Ken Dilanian of The Philadelphia Inquirer found a long list of health and safety violations, a history of substandard care, and a system of state oversight that, until recently, often allowed deficient operators to violate safety rules with virtual impunity in the assisted-living homes of Philadelphia. Since 2000, at least 55 assisted-living residents have died across the state under horrible circumstances. Uncounted others were beaten or neglected at the state-regulated facilities. At least five were raped. With Nancy Phillips, Dilanian questioned the dysfunctional system that let a chain of horrors grow.