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"In the last two years, at least 19 people have died in Missouri nursing homes and care centers because of abysmal treatment or indifference. The penalties in most cases? Minor." The Post-Dispatch findings discovered little to no fines in 14 of those deaths. "Only in two homes, where five people died, did the state try to seize the operating license." In addition, records revealed poor living conditions citing that "during the two-year period, about one of every five facilities in the state was cited for endangering patients or failing to correct problems identified in a previous inspection." The article includes notices of noncompliance for deaths from July 1999 to July 2001 and details a patient case in Joplin, Mo.

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