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Lee s west region Public Service Journalism team examined nursing home sectors in Montana, Nebraska, Oklahoma and Texas. Each state ranks poorly in federal quality ratings, staff shortages or turnover rates.

United statesPublic service journalismBryan medical centerLee enterprisesNursing home careStaffing shortagesCenters for medicare and medicaidIgh turnover in staffingOor quality ratingsRating systemAre in crisisOb marketSocial servicesHe economyOvernment departments and ministries