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State asks for federal assistance since they do no have the authority to impose a fine, as the article mentions, somewhat of a rare move.  BD

CLINTON, Iowa - State officials say they are taking a rare action and asking federal officials to fine a Clinton hospital $10,000 for allegedly contributing to the death of a nursing home patient.


According to a copyright story in Monday's The Des Moines Register, state officials cannot fine a hospital for providing poor quality care. However, they can recommend that the federal Centers for Medicare and Medicaid Services, or CMS, levy a fine.
The Iowa Department of Inspections and Appeals says it has asked the CMS to fine Mercy Medical Center of Clinton $10,000 for alleged violations found during an April inspection of its hospital-based nursing home.

State inspectors ask feds to fine hospital -- chicagotribune.com

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