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The U.S. Department of Health and Human Services announced this week its plans to decertify Life Alliance Organ Recovery Agency, a major organ procurement organization (OPO) in Miami, following its federal investigation that allegedly uncovered years of “unsafe practices.”

The Life Alliance Organ Recovery Agency is a division of the University of Miami Health System and is purported to service hospitals across South Florida and the Bahamas. Life Alliance is one of 55 nonprofits designated by the federal government that coordinates the transplantation of organs around the country. They are regulated by the U.S. Centers for Medicare and Medicaid services, according to local media reporting.

In addition to unsafe practices, the investigation revealed “poor training, chronic underperformance, understaffing, and paperwork errors.”

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A home health nurse in Florida was accused of taping the mouth of her “nonverbal” patient and repeatedly ripping it off, according to recent reporting from local media.

Nia Ayers, 24, was charged with aggravated abuse of the elderly or disabled after turning herself in on May 7, The Miami Herald reported this week.

The incident, involving an 18-year-old patient who investigators say “is completely unable tot defend herself or cry out for help,” was reported to the St. Cloud Police Department by the patient’s mother. The mother checked home camera footage after noticing cuts and scrapes around the patient’s mouth and on her eyelids.

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