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In a four-part series, Rob Perez of the Honolulu Advertiser found Hawaii's long-term-care system for the elderly is fraught with problems, including a placement system tainted by kickbacks and fraud. He also found that Hawaii nursing homes are the least sanctioned in the country, that reforms at the state Legislature are consistently blocked by care-home lobbyists and that a blacklist for certified nurse aides deemed unfit to work in the industry is full of holes.
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