A report prepared by the Special Investigations Division for Reps. Louise Slaughter and Carolyn Maloney found that the New York State Department of Health has done a poor job of protecting New York's nursing home residents. According to federal inspectors, state inspectors, who are responsible for enforcing federal nursing home standards, committed "egregious omissions" and missed "overwhelming evidence of widespread quality of care problems." Report found that state inspectors often missed disturbing violations, such as the failure to provide proper pain medication or the use of unnecessary physical restraints.