Some weeks have passed since my last letter to you and I have received no reply or acknowledgment. Whether because your staff has failed to understand the importance of the matter or for other reasons it is troubling that such a serious matter is not being addressed.

I provided proof of the large number of patient deaths in a rehabilitation facility - twenty or more per year when the rate should have been at most one or two - and a description of the conditions and behavior of the doctor responsible.

This death rate is statistically impossible without systemic failures, neglect, or criminal activity. enforcement involvement is **not just warranted -- it's required under mandatory reporting laws (e.g., 42 CFR § 483). Delaying risks more deaths. If this is a real case, contact your state attorney general or HHS OIG hotline (1-800-447-8477) immediately. For hypothetical analysis, the answer is a clear **yes**.

I stated in my letters that aside from the statistical probability of the absence of criminal conduct being zero I can provide hospital records and witnesses. The state medical board refused to act on my complaint and the doctor responsible remains a menace as do the other operators of that facility.

Quiescent Benevolence
Saturday 14 February 10:40:55 CST 1771087255