LOS ANGELES (Tribune News Service) — The operators of an upscale Los Angeles care facility for dementia patients were charged Tuesday with felony elder abuse and other criminal counts related to the deaths of an employee and thirteen residents during the early days of the coronavirus pandemic.

Silverado Beverly Place, near the Fairfax district, specializes in caring for elderly residents with Alzheimer’s and dementia, and was the site of a COVID-19 outbreak in March 2020.

The employee and residents died during the outbreak, in which 45 employees and 60 residents were infected, according to the Los Angeles County district attorney’s office. The facility’s operators were sued in civil court by the families of multiple residents and the employee who died. The facility was the subject of a 2020 Los Angeles Times investigation.

The facility was meant to be closed to visitors, prosecutors said, when it admitted a patient from a New York psychiatric unit. Silverado Beverly Place’s own protocols required it to not admit anyone from a high-risk area like New York City, which was considered an epicenter of COVID-19 at the time.

Prosecutors say the patient was not tested for the coronavirus when they were admitted and showed symptoms the next morning. But after they tested positive, they were not quarantined, according to the criminal charges.

Management at the facility did not block visitors who traveled domestically or internationally within 14 days to areas where COVID-19 cases were confirmed, prosecutors allege.

“These careless decisions created conditions that needlessly exposed Silverado staff and its residents to serious injury and — tragically — death,” Dist. Atty. George Gascón said in a statement when his office announced the charges.

Three managers were charged with 13 felony counts of elder endangerment and five felony counts of violation causing death. The charges were filed over the facility’s management of its employee’s health and safety. Loren Bernard Shook, Jason Michael Russo and Kimberly Cheryl Butrum were charged along with the Irvine company Silverado Senior Management Inc.

Prosecutors claim that the patient from New York was admitted to Silverado Beverly Place because of financial considerations.

Investigators with the California Division of Occupational Safety and Health conducted a 2½-year investigation into Silverado Beverly Place, whose parent company manages several care facilities across the country.

An email to Silverado Senior Management seeking comment on the charges was not immediately answered.

Gascón also read the names of the 14 people who died during the COVID-19 outbreak at the facility during a news conference in downtown Los Angeles.

They are nurse Brittany Bruner-Ringo, Elizabeth Cohen, Joseph Manduke, Catherine Apothaker, Jake Khorsandi, Albert Sarnoff, Dolores Sarnoff, Myrna Frank, Frank Piumetti, Jay Tedeman, Luba Paz, Kaye Kiddoo, Richard Herman and Michael Horn.

Bruner-Ringo told her mother that the newly admitted patient was showing signs of illness — profuse sweating, a “productive” cough and a fever close to 103 degrees, her mother told The Times.

“I said, ‘Those are definitely problematic,’” recalled Kim Bruner-Ringo, a veteran nurse in Oklahoma City.

The patient was so ill that Bruner-Ringo called 911 for an ambulance, but it was too late. In the days and weeks that followed, the virus would spread in the facility.

Bruner-Ringo stopped breathing April 20, 2020, in the intensive care unit at Harbor-UCLA Medical Center, according to her family. She was 32.

“I was just praying every day that Brittany would be able to tell her own story,” said her sister Breanna Hurd.

Helena Apothaker received an email from the facility in the early days of the pandemic letting her know that she would not be able to visit her mother, Catherine. The message said the facility was going into lockdown for the safety of its elderly residents.

“Nobody was allowed in,” Apothaker said in an interview with The Times. “They were going to keep our loved ones safe. That was their top priority. Well, not 30 days later, I guess they lost their top priority.”

Her mother was in the beginning stages of Alzheimer’s, but overall in good health, Apothaker said. After her mother tested positive for COVID-19, Apothaker placed her mother in hospice care, and she was finally allowed to visit in person.

“I was in the building with my mother for the week that she died,” Apothaker said. “I can’t imagine what it must have been like for everybody who had to watch their parents die through a window or watch their loved ones die over FaceTime.”

Hearing news that the criminal charges were filed against Silverado Beverly Place filled Apothaker with a sense of justice, because it feels as though people have forgotten about the pandemic and the people who have died.

“But I remember my mother died,” she said. “The only thing I had to hold on to was the idea that maybe one day I would get some justice.”

Los Angeles Times investigative reporter Harriet Ryan contributed to this story.

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