeted 11 posts by Charlie Kirk, a young right- wing provocateur with ties to the Trump family and a social media presence that attracts far more at- tention than some mainstream news organizations. The tweets by Mr. Kirk, 26, who runs Turning Point USA, a conser- vative student group, hit just the right marks for the president. One tweet accused the World Health Organization of covering up the coronavirus outbreak, and up- braided Democrats for opposing the president’s decision to cut the group’s funding. Another claimed Democrats were appeasing Bei- jing and not doing enough to help Americans left jobless by the pan- demic. A few covered some of the president’s longstanding griev- ances, such as the conviction of Roger Stone and claims of voter fraud. A well-worn conspiracy theory about Hunter Biden’s deal- ings with China even made an ap- pearance. Never mind that the W.H.O. — which Mr. Kirk called “the Wuhan Health Organization,” after the city where the pandemic began — issued warnings about the virus early and often, and that a number of the other tweets similarly mis- A Provocateur Who Put the Words ‘China Virus’ in Trump’s Mouth By MATTHEW ROSENBERG and KATIE ROGERS Young Leader, Fudging Facts, Fuels the Right Continued on Page A7 MOSCOW — Nearly as big as California but served by only a handful of mostly decrepit Soviet- era hospitals, the remote northern Russian region of Komi is a coro- navirus petri dish for the horrors lying in wait for the world’s largest country. Amid growing evidence that the pathogen had already breached Komi’s feeble defenses, the local authorities moved vigorously last week to contain the crisis: The po- lice summoned critics of the re- gional government to ask how they knew about an outbreak in a hospital at a time when officials in Komi were insisting nobody had been infected. Among those called in for ques- tioning was Pavel Andreev, the di- rector of 7x7 Komi, an independ- ent online journal that revealed last month how a surgeon in a Komi state hospital sick with Covid-19 had infected patients. Mr. Andreev said the police offi- cer who led the interrogation mainly wanted to know about a comment the media director had posted online that said, “It is im- possible to trust the state, even in hospitals.” Mr. Andreev, who has not been charged or even asked to take down his post, said the en- counter was not so much menac- ing as baffling: The cat is already out of the bag so “why waste time and energy on this?” he asked. The police intervention was carried out at the behest of Komi’s health minister, who was fired last week for his mishandling of the pandemic. It highlights one of Russia’s biggest obstacles as it struggles to control the spread of the virus in its vast and often ram- shackle hinterland: a lumbering bureaucratic machine geared first and foremost to protecting offi- cials, even after they lose their jobs, not safeguarding the public or its health. Unlike China — which routinely arrests government critics or sim- Official Silence Abets Outbreak In Putin’s Russia By ANDREW HIGGINS Continued on Page A6 A Major League Baseball sea- son to be played entirely in the Ar- izona desert without fans, and with teams isolating themselves from the outside world. The N.B.A. taking over a hotel on the Las Vegas Strip so its stars can dine and dunk in their own bubble — but only after the league gets access to instant coronavirus tests. Mixed-martial-arts fights live on TV from a private island . . . somewhere. More than a month into the co- ronavirus shutdown, the Ameri- can sports industrial complex is getting creative, or perhaps des- perate, searching for a moonshot that might bring professional ath- letics back to a nation largely cooped up at home and suffering from collective cabin fever. Fans are clamoring for some- thing, anything, to distract from the pandemic and restore sports to the rhythm of American life; even Dr. Anthony S. Fauci, the presidential adviser on infectious diseases, recently mused about seeing the Washington Nationals defend their World Series title. Meanwhile, owners, executives and athletes — and all the related businesses and workers who de- Sports Yearning For a Comeback Despite the Risk This article is by Joe Drape, Ken Belson and Billy Witz. Leagues in an idled $71 billion industry face many obstacles. BRIAN SPURLOCK/USA TODAY SPORTS, VIA REUTERS Continued on Page A13 Continued on Page A14 Uber and Lyft started the year with optimism. Now the ride-hailing rivals are just trying to survive. PAGE B1 BUSINESS B1-6 Driven Toward a Free Fall A post by Coco Gauff drew attention over the word “depressed.” Her parents said they saw something else. PAGE D3 SPORTSMONDAY D1-5 More on a Teenager’s Struggle Sotheby’s, Christie’s and Phillips are stepping up online selling. The sale of a 1981 triptych, above, by Francis Bacon has been delayed. PAGE C1 ARTS C1-7 Art Auctions Go Digital Production has ground to a halt, leaving many people without work and others finishing projects remotely. PAGE B1 A New World Backstage Will parents and children be eager to return to team sports once the threat of the pandemic has passed? PAGE D1 Youth Sports in Limbo Paul H. O’Neill was heading into retire- ment when he was asked to take the job in 2000. He was fired less than two years later by President George W. Bush. He was 84. PAGE D6 OBITUARIES B7-8, D6 Former Treasury Secretary William Bailey swathed his nudes and still lifes of eggs, vases, bottles and bowls in a breathless, deceptively se- rene atmosphere heavy with mystery. He was 89. PAGE B8 Modernist Figurative Painter Bernie Sanders PAGE A21 EDITORIAL, OP-ED A20-21 On the 25th anniversary of a bombing that killed 168 people, some worry that the national memory is fading. PAGE A18 NATIONAL A18-19 Oklahoma City Looks Back At least 16 people were killed, including a police officer, after a 12-hour rampage throughout Nova Scotia, the police said. The gunman also died. INTERNATIONAL A17 Deadly Shooting in Canada Kim Yong-hee, a union activist, has been atop an 82-foot-tall traffic camera tower in South Korea for over 300 days. Fighting Samsung From Above Late Edition VOL. CLXIX . . . No. 58,669 © 2020 The New York Times Company NEW YORK, MONDAY, APRIL 20, 2020 Today, clouds and sunshine, high 58. Tonight, partly cloudy, low 44. To- morrow, clouds and sunshine, after- noon thunderstorms, high 62. Weather map appears on Page A22. $3.00

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Page 1: Where 17 Bodies Piled Up Inside the Nursing Homeequipment in Facebook posts. But it was too late. After receiving an anonymous tip last Monday, the police found 17 bodies in bags in

C M Y K Nxxx,2020-04-20,A,001,Bs-4C,E2

U(D54G1D)y+#!_!#!?!"

When the coronavirus outbreakhit one of the largest and mosttroubled nursing homes in theNortheast, coughing and feverishresidents were segregated into awing known as South 2. The sickquickly filled the beds there, so an-other wing, West 3, was alsoturned into a quarantine ward.

But the virus kept finding frailand older residents, and one cul-prit became clear: The workersthemselves were likely spreadingit as they moved between roomsand floors, outfitted with little orno protective equipment.

The nursing home, AndoverSubacute and Rehabilitation Cen-ter II in Andover, N.J., which has543 beds, was chronically short ofstaff and masks, and over the lasttwo years it had received poorgrades from federal and state in-spectors. Residents were crowdedthree to a room, and as the out-break worsened, so did sanitaryconditions. Spilled food litteredthe floors.

Workers said they hurriedlymade their rounds, dispensingmedicine, changing bedsheets,feeding those who could not feedthemselves and doing other tasksthat brought them into close con-tact with residents.

Some workers bought rudi-mentary face shields from a recre-ation supervisor who purchased a

box online for $160. By last week,employees were pleading for helpfrom the government and for do-nations of personal protectiveequipment in Facebook posts.

But it was too late.After receiving an anonymous

tip last Monday, the police found17 bodies in bags in a small holdingroom at the Andover facility.

The startling discovery illus-trated the toll that the coronavirusoutbreak has taken on the nation’snursing homes and other congre-gate facilities that house society’smost vulnerable, including olderpeople and those with mental andphysical disabilities.

By Sunday, at least 70 Andoverresidents had died and dozens ofthe 420 remaining residents andstaff members had either testedpositive for the virus or were sickwith fevers, coughs or both, ac-cording to county officials.

The coronavirus crisis haskilled more than 7,000 people atnursing homes across the country,The New York Times has deter-mined, and has even ravaged fa-cilities with sterling reputations.

But it has been especially dev-astating at nursing homes likeAndover that have long come un-der criticism for quality of care, in-adequate staffing and question-able business practices.

This examination by The Timesof what happened at Andover isbased on interviews with currentand former workers, administra-

Inside the Nursing HomeWhere 17 Bodies Piled Up

Troubled Facility in Western New Jersey Struggled Even Before Contagion

This article is by Tracey Tully, Bri-an M. Rosenthal, Matthew Gold-stein and Robert Gebeloff.

ANDREW SENG FOR THE NEW YORK TIMES

Levester Thompson Jr., right, in a photo held by his wife, was one of 1,550 New Yorkers who died of the virus April 6 and 7. Page A16.Lives Lost on 2 Cruel Days

Even before the coronavirus,Nina Brajovic wasn’t so sureabout her life in New York. As aconsultant for Pricewaterhouse-Coopers, she spent most weeksout of town traveling for work. Sheoften wondered whether shecould do her same job for cheaper— and more easily — while basedin her hometown, Pittsburgh.

Over the past month, she hasgotten a sneak peek of that life,moving back in with her parentsto avoid the wall-to-wall density ofNew York and working out of herchildhood bedroom. She is now sa-voring life’s slowness, eating herfather’s soup and watching mov-ies on an L-shaped couch with hermom.

“Part of it feels like, why am I

even living in New York?” saidMs. Brajovic, 24, who pays $1,860in rent each month for her share ofan apartment with two room-mates in Manhattan. “Why am Ialways paying all of this rent?”

With her lease up for renewal,she is contemplating whether tomake the move more permanent.

“I have no idea what I am goingto do,” said Ms. Brajovic. “But it isa thought in my mind: the poten-tial of not going back.”

The pandemic has been particu-larly devastating to America’s big-gest cities, as the virus has found

fertile ground in the density that isotherwise prized. And it comes asthe country’s major urban centerswere already losing their appealfor many Americans, as skyrock-eting rents and changes in the la-bor market have pushed the coun-try’s youngest adults to suburbsand smaller cities often far fromthe coasts.

The country’s three largestmetropolitan areas, New York,Los Angeles and Chicago, all lostpopulation in the past severalyears, according to an analysis byWilliam Frey, a demographer atthe Brookings Institution. Evenslightly smaller metro areas, likeHouston, Washington, D.C., andMiami grew more slowly than be-fore. In all, growth in the country’smajor metropolitan areas fell bynearly half over the course of the

City Dwellers Weigh Saying Goodbye to All ThatBy SABRINA TAVERNISE

and SARAH MERVOSH

FROM LEFT: JUAN ARREDONDO FOR THE NEW YORK TIMES; LYNDON FRENCH FOR THE NEW YORK TIMES; LUCY NICHOLSON/REUTERS

From left: commuters at Broadway Junction in the Brooklyn borough of New York; Chicago’sdowntown; the freeways of Los Angeles. Each city has lost population over the past several years.

Crisis Ignites a Desirefor Open Spaces, and

Cheaper Rents

Continued on Page A10

A law firm in Scottsdale, Ariz.,tested employees who hoped, withthe prick of a finger, to learn if theymight be immune. In Laredo,Texas, community leaders se-cured 20,000 of the new tests togauge how many residents hadbeen infected. In Chicago, a hospi-tal screened firefighters to helpdetermine whether they couldsafely stay on the job.

In recent weeks, the UnitedStates has seen the first rollout ofblood tests for coronavirus anti-bodies, widely heralded as crucialtools to assess the reach of thepandemic in the United States, re-start the economy and reintegratesociety.

But for all their promise, thetests — intended to signalwhether people may have builtimmunity to the virus — are al-ready raising alarms.

Officials fear the effort mayprove as problematic as the earli-er launch of diagnostic tests thatfailed to monitor which Ameri-cans, and how many, had been in-fected or developed the diseasethe virus causes. Criticized for atragically slow and rigid oversightof those tests months ago, the fed-eral government is now faulted bypublic health officials and scien-tists for greenlighting the anti-body tests too quickly and withoutadequate scrutiny.

The Food and Drug Administra-tion has allowed about 90 compa-nies, many based in China, to selltests that have not gotten govern-ment vetting, saying the pan-

FLAWS HINDERINGANTIBODY TESTING

Procedure Is Crucial Toolfor Reopening U.S.

This article is by Steve Eder,Megan Twohey and Apoorva Man-davilli.

Continued on Page A11

WASHINGTON — Shortly be-fore midnight on Friday, and justhours after he had taken to Twitterto encourage Americans to “liber-ate” three Democratic-governedstates from stay-at-home orders,President Trump reopened hisTwitter app and went on anotherbrief tear. He retweeted 11 postsby Charlie Kirk, a young right-

wing provocateur with ties to theTrump family and a social mediapresence that attracts far more at-tention than some mainstreamnews organizations.

The tweets by Mr. Kirk, 26, whoruns Turning Point USA, a conser-vative student group, hit just theright marks for the president. Onetweet accused the World HealthOrganization of covering up thecoronavirus outbreak, and up-braided Democrats for opposingthe president’s decision to cut the

group’s funding. Another claimedDemocrats were appeasing Bei-jing and not doing enough to helpAmericans left jobless by the pan-demic. A few covered some of thepresident’s longstanding griev-ances, such as the conviction of

Roger Stone and claims of voterfraud. A well-worn conspiracytheory about Hunter Biden’s deal-ings with China even made an ap-pearance.

Never mind that the W.H.O. —which Mr. Kirk called “the WuhanHealth Organization,” after thecity where the pandemic began —issued warnings about the virusearly and often, and that a numberof the other tweets similarly mis-

A Provocateur Who Put the Words ‘China Virus’ in Trump’s MouthBy MATTHEW ROSENBERG

and KATIE ROGERSYoung Leader, Fudging

Facts, Fuels the Right

Continued on Page A7

MOSCOW — Nearly as big asCalifornia but served by only ahandful of mostly decrepit Soviet-era hospitals, the remote northernRussian region of Komi is a coro-navirus petri dish for the horrorslying in wait for the world’s largestcountry.

Amid growing evidence that thepathogen had already breachedKomi’s feeble defenses, the localauthorities moved vigorously lastweek to contain the crisis: The po-lice summoned critics of the re-gional government to ask howthey knew about an outbreak in ahospital at a time when officials inKomi were insisting nobody hadbeen infected.

Among those called in for ques-tioning was Pavel Andreev, the di-rector of 7x7 Komi, an independ-ent online journal that revealedlast month how a surgeon in aKomi state hospital sick withCovid-19 had infected patients.

Mr. Andreev said the police offi-cer who led the interrogationmainly wanted to know about acomment the media director hadposted online that said, “It is im-possible to trust the state, even inhospitals.” Mr. Andreev, who hasnot been charged or even asked totake down his post, said the en-counter was not so much menac-ing as baffling: The cat is alreadyout of the bag so “why waste timeand energy on this?” he asked.

The police intervention wascarried out at the behest of Komi’shealth minister, who was fired lastweek for his mishandling of thepandemic. It highlights one ofRussia’s biggest obstacles as itstruggles to control the spread ofthe virus in its vast and often ram-shackle hinterland: a lumberingbureaucratic machine geared firstand foremost to protecting offi-cials, even after they lose theirjobs, not safeguarding the publicor its health.

Unlike China — which routinelyarrests government critics or sim-

Official SilenceAbets OutbreakIn Putin’s Russia

By ANDREW HIGGINS

Continued on Page A6

A Major League Baseball sea-son to be played entirely in the Ar-izona desert without fans, andwith teams isolating themselvesfrom the outside world.

The N.B.A. taking over a hotelon the Las Vegas Strip so its starscan dine and dunk in their ownbubble — but only after the leaguegets access to instant coronavirustests.

Mixed-martial-arts fights liveon TV from a private island . . .somewhere.

More than a month into the co-ronavirus shutdown, the Ameri-can sports industrial complex isgetting creative, or perhaps des-perate, searching for a moonshotthat might bring professional ath-letics back to a nation largelycooped up at home and sufferingfrom collective cabin fever.

Fans are clamoring for some-thing, anything, to distract fromthe pandemic and restore sportsto the rhythm of American life;even Dr. Anthony S. Fauci, thepresidential adviser on infectiousdiseases, recently mused aboutseeing the Washington Nationalsdefend their World Series title.

Meanwhile, owners, executivesand athletes — and all the relatedbusinesses and workers who de-

Sports YearningFor a ComebackDespite the RiskThis article is by Joe Drape, Ken

Belson and Billy Witz.

Leagues in an idled $71 billionindustry face many obstacles.

BRIAN SPURLOCK/USA TODAY SPORTS, VIA REUTERS

Continued on Page A13

Continued on Page A14

Uber and Lyft started the year withoptimism. Now the ride-hailing rivalsare just trying to survive. PAGE B1

BUSINESS B1-6

Driven Toward a Free FallA post by Coco Gauff drew attention overthe word “depressed.” Her parents saidthey saw something else. PAGE D3

SPORTSMONDAY D1-5

More on a Teenager’s StruggleSotheby’s, Christie’s and Phillips arestepping up online selling. The sale ofa 1981 triptych, above, by Francis Baconhas been delayed. PAGE C1

ARTS C1-7

Art Auctions Go Digital

Production has ground to a halt, leavingmany people without work and othersfinishing projects remotely. PAGE B1

A New World BackstageWill parents and children be eager toreturn to team sports once the threat ofthe pandemic has passed? PAGE D1

Youth Sports in Limbo

Paul H. O’Neill was heading into retire-ment when he was asked to take the jobin 2000. He was fired less than twoyears later by President George W.Bush. He was 84. PAGE D6

OBITUARIES B7-8, D6

Former Treasury Secretary

William Bailey swathed his nudes andstill lifes of eggs, vases, bottles andbowls in a breathless, deceptively se-rene atmosphere heavy with mystery.He was 89. PAGE B8

Modernist Figurative Painter

Bernie Sanders PAGE A21

EDITORIAL, OP-ED A20-21On the 25th anniversary of a bombingthat killed 168 people, some worry thatthe national memory is fading. PAGE A18

NATIONAL A18-19

Oklahoma City Looks Back

At least 16 people were killed, includinga police officer, after a 12-hour rampagethroughout Nova Scotia, the police said.The gunman also died.

INTERNATIONAL A17

Deadly Shooting in Canada

Kim Yong-hee, a union activist, hasbeen atop an 82-foot-tall traffic cameratower in South Korea for over 300 days.

Fighting Samsung From Above

Late Edition

VOL. CLXIX . . . No. 58,669 © 2020 The New York Times Company NEW YORK, MONDAY, APRIL 20, 2020

Today, clouds and sunshine, high 58.Tonight, partly cloudy, low 44. To-morrow, clouds and sunshine, after-noon thunderstorms, high 62.Weather map appears on Page A22.

$3.00