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FILE – In this April 5, 2009 file photo, the Department of Health and Human Services building is seen in Washington. A government audit finds that more than 1 in 4 cases of possible sexual and physical abuse against nursing home patients apparently went unreported to police. The Health and Human Services inspector general’s office faults Medicare for failing to enforce a federal law that requires nursing homes to immediately notify police. (AP Photo/Alex Brandon, File)

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