The government’s health care watchdog office has issued an early alert in advance of its upcoming formal report on egregious abuses of patients at skilled nursing facilities (SNFs).

The U.S. Department of Health and Human Services Office of Inspector General (OIG) says it found 134 cases of potential abuse and neglect in 33 states, including cases of rape and sexual abuse; more than a quarter of the cases had never been reported to law enforcement authorities.

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