I mean, the best control vector we have right now for general use seems to just be good hygiene practices and whatnot. Careful hand washing, not coughing on people or otherwise getting fluids in places they shouldn't be, so on, so forth.
Or in other words basically everything old people are progressively worse at. So yes, something like a nursing home is
probably going to see rapid infection.
Now, with good care access (stuff to keep your lungs lunging, mostly) even old people have better than even odds of survival, from what I understand... but that's contingent on having access. And you're talking the US, where tens of millions don't have insurance, rural areas are persistently underserved, and the executive branch was trying to claim reports of the danger of the virus are an attack on the president, last I noticed. Etc., etc., etc. We probably have the capability, conceptually, but the will? Hahahaha

So like. Fucked? Probably pretty fucked.