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The result: CNN exclusively found that the federal government has cited more than 1,000 nursing homes for mishandling or failing to prevent alleged cases of rape, sexual assault and sexual abuse at their facilities during this period.

(This includes some of the cases provided by the Centers for Medicare & Medicaid Services.) And nearly 100 of these facilities have been cited multiple times during the same period.

Family members viewed video footage of an aide repeatedly raping their loved one, who was on feeding tubes, after hiding a camera in a stuffed animal in the room. Such a challenging environment provides some context for how serious allegations of sexual assault could be overlooked. In nursing homes housing low-income residents on Medicaid.

CNN's analysis found that the nursing homes themselves are a large part of the problem. Choking and hitting people with fists and wheelchair parts. It's rarely talked about, but sexual assault in the very facilities tasked with caring for the elderly is hardly a new problem, with cases dating back decades. And in centers where people pay thousands of dollars out of their own savings to be there.

A woman was found gagging and trying to fight off a male resident who had his penis in her mouth.And in Texas, 11 of 251 sexual complaints in the 2015 fiscal year were substantiated.Wisconsin said it didn't have a single substantiated report of abuse in the last five years.The Centers for Medicare & Medicaid Services lumps sexual allegations into a category that includes all kinds of abuse, such as physical or financial.The agency said this is because it takes all forms of abuse seriously.But most states could not say how frequently abuse investigations involved sexual allegations, often stating that sex abuse allegations are not categorized separately from other forms of abuse.The federal government doesn't specifically track all sexual allegations either.Illinois, for example, said 386 allegations of sexual abuse of nursing home residents had been recorded since 2013, 201 of which involved a caretaker.Hawaii said eight allegations of sexual abuse were investigated between 20 -- five of which involved a caregiver.During this analysis, the reporters also categorized allegations based on the severity of abuse and the kind of perpetrator (whether a caregiver, resident or visitor), among other data points.At the end of this weeks-long analysis, CNN concluded that more than 1,000 nursing homes across the country have been cited for somehow mishandling or failing to prevent alleged cases of sexual assault at their facilities in recent years.


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