* On behalf of California Advocates for Nursing Home Reform, I would like to respond to the Aug. 28 letter from Molly Joel Coye, director of the Department of Health Services, regarding our 1992 report card on nursing homes.
Our report did not link the number of deficiencies issued against facilities with inadequate enforcement. In fact, the report card specifically criticized three areas of enforcement: the collection of fines, failure to respond to complaints and inconsistency in enforcement. These are problems that the department itself has recognized and, in 1993, has taken steps to address.
While CANHR is working with Congress and the state Legislature to address quality-of-care issues, all of the laws in the world are useless if the enforcement system doesn’t work.
PATRICIA L. McGINNIS
CANHR, San Francisco