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11. Pennsylvania implemented our prior audit recommendations for critical incidents involving Medicaid enrollees with developmental disabilities but should continue to take action to reduce unreported incidents

12. Louisiana should improve its oversight of nursing homes’ compliance with requirements that prohibit employment of individuals with disqualifying background checks

13. Washington state did not ensure that selected nursing homes complied with federal requirements for life safety, emergency preparedness, and infection control

14. Georgia could better ensure that nursing homes comply with federal requirements for life safety, emergency preparedness, and infection control