Florida health care facilities evacuate patients after Ian

Thousands of people were evacuated from nursing homes and hospitals across Florida on Thursday even as winds and water from Hurricane Ian began receding. Hundreds of those evacuations were taking place across the hard-hit Fort Myers region, where damage cut off potable water to at least nine hospitals.

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Kristen Knapp of the Florida Health Care Association says 43 nursing homes evacuated about 3,400 residents as of Thursday morning, mostly in southwest Florida.

As many as 20 facilities had reported electricity outages, but Knapp says generators are powering those buildings. Water was shut off at some facilities, too. And one area hospital began assessing the full damage from ferocious winds that tore away parts of its roof and swamped its emergency room.

In Orlando, residents of the Avante nursing home were evacuated to ambulances and waiting buses through floodwater in a neighborhood that doesn’t typically flood. Paramedics rolled out residents one by one on stretchers and wheelchairs. At the neighboring Palm Island at Baldwin apartment complex, cars were submerged in the parking lot.

LIVE UPDATES: Florida works toward recovery as Hurricane Ian heads toward the Carolinas

Even as the problem was too much water in much of the state, at least nine hospitals in southwest Florida had the opposite problem.

“We have one large health system in southwest Florida that is without water in all of their facilities. And so they are fast approaching a point where they will not be able to safely take care of their patients. So that is an urgent focus to get those patients transferred,” said Mary Mayhew, the president of the Florida Hospital Association.

Mayhew said more 1,200 patients were being evacuated.

READ: Here’s when Central Florida counties will collect trash and debris after Hurricane Ian

Meanwhile, other hospitals could find themselves further strained, she said.

“There is considerable effort underway to rescue individuals who also will need medical care. And to identify hospital beds available either in the region or elsewhere,” she said.

Hurricane Ian swamped HCA Florida Fawcett Hospital in Port Charlotte - just north of Fort Myers - from both above and below, as the storm surge flooded its lower level emergency room while fierce winds tore part of its fourth floor roof from its intensive care unit, according to a doctor who works there.

READ: Hurricane Ian: When will Orlando’s theme parks & attractions reopen?

Dr. Birgit Bodine spent the night at the hospital, anticipating the storm would make things busy, “but we didn’t anticipate that the roof would blow off on the fourth floor,” she said.

Water gushed down Wednesday from above onto the ICU, forcing staff to evacuate the hospital’s sickest patients — some of them on ventilators — to other floors. Staff members resorted to towels and plastic bins to try to mop up the sodden mess.

The medium-sized hospital spans four floors, but patients were forced into just two because of the damage.

Photos: Hurricane Ian causes damage to homes, communities

MATLACHA, FLORIDA - SEPTEMBER 30: Whitney Hall (R) embraces a friend atop the remains of his home amidst wreckage left in the wake of Hurricane Ian on the island of Matlacha on September 30, 2022 in Matlacha, Florida. The hurricane brought high winds, storm surge and rain to the area causing severe damage. (Photo by Win McNamee/Getty Images)
MATLACHA, FLORIDA - SEPTEMBER 30: Whitney Hall (R) embraces a friend atop the remains of his home amidst wreckage left in the wake of Hurricane Ian on the island of Matlacha on September 30, 2022 in Matlacha, Florida. The hurricane brought high winds, storm surge and rain to the area causing severe damage. (Photo by Win McNamee/Getty Images)
MATLACHA, FLORIDA - SEPTEMBER 30: Pine Island residents Wolfgang Nester (R) and his son Sebastian walk amongst the wreckage lef in the wake of Hurricane Ian on the island of Matlacha on September 30, 2022 in Matlacha, Florida. The hurricane brought high winds, storm surge and rain to the area causing severe damage. (Photo by Win McNamee/Getty Images)
MATLACHA, FLORIDA - SEPTEMBER 30: A chair sits on a flooded roadway in the wake of Hurricane Ian on September 30, 2022 in Matlacha, Florida. The hurricane brought high winds, storm surge and rain to the area causing severe damage. (Photo by Win McNamee/Getty Images)
MATLACHA, FLORIDA - SEPTEMBER 30: A chair sits on a flooded roadway in the wake of Hurricane Ian on September 30, 2022 in Matlacha, Florida. The hurricane brought high winds, storm surge and rain to the area causing severe damage. (Photo by Win McNamee/Getty Images)
MATLACHA, FLORIDA - SEPTEMBER 30: Wreckage left in the wake of Hurricane Ian is shown on the island of Matlacha on September 30, 2022 in Matlacha, Florida. The hurricane brought high winds, storm surge and rain to the area causing severe damage. (Photo by Win McNamee/Getty Images)
MATLACHA, FLORIDA - SEPTEMBER 30: Wreckage left in the wake of Hurricane Ian is shown on the island of Matlacha on September 30, 2022 in Matlacha, Florida. The hurricane brought high winds, storm surge and rain to the area causing severe damage. (Photo by Win McNamee/Getty Images)
A burned vehicle from an electrical fire following Hurricane Ian in Venice, Florida, US, on Friday, Sept. 30, 2022. Two million electricity customers in Florida remained without power Friday morning, according to the tracking site poweroutage.us. Photographer: Tristan Wheelock/Bloomberg via Getty Images
A burned vehicle from an electrical fire following Hurricane Ian in Venice, Florida, US, on Friday, Sept. 30, 2022. Two million electricity customers in Florida remained without power Friday morning, according to the tracking site poweroutage.us. Photographer: Tristan Wheelock/Bloomberg via Getty Images
MATLACHA, FLORIDA - SEPTEMBER 30: Whitney Hall waves to a friend from the remains of his home while waving the American flag amidst wreckage left in the wake of Hurricane Ian on the island of Matlacha on September 30, 2022 in Matlacha, Florida. The hurricane brought high winds, storm surge and rain to the area causing severe damage. (Photo by Win McNamee/Getty Images)
FORT MYERS, FLORIDA - SEPTEMBER 30: Sue Lepisto hugs her neighbor after they saw each other when they came to visit what was left of their homes after Hurricane Ian passed through on September 30, 2022 in Fort Myers, Florida. Their homes were flooded with about 6 feet of water. The hurricane brought high winds, storm surges and rain to the area causing severe damage. (Photo by Joe Raedle/Getty Images)
FORT MYERS, FLORIDA - SEPTEMBER 30: Brian Siebert becomes emotional as he looks at what remains of his home after Hurricane Ian passed through the area on September 30, 2022 in Fort Myers, Florida.  Mr. Siebert feels like he has lost everything in the apartment because there was about 6 feet of water that inundated it. The hurricane brought high winds, storm surges and rain to the area causing severe damage. (Photo by Joe Raedle/Getty Images)
FORT MYERS, FLORIDA - SEPTEMBER 30: Frank Bruno speaks with members of the Texas A&M Task Force 1 Search and Rescue team as they look for anyone needing help after Hurricane Ian passed through the area on September 30, 2022 in Fort Myers, Florida. Mr. Bruno said he road the storm out in his home and told the search team members that he was okay.  The hurricane brought high winds, storm surges and rain to the area causing severe damage. (Photo by Joe Raedle/Getty Images)
FORT MYERS, FLORIDA - SEPTEMBER 30: Deb McGinty walks with outstretched arms near her apartment as she said she was,
FORT MYERS, FLORIDA - SEPTEMBER 30: Deb McGinty walks with outstretched arms near her apartment as she said she was,
FORT MYERS, FLORIDA - SEPTEMBER 30: Lucy Montoya hugs niece Judy Sanchez after seeing her for the first time since Hurricane Ian passed through the area on September 30, 2022 in Fort Myers, Florida.  Mrs. Montoya said she road the storm out in the apartment and had to flee through a window because of flood waters in the middle of the storm to a second floor apartment.  The hurricane brought high winds, storm surges and rain to the area causing severe damage. (Photo by Joe Raedle/Getty Images)
FORT MYERS, FLORIDA - SEPTEMBER 30: Val Stuart talks on a cell phone as she sits on the bed she setup on the floor after the apartment she was staying in was flooded when Hurricane Ian passed through the area on September 30, 2022 in Fort Myers, Florida.  Mrs. Stuart who evacuated from Sanibel before the storm ended up staying in the apartment and had to flee in the middle of the storm through a window because of flood waters to a second floor apartment.  The hurricane brought high winds, storm surges and rain to the area causing severe damage. (Photo by Joe Raedle/Getty Images)
FORT MYERS, FLORIDA - SEPTEMBER 30: Jordan Reidy carries his dog, Ivory,  back to their second-floor apartment after fleeing when Hurricane Ian passed through the area on September 30, 2022 in Fort Myers, Florida.  Mr. Reidy and his mother plan to stay at the home because they feel like they have no where else to go.  The hurricane brought high winds, storm surges and rain to the area causing severe damage. (Photo by Joe Raedle/Getty Images)
FORT MYERS, FLORIDA - SEPTEMBER 30: Omar Sanchez walks through flood waters to his apartment after Hurricane Ian passed through the area on September 30, 2022 in Fort Myers, Florida.  Mr. Sanchez said he had to flee from his first floor apartment to the second floor because flood waters inundated it. The hurricane brought high winds, storm surges and rain to the area causing severe damage. (Photo by Joe Raedle/Getty Images)
FORT MYERS, FLORIDA - SEPTEMBER 30: A member of the Texas A&M Task Force 1 Search and Rescue team looks for anyone needing help after Hurricane Ian passed through the area on September 30, 2022 in Fort Myers, Florida.  The hurricane brought high winds, storm surges and rain to the area causing severe damage. (Photo by Joe Raedle/Getty Images)
FORT MYERS, FLORIDA - SEPTEMBER 30: A member of the Texas A&M Task Force 1 Search and Rescue team looks for anyone needing help after Hurricane Ian passed through the area on September 30, 2022 in Fort Myers, Florida. The hurricane brought high winds, storm surges and rain to the area causing severe damage. (Photo by Joe Raedle/Getty Images)
A woman walks down the stairs from her house as a creek overflows from flooding following Hurricane Ian on September 30, 2022 in Kissimmee, Florida. - Forecasters expect Hurricane Ian to cause life-threatening storm surges in the Carolinas on Friday after unleashing devastation in Florida, where it left a yet unknown number of dead in its wake. After weakening across Florida, Ian regained its Category 1 status in the Atlantic Ocean and was headed toward the Carolinas, the US National Hurricane Center said Friday. (Photo by Bryan R. Smith / AFP) (Photo by BRYAN R. SMITH/AFP via Getty Images)
Osceloa County Sheriffs use a fanboat to rescue residents from flooding following Hurricane Ian on September 30, 2022 in Kissimmee, Florida. - Forecasters expect Hurricane Ian to cause life-threatening storm surges in the Carolinas on Friday after unleashing devastation in Florida, where it left a yet unknown number of dead in its wake. After weakening across Florida, Ian regained its Category 1 status in the Atlantic Ocean and was headed toward the Carolinas, the US National Hurricane Center said Friday. (Photo by Bryan R. Smith / AFP) (Photo by BRYAN R. SMITH/AFP via Getty Images)
Osceloa County Sheriffs use a fanboat to rescue a 93 year-old resident from flooding following Hurricane Ian on September 30, 2022 in Kissimmee, Florida. - Forecasters expect Hurricane Ian to cause life-threatening storm surges in the Carolinas on Friday after unleashing devastation in Florida, where it left a yet unknown number of dead in its wake. After weakening across Florida, Ian regained its Category 1 status in the Atlantic Ocean and was headed toward the Carolinas, the US National Hurricane Center said Friday. (Photo by Bryan R. Smith / AFP) (Photo by BRYAN R. SMITH/AFP via Getty Images)
Osceloa County Sheriffs use a fanboat to rescue residents from flooding following Hurricane Ian on September 30, 2022 in Kissimmee, Florida. - Forecasters expect Hurricane Ian to cause life-threatening storm surges in the Carolinas on Friday after unleashing devastation in Florida, where it left a yet unknown number of dead in its wake. After weakening across Florida, Ian regained its Category 1 status in the Atlantic Ocean and was headed toward the Carolinas, the US National Hurricane Center said Friday. (Photo by Bryan R. Smith / AFP) (Photo by BRYAN R. SMITH/AFP via Getty Images)
A man stops in front of his house as a creek overflows from flooding following Hurricane Ian on September 30, 2022 in Kissimmee, Florida. - Forecasters expect Hurricane Ian to cause life-threatening storm surges in the Carolinas on Friday after unleashing devastation in Florida, where it left a yet unknown number of dead in its wake. After weakening across Florida, Ian regained its Category 1 status in the Atlantic Ocean and was headed toward the Carolinas, the US National Hurricane Center said Friday. (Photo by Bryan R. Smith / AFP) (Photo by BRYAN R. SMITH/AFP via Getty Images)
Osceloa County Sheriffs speaks to a resident as a creek rises from flooding following Hurricane Ian on September 30, 2022 in Kissimmee, Florida. - Forecasters expect Hurricane Ian to cause life-threatening storm surges in the Carolinas on Friday after unleashing devastation in Florida, where it left a yet unknown number of dead in its wake. After weakening across Florida, Ian regained its Category 1 status in the Atlantic Ocean and was headed toward the Carolinas, the US National Hurricane Center said Friday. (Photo by Bryan R. Smith / AFP) (Photo by BRYAN R. SMITH/AFP via Getty Images)
PORT CHARLOTTE, FLORIDA - SEPTEMBER 30: In this aerial view, vehicles line up to purchase gasoline in the wake of Hurricane Ian on September 30, 2022 in Port Charlotte, Florida. The hurricane brought high winds, storm surges and rain to the area causing severe damage. (Photo by Win McNamee/Getty Images)
PORT CHARLOTTE, FLORIDA - SEPTEMBER 30: In this aerial view, vehicles line up to purchase gasoline in the wake of Hurricane Ian on September 30, 2022 in Port Charlotte, Florida. The hurricane brought high winds, storm surges and rain to the area causing severe damage. (Photo by Win McNamee/Getty Images)
PORT CHARLOTTE, FLORIDA - SEPTEMBER 30: In this aerial view, vehicles drive through standing water left in the wake of Hurricane Ian on September 30, 2022 in Port Charlotte, Florida. The hurricane brought high winds, storm surges, and rain to the area causing severe damage. (Photo by Win McNamee/Getty Images)
PORT CHARLOTTE, FLORIDA - SEPTEMBER 30: In this aerial view, vehicles drive through standing water left in the wake of Hurricane Ian on September 30, 2022 in Port Charlotte, Florida. The hurricane brought high winds, storm surges, and rain to the area causing severe damage. (Photo by Win McNamee/Getty Images)
A fallen sign following Hurricane Ian in Venice, Florida, US, on Thursday, Sept. 29, 2022. Ian, now a hurricane again, is threatening to carve a new path of destruction through South Carolina Friday when it roars ashore north of Charleston. Photographer: Tristan Wheelock/Bloomberg via Getty Images
A fallen sign following Hurricane Ian in Venice, Florida, US, on Thursday, Sept. 29, 2022. Ian, now a hurricane again, is threatening to carve a new path of destruction through South Carolina Friday when it roars ashore north of Charleston. Photographer: Tristan Wheelock/Bloomberg via Getty Images
ORLANDO, FLORIDA, UNITED STATES - SEPTEMBER 29: Members of the Florida National Guard look for stranded residents in a flooded neighborhood in the aftermath of Hurricane Ian on September 29, 2022 in Orlando, Florida. The storm has caused widespread power outages and flash flooding in Central Florida as it crossed through the state after making landfall in the Fort Myers area as a Category 4 hurricane. (Photo by Paul Hennessy/Anadolu Agency via Getty Images)
FORT MYERS, FLORIDA - SEPTEMBER 30: A wall of a condo was torn off as hurricane Ian passed through on September 30, 2022 in Fort Myers, Florida. The hurricane brought high winds, storm surge and rain to the area causing severe damage. (Photo by Joe Raedle/Getty Images)
FORT MYERS, FLORIDA - SEPTEMBER 30: A wall of a condo was torn off as hurricane Ian passed through on September 30, 2022 in Fort Myers, Florida. The hurricane brought high winds, storm surge and rain to the area causing severe damage. (Photo by Joe Raedle/Getty Images)
FORT MYERS, FLORIDA - SEPTEMBER 30: Ron Waselenchuk inspects his sailboat which was pushed ashore by hurricane Ian on September 30, 2022 in Fort Myers, Florida. The hurricane brought high winds, storm surge and rain to the area causing severe damage. (Photo by Joe Raedle/Getty Images)
FORT MYERS, FLORIDA - SEPTEMBER 30: Ron Waselenchuk inspects his sailboat which was pushed ashore by hurricane Ian on September 30, 2022 in Fort Myers, Florida. The hurricane brought high winds, storm surge and rain to the area causing severe damage. (Photo by Joe Raedle/Getty Images)
Damage to a McDonald's restaurant following Hurricane Ian in Venice, Florida, US, on Thursday, Sept. 29, 2022. Ian, now a hurricane again, is threatening to carve a new path of destruction through South Carolina Friday when it roars ashore north of Charleston. Photographer: Tristan Wheelock/Bloomberg via Getty Images
Damage to a McDonald's restaurant following Hurricane Ian in Venice, Florida, US, on Thursday, Sept. 29, 2022. Ian, now a hurricane again, is threatening to carve a new path of destruction through South Carolina Friday when it roars ashore north of Charleston. Photographer: Tristan Wheelock/Bloomberg via Getty Images
ORLANDO, FLORIDA, UNITED STATES - SEPTEMBER 29: Street signs are seen in the water in a flooded street in the aftermath of Hurricane Ian on September 29, 2022 in Orlando, Florida. The storm has caused widespread power outages and flash flooding in Central Florida as it crossed through the state after making landfall in the Fort Myers area as a Category 4 hurricane. (Photo by Paul Hennessy/Anadolu Agency via Getty Images)
In this aerial view, boats sit grounded in a woodland area and along the side of the road after being pushed by rising water from Hurricane Ian near Fort Myers Beach on September 29, 2022, in San Carlos Island, Florida.
In this aerial view, boats sit grounded in a woodland area and along the side of the road after being pushed by rising water from Hurricane Ian near Fort Myers Beach on September 29, 2022, in San Carlos Island, Florida.
In this aerial view, the Sanibel Causeway bridge collapsed in places after Hurricane Ian passed through the area on September 29, 2022, in Sanibel, Florida.
In this aerial view, the Sanibel Causeway bridge collapsed in places after Hurricane Ian passed through the area on September 29, 2022, in Sanibel, Florida.
In this aerial view, a neighborhood remains flooded near downtown after Hurricane Ian on September 29, 2022, in Orlando, Florida.
In this aerial view, a neighborhood remains flooded near downtown after Hurricane Ian on September 29, 2022, in Orlando, Florida.
Boats sit atop one another in a marina near Fort Myers Beach on September 29, 2022, in San Carlos Island, Florida.
Boats sit atop one another in a marina near Fort Myers Beach on September 29, 2022, in San Carlos Island, Florida.
A man documents storm damage with his phone after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
A man documents storm damage with his phone after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
Vehicles float in the water after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
Vehicles float in the water after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
Doc's Beach House after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
Doc's Beach House after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
Seth Jones, left, sorts through storm damaged video games as Jason Crosser looks on at Crossers storm damaged business, 8-Bit Hall of Fame, after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
Seth Jones, left, sorts through storm damaged video games as Jason Crosser looks on at Crossers storm damaged business, 8-Bit Hall of Fame, after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
In this aerial view, a home burns after Hurricane Ian passed through the area on September 29, 2022, in Sanibel, Florida.
In this aerial view, a home burns after Hurricane Ian passed through the area on September 29, 2022, in Sanibel, Florida.
A man looks out to the Gulf of Mexico after Hurricane Ian on September 29, 2022, in Naples, Florida.
A man looks out to the Gulf of Mexico after Hurricane Ian on September 29, 2022, in Naples, Florida.
A woman walks her bike past boats blocking a road after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
A woman walks her bike past boats blocking a road after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
In this aerial view, cars sit in floodwater near downtown after Hurricane Ian on September 29, 2022, in Orlando, Florida.
In this aerial view, cars sit in floodwater near downtown after Hurricane Ian on September 29, 2022, in Orlando, Florida.
In this aerial view, the Sanibel Causeway bridge collapsed in places after Hurricane Ian passed through the area on September 29, 2022, in Sanibel, Florida.
In this aerial view, the Sanibel Causeway bridge collapsed in places after Hurricane Ian passed through the area on September 29, 2022, in Sanibel, Florida.
A storm damaged building after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
A storm damaged building after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
Meagan Hoeschler recovers a family surf board on the beach after Hurricane Ian on September 29, 2022, in Naples, Florida.
Meagan Hoeschler recovers a family surf board on the beach after Hurricane Ian on September 29, 2022, in Naples, Florida.
Storm debris fills a street after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
Storm debris fills a street after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
A car sits in floodwater after Hurricane Ian on September 29, 2022, in Orlando, Florida.
A car sits in floodwater after Hurricane Ian on September 29, 2022, in Orlando, Florida.
Storm damaged vehicles after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
Storm damaged vehicles after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
People walk along a sidewalk blocked by boats after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
People walk along a sidewalk blocked by boats after Hurricane Ian on September 29, 2022, in Bonita Springs, Florida.
In an aerial view, damaged buildings are seen as Hurricane Ian passed through the area on September 29, 2022, in Fort Myers Beach, Florida.
In an aerial view, damaged buildings are seen as Hurricane Ian passed through the area on September 29, 2022, in Fort Myers Beach, Florida.
In this aerial view, boats sit atop one another in a marina near Fort Myers Beach on September 29, 2022, in San Carlos Island, Florida.
In this aerial view, boats sit atop one another in a marina near Fort Myers Beach on September 29, 2022, in San Carlos Island, Florida.

Bodine plans to spend another night at the hospital, when incoming storm injuries could make things worse.

“The ambulances may be coming soon and we don’t know where to put them in the hospital at this point,” she said. “Because we’re doubled and tripled up.”

Despite the inundation, Bodine said patients have been mostly understanding and upbeat.

“For us, as much as everything is terrible and we’re exhausted ... as long as our patients do OK and nobody ends up dying or having a bad outcome, that’s what matters,” Bodine said.

_____

Calvan reported from New York. Associated Press reporters Mike Schneider in Orlando, Florida, and Matt Sedensky in New York contributed to this story.

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