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Mike Mitka

JAMA. 1998;280:1038-1039.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

RECENT INITIATIVES and investigations coming out of Washington, DC, call for improving conditions in nursing homes, but some physicians said regulators are ignoring a valuable component that could help save lives.

A US General Accounting Office (GAO) report, California Nursing Homes: Care Problems Persist Despite Federal and State Oversight, presents the results of an investigation of 62 cases involving the death of a nursing home resident in 1993. The retrospective study found that 34 of them received care that was unacceptable. The report also said that about 30% of California's 1400 nursing homes have been cited for serious violations under federal and state guidelines.

The report served as the cornerstone of a two-day hearing by the Senate's Special Committee on Aging that began on July 27 and came on the heels of a July 21 presentation by President Clinton of an initiative to improve quality in nursing homes.

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