Lest, say, for Mr.

Should CMS have the authority to shut down ALFs when chronic problems are occurring and state regulators have failed to act?

So how do we prevent ALFs from becoming unregulated nursing homes?

let's see what we can do, at least, to make the suggestions to the states for the ombudsmen to be more effective.

what the Miami Herald chronicled was not conditions that the community would accept at all--to the contrary, to the point of absolute shock and revulsion.

Well, I want to thank all of you for a very lively discussion. I think it has enormously added to the repository of information of this committee.

we find a better way at encouraging the states to take regulatory control of this problem and do what they should under their laws.

When you were making a decision to go in that particular home, you said that you went and visited, and it looked fairly good.

We have--we require from states corrective action plans if there is a shortfall that is identified.

A bully pulpit that was filled by the Miami Herald, I might say.

It's a state responsibility.