A stunning new report on nursing homes in the United States makes some bold claims about what is happening to elderly people in the state of Ohio. A report from the Cleveland Plain Dealer claims that the agency that provides nursing home inspectors in Ohio who ensure that the elderly are getting proper care are understaffed by at least a dozen employees and have not been meeting federal guidelines.

The state has 153 inspectors who examine the 960 nursing homes in Ohio to ensure that those in nursing homes are being well cared for, and they are charged with investigating more than 2,000 complaints per year, according to the report

But the deadline for inspecting nursing homes in the state has been met in the last six years, the report adds. The average interval period for inspecting nursing homes should be 12.9 months, but Ohio’s average was nearly a month longer than that last year.

“That’s really bad,” Richard Mollott, the executive director of the Long Term Care Community Coalition, a nonprofit in New York City that advocates for nursing home residents and their families, said according to a quote in the Cleveland Plain Dealer. “The people in nursing homes require daily care; that’s why they are there. It’s incumbent on the state to make sure they are getting that care. If you aren’t getting inspectors in there every year to check on what’s going on, then you have a problem.”