SEATTLE (AP) — A patient and a worker at Washington state’s largest psychiatric hospital have tested positive for coronavirus, and workers at the facility fear the number of cases will increase due to a lack of protective gear and new policies that force them to crowd together as they try to get into the building.

The Western State Hospital patient was at a Pierce County hospital for surgery last week and developed a fever, according to officials. The patient still had a fever when returned to the psychiatric hospital on Sunday, so he went back to the medical center and tested positive for COVID-19, according to Kelly Von Holtz, a spokesperson for the Department of Health and Human Services.

The employee last worked March 8 and has not been at the facility since, so health officials don’t think other hospital staff were impacted. The worker has since recovered and is symptom-free, Holtz said Thursday.

The patient and employee are among more than 1,300 people who have tested positive for the disease in Washington state, which leads the country in fatalities. About half of the 74 deaths were associated with a long-term care facility in Kirkland.

The 850-bed Lakewood facility has been the target of state and federal investigations for safety violations in recent years. It lost its accreditation and federal funding from the Centers of Medicare and Medicaid Services after it continually failed health and safety inspections.