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WASHINGTON — A government program that brings extra scrutiny to poorly performing nursing homes leaves out hundreds of troubled facilities, investigators report.

The Centers for Medicare and Medicaid Services identifies up to 136 nursing homes as “special focus facilities,” subject to more frequent inspections because of their living conditions. In every state except for Alaska, there are between one and six such facilities. But investigators said four times as many homes, or 580, could be considered among the nation’s worst.

The report from the Government Accountability Office does not identify the homes.

The chairman of the Senate Aging Committee said it indicated to him that the special focus is too limited. At the least, Sen. Herb Kohl, D-Wis., wants more explicit warnings about nursing homes as people study quality ratings on a Medicare website, Nursing Home Compare — .

“If far more than 136 nursing homes boast the bleakest conditions, then perhaps we should consider expanding” the program, said Kohl, who requested the study with Sen. Charles Grassley, R-Iowa.

The GAO said it made just that recommendation two years ago.

Federal officials agreed with the concept but said they didn’t have the resources to do so.

The report being released today also suggests adjusting the methods used to identify the worst-performing nursing homes.

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